OT 610 PRACTICE FINAL Charlotte is an 82 year old African American woman who experienced a left CVA with right hemiparesis two days prior. The occupational therapist asks Charlotte about her morning routine, her responsibilities at home, and the support systems she has in place. In which part of the process is the occupational therapist currently in?
A. Intervention
B. Targeting of outcomes
C. Evaluation
D. Reevaluation - CORRECT ANSWERS-C. Evaluation
According to the OTPF, which of the following is not a performance pattern?
A. roles
B. rituals
C. Employment pursuits
D. habits - CORRECT ANSWERS-C. Employment pursuits
Which of the following activities is not involved in analysis of occupational performance?
A. Clients assets and problems are more specifically identified
B. Assessment tools are used to observe, measure, and inquire about factors
that impact performance
C. An understanding of the client's background and history is obtained
D. Targeted outcomes are identified - CORRECT ANSWERS-C. An understanding of the client's background and history is obtained
What are ways to establish relationships with your clients? (check all that apply)
A. Judicious use of touch
B. Intervention planning
C. Cultural competence
D. Mode matching and versatility
E. Re-evaluation - CORRECT ANSWERS-A. Judicious use of touch
C. Cultural competence
D. Mode matching and versatility
In clinic you have a client with L CVA who is working on fine motor skills in R hand with a writing activity. You notice his hand shaking, you go to steady his hand with yours, he flinches and pulls away. What do you do next?
A. Proceed to guide hand
B. Remove your hand and let them continue without bringing the situation up
in conversation
C. Remove hand and ask if it's ok if you guide his hand. If he says yes proceed.
D. Switch to a different activity - CORRECT ANSWERS-C. Remove hand and ask if it's ok if you guide his hand. If he says yes proceed.
Which of the following is NOT a central element of the intentional relationship model?
A. Client
B. Context and environment
C. Therapist
D. Interpersonal events occurring during therapy
E. Occupation - CORRECT ANSWERS-B. Context and environment
Your client sustained a SCI and requires adaptive equipment for the home. His insurance does not cover the equipment. You contact a local organization
to facilitate the acquisition of the equipment. Which one of Renee Taylor's therapeutic modes are you adopting?
A. Advocating
B. Collaborating
C. Instructing
D. Problem-solving - CORRECT ANSWERS-A. Advocating
Which of the following is NOT a type of clinical/professional reasoning?
A. Narrative reasoning
B. Conditional reasoning
C. Therapeutic reasoning
D. Pragmatic reasoning - CORRECT ANSWERS-C. Therapeutic reasoning
An occupational therapist goes to a client's room in an acute care setting planning on addressing grooming and hygiene for a patient who had just sustained a right CVA. The therapist finds the client showered, dressed, and the client said she had already brushed her teeth. The therapist sees that the
hospital staff had just brought in the client's lunch and decides to focus the intervention on crossing midline to pick up food with utensils in order to work
on L side neglect. What type of clinical/professional reasoning is the therapist
using?
A. Ethical reasoning
B. Pragmatic reasoning
C. Narrative reasoning
D. Interactive reasoning - CORRECT ANSWERS-B. Pragmatic reasoning
You are working with a 19-year-old client. You ask if she has been doing the stretching exercises that you discussed with her last session, and she says that finals are coming up and she has been too busy to find time for them. You tell her that you remember just how stressful finals are, and suggest that
she try and view her exercises as a quick and much-needed study break. What type of clinical reasoning are you demonstrating? Briefly explain your answer. - CORRECT ANSWERS-Answers may vary: Interactive reasoning, because you are using your personal experiences to express empathy, relate
to the client, and motivate her.
Which type of clinical reasoning considers generating alternative solutions when deciding goals, interventions, and continuing services?
A. Interactive
B. Conditional
C. Ethical
D. Narrative - CORRECT ANSWERS-C. Ethical
a. Section 504 of the Rehabilitation Act of 1973 did which of the following?
A. Banned discrimination on the basis of disability
B. Required local, state, and federal government programs to be accessible
C. Prohibited public schools from excluding handicapped children based on their disability
D. Added physical rehabilitation to federally funded vocational rehab programs and provided funding for certain care services - CORRECT ANSWERS-A. Banned discrimination on the basis of disability
a. Amanda is a 24 year old who uses a wheelchair. She wants to go to the ice
cream shop but cannot enter. She asks the owner, "Is there a way for me to easily access this building? I want ice cream but my wheelchair will not fit through the door." The manager replies, "It's not my problem. I didn't design this building." Which model of disability is the manager demonstrating?
