CRAK (C8,C9)

Playing card games

A 9-year-old girl with the diagnosis of cystic fibrosis is hospitalized in a small rural hospital. Currently, these are no other children in the hospital, and the hospital does not have a pediatric play area. The head nurse asks the OTA to suggest appropriate play activities that hospital volunteers can do with the child. Which is the most age appropriate activity for the OTA to suggest?

activities of daily living

A recently credentialed entry level OTA is asked by the supervising occupational therapist to contribute to the evaluation of newly admitted clients with traumatic brain injury. which is best for the OTA to evaluate given the OTA's established level of competency.

Arrange for transportation to bring the client home.

A175. A 19-year-old with diagnoses of dysthymic disorder and narcissitic personality disorder attends a vocational rehabilitation program. When the client arrives for the work adjustment group, the OTA notes that the client has an unsteady gait, slurred speech, and alcohol-smelling breath.

Add two more choices such as "play" and "snack" to the communication board.

B84. An OTA works with a child who has developmental delay and unintelligible speech to develop the child's functional communication skills using a communication board. the child has attained 100% accuracy in pointing to "yes" and "no" on the communication board in response to questions. the OTA and occupational therapist collaborate and determine that the child should be provided with the opportunity to expand communication skills. which action should the OTA take to help attain this goal

escort the students to the nearest fire exit.

B90. An OtA leads a transitional planning group for high school students with conduct disorders. The school fire alarm goes off 5 minutes before the group's schedules termination. there have been six false alarms during the past 3 days at the school. several of the student laugh and say, "there is goes again" which is the OTA's best response to this situation?

Learn the state's driving laws and requirements

C24. A rehabilitation hospital is interested in starting a driver rehabilitation program. Which must the occupational therapist and OTA hired to develop this program do first.

Stand on the client's right side.

C54. A client sustained a below knee (BK) amputation on the right side secondary to complications of diabetes myelitis. The client is being treated on the rehabilitation unit while waiting for the prosthesis. The occupational therapist has determined that the client will utilize a stand-pilot-sit transfer for mobility. The client is attempting to transfer independently for the first time. Which position should the OTA assume to insure safety?

inform the supervision occupation therapy

C66. An OTA working for a home care agency is vacationing and sees a colleague at an all-day concert. Upon return from the vacation, the OTA notices that this colleague had billed for a full-day of home visits on the day of the concert. Which action is best for the OTA to take first in response to this situation?

A group home with daily on-site supervision

The transition plan for an 18-year-old with developmental delay includes employment in a vocational rehabilitation (sheltered) workshop job setting. The student has set a goal to live independent of family. Which is the best living environment for the OTA to recommend for this student?

Do nothing.

a patient has been discharged form a rehabilitation facility six months ago. An OTA who works at the facility sees the former patient and the occupational therapist that treated the patient in a dating situation. The occupational therapist confirms involvement in a personal relationship with the former patient. what is the OTA's best response to this situation.

Develop and use a checklist of tasks to be completed each day.

A50. During a clubhouse vocational support group, a client reports difficulty keeping track of the job tasks that need to be completed each day. What is the most effective recommendation for the OTA to make to the client?

A rope ladder

A62. An individual cannot independently get from a supine position to a sitting position. The client has good scapular, shoulder, and elbow muscle strength. Which of the following should the OTA recommend as the most effective for the client o use to improve bed mobility?

-Locate a transfer belt and then complete the transfer

B124 (C8) An OTA prepares to transfer an individual. The OTA can not locate the transfer belt that the OTA had planned to use during the transfer. which is the OTAs best course of action?

at hip level.

B30. An OTA provides caregiver education to the family of an individual who is dependent in all self-care. During instruction on proper wheelchair positioning, where should the OTA advise the family to place the wheelchair seatbelt.

Do nothing

C112 A patient has been discharged from a rehabilitation facility six months ago. An OTA who works at the facility sees the former patient and the occupational therapist that treated the patient in a dating situation. The occupational therapist confirms involvement in a personal relationship with the former patient. What is the OTA's best response to this situation?

A violation of procedural justice.

C101. An OTA implements intervention with five patients using a group format. The OTA charges each patient's insurance provider for individual treatments. which of the following does this action represent

A lightweight, standard-size wheelchair.

C88. An individual is 5'11" and is of average weight for this height. Following a recent traumatic brain injury (TBI), the person has flaccid hemiparesis and demonstrates poor righting and equilibrium responses in standing. Which wheelchair is best for the OTA to recommend for this client.

The individual demonstrated limited eye contact.

C89. An individual recently discharge form an acute psychiatric unit interviews for a position in a transitional employment program (TEP). An OTA completes the TEP intake interview. The person answers the OTA's question in a direct yet subdued manners and rarely looks at the OTA. Which is most accurate for the OTA to document in the summary of the interview?

The guardian

C90. an individual who is acutely psychotic has been brought to the hospital by a legal guardian. The individual neither responds to questions not attends to visual stimuli in the room. Who should the OTA collaborate with to determine the individual's short-term goals?

driving a night

c154 an OTA leads a driver education group for persons recently diagnosed with diabetes who are experiencing changes in their vision. In reviewing driving safety, which action should the OTA emphasize as a concern for persons with low sensitivity.

Consult with the occupational therapist, team, and family to complete the IEP's for the remaining children.

