OTA certification exam

A child with tactile defensive sensory modulation disorder attends a private early intervention clinic. The OTA collaborates with the occupational therapist and the child's parents to develop strategies and guidelines to help the child handle the symptoms of this disorder at home. Which of the best recommendations for the OTA and therapist to make to the parents? Select the three best responses

1. Adjust stimuli that seem to influence the child's modulation of sensation. 2. During bathing, teach the child to use firm pressure and a soft cloth to wash self. 3. Soften the child's clothing by repeated laundering and remove clothing tags

A person incurred a traumatic above-elbow amputation to the non-dominant upper extremity. The client establishes a goal to be independent in all ADLs, using the residual limb without a prosthesis. However, the limb is painful and very sensitive. Which should the OTA include in the OT intervention program? Select the 3 best responses.

1. Training in compensatory strategies and adaptive equipment to enable the unilateral performance of tasks 2. Instruction in how to use the residual non-dominant upper extremity as a stabilizer during task performance 3. Refer the client to an amputee support group to increase acceptance of the need for a prosthesis to attain ADL independence

A patient had a brain tumor removed one month ago and exhibits residual cognitive perceptual deficits. The OTA uses a neurofunctional approach to remediate the clients cognitive dysfunction. Which of the following are the best for the OTA to include in the intervention program? Select the three responses

1. functional activities in their real contexts. 2. routine tasks that have been adapted so the client can perform them. 3. client education on adaptive approaches to strengthen residual abilities.

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 from the person's posterior portion of the buttocks to the popliteal fossa is 18 inches. Which wheelchair seat dimensions should the OTA recommend?

18 inches wide by 16 inches deep

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 house. The OTA determines that the door swing meets minimum accessibility standards. Which measurement should the OTA record as meeting these standards?

26 inches

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?

35 feet

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

36 inches

The transition plan for an 18-year-old with an elemental delay includes employment at a vocational rehabilitation workshop job setting. The student has a goal to live independently of family. Which is the best living environment for the OTA to recommend for the student?

A group home with daily on-site supervision

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

A lapboard to enhance a resident self-directed functional behavior

A recent high school graduate diagnosed with depression and anorexia nervosa attends an evening work adjustment group for 90 minutes each week. The client states that this group is the only activity engaged in outside of work. The OTA collaborates with the client to develop a plan to increase involvement in personally meaningful non-work activities. The client expresses interest in exercise and volunteerism and reports past roles to have included captain of the high school swim team, competitive tennis player, and volunteer in an after-school activities program for young children. Which of the following is the best resource for the OTA to recommend the client explore?

A local community center for volunteer opportunities.

And is being discharged after recovery from hip replacement surgery to live at home alone. Which the most important equipment for the OTA to review with the client prior to discharge?

A long Handled reacher

An individual with advanced Huntington's chorea is admitted to a skilled nursing facility. The resident weighs 280 pounds and cannot independently transfer. What is the best recommendation for the OTA to make to the residence direct care staff to ensure a safe transfer?

A mechanical lift transfer

A woman with complete spinal cord injury at the C5 level has given birth to her first child. The client seeks suggestions on methods to facilitate independent and safe parenting. Which of the following is most beneficial for the OTA to recommend the mother use to help her independently feed her child?

A pillow to support the mother's arms during breast feeding.

An adolescent with spinal muscle atrophy shows decreased trunk balance and strength during the intervention sessions. Upper extremity strength and range of motion appear unchanged. When discussing these observations with the occupational therapist, which is the best recommendation for the OTA to make?

A reevaluation of the client be completed

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 discussing these observations with the OT, which recommendation should the OTA make?

A referral of the child to an optometrist.

An individual with myasthenia gravis is being discharged home after a hospitalization for the treatment of pneumonia. The person's spouse has expressed concern about caregiving and responsibilities and the client's ability to function in the house. The OTA collaborates with the OT to address the spouses concerns and the client's needs. Which is the most beneficial recommendation for the OTA and OT to make?

A referral to a home care agency for a functional evaluation and home assessment.

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

A rope ladder

And OTA conducts a standardized sensory evaluation of an individual recovering from my left cerebral vascular accident. The individual has a right hemiplegia and expressive aphasia. During the evaluation of stereognosis, which should be OTA have a client used to identify responses to the testing stimuli?

A set of identical objects

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

A spinner knob on the steering well

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 three in one commode

An OTA supervises a level II fieldwork student regarding the evaluation procedures of a work hardening program. The OTA explains that some individuals attending the program magnify their symptoms to retain benefits; therefore, the validity of some evaluation measures may be compromised. Which assessment tool does the OTA identify as providing the most valid results?

A volumeter

And adult recently diagnosed with scleroderma receives occupational therapy services to deal with the functional changes caused by this disease. Which recommendations are best for the OTA to make to this individual? Selected the three best responses

A. Dress in layers for neutral warmth B. Where protective cotton, insulated gloves C. Modify activities to prevent trauma to fingers and toes

And OTA is working in an inpatient rehabilitation facility for persons with SCI. A patient sustained a C-5 complete SCI following an automobile accident two weeks ago. The OTA is working with a patient to attain the patients goal to independently selfeed. Which pieces of adaptive equipment are best for the OTA to teach the patient to use during intervention? Select the three best responses

A. Dycem to place under plates. B. A plate guard or scoop dish. C. A dorsal wrist splint with universal cuff.

A young adult incurred a left CVA, which has resulted in the left visual field neglect. The occupational therapist and the OTA collaborate to develop an intervention plan based on the dynamic interaction approach. Which interventions are best for the OTA to use when working with this person to address this deficit? Select the three best responses.

