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15 y/o with asymptomatic HIV attends outpatient clinic. OT protocol for persons diagnosed with HIV
includes presentation of info on safe sex. The adolescent's parents refuse to allow this info to be
presented to their child. Which is the best action for the OT to take in response?
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 ✔Correct
Answer-B. Document that the parents refuse the intervention for their child (b/c they have the
adolescent's parents, as legal guardians, have the right to refuse treatment for them; the parents do
not need to sign a waiver to refuse treatment options)
Individual has Parkinson's disease with poor trunk rotation during ambulation and while performing
ADL. According to neurophysiologic approaches, which is the most effective therapeutic intervention
for the OT to use with this person?
A. Facilitation of trunk rotation using neurodevelopmental handling techniques.
B. Slow rolling with the person in supine with knees and hips flexed.
C. Engagement in ADL using diagonal patterns.
D. Provision of rolling walker to compensate for limited rotation and enhance mobility. ✔Correct
Answer-C. Engagement in ADL using diagonal patterns. (b/c this approach facilitates rotation during
activity performance; Proprioceptive neuromuscular facilitation, or PNF, diagonals are the best
choice b/c many activities incl. loading/unloading dishwasher and putting away groceries, can be
performed using diagonal patterns; Neurodevelopmental techniques and the Rood technique of slow
rolling may facilitate rotation but they do not incorporate functional activities)
Following a left CVA, an individual receives OT services in subacute rehab. The pt's goal is to be
indep. w/ dressing. The pt demonstrates decreased memory, poor sequencing, and ideational
apraxia. Which is the most effective for the therapist to provide when teaching one-handed dressing
techniques to this pt?
A. Step-by-step verbal instructions
B. Sequenced photos of the steps in dressing
C. Physical prompts to initiate steps in dressing
D. A full-length mirror for the client to observe self-dressing performance ✔Correct Answer-C.
Physical prompts to initiate steps in dressing (b/c the client's sensorimotor aspects needed to
perform this activity may be intact, providing these prompts may be sufficient to cue them; verbal
cues or sequenced photographs will not address the functional deficit nor enhance performance; a
mirror will provide the opposite view of actual performance which may increase confusion esp. w/
apraxia)
An elementary school teacher was recently diagnosed with MS. Which adaptation is best for the OT
to recommend to the teacher 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 cog deficits
C. A motorized scooter to compensate for decreased endurance
D. A high stool to compensate for LE weakness ✔Correct Answer-D. A high stool to compensate for
LE weakness (b/c LE muscle weakness is common in the early stages of MS, this can help minimize
the effects of fatigue which is common in all stages of MS; scanning deficits are not typically
associated with MS; cognitive deficits are not common in early stages of MS; and it is unlikely that
endurance has decreased to level of requiring motorized scooter this early on)
An OT conducts an initial home visit to a family with a premature infant who, at 4 mos. and 5 lbs., has
just been discharged from the hospital. The child has multiple DDs. Which is the most important for
the OT to do during the first session w/ the family?
A. Communicate effectively to develop a therapeutic relationship w/ 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. ✔Correct Answer-A.
Communicate effectively to develop a therapeutic relationship w/ the family. (this is essential to do
on the first visit, esp. since this child has multiple disabilities and will likely require the OT to work
closely with the family over an extended period of time)
A 3 y/o child with L spastic hemiplegia due to CP is evaluated for EI services. During the evaluation,
the OT observes behaviors that seem to indicate the presence of visual deficits. Based on these
observations, which action should the OT take?
A. Completion of motor-free visual perceptual assessment
B. Completion of developmental vision assessment
C. Refer the child to an optician
D. Refer the child to an optometrist ✔Correct Answer-D. Refer the child to an optometrist (b/c
prior to conducting a visual perceptual eval., an anatomical visual assessment to determine visual
acuity is required)
6 y/o has thumb weakness that is most evident in the child's poor ability to perform thumb
opposition. During eval, which activity will the therapist most likely observe the child having difficulty
performing?
A. Rolling a piece of clay into a ball
B. Turning a pencil over to erase
C. Picking up coins
D. Separating two pieces of paper ✔Correct Answer-B. Turning a pencil over to erase (b/c rolling
clay and separating paper are examples of shift and picking up coins is an example of finger-to-palm
translation)
To ensure provision of best practice, a new entry-level OT will be provided with supervision of their
caseloads. At what level should this sup be provided?
A. Routine
B. General
C. Close
D. Minimal ✔Correct Answer-C. Close (b/c it is recommended that entry-level OTs receive
supervision, that is, daily, direct contact for patient; intermediate-level OTs can receive routine sup