A8. A school-based OTA is providing per diem coverage for an OTA on a disability leave. upon reviewing the caseload, the OTA notes that 10 students have had evaluations completed during the past month. five of theses students' individualized educational plans (IEPs) have also been completed by the team and approved by their families. Which is the best initial action for the OTA to take as a contract practitioner.

Decline the gift

A82. The family of an idividual being discharged from a long-term care facility ffers the OTA a substantion cash gift. The OTA refuses the money but the family insists that the OTA take the cash gift. Which is the OTA's best response?

36 inches

A84. A local pharmacy hires an OTA to consult on the redesign of the pharmacy's customer service area. Which height should the OTA recommend for an accessible service counter?

Inform the patient that online information can be inaccurate and provide literature about the benefits of therapy for fibromyalgia.

A92. A patient with fibromyalgia is receiving occupational therapy to reduce pain and promote flexibility during ADL tasks. The patient expresses the intent to discontinue treatment based on information obtained during an online search that questioned the value of therapy for fibromyalgia. Which of the following actions should the OTA do first in response to the patient's statements?

a 60 inch by 60 inch square

B101. A local senior center hires an OTA to consult on the re-design of the center's bathroom. several members use wheelchairs for mobility. the center director wants to ensure that the renovations meet the needs of al active members. Which size floor space would the OTA recommend to allow members to turn a wheelchair inside of the restroom?

explain to the parents that the current diagnosis cannot be changed in order to receive reimbursement.

B102. an OTA working in a outpatient pediatric clinic has been seeing a child for sensory processing deficits. after 12 treatment sessions, a denial letter for services has been received. the letter states that the diagnosis and the treatment do not meet the requirements of the policy. the parents who are aware of the denial want the OTA to change the child's diagnosis code in order to receive reimbursement. what is the best way for the OTA to respond.

protracted, with arm forward on a pillow and the elbow extended or slightly flexed.

B11. an OTA works in a subacute rehabilitation facility. A newly admitted patient has right hemiplegia and a subluxed right shoulder. the OTA meets with the nursing staff that will be providing primary care to the patient. The OTA recommends that the direct care staff position the patient in left side-lying. which is the best bed position for the OTA to recommend for placement of the patient right arm.

Provide ankle straps on the foot rest

B119 (C8) An individual with Charcot Marie tooth disease Receive services at a wheelchair Clinic. The client reports difficulty keeping both feet on the wheelchairs footrest. What is the most effective action for the OTA to take to address the client stated concerns>

Establish Community participation goals with the client

B126 (C8) An adolescent with a complete spinal cord injury at C8 is a client at an outpatient Rehabilitation Center. The client has met all goals for functional performance and activities of daily living. Which of the following actions should the OTA do next?

the follow-up process after discharge for the hospital

B13. a mental health facility provides inpatient and outpatient services for a catchment area that encompasses five counties. The occupational therapy department meets to design a continuous quality improvement (CQI) project. The OTA will contribute to this project. which is the best focus for this CQI project

Explain why the OTA must deny the request

C107. The parents of a child receiving occupational therapy services asks the OTA to treat their other child who does not have insurance and bill for services in the name of their child who does have insurance. Which is the OTA's best response to this request?

A programmable keyboard

C11/C8. An elementary school-aged child with autism spectrum disorder is nonverbal. During an individualized education program (IEP) meeting, the OTA collaborates with the speech language pathologist and assistive technology specialist to identify intervention options to help attain the child's communication goals. which is best for this team to recommend the school purchase for inclusion in the child's IEP?

A steamer, steamer basket, and/or crock pot for meal preparation

C113. The parent of a newborn infant has bilateral shoulder weakness and is referred to OT for training in energy conservation techniques for the performance of parenting and how management tasks. Which adaptation (s) is/are most effective for the OTA to recommend the parent use?

Install offset hinges on all doors

C115. After six months of rehabilitation for a T2 spinal cord injury, a patient is being discharged. The OTA conducts a home visit to evaluate accessibility. The individual lives with two roommates in an apartment in a private home. The doorway measurements currently range form 30-32 inches throughout the apartment. The patient's landlord is amenable to make changes in the apartment but has no financial resources. Which recommendation is best for the OTA to make for independent accessibility in the apartment?

5 feet to 5 feet

C12.An OTA works with an occupational therapist to provide consultation services to local businesses who want to improve their physical accessibility. In assessing customer access to the products displayed in a store, the OTA makes sure that there is sufficient room at the end of each aisle for customers who use wheelchairs to turn. Which dimension is best for the OTA to recommend as the turning radius?

Secondary prevention

C120. An occupational therapist and an OTA collaborate to develop a restraint reduction program. The OTA is a faculty member in an OTA education program. The OTA uses this program development experience to explain to the students the role of occupational therapy. Which is most accurate for the OTA to state restraint reduction represents?

Supportively question the client about the incident

C123. An adult with hereditary ataxia receives home care occupational therapy services. Recently, the client has become more withdrawn and the client's spouse has become more verbal about caregiver strain. During an intervention session, the OTA works with the client on attaining the goal of dressing independently. the OTA notices and comments on several large bruises on the middle section of the client's back. The client tearfully states that a bad fall that morning had caused

Tactical aspects of driving

C141. An OTA has established service competence in driver rehabilitation. A client recovering from a left CVA is scheduled for an on-the-road driver evaluation. The individual is left-dominant and has regained all sensorimotor functions in the affected extremity. The OTA meets with the supervising occupational therapist to establish a plan for the client's evaluation. Which is most important for the OTA and therapist to include in the evaluation?

Use full-length mirrors or wallpaper to camouflage exit doorways.