A. Grade a series of scanning tasks that decrease in similarity to foster the transfer of learning. B. Ask the client to describe anticipated difficulties in finding items in a closet and a strategy to use to find items. C. Train the person in scanning strategies to locate a desired condiment in the refrigerator to put on a sandwich.

An individual with developmental disabilities scores a level four on Allen's cognitive level test. The OTA collaborates with the occupational therapist to plan interventions. Which activities to the OTA an occupational therapist include in the intervention plan to help meet the clients functional needs? Select the three best responses

A. Home management activities such as food shopping using a prepared list B. Leisure activities such as completing a 50 piece puzzle C. Community mobility training to develop the ability to take public transit using a map

A person blinded in an accident begins an occupational therapy program for persons with visual loss. Before the accident, the person lived independently and worked as an accountant. The occupational therapist and OTA collaborate with the individual to develop an intervention plan. Which activities are best for the therapist and OTA to include in the initial intervention plan? Select the three best responses

A. Learning alternative computer access skills B. Organizing the clients morning personal care routine C. Learning home safety and emergency procedures

an OTA working in a skilled nursing facility conducts an initial therapeutic feeding session within older adult with dysphagia. Doing the session the residence constantly expressed a desire to return home. Which is the OTA's best response?

Acknowledge the residence desire to return home

An individual with rheumatoid arthritis is currently in a stage of remission. During this inactive chronic phase of the disease, the OTA works with the client to maintain range of motion and muscle strength. Which of the following is the most effective for the OTA to recommend client include any daily home exercise program?

Active ROM

An individual admitted to a psychosocial day treatment program has a diagnosis of a major depressive disorder. The client reports having difficulty performing home management tasks and caring for two young children. The occupational therapist determines that the recently hired, entry-level OTA can contribute to the evaluation process. Which evaluation is best for the OTA to complete with this client?

Activities of daily living evaluation

And OTA works with an acute care rehabilitation patient with diabetes and a BKA to learn how to effectively perform home management tasks while wearing a prosthesis. When taking laundry from my front loading washer and placing it into a top loading dryer, the patient reports feeling weak, dizzy, and somewhat nauseous. The OTA notices that the patient is sweating profusely and is unsteady when standing. Which is the immediate course of action for the OTA to take in response to the patient's complaints and these observations?

Administer orange juice for hypoglycemia

And OTA completes a home evaluation for an individual with post polio syndrome who recently moved into a rent stabilized studio apartment. When evaluating the assessability of the clients kitchen, the OTA notes that all appliances are freestanding with no counter space between them. Which action is best for the OTA to take in response to this observation?

Advise the client to purchase a stationary cards and a rolling cart and train the client and they're safe use.

A three-year-old with recurring headaches and decreased gross and fine motor skills is hospitalized for a diagnostic work up. The occupational therapist completed a screening of the child and determined that the OTA should complete a standardized developmental assessment. Just prior to the scheduled OT evaluation, the parents have been told that the child has brain cancer. The parents are upset when they bring the child to occupational therapy. The OTA provides support. Which is the next best action for the OTA to take in response to the situation?

Advise the parents to speak to their spiritual advisor or the social worker after the evaluation session

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 hand surgeon recommends a flexor 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?

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

An individual hospitalized for the first time due to a brief psychotic episode attends an occupational therapy group. During task performance, the OTA notices that the person is restless with hand tremors and shaking legs. Which of the following should the OTA document that the person seems to be exhibiting?

Akithisia

An adult with schizophrenia has been experiencing negative symptoms of restricted emotion, decreased engagement and a lack of energy. Which group is the best for the OTA to include in the client's intervention plan?

An arts and crafts group in which each client works on an individual project.

A client recovering from a left CVA demonstrates increased flexor tone of the dominant right upper extremity while trying to relearn to write with the left hand. Which of the following is most accurate for the OTA state that the client is exhibiting on documenting this observation?

An associated reaction

A client has a three year history of multiple sclerosis. One of the clients disabling symptoms is a persistent and severe diplopia, which leaves the client frequently nauseated and unable to complete desired activities. Which of the following is best for the OTA to recommend the client discuss with an optometrist?

An eyepatch

An individual has relocated to a new area and begins treatment at an outpatient OT clinic for follow-up after rotator cuff surgery. It is six weeks post op. Which is the most effective intervention for the OTA to implement at this time?

An isometric strengthening program

And OTA is working with a teenager who is recovering from surgery to remove a brain tumor. The teen has been hospitalized for two months and exhibits a decline in cognitive functioning and muscle weakness. The client is receiving occupational therapy services to develop the skills needed to complete ADLs and other desired activities. Upon evaluation, the OT determined that the client is experiencing symptoms of depression, including anhedonia, social isolation, and poor sleeping patterns. During an intervention session, the OTA learns that the client is feeling socially isolated and missing friends and family members. Which activity is best for the OTA to integrate into intervention sessions to help the client communicate with and remain connected to family and friends?

