Chapter 1
Multiple Choice
1. Which of the following is NOT an assumption associated with sensory integration (SI) theory?
a) Children have an inner drive to develop SI through participation in sensorimotor
activities.
b) Adaptive interactions are critical to the development of SI.
c) Environmental interactions have limited effects on the central nervous system.
d) The brain functions as an integrated whole, meaning that cortical and subcortical
structures are important for SI.
ANS: C
2. Which of the following statements is MOST accurate?
a) Poor self-esteem is primarily an outcome of poor sensory modulation, not poor praxis.
b) Challenges with attention, self-regulation, and arousal are seen more often in children
with poor sensory modulation as opposed to poor praxis.
c) Deficits in proprioceptive processing primarily lead to poor sensory modulation, not
deficits in praxis.
d) Avoidance of meaningful activities is primarily seen in children with dysfunction in
praxis, whereas children with poor sensory modulation rarely avoid engagement.
ANS: B
True/False
3. Somatodyspraxia is a more severe practice deficit than Vestibular Bilateral Integration and
Sequencing (VBIS) disorder.
ANS: True
4. Ayres’ theory focused primarily on contributions of the auditory and visual systems to motor
planning.
,ANS: False
RATIONALE: Ayres’ theory focused primarily on the contributions of the tactile,
proprioceptive, and vestibular systems.
5. Sensory integration (SI) theory hypothesizes that deficits in learning and behavior are because
of poor processing and integration of sensation in the central nervous system (CNS).
ANS: True
6. Deficits in a child’s learning, behavior, and arousal following a traumatic brain injury can be
attributed to sensory integration (SI) dysfunction.
ANS: False
RATIONALE: A diagnosis of SI dysfunction requires evidence of deficits in the central
processing of vestibular, proprioceptive, or tactile sensation that are not attributable to frank
peripheral nervous system or central nervous system damage or associated with cognitive
deficits.
7. The theory of sensory integration (SI) can be used to explain the cause of low muscle tone and
poor proximal stability in a child with Down syndrome.
ANS: False
RATIONALE: SI theory is not intended to explain dysfunction in motor planning or sensory
modulation because of frank central nervous system damage, genetic issues, or other diagnostic
conditions.
Matching
Match the term to the definition.
A. Feedback that arises from actions that produce a change in the environment
B. Feedback that arises from the body and informs the child how it felt to move
C. The sense of where body parts are in relation to one another
,8. Body scheme
9. Production feedback
10. Outcome feedback
ANS:
8: C, 9: B, 10: A
Chapter 2
True/False
1. Sensory integrative (SI) characteristics can have a lifelong influence on an individual’s leisure
and work occupations.
ANS: True
2. Sensory integrative (SI) characteristics of the infant and the parent may impact attachment and
engagement in co-occupations.
ANS: True
3. Research shows that most sensory integrative (SI) disorders are resolved by adulthood, having
little influence on occupation and activity choices after childhood.
ANS: False
RATIONALE: Research shows that SI problems may influence quality of life, social
functioning, activity, and work choices.
4. Praxis difficulties in early childhood may place a child at risk for later academic problems.
ANS: True
Multiple Choice
, 5. Which type of sensory integrative (SI) disorder has been most associated with poor sleep in
children?
a) Somatodyspraxia
b) Vestibular Bilateral Integration and Sequencing (VBIS)
c) Sensory under-responsivity
d) Sensory over-responsivity
ANS: D
6. Which of the following BEST describes a “top down” approach to assessment of a child with
dyspraxia and poor handwriting?
a) Interviewing the client and asking what he or she wants to be able to do better
b) Having parents complete a sensory-based questionnaire such as the Sensory Processing
Measure
c) Assessing the child using an age-appropriate test of motor coordination
d) Using the Sensory Integration and Praxis Test (SIPT) to objectively measure the child’s
praxis abilities
ANS: A
7. In which of the following scenarios would an Ayres Sensory Integration® (ASI) approach to
intervention be appropriate?
a) An occupational therapist wants to alter aspects of the environment to support a child’s
engagement.
b) A child lacks specific social skills which could best be addressed in a therapist-led group
setting.
c) An occupational therapist believes that improvement in sensory integrative (SI) abilities
will enhance a child’s participation in meaningful occupations.
d) A child has a high activity level and his or her parents are looking for community-based
enrichment programs for after school.