C142. An OTA provides home care services to an individual with advanced stages of dementia. The family caregiver expresses increased concern over the person's wandering behavior during late night and early morning hours. The caregiver expresses fear that the individual will leave the house while everyone is asleep. Which recommendation is best for the OTA to initially make to the caregiver in response to their potentially dangerous situation?

Relocate light switches and electrical outlets so that they are accessible from various height

C15/C8. An OTA and an occupational therapist provide consultation services to a home contractor who is remodeling homes to enable older adults to age in place. Which recommendation is best for the OTA and therapist to make to the builder?

18 inches

C16/C8. An OTA evaluates the home of a person who uses a walker. The OTA measures the door swing of the front door to determine if it will allow safe independent entry into the home. The OTA determines that the door swing just meets minimum accessibility standards. Which measurement should the OTA record as meeting the walker accessibility standards for door swing?

Activities of daily living

C161. A recently credentialed entry-level OTA is asked by the supervision occupational therapist to contribute to the evaluation of newly admitted clients with traumatic brain injury. Which is best for the OTA to evaluate given the OTAs established level of competence?

Develop an action plan with the supervising occupational therapist to acquire service competence in the evaluation of body mechanics and intervention for work-related disorders.

C164. An OTA employed by a large regional rehabilitation facility has excellent evaluation and intervention skills in most areas of physical rehabilitation. The OTA has been reassigned to the facility's work-hardening program. Which is the best action for the OTA to take in response to this reassignment?

A mechanical lift.

C169. An OTA provides home health services o a middle-aged adult with amyotrophic lateral sclerosis (ALS). The client's parents are responsible for assisting the client with all basic activities of daily living. The client's ALS has progressed to a level at which the client can no longer activety assist with transfers. Which is best for the OTA to recommend the client and parents use to complete safe transfers?

The installation of lever faucet handles and rocket light switches.

C183. An older adult with arthritis and limited ROM and the client's caregiver are in the process of remodeling their home. They ask the OTA for recommendations to ensure aging in place. Which of the following incorporates the concepts of universal design so the client and caregiver are able to safely remain in their home and live independently for ass long as possible.

Inform the supervising occupational therapist of the family's concern related to the client resuming driving postdischarge

C185. An older adult recovering from quadruple bypass surgery was recently admitted to an inpatient rehabilitation facility for cardiac conditioning. The client has been living with Parkinson's disease for the past 3 years. The client's family expresses concern about the client resuming driving upon discharge. The family reports that the client has had increased difficulty walking and is more confused since being diagnosed with Parkinson's disease. Which action is best for the OTA action is best for the OTA to take to address the family's concerns about the client's safe driving?

A stand-pivot transfer

C191. An OTA is working with a client who incurred a disability that will require the client to use a wheelchair for functional mobility. The client's insurance will only pay for a wheelchair with a standard non removable armrest. The OTA plans to include transfer training during client and family education sessions before discharge. Which transfer is best for the OTA to include in a training sessions?

Collaborate with the occupational therapist to determine the most effective ways to meet the patient's goals in a pain-free manner.

C194. An OTA works in a subacute rehabilitation facility with an older adult who incurred a Colles' fracture and a hip fracture during a fall. The patient has osteoarthritis, age-related sensory changes, and cognitive deficits consistent with dementia. The patient's adult child has been given durable power of attorney by the patient. During a treatment session, the patient sates all therapy must stop because it is too painful. After ending the treatment session in response to the patient's reported pain, which action is best for the OTA to take next?

Ability to perform the job functions listed as essential on a job description

C198. An OTA works for a private occupational therapy practice that provides consultative services to several corporations. The OTA presents an in-service about interviewing and hiring job applicants with disabilities to members of the corporation' human resources departments. During the in-service, which should the OTA state is acceptable to ask of all job applicants?

28 feet

C25.An OTA provides an accessibility consultation to a business that has hired a new employee who uses a wheelchair for mobility. The only entrance to the business has four steps, each 7 inches high. Which ramp length is best for the OTA to recommend the business have constructed?

Firm seats are needed to provide stability. Lapboards can position and support a flaccid upper extremity. Lower back heights can increases functional mobility.

C28. An entry-level OTA conducts an in-service at an outpatient wheelchair clinic for individuals with central nervous system dysfunction. According to the principles of wheelchair prescription, which of the following statements is accurate for the OTA to make during the presentation? Select the three BEST responses.

A worker for a person who cannot ambulate in the home without one.

C31. An OTA working for a home care agency prodices an in-service to new employees on Medicare reimbursement guidelines for durable medical equipment (DME). Which item would the OTA describe as reimbursable by Medicare?

Running shoes with Velcro shoe closures.

C37. A 10-year-old with congenital anomalies wears bilateral ankle-foot orthoses. The parents want the child to be able to don and doff shoes independently, but the child cannot ties shoes. Which is the best footwear recommendation for the therapist to make for the child to wear.

Use a wheelchair lap tray to serve several smaller meals to the client at intervals throughout the day.

C38. An OTA provides caregiver education to the spouse of a client with Alzheimer's disease and a secondary diagnosis of left CVA. The client is dependent upon a wheelchair for mobility and has been deemed cognitively incompetent. The spouse reports that the client become restless at meal times, consistently undoes the lap belt, and tries to get up from the wheelchair. The spouse reports that the need to constantly say " sit down" is personally exhausting and often increases the client's agitation. Frequently, neither eats a complete dinner. Which is the most effective recommendation for the OTA to make to the spouse.