An online networking service that enables one to call, call, and message with others in real time by using a WebCam

A client is in the descending phase of Guillain-Barre syndrome has bilateral shoulder strength of a 2 of 5. The client fatigues easily. Which equipment should the OTA recommend to enhance the person's performance of activities of daily living?

An overhead suspension sling

A 19-year-old with diagnoses of dysthymic disorder and narcissistic personality disorder attends a vocational rehabilitation program. When a client arrives for the work adjustment group, the OTA notes that the client has an unsteady gait, slurred speech, and alcohol smelling breath. But she's the best action for the OTA to take in response to these observations?

Arrange for transportation to bring the client home.

And OTA works in a school setting with adolescents with autism spectrum disorder or ASD. The need for a social skills training group is identified. One activity that the OTA plans to use in the group is role-playing. Which is the most effective way for the OTA to determine relevant scenarios for the role-play activities?

Ask the group members about their social concerns

An OTA is working with the parents a 5-year-old child with developmental delay. The child is not self feeding. The occupational therapist evaluation of a child indicated that the child has potential to participate in this ADL. When talking to the parents about this possible goal, they indicate that this is not a priority for them. Which action is best for the OTA to take in response to the parent statement?

Ask the parents about their priorities for their child

An OTA reviews the positioning protocol for a premature infant with severe spastic cerebral palsy with the infant's parents. The protocol is in a written format. During the review, the OTA notices that the parents do not seem able to follow along with the protocol's test. Which action is best for the OTA to take initially in response to this observation?

Ask the parents if they have any concerns about positioning their infant.

A carpenter recovering from injuries incurred during a fall from a ladder has decreased strength in the triceps, bilaterally. The most recent manual muscle test indicated that the triceps muscle strength is 3. The OTA provides the client with a tabletop wood project to complete. To develop triceps muscle strength, how should the OTA position the tabletop when the person sands the project.

At a 45 degree incline angled so that the individual's hands are above the elbows when the elbows are flexed.

A restaurant employee incurred a fracture to the left humerus. After cast removal, the patient receives occupational therapy and now demonstrates three of five strength of the left triceps and full range of motion of the left elbow. To increase elbow function in order to perform work related tasks, which activity is the most effective for the OTA to next include during intervention?

Bring glasses on shelves at chest height

An OTA receives a referral to provide home-based services to an older adult who lives alone in a fourth floor walk-up apartment. Upon entering the apartment? The OTA notes the sweltering heat. The apartment has no fans or air-conditioners. The client skin is hot, dry, and red, and breathing is labored. The OTA offers the client a glass of water and places ice compresses on the arterial pressure points to help with cooling. Which is the most important action for the OTA to take next?

Cancel the intervention session and call for an ambulance to provide emergency medical services to the client

An older adult has lost significant functional vision over the past four years and complains of blurred vision and difficulty reading. The person frequently mistakes images directly in front, especially in bright light. When walking across the room, the person is able to locate items in the environment using peripheral vision when items are located to both sides. Based on these findings, which visual deficit should the OTA report the client is most likely exhibiting?

Cataracts

An individual with a C3 spinal cord injury is participating in a community mobility group at a shopping mall. The client expresses the desire to return to the rehabilitation center due to a pounding headache. the OTA notices that the client is sweating profusely. Which should the OTA do first in response to this observation and request?

Check the clients urinary catheter in collecting bag.

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

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

A school-based OTA is working with a child who has poor sitting posture, inefficient grasp, and excessive writing pressure into the paper. The OTA collaborates with the OT and determines that the best intervention approach requires integration of more than one intervention model. Which approaches will more effectively address all the child's deficits?

Combination of biomechanical and sensory integration approaches

An OTA observes a colleague using fluidotherapy on a patient with And insensate hand after being informed by the supervising therapist that this physical agent modality or 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 meet with the OT supervisor to express concern about the colleagues behavior. Which ethical principle does the OTA identify the colleague is violating?

Competence

A person fell and sustained bilateral Colles fractures. The client wore bilateral short arm cast for six weeks. After cast removal, the client began OT sessions to increase endurance and strength prior to returning to work. The client tends to work hard when performing resistive exercises with both wrists. The OTA monitors the client for overexertion. Which behavior indicates overexertion?

Complaints of pain in the wrist extensors

A school-based OTA is providing Perdiem coverage for anS OTA on disability leave. Upon reviewing the caseload, the OTA notes that 10 students have had evaluations completed during the past month. Five of the students individualized education plans or IEP's 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?

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

An OTA provides bed mobility training for an individual recovering from a left CVA. The OTA notes that the persons right calf is swollen and warm. The person complains that it is painful. Which action should the OTA take initially?

Contact the charge nurse immediately to report symptoms.

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?

Continue OT services as the person should be considered to be homebound.

And OTA administers a standardized cognitive perceptual assessment to a patient. The client demonstrates difficulty performing the first two tasks of the evaluation. Which is the next best action for the OTA to take?

Continue the evaluation according to the established administration protocol

An OTA leaves a community integration group for individuals with mild intellectual disabilities who reside in a group home. During a travel training session, a member of the group slips while going up the stairs of a bus. The client quickly gets up, paste the fair, it's down, and jokingly states, good thing I bounds well. Which action should the OTA take after assessing that the person is not injured?

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

A client with myasthenia gravis shows increasing difficulty with speech and oral motor control during swallowing. Which behavior is most accurate for the OTA to document as indicative of a swallowing disorder?