ANS: C
Chapter 3
Multiple Choice
1. Which of the following is NOT an assumption associated with sensory integration (SI) theory?
a) Children have an inner drive to develop SI through participation in sensorimotor
activities.
b) Adaptive interactions are critical to the development of SI.
c) Environmental interactions have limited effects on the central nervous system.
d) The brain functions as an integrated whole, meaning that cortical and subcortical
structures are important for SI.
ANS: C
2. Which of the following statements is MOST accurate?
a) Poor self-esteem is primarily an outcome of poor sensory modulation, not poor praxis.
b) Challenges with attention, self-regulation, and arousal are seen more often in children
with poor sensory modulation as opposed to poor praxis.
c) Deficits in proprioceptive processing primarily lead to poor sensory modulation, not
deficits in praxis.
d) Avoidance of meaningful activities is primarily seen in children with dysfunction in
praxis, whereas children with poor sensory modulation rarely avoid engagement.
ANS: B
True/False
3. Somatodyspraxia is a more severe practice deficit than Vestibular Bilateral Integration and
Sequencing (VBIS) disorder.
ANS: True
4. Ayres’ theory focused primarily on contributions of the auditory and visual systems to motor
planning.
,ANS: False
RATIONALE: Ayres’ theory focused primarily on the contributions of the tactile,
proprioceptive, and vestibular systems.
5. Sensory integration (SI) theory hypothesizes that deficits in learning and behavior are because
of poor processing and integration of sensation in the central nervous system (CNS).
ANS: True
6. Deficits in a child’s learning, behavior, and arousal following a traumatic brain injury can be
attributed to sensory integration (SI) dysfunction.
ANS: False
RATIONALE: A diagnosis of SI dysfunction requires evidence of deficits in the central
processing of vestibular, proprioceptive, or tactile sensation that are not attributable to frank
peripheral nervous system or central nervous system damage or associated with cognitive
deficits.
7. The theory of sensory integration (SI) can be used to explain the cause of low muscle tone and
poor proximal stability in a child with Down syndrome.
ANS: False
RATIONALE: SI theory is not intended to explain dysfunction in motor planning or sensory
modulation because of frank central nervous system damage, genetic issues, or other diagnostic
conditions.
Matching
Match the term to the definition.
A. Feedback that arises from actions that produce a change in the environment
B. Feedback that arises from the body and informs the child how it felt to move
C. The sense of where body parts are in relation to one another
,8. Body scheme
9. Production feedback
10. Outcome feedback
ANS:
8: C, 9: B, 10: A
Chapter 2
True/False
1. Sensory integrative (SI) characteristics can have a lifelong influence on an individual’s leisure
and work occupations.
ANS: True
2. Sensory integrative (SI) characteristics of the infant and the parent may impact attachment and
engagement in co-occupations.
ANS: True
3. Research shows that most sensory integrative (SI) disorders are resolved by adulthood, having
little influence on occupation and activity choices after childhood.
ANS: False
RATIONALE: Research shows that SI problems may influence quality of life, social
functioning, activity, and work choices.
4. Praxis difficulties in early childhood may place a child at risk for later academic problems.
ANS: True
Multiple Choice
, 5. Which type of sensory integrative (SI) disorder has been most associated with poor sleep in
children?
a) Somatodyspraxia
b) Vestibular Bilateral Integration and Sequencing (VBIS)
c) Sensory under-responsivity
d) Sensory over-responsivity
ANS: D
6. Which of the following BEST describes a “top down” approach to assessment of a child with
dyspraxia and poor handwriting?
a) Interviewing the client and asking what he or she wants to be able to do better
b) Having parents complete a sensory-based questionnaire such as the Sensory Processing
Measure
c) Assessing the child using an age-appropriate test of motor coordination
d) Using the Sensory Integration and Praxis Test (SIPT) to objectively measure the child’s
praxis abilities
ANS: A
7. In which of the following scenarios would an Ayres Sensory Integration® (ASI) approach to
intervention be appropriate?
a) An occupational therapist wants to alter aspects of the environment to support a child’s
engagement.
b) A child lacks specific social skills which could best be addressed in a therapist-led group
setting.
c) An occupational therapist believes that improvement in sensory integrative (SI) abilities
will enhance a child’s participation in meaningful occupations.
d) A child has a high activity level and his or her parents are looking for community-based
enrichment programs for after school.
ANS: C
Chapter 3
