project choices.
c. Break the project down into accomplishable segments and instruct the child to complete one
segment at a time.
d. Explain to the child several reasons why the selected model is not the best choice for the child
and provide alternative project choices. - answerc
A4. A child with myelomeningocele meets the short-term goals of achieving functional gross grasp
and lateral pinch. After several additional weeks of occupational therapy, the child does not meet
the goals of demonstrating pincer grasp and three jaw chuck. Consequently, the therapist modifies
the child's intervention plan. Which intervention is best to include in the revised plan?
a. Increase strength of lateral pinch as a basis to develop pincer grasp and three jaw chuck.
b. Teach the child to use gross grasp and lateral pinch for functional activities.
c. Teach the child to use ulnar grasp for functional activities. - answerb
A5. An individual attends an outpatient parenting skills group. The person has a history of serious
recurrent depression and is taking Nardil. The client complains of recurrent headaches and
difficulty focusing during the day (e.g., when helping children with their homework). Which
action is best for the occupational therapist to make in response to the client's expressed
concerns?
a. Instruct the client in stress reduction techniques.
b. Ask the group for suggestions on how to deal with the parenting stress of homework.
c. Suggest that the individual consult with a nurse practitioner for headache relief strategies.
d. Tell the client you will be notifying the psychiatrist of these complaints. - answerd
A6. A religious congregation obtained private funding to build a ramp so that members with
disabilities can attend services. The entrance to the congregation's building has six steps with a
rise of 7 inches each. Which is best for the occupational therapist hired by the congregation to
recommend for construction of this ramp?
a. 42 feet long with a 3′ × 3′ landing at the ramp's midpoint.
b. 48 feet long with a 3′ × 3′ landing at the ramp's midpoint.
c. 42 feet long with a 5' × 5' landing at the ramp's midpoint.
dr.j
,d. 48 feet long with a 5' × 5' landing at the ramp's midpoint. - answerc
A7. A child with juvenile rheumatoid arthritis wears bilateral night resting splints with wrists in 0°
of extension, MPs and IPs flexed, ulnar deviation of 10°, and thumbs in opposition. The child
complains of pain in the wrists upon awakening. No redness is noted upon removing splints.
Range of motion (ROM) measurements show ulnar deviation of 5°. Which action should the
occupational therapist take in response to this complaint and these observations?
a. Modify the splints at the wrist.
b. Pad the ulnar aspect on the inside of the splints.
c. Discontinue the splints and monitor the status of pain for two weeks. - answera
A8. A 15-year-old with asymptomatic HIV attends an outpatient clinic. The occupational therapy
protocol for patients diagnosed with HIV includes presentation of information on safe sex. The
adolescent's parents refuse to allow this information to be presented to their child. Which is the
best action for the therapist to take in response to this situation?
a. Ask the adolescent's opinion and act on their refusal or consent.
b. Document that the parents refuse the intervention for their child.
c. Refer the family to the social worker for counseling.
d. Have the parents sign a waiver that they refused the intervention for their child. - answerb
A9. An individual who has Parkinson's disease presents with poor trunk rotation during
ambulation and while performing ADL. According to neurophysiologic approaches, which is the
most effective therapeutic intervention for the occupational therapist to use with this person?
a. Facilitation of trunk rotation using neurodevelopmental handling techniques.
b. Slow rolling with the person supine with knees and hips flexed.
c. Engagement in ADL using diagonal patterns.
d. Provision of a rolling walker to compensate for limited rotation and enhance mobility. -
answerc
A10. An individual who incurred a cerebrovascular accident (CVA) six months ago is receiving
dr.j
,outpatient occupational therapy to address residual cognitive-perceptual deficits (i.e., unilateral
inattention and spatial relations impairments). The individual drives daily despite strong
suggestions from family members to discontinue this activity. The family members share their
concerns about the person's capabilities to drive safely with the occupational therapist. Which is
the best action for the therapist to take in response to these expressed concerns?
a. Report the individual to the department of motor vehicles.
b. Suggest that the individual attends a driver training program.
c. Report the information to the physician.
d. Validate the family members' concerns about the individual's driving risk. - answerc
A11. Following a left CVA, an individual receives OT services at a sub-acute rehabilitation facility.