Coughing while swallowing thin liquids

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

Crisis intervention's

A 5 year old is referred to OT. Upon the completion of a standardized test evaluation, the OTA determines that the child demonstrates age appropriate cognitive and fine motor skills. Which activity would the child be able to complete at this developmental level?

Cutting simple figure shapes with scissors

The family of an individual been discharged from a long-term care facility offers the OTA a substantial 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?

Declines the gift

An OTA develops a task group for the patients of a . psychiatric inpatient unit. The OTA considers several activities to use for the group's first session. Which activity is best for the OTA to present to the group members?

Decorating styrofoam cups and planting cuttings in them.

An individual with post polio syndrome receives an occupational therapy reevaluation. How should the OTA initiate sensory testing with this client?

Demonstrate the test with the client's vision not occluded.

A person is recovering from a major cardiac infarct. During the initial OT session, the patient loudly and vigorously expresses plans to immediately resume a rigorous exercise routine. The OTA reports the individuals plan to the occupational therapist. The OTA explains that the individual appears to be in which stage of adjustment to disability?

Denial

An OTA is conducting a community transportation group with individuals attending a Traumatic brain injury day treatment program in an urban area. Which should the group do first?

Determine a destination

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?

Determine intervention goals in collaboration with the occupational therapist.

During a clubhouse vocational support group, a patient 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?

Develop and use a check list of task to be completed each day

Several clients participate in an outpatient daily vocational rehabilitation group. Which should the occupational therapist and the OTA emphasize as the main purpose of this group?

Developing essential skills required for members to pursue work

And OTA working on an acute psychiatric inpatient unit conducts a series of groups for clients newly admitted to the unit. Which group leadership style is most effective for the OTA to assume when leaving these groups?

Directive

A school-based OTA receives a referral for a student who has illegible handwriting, poor attending behaviors, questionable visual skills, and problems with pencil management. After speaking with the teacher, reviewing classroom work examples, and collaborating with the occupational therapist, which action should the OTA take next?

Directly observe the student during a naturally occurring writing time

An OTA is scheduled to give a one hour presentation to a support group of parents of infants with a diversity of developmental disabilities. Which of the following is the most important focus for the OTA's presentation?

Discussion of typical areas of concern addressed by OT practitioners

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 express is in Searne about the patient's ability to continue driving. A family member explains that the patient has been experiencing episodes of forget fullness and trouble with focusing on a task. Which action is the best for the OTA to take to address the family members concerned?

Document and report the family members concern to the supervising therapist.

An intervention plan for a person with a complete lesion of the spinal cord at the C6 level has been developed by the client, occupational therapist, and OTA. Which activity should be included in this plan as a goal for the client to independently perform?

Donning pants while in bed

A tool and die designer develops bilateral carpal tunnel syndrome. The local work hardening program does not have the exact equipment that the designer uses in the job setting. Which action is best for the OTA to take in response to the situation?

Duplicate the job task components as closely as possible

An OTA works in a school system with a child with developmental delays. One of the goals of treatment is to develop prewriting skills. The child exhibits the ability to grasp a pencil proximally with crude approximation of the thumb, index, and middle fingers and the ring and little fingers slightly flexed. The OTA collaborates with the OT to develop an intervention plan. Which grasp should be the focus for the implementation of intervention?

Dynamic tripod grasp.

An individual with an amyotrophic lateral sclerosis requires the use of 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 the most important for the OTA to discuss with the client

ECUs back up power source and charging instructions.

An adult is hospitalized in the recovery phase of guillain-barre syndrome. The patient complains of tingling, aching, and weakness in both hands, causing difficulty in grasping grooming supplies. The patient requests relief from the hand symptoms. Which action should the OTA take to address the patient's concerns?

Educate the patient about sensory deficits and related adaptive ADL strategies.

An individual with complex regional pain syndrome (CRPS), type one presents with severe pain and pitting edema in the right hand. The individual has a secondary diagnosis of degenerative joint disease (DJD). Which should the OTA initially recommend to the person to address these concerns?

Elevation of the affected limb above the heart.

An individual receives treatment for major depression on an inpatient psychiatric unit. The client has received an electroconvulsive treatment, or ECT, at 8 AM. At 2 PM, the patient walks into the OT therapy department stating and desire to participate in the leisure skills group. Which is the OTA's best response?

Encourage the client to select one of the three structured leisure activities to complete

The members of a clubhouse attain a level of cohesion that enables them to perform at a cooperative level. two members disagree with the others on the details of a group project. How should the OTA leading this group respond to the conflict?

Encourage the members to explore alternative methods to resolve the conflict.

A graduate student with an anxiety disorder reports feeling confused about the future. During the OT evaluation, the client relates decreased feelings of competence for a chosen field of study and overall poor personal causation. Which is the best initial action for the OTA to take in response to the client stated concerns?

Establish short-term goals with high potential for attainment

An OTA with established service competence complete a standardized early intervention screening of an eight-month-old child. The results indicate that the child is able to sit independently by propping forward on both arms. The OTA collaborates with the OT to determine the next steps to take and working with this child. Which is the best action for the OTA to complete next?

Evaluate the childs sensorimotor skills using a standardized evaluation

And occupational therapy administrator implements a continuous quality improvement program at a large, private, and 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?

Examine the organizational structure of the screening process.

