Vignette Exam: Evaluation (CANS) 2024 Final Exam Q&A

Vignette Exam: Evaluation (CANS) 2024 Final Exam Q&A An OT is preparing to evaluate a toddler who has upper extremity orthopedic concerns. How will the OT MOST likely obtain the majority of initial assessment data? A. Measurement tools that assess visual-motor skills B. Dynamometer and pinch meter readings C. Observation of child during activities in the child-care center D. Functional independence measures - CORRECT ANSWER-C. Observation of child during activities in the child-care center. During an initial evaluation, the OT suspects that a child has somatodyspraxia. In what area should the OT focus the intervention? A. Ability to print or write B. Reading competency C. Math calculations D. New motor task - CORRECT ANSWER-D. New motor task An OT working in a long-term care facility needs to evaluate the long-term memory of a resident. Which of the following methods is BEST for evaluating memory of a personally experienced events (declarative memory)? A. Show the person a series of objects and ask him to recall the objects within 60 seconds. B. Ask the individual how he spend New Year's. C. Have the individual state the place, date, and time. D. Ask the client to remember to bring a specific item to the next therapy session. - CORRECT ANSWER-B. Ask the individual how he spent the New Year's. A child avoids playground equipment that requires her feet to be off the ground. What does this behavior MOST likely indicate? A. Difficulty modulating proprioception B. Somatodyspraxia C. Gravitational Insecurity D. Bilateral integration/sequencing deficit. - CORRECT ANSWER-C. Gravitational Insecurity. When the OT suspects tactile defensiveness as a rationale for a child's challenges, in what area of participation should the OT focus on FIRST? A. Play behavior B. Dressing habits C. Social skills D. Leisure interests - CORRECT ANSWER-B. Dressing Habits An OT is working with an individual with schizophrenia who is in the process of preparing to move from a state hospital to a group home. During a baking group, the client becomes agitated and leaves the room when another client uses the electric hand mixer to mix the cake batter, and again when two clients begin to argue loudly about which type of icing to use. How would the OT BEST describe the behavior? A. Low registration B. Sensory avoiding C. Sensation seeking D. A hearing impairment - CORRECT ANSWER-B. Sensory Avoiding During a self - care evaluation of an individual who recently sustained a brain injury, the OT instructs the individual to comb his hair immediately after he washes his face. The individual washes his face quickly, but then the therapist must give him several reminders to comb his hair. The OT is MOST likely to identify this as a deficit in what area? A. Working memory B. Judgment C. Hearing D. Abstraction - CORRECT ANSWER-A. Working Memory A supermarket employee with obsessive - compulsive disorder takes an hour to stock 24 soup cans on the shelf because once he has placed the cans on the shelf, he removes them and starts over, stating that "all the labels were not lined up exactly in the