The patient's personal goal is to be independent in dressing. The patient demonstrates decreased
memory, poor sequencing skills, and ideational apraxia. Which of the following is most effective
for the therapist to provide when teaching one-handed dressing techniques to this patient?
a. Step-by-step verbal instructions.
b. Sequenced photographs of the steps in dressing.
c. Physical prompts to initiate the steps in dressing.
d. A full length mirror for the client to observe self-dressing performance. - answerc
A12. An elementary school teacher has been recently diagnosed with multiple sclerosis (MS).
Which adaptation is best for the occupational therapist to recommend the teacher use to
accommodate for the effects of MS on classroom teaching?
a. The use of anchoring techniques to compensate for scanning deficits.
b. A daily list of tasks to compensate for cognitive deficits.
c. A motorized scooter to compensate for decreased endurance.
d. A high stool to compensate for lower extremity weakness. - answerd
A13. An occupational therapist conducts an initial home visit to a family with a premature infant
who, at four months and 5 lbs., has just been discharged from the hospital. The child has multiple
developmental disabilities. Which is most important for the therapist to do during this first
session with the family?
dr.j
, a. Communicate effectively to develop a therapeutic relationship with the family.
b. Teach the family proper body mechanics for lifting the child.
c. Teach the family assertiveness training to develop advocacy skills.
d. Determine whether adaptive aids or positioning equipment is needed. - answera
A14. A 3-year-old child with left spastic hemiplegia due to cerebral palsy is evaluated for early
intervention services. During the evaluation the occupational therapist observes behaviors that
seem to indicate the presence of visual deficits. Based on these observations, which action should
the occupational therapist take?
a. Completion of a motor-free visual perceptual assessment.
b. Completion of a developmental vision assessment.
c. Refer the child to an optician.
d. Refer the child to an optometrist. - answerd
A15. An occupational therapist constructs a splint for a person who incurred full thickness facial
and anterior neck burns. In which position should the therapist splint the neck?
a. Extension.
b. 15° flexion.
c. 15° lateral flexion.
d. 15° hyperextension. - answera
A16. An occupational therapist reviews the use of the occupational therapy department's resources
to determine medical necessity and cost efficiency. Which service management task is the
therapist performing?
Utilization review.
Retrospective peer review.
Total quality management.
Risk management. - answera
dr.j
c. Break the project down into accomplishable segments and instruct the child to complete one
segment at a time.
d. Explain to the child several reasons why the selected model is not the best choice for the child
and provide alternative project choices. - answerc
A4. A child with myelomeningocele meets the short-term goals of achieving functional gross grasp
and lateral pinch. After several additional weeks of occupational therapy, the child does not meet
the goals of demonstrating pincer grasp and three jaw chuck. Consequently, the therapist modifies
the child's intervention plan. Which intervention is best to include in the revised plan?
a. Increase strength of lateral pinch as a basis to develop pincer grasp and three jaw chuck.
b. Teach the child to use gross grasp and lateral pinch for functional activities.
c. Teach the child to use ulnar grasp for functional activities. - answerb
A5. An individual attends an outpatient parenting skills group. The person has a history of serious
recurrent depression and is taking Nardil. The client complains of recurrent headaches and
difficulty focusing during the day (e.g., when helping children with their homework). Which
action is best for the occupational therapist to make in response to the client's expressed
concerns?
a. Instruct the client in stress reduction techniques.
b. Ask the group for suggestions on how to deal with the parenting stress of homework.
c. Suggest that the individual consult with a nurse practitioner for headache relief strategies.
d. Tell the client you will be notifying the psychiatrist of these complaints. - answerd
A6. A religious congregation obtained private funding to build a ramp so that members with
disabilities can attend services. The entrance to the congregation's building has six steps with a
rise of 7 inches each. Which is best for the occupational therapist hired by the congregation to
recommend for construction of this ramp?
a. 42 feet long with a 3′ × 3′ landing at the ramp's midpoint.
b. 48 feet long with a 3′ × 3′ landing at the ramp's midpoint.
c. 42 feet long with a 5' × 5' landing at the ramp's midpoint.
dr.j
,d. 48 feet long with a 5' × 5' landing at the ramp's midpoint. - answerc
A7. A child with juvenile rheumatoid arthritis wears bilateral night resting splints with wrists in 0°
of extension, MPs and IPs flexed, ulnar deviation of 10°, and thumbs in opposition. The child
complains of pain in the wrists upon awakening. No redness is noted upon removing splints.