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

Explain to the director of rehab by the request is inappropriate.

A client with chronic depression and the clients spouse a tend a discharge meeting with the OTA following the clients two week hospitalization for a major depressive episode. They state that they have a few activities in common and spend very little time together. The clients retired four months ago, and the spouse continues to work full time. Which of the following should the OTA encourage this couple to do to first address this concern?

Explore activities enjoyed together and alone

An older adult with stage III dementia according to RIESBERGS stages of dementia has been told to stop driving by a primary care physician. The client and spouse seek services from an OTA who has attained service competency and driver rehabilitation. The client and spouse are upset about the physicians advice because the spouse does not drive. Which response is best for the OTA to provide to the client and spouse?

Explore available driving alternatives to maintain community mobility and participation.

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

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

The parent of two elementary school aged children receives home care hospice services due to metastasized bone cancer. The client is in pain and has poor endurance and decreased muscle strength. The client requires moderate assistance with self-care and dressing. Which is the best intervention for the OTA to incorporate into sessions with this patient?

Exploring play activities for the parent to do with the children

A young adult with a 10 year history of serious and persistent mental illness is being discharged home in two days. The client collaborates with the care coordination team to plan discharge with the clients primary family members. The team consist of a psychiatrist, I registered nurse, social worker, and OT, and an OTA. The team conducts a pre-discharge family meeting to provide family members with information to assist them in supporting the clients recovery. What is the most relevant information for the OT and the OTA to provide to the clients primary family members in this meeting?

Family role activity suggestions and potential adaptations

A 2-year-old child receives home care early intervention services. The occupational therapy intervention plan includes a goal to develop the childs pincer grasp. Which is the most important activity for the OTA to work on with the child during an intervention session?

Feeding of O shaped cereals

And OTA has established service competency in completing biomechanical evaluations. The OTA evaluates a person who complains of persistent wrist pain after painting a house three weeks ago. The patient demonstrates signs and symptoms consistent with the de Quercvains tenosynovitis. Which assessment measure should the OTA used to confirm the diagnosis?

Finkelstein's test

An individual with rheumatoid arthritis has developed several boutonniere deformities. Which of the following is the most accurate description for the OTA to include in documentation of the individual's presenting signs?

Flexion of the PIP joint and hyperextension of the DIP joint.

An older adult with peripheral neuropathy resulting from the chronic effects of diabetes express his concerns over the ability to have a satisfying sexual relationship with a partner. What is the most beneficial recommendation for the OTA to make to the client?

Focus on intact senses and areas of intact sensation

Several Adolescents with behavior problems attend a school-based after school program. They work at an egocentric cooperative level in a group dealing with issues related to school performance in peer pressure. Which of the following would be most likely for the OTA to observe the participants doing in their group?

Focusing on the group tasks rather than the group task rather than on the feelings of the participants

An adult who incurred a CVA has difficulty dealing with increasing amounts of stimuli. This is noted in all modalities. The OTA documents these observations. Which cognitive perceptual dysfunction should be OTA report the client is exhibiting?

Generalized attention deficit

And OTA conducts an intervention session with a client recovering from a CVA to develop transfer skills. The client has a comorbidity of epilepsy with generalized seizures. As the client stands to complete a transfer from the wheelchair to the bed, the client reports feeling sensations that are indicative of an aura. Which is the best immediate action for the OTA to take in response to the situation?

Guide the person into a sidelying position on the bed

Old is hospitalized and diagnosed with mild chronic obstructive pulmonary disease. During the discharge planning session, the person identifies a desire to exercise on a regular basis. Which of the following should the OTA recommend the client pursue?

Hospital wellness programs yoga group.

An individual is status post carpal tunnel release. When the OTA conducts a sensory test for sharp or dull pain the person reports dull as sharp on the Palmer surface of the thumb and index finger. All other responses are correct. Which is accurate for the OTA to document about the individual sensation?

Hypersensitive along the median nerve distribution of the thumb and index fingers

several newly homeless veteran with a posttraumatic stress disorder attend an OT community re-entry group in a shelter. Which is the best primary focus of the initial group session

Identification of local resources such as soup kitchens and thrifts

A three-year-old with severe congenital anomalies and a reparable cleft palate has a do not resuscitate order. 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 the situation?

Implement the facilities emergency procedure

A single parent with rheumatoid arthritis and two school age children reports difficulty completing a home exercise program. The parent states that multiple familial, work, and home management responsibilities fill the day and additional activities cannot fit into the day. Which is the best action for the OTA to take in response to these realities?

Incorporate the parents engagement in a diversity of role activities into the home program

An 8 month old child with myelomeningocele at the L-1 level shows cognitive function within normal limits. Which of the following activities would the OTA most likely focus on with this child during interventions?

Increasing trunk balance when placed in sitting.

A patient with fibromyalgia is receiving OT 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 questions the value of therapy for fibromyalgia. Which of the following actions should the OTA do first in response to the patient statements?

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

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?

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

A school-based OTA implements an intervention plan for an elementary school student who has cystic fibrosis. The individualized education plan or IEP was developed during a meeting with the child's parents, teachers, and occupational therapist. The school nurse and dietitian also contributed to this plan. Which is the best primary focus for the occupational therapy services for the student?

Instructing the student and teacher in the use of energy conservation techniques during activities.