Go down backward, with all wheelchair wheels maintaining contact with ground surface.

C43. An OTA provides caregiver training to the spouse of an individual with cerebellar cortical degeneration. The focus of the session is on community mobility using a wheelchair. The individual is dependent upon the spouse's assistance for mobility. Which of the following is most effective for the OtA to recommend the spouses do when going down a moderately graded slop?

A zoo with large animals in their natural habitats.

C5/C8. An occupational therapist and OTA provide serves to a small, private pre-school. The OTA serves on the school committee, which plans community-based trips throughout the school years. Several students have hypersensitivity and over responsivity to touch. Which is best for the OTA to recommend to support the participation and enjoyment of all students.

Open shelving no higher than 48" and slinging door cabinets no lower than 15".

C53. An OTA works with a client who was begun to sue a wheelchair for mobility. The client expresses concern about the ability to independently prepare family meals and seeks advice on how to remodel the kitchen to allow for independent access to cooking supplies. The OTA advises the client that the maximal height for counter tops should be 31 inches. Which above and below counter storage guidelines are best for the OTA to advise the client to include in the remodeled kitchen.

Work with the occupational therapist and parents to determine a desired focus for intervention.

C61. A 4-year-old child with a complete myelomeningocele at the T12 level is referred for out-patient occupational and physical therapy. In setting goals with the parents, the occupational therapist established a goal to increase independence in dressing skills and the the physical therapist established a goal to improve ambulation. When the OTA begins the initial intervention session, the parents state they want their child to only work on ambulation. They do not want the OTA to provide intervention to develop their child's dressing skills. Which action is best for the OTA to take first to address the family's stated preference?

Close supervision form an on-site occupational therapist.

C73. An entry-level OTA recently hired by an acute inpatient hospital will be providing occupational therapy services during the direct supervision's scheduled vacation. To maximize departmental efficacy, which level of supervision should be provided to the OTA.

Store items on shelves that are located between the person's eye and hi level. remove high pile or loose rugs and clutter left on floors or stairs. Install night-light and light switches within easy reach to ensure adequate lighting.

C8/C8. An OTA conducts a fall prevention program at an assisted living facility for older adults. Which recommendations are best for the OTA to include in a presentation about strategies to prevent falls? Select the three BEST response.

prospective review

C82. Teh supervision occupational therapist of a home care agency tells an OTA that all intervention plans will need to be submitted to clients' third-party payers, prior to the implementation of treatment. By adhering to this policy, the OTA is participating in which type of review?

a reevaluation of the client be completed

C84. A teenager with spinal muscle atrophy shows decreased trunk balance and strength. Upper extremity strength and ROM are unchanged from the last evaluation. Which is the best recommendation for the OTA to make?

an entry-level OTA.

C87. An OTA with 15 years of practice and administrative experience in a community mental health day program wants to work for a school system. Which position is the best match for the OTA's qualifications.

Assign the male OTA to work with the individual and have the supervision therapist provide close supervision to the OTA.

c103. A new resident of a skilled nursing facility begins occupational therapy to improve grooming and dressing skills. the person refuses to work with the female OTA assigned to the client. The department's sole male OTA has limited experience working with individuals with traumatic brain injury (TBI). which action is best for the supervision therapist and department OTAs to take in response to this client's stated preference?

Collaborate with the program administrator to examine the organizational structure of the reevaluation.

c140. The occupational therapy staff of a large subacute rehabilitation facility implements a quality improvement program. They determine that the clinic's OTAs are not completing their assigned reevaluations in a timely manner. This has resulted in scheduling delays for the completion of discharge plans. Which action is best for the OTAs to take in response to this situation?

Use of the hospital's interpreter service to verbally translate the program guidelines.

c200. A premature infant is scheduled to be discharged from the hospital. The infant has spastic displegia as a result of cerebral palsy. The OTA collaborates with the occupational therapist and the family to develop a home exercise and positioning program that can be incorporated into the family's daily routine. the infant's parents speak limited English. Which strategy is best for the OTA to ruse when providing instructions to the parents about the home program.

Document and report the family member's concern to the supervising therapist.

A10. An older adult with minor chronic obstructive pulmonary disease and rheumatoid arthritis is preparing for discharge from a skilled nursing facility. During a family training session on how to complete car transfers, a family member expresses concern about the patient's ability to continue driving. The family member explains that the patient has been experiencing episodes of forgetfulness and trouble with focusing on a task. Which action is the best for the OTA to take to address the family member's concern?

A three-in-one commode

A100. An individual recovering from a total hip replacement is being discharged home. The individual is insured only by Medicare. For safety and independence in the bathroom, which adaptive equipment is best for the OTA to recommend?

A lapboard to enhance a resident's self-directed functional behavior.

A103. Occupational therapy services are provided to teh clients of a psychogeriatric unit in a skilled nursing facility. An OTA presents an in-service on restraint reduction to the unit's direct care staff. Which of the following would the OTA identify as a permissible use of a restraint?

Use a keyboard rest to maintain a neutral wrist position.

A108. a OTA completes an ergonomic evaluation of a computer programmer and the programmer's workstation. Which is the best recommendation for the OTA to make to ensure the programmer uses ideal wrist and elbow positioning?

Obtain an interpreter to communicate with the family during the session.

A113. A non-english-speaking family attends a discharge planning session. The assigned OTA does not share the language of the family. Which action should the OTA take first?

Evaluate the position of the student in the wheelchair and the device on on the wheelchair.