Range of motion (ROM) measurements show ulnar deviation of 5°. Which action should the
occupational therapist take in response to this complaint and these observations?
a. Modify the splints at the wrist.
b. Pad the ulnar aspect on the inside of the splints.
c. Discontinue the splints and monitor the status of pain for two weeks. - answera
A8. A 15-year-old with asymptomatic HIV attends an outpatient clinic. The occupational therapy
protocol for patients diagnosed with HIV includes presentation of information on safe sex. The
adolescent's parents refuse to allow this information to be presented to their child. Which is the
best action for the therapist to take in response to this situation?
a. Ask the adolescent's opinion and act on their refusal or consent.
b. Document that the parents refuse the intervention for their child.
c. Refer the family to the social worker for counseling.
d. Have the parents sign a waiver that they refused the intervention for their child. - answerb
A9. An individual who has Parkinson's disease presents with poor trunk rotation during
ambulation and while performing ADL. According to neurophysiologic approaches, which is the
most effective therapeutic intervention for the occupational therapist to use with this person?
a. Facilitation of trunk rotation using neurodevelopmental handling techniques.
b. Slow rolling with the person supine with knees and hips flexed.
c. Engagement in ADL using diagonal patterns.
d. Provision of a rolling walker to compensate for limited rotation and enhance mobility. -
answerc
A10. An individual who incurred a cerebrovascular accident (CVA) six months ago is receiving
dr.j
,outpatient occupational therapy to address residual cognitive-perceptual deficits (i.e., unilateral
inattention and spatial relations impairments). The individual drives daily despite strong
suggestions from family members to discontinue this activity. The family members share their
concerns about the person's capabilities to drive safely with the occupational therapist. Which is
the best action for the therapist to take in response to these expressed concerns?
a. Report the individual to the department of motor vehicles.
b. Suggest that the individual attends a driver training program.
c. Report the information to the physician.
d. Validate the family members' concerns about the individual's driving risk. - answerc
A11. Following a left CVA, an individual receives OT services at a sub-acute rehabilitation facility.
The patient's personal goal is to be independent in dressing. The patient demonstrates decreased
memory, poor sequencing skills, and ideational apraxia. Which of the following is most effective
for the therapist to provide when teaching one-handed dressing techniques to this patient?
a. Step-by-step verbal instructions.
b. Sequenced photographs of the steps in dressing.
c. Physical prompts to initiate the steps in dressing.
d. A full length mirror for the client to observe self-dressing performance. - answerc
A12. An elementary school teacher has been recently diagnosed with multiple sclerosis (MS).
Which adaptation is best for the occupational therapist to recommend the teacher use to
accommodate for the effects of MS on classroom teaching?
a. The use of anchoring techniques to compensate for scanning deficits.
b. A daily list of tasks to compensate for cognitive deficits.
c. A motorized scooter to compensate for decreased endurance.
d. A high stool to compensate for lower extremity weakness. - answerd
A13. An occupational therapist conducts an initial home visit to a family with a premature infant
who, at four months and 5 lbs., has just been discharged from the hospital. The child has multiple
developmental disabilities. Which is most important for the therapist to do during this first
session with the family?
dr.j
, a. Communicate effectively to develop a therapeutic relationship with the family.
b. Teach the family proper body mechanics for lifting the child.
c. Teach the family assertiveness training to develop advocacy skills.
d. Determine whether adaptive aids or positioning equipment is needed. - answera
A14. A 3-year-old child with left spastic hemiplegia due to cerebral palsy is evaluated for early
intervention services. During the evaluation the occupational therapist observes behaviors that
seem to indicate the presence of visual deficits. Based on these observations, which action should
the occupational therapist take?
a. Completion of a motor-free visual perceptual assessment.
b. Completion of a developmental vision assessment.
c. Refer the child to an optician.
d. Refer the child to an optometrist. - answerd
A15. An occupational therapist constructs a splint for a person who incurred full thickness facial
and anterior neck burns. In which position should the therapist splint the neck?
a. Extension.
b. 15° flexion.
c. 15° lateral flexion.
d. 15° hyperextension. - answera
A16. An occupational therapist reviews the use of the occupational therapy department's resources
to determine medical necessity and cost efficiency. Which service management task is the
therapist performing?
Utilization review.
Retrospective peer review.
Total quality management.
Risk management. - answera
dr.j