A home care OTA seeks to enhance an elder's compliance with the OT intervention program. After discussing the goals of the program with the person, which intervention is most effective for the OTA to use?

Integrate previously learned strategies into new activities to facilitate generalization.

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?

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

A caregiver support group meets weekly at a senior center. A new member attends the group for a third time and listens intently. The person nods in agreement when others speak, but does not participate verbally. Which action is most effective for the OTA to take to facilitate the individual's engagement in the group?

Invite the individual to participate in the group, if the person would like.

And adolescent with myelomeningocele or 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?

Joystick controller

A high school senior with Fredereich ataxia is working on developing keyboarding skills in a school to work transition program. Doing the initial session the OTA observe signs of this dysmetria. Which is the most appropriate for the OTA to recommend to increase the effectiveness of students keyboarding skills

Keyboard guard overlay

A child with spinal muscle atrophy and can no longer reach beyond 90° of shoulder abduction and 90° of shoulder flexion. The parent states that the kid can no longer independently put on or take off a T-shirt. Which is the best a porch for the OTA to recommend the check out to you to use don T-shirt

Kid support the elbows on the table at chest height to don the T-shirt over the arms, then don run over the head

An older adult with rheumatoid arthritis is provided with a functional hand splint to help prevent deformity. The CO TA also advise the individual about actions that can be taken to help prevent deformity. Which of the following is most important for the CO TA to advise the individual to do?

Maintain active range of motion

In measuring the ROM of a clients elbow, the OTA records a flexion measurement of 145°. Which is most accurate for the OTA to document based on this measurement?

Normal elbow ROM

During a group session an older adult complains that everyone is mumbling. Which action should the OTA take after the group in response to the statements?

Notify the occupational therapist that the person may need an audiological evaluation

A client with residual hemiplegia in the dominant extremity due to a prior CVA develops carpal tunnel syndrome in the non-dominant hand. The OTA constructs a splint and provide splints train to the client. Which of the following should the OTA do to ensure that client can do upon completion of the splint training sessions? Select the three best responses.

ONE. Understanding purposes and functions of the splint. TWO. Understand that these plant should be worn at night and when performing repetitive activities. THREE. Self direct the correct application of this client to ensure a bony prominences are considered.

Non-English-speaking family attends a discharge planning session. The signed OTA does not share the language of the family. Which action should the OTA take first

Obtain an intercept to communicate with the family doing the session

An OTA implements intervention for individuals of an inpatient cardiopulmonary rehabilitation unit. The OTA assesses a patient's heart rate during intervention session by palpating a peripheral pulse. Which most accurately describes the timing the OTA should use to complete this assessment?

One-two minutes prior to, during, and at cessation of the activity and five minutes post activity

An OTA works with an individual recovering from a Traumatic brain injury in a rehabilitation hospital. The OTA uses a transfer of training approach to help the patient developed and carry out a daily schedule of activities upon the patient's return home. Which is the most effective activity for the OTA to use during an intervention session with this client?

Organization of a list of daily activities.

And OTA provides occupational therapy services in a program for survivors of domestic violence. The OTA uses a client centered approach. what should the OTA do during intervention sessions?

Paraphrase the consumers statements about past difficulties to help clarify feelings

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

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

An individual receives OT services at a subacute 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 the most effective for the OTA to provide when teaching one handed dressing techniques to the patient?

Physical prompts to initiate the steps in dressing

An OTA working in an outpatient clinic observes the clinics administrative assistant leaving patient records open on the clinics 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?

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

Adult who incurred a Traumatic brain injury three months ago receives home care OT services. During meal preparation tasks, the client ignores items on the left side of the counter. Which is the best remediation approach for the OTA to use with this client to enhance performance?

Place a brightly colored placemat on the left side of the counter

A nine-year-old girl with the diagnosis of cystic fibrosis is hospitalized in a small rural hospital. Currently, there 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?

Playing card games

An OTA providing home based occupational therapy services implements a bed-positioning plan for a person recovering from a CVA. The person is receiving care from 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?

Post pictures of the desired positions next to the bed's headboard.

An elementary school age child holds a pencil with a tightly held static tripod grasp and forms letters at an average rate of speed. The child demonstrates the ability to write all class and homework assignments. Which approach is best for the OTA to recommend this tile use to improve grasp?

Practice moving coins from the fingertips to the palm and then from the palm to the fingertips

A child with spastic quadriplegic cerebral palsy demonstrates a consistent gag reflex. Which technique should the OTA used to help inhibit this reflex?

Press a spoon down firmly on the center of the tongue.

An individual is recovering from lumbar surgery. The patient must remain flat in bed during the initial recovery stages. The patient expresses an interest in reading from a personal collection of classic comics. Which adaptation is best for the OTA to recommend the client use for reading?

Prism glasses

The population of an urban homeless shelter includes individuals with histories of chronic alcohol abuse who are at risk for developing peripheral neuropathy. The OTA consulting at the shelter monitors the residents status to ensure early detection of this problem. Which is the most important observed status change for the OTA to report to the occupational therapist?

Progressive deterioration of sensorimotor functions of the lower extremities

An individual attends a community day treatment program to assist in recovery from major depression. The client has good eye contact and responds verbally to interactions initiated by others. Cognition is intact. Which group level is best for the OTA to recommend this client attend?