A114. A school-based OTA consults with a teacher regarding a nonspeaking student who uses a wheelchair and an augmentative communication device. The teacher reports that the student is making many errors o the communication device byt that no difficulties had been observed when the student used the device in the past. Which is the most effective initial action for the OTA to take in response to the teacher's report?

Regular classroom while general education classes are in session.

A116. An OTA working in a school system must incorporate the Individuals with Disabilities Education Act. (IDEA) into the program. In which location should the OTA provide intervention?

Pick up the records and place them in a location out of public view.

A123. An OTA working in a outpatient clinic observes the clinic's administrative assistant leaving patient records open on the clinic's reception counter. The assistant has left the clinic to go for lunch. Which action is best for the OTA to take in response to this observation.

Report the information to the occupational therapist.

A126. An individual who had a CVA 1 year ago continues to demonstrate unilateral inattention. The individual drives daily to therapy despite several suggestion from the OTA to discontinue this activity. The OTA is concerned that the client is an unsafe driver. what is the best approach for the OTA to take in response to this situation?

Suggest that the OTA's evaluation results be documented by the supervisor.

A131. The supervisor of an acute inpatient unit requests that a recently hired entry-level OTA write summaries for several evaluation session that were completed by another OTA. The evaluating OTA had to leave work unexpectedly due to a medical emergency and is not expected to return to work. Which is the best response for the OTA to make in response to this request?

35 feet

A140. An OTA conducts a home evaluation for an individual with a complete T10-level spinal cord injury. The only entrance to the home has five steps, a total of 35 inches in height. Which ramp length is best for the OTA to recommend the family have constructed.

18 inches wide by 16 inches deep

A143. An OTA measures a person for a wheelchair. The widest point across the person's hips and thighs is 16 inches and the greatest length form the person's posterior portion of the buttocks to the popliteal fossa is 18 inches. Which wheelchair set dimensions should the OTA.

Invite the client to expand upon the nature of these concerns.

A146. An OTA works with an individual with chest and upper extremity burns. During the intervention session, the client expresses vague fears about personal safety at home and asks the OTA to advocate for an extension in the discharge date. According to the medical record, the client had incurred the burns during a cooking accident. Which is the OTA's best initial response to the client's stated concerns?

26 inches

A152. An OTA evaluates the home of a person who uses a wheelchair. The OTA measures the door swing of the front door to determine if it can allow safe and independent entry into the home. The OTA determines that the door swing meets minimum accessibility standards Which measurement should the OTA record as meeting these standards?

Continue OT services as the person should continue to be considered home bound.

A156. At a home care intervention planning meeting, the team discusses a client with a right CVA. The physical therapist states the individual's ambulatory status is now within functional limits. Physical therapy services will be discontinued because the person is no longer homebound. The OTA reports that the individual is frequently confused during home management task performance and becomes extremely anxious when community activities are discussed. Which recommendation should the OTA make?

Review current literature on occupation-based and evidence-based elder care.

A159. An OTA accepts a position at on adult day care ad respite program for older adults with a variety of physical and cognitive disabilities. The OTA has only clinical experience in school-based practice. Which is the most effective way to the OTA to prepare for the professional responsibilities this new position will entail?

A referral of the child to an optometrist

A163. An OTA provides early intervention services to a 3-year-old child with left spastic hemiplegia due to cerebral palsy. During a session, the OTA observes behaviors that seem to indicate the presence of visual deficits. In discussion these observation with the occupational therapy, which recommendation should the OTA make?

Install light switches at the top and bottom of the stairway.

A164. An older adult lives in a second-floor apartment in a private home. The individual is experiencing sensory losses that are consistent with the aging process. All other abilities are within normal limits. Which action is best for the OTA to recommend to the client?

Collaborate with the occupational therapist to survey the adolescents about their occupational performance.

A167. An OTA wants to develop an after-school program for obese adolescents who have diabetes or who are at risk for developing diabetes. Which program development action should the OTA take first?

The ECU's backup power source and charging instructions.

A169. This question requires a value judgment in an environmental control unit (ECU) to access electrical devices and a personal emergency response system. The individual lives alone and self-directs personal care attendants to perform personal activities of daily living. During instruction to the individual on the capabilities and use of the ECU, which is most important for the OTA to discuss with the client?

Explain to the director of rehabilitation why the request is inappropriate.

A177. A newly hired OTA is instructed by the director of rehabilitation to supervise two hospital volunteers as they learn how to assist patients in safety completing bed to wheelchair transfers. Which is the first action that OTA should take in response to this request.

Counsel the OTAs on the need to adhere to screening schedules.

A182. An occupational therapy administrator implements a continuous quality improvement program at a large, private, hand therapy clinic. The administrator determines that the OTA staff is not completing their assigned initial standardized screenings in a timely manner, which has resulted in scheduling delays for complete functional evaluations. Which initial action is most effective for the administrator to take in response to this situation .

Determine intervention goals in collaboration with the occupational therapist.

A183. An OTA working in a school has been asked to recommend technological devices for a student with severe spastic quadriplegia and dysarthria. Which action should the OtA take prior to recommending specific equipment?

Report the potential abuse according to the outpatient facility's policies and procedures.

A184. An older adult is receiving outpatient occupational therapy services as a result of a CVA. THe client presents with left hemiparesis of the upper and lower extremities. The client lives with and is cared for by a family caregiver. The client arrives for a therapy session, and he OTA notes multiple bruises on the client's arms and legs. When asked about the bruises, the client cannot explain how they occurred. Later in the session, the client reports that the family caregiver is under a great deal of stress and becomes angry during the provision of personal are to the client. After documenting the bruises and the client's statements, which action should the OTA take next?