A. Social model of disability
B. Medical model of disability
C. Environmental model of disability
D. Clinical model of disability - CORRECT ANSWERS-B. Medical model of disability
A. Intervention
B. Targeting of outcomes
C. Evaluation
D. Reevaluation - CORRECT ANSWERS-C. Evaluation
According to the OTPF, which of the following is not a performance pattern?
A. roles
B. rituals
C. Employment pursuits
D. habits - CORRECT ANSWERS-C. Employment pursuits
Which of the following activities is not involved in analysis of occupational performance?
A. Clients assets and problems are more specifically identified
B. Assessment tools are used to observe, measure, and inquire about factors
that impact performance
C. An understanding of the client's background and history is obtained
D. Targeted outcomes are identified - CORRECT ANSWERS-C. An understanding of the client's background and history is obtained
What are ways to establish relationships with your clients? (check all that apply)
A. Judicious use of touch
B. Intervention planning
C. Cultural competence
D. Mode matching and versatility
E. Re-evaluation - CORRECT ANSWERS-A. Judicious use of touch
C. Cultural competence
D. Mode matching and versatility
In clinic you have a client with L CVA who is working on fine motor skills in R hand with a writing activity. You notice his hand shaking, you go to steady his hand with yours, he flinches and pulls away. What do you do next?
A. Proceed to guide hand
B. Remove your hand and let them continue without bringing the situation up
in conversation
C. Remove hand and ask if it's ok if you guide his hand. If he says yes proceed.
D. Switch to a different activity - CORRECT ANSWERS-C. Remove hand and ask if it's ok if you guide his hand. If he says yes proceed.
Which of the following is NOT a central element of the intentional relationship model?
A. Client
B. Context and environment
C. Therapist
D. Interpersonal events occurring during therapy
E. Occupation - CORRECT ANSWERS-B. Context and environment
Your client sustained a SCI and requires adaptive equipment for the home. His insurance does not cover the equipment. You contact a local organization
to facilitate the acquisition of the equipment. Which one of Renee Taylor's therapeutic modes are you adopting?
A. Advocating
B. Collaborating
C. Instructing
D. Problem-solving - CORRECT ANSWERS-A. Advocating
Which of the following is NOT a type of clinical/professional reasoning?
A. Narrative reasoning
B. Conditional reasoning
C. Therapeutic reasoning
D. Pragmatic reasoning - CORRECT ANSWERS-C. Therapeutic reasoning
An occupational therapist goes to a client's room in an acute care setting planning on addressing grooming and hygiene for a patient who had just sustained a right CVA. The therapist finds the client showered, dressed, and the client said she had already brushed her teeth. The therapist sees that the
hospital staff had just brought in the client's lunch and decides to focus the intervention on crossing midline to pick up food with utensils in order to work
on L side neglect. What type of clinical/professional reasoning is the therapist
using?
A. Ethical reasoning
B. Pragmatic reasoning
C. Narrative reasoning
D. Interactive reasoning - CORRECT ANSWERS-B. Pragmatic reasoning
You are working with a 19-year-old client. You ask if she has been doing the stretching exercises that you discussed with her last session, and she says that finals are coming up and she has been too busy to find time for them. You tell her that you remember just how stressful finals are, and suggest that
she try and view her exercises as a quick and much-needed study break. What type of clinical reasoning are you demonstrating? Briefly explain your answer. - CORRECT ANSWERS-Answers may vary: Interactive reasoning, because you are using your personal experiences to express empathy, relate
to the client, and motivate her.
Which type of clinical reasoning considers generating alternative solutions when deciding goals, interventions, and continuing services?
A. Interactive
B. Conditional
C. Ethical
D. Narrative - CORRECT ANSWERS-C. Ethical
a. Section 504 of the Rehabilitation Act of 1973 did which of the following?
A. Banned discrimination on the basis of disability
B. Required local, state, and federal government programs to be accessible
C. Prohibited public schools from excluding handicapped children based on their disability
D. Added physical rehabilitation to federally funded vocational rehab programs and provided funding for certain care services - CORRECT ANSWERS-A. Banned discrimination on the basis of disability
a. Amanda is a 24 year old who uses a wheelchair. She wants to go to the ice
cream shop but cannot enter. She asks the owner, "Is there a way for me to easily access this building? I want ice cream but my wheelchair will not fit through the door." The manager replies, "It's not my problem. I didn't design this building." Which model of disability is the manager demonstrating?
A. Social model of disability
B. Medical model of disability
C. Environmental model of disability
D. Clinical model of disability - CORRECT ANSWERS-B. Medical model of disability