Project

An OTA instructs the direct care staff of a rehab unit on proper positioning techniques for a patient following the occurrence of a left CVA. In which of the following positions should the OTA recommend the patient's right affected arm be placed when the patient is sleeping in side-lying on the unaffected side?

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

A toddler attends and early intervention program as a result of developmental delay. Over the past two weeks, the toddler has successfully completed the activities the OTA has provided in order to develop a palmar grasp. Which action should the OTA take next in response to the child's progress?

Provide activities to develop a radial palmer grasp

And OTA use his behavior modification techniques to help shape the behavioral responses as students with behavioral disorders. Which action is most consistent with this intervention approach?

Provide frequent positive reinforcement for all desired behaviors

An elementary school student with autism is referred to occupational therapy. One of the students goals is to self initiate goal-directed play to decrease the frequency of self stimulating behaviors of handwaving and rocking. The students verbal communication is impaired, but the student compensates by using picture cards to let others know what is wanted or needed. Which of the following approaches to initiate self-play in the home environment is best for the OTA to suggest to the students parents?

Provide limited play choices using picture cards, encourage choosing, and give verbal praise when the child chooses an activity.

A 17-year-old student with a diagnosis of bipolar disorder and a history of self abusive behaviors attends a transitional school to work program conducted by an OTA and an occupational therapist. During the vocational skills group the student express his feelings of hopelessness about the future and questions the point of participating in the program. The student asks to leave the group due to being too tired to concentrate as a result of sleepless nights. The occupational therapist asked the OTA to address the students concerns while the therapist works with the other group members. Which action is best for the OTA to take in response to the students statements?

Pull the student aside from the group and ask if the student is feeling self-destructive

An adult who incurred a severe traumatic brain injury (TBI) is entering the second week of care at a long term TBI rehab 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?

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

An older teenager with a congenital right, below elbow amputation have never wanted a prosthesis. Now the teen wants a prosthesis to look good at prom and for going on dates. Which action would be most beneficial to meet the clients expressed need?

Recommend a prosthesis with a myoelectrically controlled hand

The parents of a five-year-old with attention deficit with hyper activity disorder or ADHD expressed difficulty managing the child aggressive behavior toward older siblings. Which is the most effective strategy for the OTA to recommend to the parents?

Redirect the child energy into acceptable and safe play activities.

An individual with schizophrenia continues to experience hallucinations. Which action should the OTA take when the individual begins to actively hallucinate during an OT project group?

Redirect the individuals attention back to the project

An OTA leads an outpatient wellness program. And individual with obsessive-compulsive disorder asks for suggestions to manage symptoms that are interfering with life satisfaction. Which is the most beneficial recommendation for the OTA to make to the individual?

Redirect thoughts and energies into meaningful activities

An employed individual is completing an inpatient program for substance abuse. What would be the most beneficial for the OTA to recommend as part of the individuals discharge plan? What's

Regular attendance at one or more narcotics anonymous meetings weekly.

An OTA working in a school system must incorporate the individuals with disabilities education act IDEA into the program. And which location should the OTA provided intervention?

Regular classroom with while general education classes are in session

And individual who had a CVA one year ago continues to demonstrate unilateral inattention. The individual drives daily to therapy despite several suggestions 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 the situation?

Report the information to the occupational therapist

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 the 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 care to the client. After documenting the bruises and the client's statements, which action should the OTA take next?

Report the potential abuse according to the outpatient facilitys policies and procedures.

And individual with a spinal cord injury at the level of T1 is practicing a stand pivot transfer in the OT department of a rehabilitation center. The patient complains of dizziness and nausea. Which action is the most important for the OTA to take first?

Return the person to the wheelchair and immediately recline it.

An OTA accepts a position at an adult day care and 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 for the OTA to prepare for the professional responsibilities this new position will entail?

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

An Individual with obsessive compulsive personality disorder participate in a vocational program. The client asked the OTA to speak to the supervisor of the transitional employment program. The client is concerned that compulsive behaviors are interfering with job performance and may result in the loss of a new transitional employment program placement. Which is the OTA's best response to these expressed concerns?

Schedule an appointment with the client in the TEP, or transitional employment program, supervisor

And OTA works with the new foster parent of a two-year-old child diagnosed with major developmental delays and severe hypotonia. The OTA advises the foster parent to position the child in midline during feeding. Which additional positioning recommendations for feeding our best for this child?

Semi reclined with neck in neutral

During an intervention session, a client complains of dry mouth related to prescribed medications. What is the most effective strategy for an OTA to suggest to the client to manage this side effect?

Sip water

And adult diagnosed with multiple sclerosis over 10 years ago experiences an exacerbation of symptoms. The individuals principal complaint is decreased strength and endurance. The client can ambulate short distances with a cane in the home and uses a wheelchair outside of the home. The client asks for suggestions to enable independent home maintenance. Which is the best positioning recommendation for the OTA to suggest the person use during meal preparation?

Sitting at the kitchen table

An OTA provides home-based occupational therapy services. An ambulatory older adult with hemiparesis and presbycusis has recently moved in with an adult child. The child requests information from the OTA to help maintain the parents functional ability in the home. Which of the OTA recommend

Speak directly, clearly, and slowly to the parent

The supervisor of an acute inpatient unit request that he recently hired entry-level OTA to write summaries for several evaluation sessions 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?

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

An OTA is asked, at the last moment, to assist another OTA with a problem-solving skills group. Which is the most helpful action for the OTA to take?