Realistic and clear information about the individual's current status and care plan.

A187. An adult who incurred a severe traumatic brain injury (TBI) is entering the second week of care at a long-term TBI rehabilitation center. The patient's family visits regularly and frequently asks multiple questions of the treatment team. With the patient's permission, a team and family conference is planned to address family concerns. Which is the most important information for the team to share with the family?

A mechanical lift transfer

A19. An individual with advanced Huntington's chorea is admitted to a skilled nursing facility. The resident weighs 280 pounds and connot independently transfer. What is the best recommendation for the OTA to make to the resident's direct care staff to ensure a safe transfer?

none (Daily, weekly, montly)

A190. An OTA applies for the position of activities program director in a skilled nursing family (SNF). During the job interview, the OTA discusses supervisory requirements for this position with the SNF administrator. which amount of supervision should the OTA expect form an occupational therapist.

An ankle-foot orthosis (AFO)

A191. An individual with paraplegia has inadequate ankle dorsiflexion on the affected side. which equipment is best for the OTA to recommend the person use to compensate for this deficit and facilitate safe and effective ambulation?

post pictures of the desired positions nest to the bed's headboard.

A193. An OTA providing home-based occupational therapy services implements a bed-positioning plan for a person recovering from a cerebral vascular accident. the person is receiving care form family members and personal care assistants employed by a home care agency. Which action should the OTA take to ensure the accurate implementation of this plan by the client's caregivers

explore with the group an alternative schedule for a community leisure activity.

A195. The residents of a hallway house plan a community leisure activity for a Saturday. two residents state that they cannot participate in Saturday activities due to religious observance. The other residents express strong interest in the activity. Which is the OTA's best response to this situation.

leisure management techniques

A196. AN OTA conducts a group for long-term inmates in a forensic facility. Which of the following would be best for the OTA to focus on during the group.

utilization review

A197. The OTA collaborates with the occupational therapist to review the use of the occupational therapy department's resources to determine medical necessity and cost efficiency. Which service management task is the OTA working on with the occupational therapy.

Explore available driving alternatives to maintain community mobility and participation.

A26. An older adult with stage 3 dementia according to Riesberg's stages of dementia has been told to stop driving by a primary care physician. The client and spouse are upset about the physician's advice because the spouse does not drive. Which response is best for the OTA to provide to this client and spouse?

A joystick control

A30. An adolescent with melomeningocele (Spina bifida) at the C8 level wants to access a new computerized play system. Which is the best adaptation for the OTA to recommend the adolescent use to access this system?

Competence

A33. An OTA observes a colleague using fluidotherapy on a patient with an insensate hand after being informed by the supervising therapist that this physical agent modality (PAM) is contraindicated for this specific case. The colleague justifies the use of this PAM based on the patient's request for the intervention. The OTA meets with the OT supervisor to express concern about the colleague's behavior. Which ethical principle does the OTA identify the colleague is violating?

Continue with the planned activity and file an occurrence report upon return to the group home.

A4. An OTA leads a community integration group for individuals with mild intellectual disabilities who reside in a group home. During a travel tranning session, a member of the group slips while going up the stairs of a bus. The client quickly gets up, pays the fare, sits down, and jokingly states, "good thing I bounce well." which action should the OTA take after assessing that the person is not injured?

Crisis intervention

A48. An OTA is hired to work in the occupational therapy department of an acute psychiatric unit. The OTA requests an orientation to hospital policies and procedures. Which are the most important policies and procedures for the OTA to learn during the initial orientation session?

Advise the family to review all of the information to make an educated decision.

A6. A young adolescent with right hemiplegic cerebral palsy demonstrates a strong flexor synergy of the hand. The child does not use the hand for grasp, pinch, or release and often maintains the thumb flexed in the palm. The orthopedic had surgeon recommends a flexion tendon release followed by several weeks of hand therapy and splinting. The family is very anxious about surgery, and they ask the OTA what to do. Which is the OTA's best response?

Implement the facility's emergency procedure.

A61. A 3-year-old with severe congenital anomalies and irreparable cleft palate has a do not resuscitate (DNR) older. While being fitted for a molded seat for a wheelchair, the child stops breathing and turns blue. The OTA determines that the child has a brachial pulse. Which of the following is the first action the OTA should take in response to this situation?

Supportively inform the resident of the need to reverse the slippers

A68. An OTA working in a skilled nursing facilit observes a resident with cognitive disabilities don slippers by putting them on the wrong feet. The resident plans to go visit a friend on another floor and does not seem aware that the slippers are on the wrong feet. Which is the best action for the OTA to take in response to this situation?

A spinner knob on the steering wheel

A75. An individual with left hemiplegia who is right-hand dominate receives training to resume independent driving. Which adaptation is best for the OTA to recommend the client use?

Participate in a beginning level experiential course on handling skills with children with cerebral palsy.

A76. An OTA employed in a pediatric clinic for children with cerebral palsy participates in a performance appraisal. The OTAs supervisor identifies handling skills as an area needing improvement. Which is the most effective way to the OTA to improve handling skills?

Person will independently engage in one Leisure activity per week with another person within 3 weeks

B110 (C9) An OTA collaborates with a member of a psychosocial clubhouse to establish a social participation goal. The client has schizophrenia and lives alone. Which of the following short-term goals is best for the OTA to set with this client?

32 inches

B134 (C8) An OTA provides Consultation Services to members of a town Chamber of Commerce who are interested in improving their businesses accessibility. What is the minimum door width that the OTA should recommend to the chamber members as accessible and not requiring modification?

Ascending and descending stairs

B140 (C8) In an outpatient Rehabilitation Clinic, and OTA conducts a fall prevention program for at-risk elderly clients with Parkinson's disease. The clients live alone and have had at least three Falls within the past six months. Which is the most common risk factor for falls in the elderly that the OTA should review with the clients?

2 inches wider than the widest point across the individuals hips or thighs while wearing orthosis

B143 (C8) Following an exacerbation of post-polio syndrome, a client is referred to occupational therapy for a wheelchair evaluation to enable Independence Mobility. The client wears bilateral Hip knee ankle foot orthosis to provide support during independent transfers and brief standing periods throughout the workday. The client's insurance is Medicare. What is the best seat width measurement for the OTA to recommend for the clients wheelchair prescription?

Recommend the family purchase a car seat designed for a child with a spica cast

B153 (C8) The family of a two-year-old in a spica cast asks the OTA to modify the child's car seat. The child can no longer easily fit in the car seat due to the cast. Which action is best for the OTA to take in response to this request?

Cognitive skills

B156 (C8) An Adolescent student with Duchenne muscular dystrophy and depression is being evaluated for a power wheelchair. Which is the most important area for the occupational therapist and OTA to evaluate to determine the students Readiness for the wheelchair?

42 feet long with a 5' x 5' landing at the ramps midpoint

B166 (C8) A religious congregation obtained private funding to build a ramp so that members with disabilities can attend services. The entrance to the congregations building has six steps with a rise of 7 in each. Which is best for the OT a consultant to recommend for construction of this ramp?

set up a chin-operated bed-side environmental control unit (ECU)

B17. An adolescent incurred a C4 spinal cord injury. During the initial session, the patient refuses to speak to the OTA. The OTA supportively acknowledges the client's response. Which action should the OTA take next.

C-Put a single line through the incorrect date, write the correct date of service, and then initial and date the correction

B175 (C9) When performing a chart audit for an on-site accreditation visit, and OTA realizes that a date of service was documented wrong. The OTA had provided this service under the direct supervision of an occupational therapist. Which actions are best for the OTA to take?

Call for a school aide to escort the student to the school's On-Site Health Care Facility

B181 (C9) An OTA conduct in after-school transition skills group with adolescents with a diversity of disabilities. One of the students behavior is very different from that in Prior groups (e.g. difficulty focusing when typically serving as the group initiator, making statements that are irrelevant to the topic at hand). The OTA smells a strong alcohol scent on the student's breath which action should the OTA take in response to this situation?

A wheelchair with a back wedge and head supports

B183 (C8) An OTA is working with a non-ambulatory Elementary school-aged child who demonstrates moderate to severe extensor spasticity and limited head control. Which is the most beneficial positioning device for the OTA to recommend for this child to use in a classroom?

-Tell the family members that they must have the permission of their parent before they can look at their chart

B184 (C9) An OTA provides bedside BADL training to a patient recovering from multiple injuries incurred during a motor vehicle accident. The patient's children arrive for a visit and ask the OTA to let them look at their parents chart while they wait outside the room for the session to conclude. which response is best for the OTA to make in response to this request?

Facts about what occurred and witness statements

B189 (C9) In a rehabilitation Therapy Clinic, a patient falls during a transfer from the wheelchair to the bed. The OTA has to complete an incident report. In addition to the names of the persons involved, which additional information is required in the report?

An ultra-light rigid frame with a low back

B194 (C8) A young adult with a T10 spinal cord injury wishes to engage in sports activities. Which wheelchair features are best for the OTA to recommend to this client?

The parents comprehension of the instructions

B198 (C9) A 6 week old infant born prematurely is being discharged from the hospital. The infant has spastic diplegia as a result of cerebral palsy. the OTA collaborate with the occupational therapist and the family to develop a home exercise and positioning program that can be incorporated into the family's natural daily routine. The infant's parents are immigrants and speak limited English. Which is most important for the occupational therapist and OTA to determine prior to discharge?

order a wheelchair with wrap-around armrests.

B2. during a wheelchair evaluation, an individual with limited functional mobility expresses concern about the ability to continue volunteer work at a local church. The church's doorways are 31 inches wide. the client knows (form a recent home remodeling project) that 32 inches is the minimum width recommended for wheelchair access. After the evaluation, the OTA reviews the client's concerns with the occupational therapist, and they determine the most effective way to address the client's concerns and functional mobility needs. Based on this review, what is the best recommendation for the OTA to make to the client/

B-Developing the clients effective work behavior skills blower you would not win that question

B200 (C8) An individual incurred a back injury while working as a stock person for a large Warehouse Distribution Company. The individual's level of productivity is just below the warehouse minimum standards. The individual complains of pain when lifting the heaviest of boxes. The individual frequently becomes angry and verbally abusive in response to directions or feedback. What is the most important initial Focus for this clients work hardening program?

work on meal preparation activities with the client sitting at a table.

B27. A person recovering from hip replacement surgery wants to begin meal preparation. The client refuses to use the walker that was ordered by the physician. The physician is unavailable for consultation. which is the best initial action for the OTA to take in response to this situation?

immediately report potential abuse according to facility policy.

B31. An older client with a diagnosis of late-onset dementia of the Alzheimer type lives with family members. on the last three occasions, the client attended OT sessions with bruises and cuts on both legs. When asked about these, the client replies that a family member caused these injuries. What is the first action the OTA should take.

A contracted keyboard

B35. an individual with scleroderma has limited upper extremity ROM. coordination is within functional limits. The person wants to improve efficacy in computer inputting capabilities. Which adaptation would be most effective for this person.

Documentation of the results of an ADL evaluation.

B36. A OTA works in a subacure rehabilitation department. Which task is best for the supervision occupational therapist to assign to the OTA to perform independently?

inform the supervising occupational therapist of the situation.

B39. A coworker in the occupational therapy department complains excessively during working hours of personal problems. which action is best for the OTA to take in response to this situation?

A ventilated locked metal cabinet accessible only to staff.

B42. An occupational therapist and an OTA establish a program for a new acute psychiatric unit at community hospital. the OTA assists with he design of the physical layout of the occupational therapy department. which of the following should the OTA recommend to store arts and craft materials?

complete an occurrence report according to facility standards.

B46. An OTA observes an aide having difficulty transferring a client with athetoid movements form a mat to a wheelchair. before the OTA can cross the room to help with the transfer, the aide slides with the client to the floor. The OTA assists the aide in safety returning the client to the wheelchair. They assess that the client appears to be unharmed and return the client to the unit for a medical evaluation. which action should the OTA take next.

a rolling worker

B50. An individual prepares for discharge home following rehabilitation for a left CVA. Residual difficulties include fair dynamic balance, decreased proximal upper extremity (UE) strength, and poor dexterity. The individual's stated priority is to be able to ambulate safety to the senior center located in the client's apartment building. Which ambulatory aid would be most effective for the OTA to recommend to this client?

document that no one answered the door and that the appointment will be rescheduled.

B51. An OtA provides home care services to a person recovering from a recent CVA. the client lives alone and receives home care medicare benefits. The OTA arrives at the client's house at the scheduled session time, but there is no response to the knocking on the door. A neighbor resorts seeing the client leave with a friend. Which is the best action for the OtA to take in response to this situation?

16 inches wide x 16 inches deep x 20 inches high.

B52. Upon evaluation a client for a wheelchair, the OTA determines that a standard narrow adult wheelchair would be suitable for the individual. Which dimensions most accurately identify this chair.

Write a note describing the patient's progress after 7 days of treatment and sign with the current date.

B59. An OTA is working in a skilled nursing facility. The OTA is documenting current patient progress for the past 14 days and realized hat a required 7-day progress report to the client's insurance carrier had not been document. which should the OTA do in response to this omission?

The therapeutic use of the OT department's ADLs apartment.

B60 A rehabilitation facility is completing a utilization review. the occupational therapist and the OTA on the utilization review committee contribute to the process by submitting a detailed report about the reasons for, costs of, and outcomes of a specific aspect of occupational therapy service delivery. Which information is most relevant for the occupational therapist and the OTA to include in this utilization review report?

report the observation to the OT supervisor

B67. During a accreditation self-study, the occupational therapy department personnel review all charts. AN OTA notices hat a colleague fills out the review forms without reading the charts. Which action is best for the OTA to take in response to this observation?

State that the individual's behavior oversteps professional boundaries and makes the OTA uncomfortable.

B69. The OTA completes an intervention session with a client in a work hardening program. As the individual is leaving, the person gives the OTA a hug and expresses much gratitude. the individual then tries to kiss the OTA on the lips. Which action is best for the OTA to take in responses to this situation?

use of an abductor pillow between the lower extremities.

B72. An individual is recovering form a right hip total arthroplasty (THA) and has posterior hip precautions. following surgery, which is the most appropriate bed-positioning intervention for the OTA to recommend?

provide soft fleeced mittens for the person's hands.

B78. a resident of a skilled nursing facility (SNF) is severely dehydrated after a viral illness. the resident is agitated and confused. the doctor has prescribed intravenous (IV) fluid infusions, but the nursing staff is concerned that the individual will pull out the infusion line. They request that the OTA provides a restrain for this resident. which is the best action for the OTA to take in response to this request.

call the client's therapist and have the parent express the concern.

B80. A patent receiving occupational therapy in a hand clinic asks the OTA to adjust his/her child's hand splint. The OTA has established service competence in splinting. The parent reports hat the splint leave red marks after being removed for 20 minutes. The child received the splint from a school therapist. which is the best action for the OTA to take in response to this request.

display information sheets about major areas of occupational therapy practice on the hospital's cafeteria bulletin board.

B81. A hospital-based OTA is committed to promoting the profession to hospital staff and the general public. Which is the most effective action for the OTA to take to accomplish this goals?

evaluate the patient's performance of daily activities in a simulated setting.

B91. An older adult is referred to occupational therapy with a diagnosis of osteoarthritis in both knees and elbows. The OTA contributes to the screening process by interviewing the patient. The OTA learns that the patient desires to return home to live alone independently in a bilevel home. the OTA collaborated with the occupational therapist to determine the best response to this patient's stated goal. which action should the therapist and OTA take next.

The local Community College's Disability Resource Center to acquire educational supports.

C4/C9. An OTA conducts a transition planning group for high school students with psychosocial and cognitive disorders. A major focus of the group is to increase students' awareness of community resources that are available to support the attainment of their postsecondary goals. Which resource is most relevant for the OTA to review with the students.