Support the leader with questions and comments that keep the group on focus.

And OTA working in a skilled nursing facility 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 the situation?

Supportively inform the resident of the need to reverse the slippers

A client has right-sided weakness and decreased motor control. The OTA uses the proprioceptive neuromuscular facilitation or PNF approach to help the client increase use of the right upper extremity and hand. Which of the following actions should the OTA have a client do during an intervention session to apply PNF principles?

Take items out of a dishwasher on the right side and reach across the body to place them in the upper cabinet on the opposite side.

A patient on an acute medical unit has right homonymous hemianopsia. The OTA provides recommendations to modify the patient's room to enhance independence. What are the most effective recommendations for the OTA to make for the placement of the patients telephone and television remote?

Telephone on the left side and a television remote on the right side

Jewel 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 the children with their homework). Which action is best for the OTA to make in response to the client expressed concerns?

Tell the client you will be notifying the psychiatrist of these complaints

An individual with an incomplete C6 spinal cord injury (SCI) has a secondary diagnosis of thromboangiitis obliterans. The OTA conducts a predischarge home evaluation of the patient's rented apartment. Which is the most important area for the OTA to assess?

The apartment's water temperature.

A child with autism receives home care OT intervention services. The parent identifies a primary goal of developing the child's independent toileting skills. The child is completely dependent, and the parent reports not attempting toilet training for several years. The OTA collaborates with the occupational therapist to establish the first intervention goal for the child. Which behavior should the school address?

The child's ability to indicate when the diaper is wet or soiled

An OTA documents an individual's performance during a stress management group. According to established documentation standards, which statement should the OTA include in the daily progress notes?

The client was able to identify three current life stressors.

An OTA collaborates with an occupational therapist to develop a community-based program for persons with body mass indices greater than 30. They determined that the program will use a lifestyle re-design approach to help participants address their obesity in a proactive manner. Which is best for the OTA and therapist to incorporate into the programs initial sessions?

The development of personalized plans to change daily habits that contribute to obesity.

An OTA works with an individual recovering from tramautic brain injury who demonstrate behaviors consistent with the level VII of the Rancho level of cognitive functioning scale. The client is a resident in a transitional living program. Which is the most important focus for the OTA to include in the clients intervention plan?

The development of strategies to accurately and safely complete IADL with minimal assistance

An OTA evaluates a client's pain by asking the client which movements or activities elicit pain. Which of the following is the OTA assessing?

The triggers of pain

OTA working with a person who is recovering from the removal of a brain tumor from the cerebellum. The client has a established to resume the role of home maintain. Which is the most important for the OTA to include during intervention sessions focused on development of home management skills?

The use of a wheeled cart to assist with balance while doing laundry

An OTA working in a skilled nursing facility conducts an in-service on validation therapy for the recently hired staff of a new psychogeriatric unit. Which fundamental principle of validation therapy is important for the OTA to include in this presentation?

The words an individual uses to ascertain the persons underlying message

An OTA uses a motor learning intervention approach to develop prehension patterns with a child recovering from a brain tumor. The OTA places small toys on a table and asks the child to pick up the toys and put them into a storage box that is also on the table. The OTA uses random practice during this activity. Which types and arrangement of toys are most effective for the OTA to provide according to the motor learning approach?

Toys of different shapes, sizes, and weights in a mixed arrangement on the table.

And OTA completes an ergonomic evaluation of a computer program and the programmers workshop. Which is the best recommendation for the OTA to make to ensure the programmer uses idea wrist in elbow positioning.

Using a keyboard rest to maintain a neutral wrist position

Older adult express his concerns about the ability to perform daily tasks. The individual has somatosensory deficits consistent with normal aging process. The OTA recommends adaptive equipment to assist with task performance. Which adaptive equipment to the OTA recommend the person use during meal preparation and feeding?

Utensils with wide textured grips

And OTA works on feeding with a toddler who has a hyper active gag reflex. Which of the OTA do to decrease the gag reflex?

Walk a tongue depressor from the front of the tongue to its back

And elementary school student is referred to occupational therapy to develop hand writing skills. The student complains that the dominant hand hurts when writing. The students often tears the paper because of how hard the student presses. The students teacher reports that the student is frequently observed playing rough with peers despite being asked to calm down. When implementing the intervention plan developed in collaboration with the occupational therapist, which Activity is best for the OTA to use prior to handwriting?

Walking like an animal

An OTA provides services to a homeless shelter that includes residents who are HIV-positive. The OTA conducts several activity groups. Which should be OTA do well working with this population?

Wash hands before and after each group session.

And OTA provides home-based services to a child with developmental delays. The child picks up and puts away toys and reminded by the parents and mimics the parents when they dry dishes and fold clothes. The family has identified a goal including the child in home management activities. Which activity should the OTA introduce next during intervention?

Wiping tabletops

A client who incurred a nerve laceration exhibits maximum motor and sensory loss is consistent with a radial nerve laceration below the supinator. Which deformity should the OTA note the client is exhibiting?

Wrist drop

An individual with hemiplegia has an 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?

an ankle-foot orthosis (AFO)

And OTA constructs a splint for an individual with E all Erb's palsy. Which orthosis would be most effective for this condition

an elbow lock splint erbs = Injury to the fifth and six cervical roots of the brachial plexus

During an intervention session focused on the development of grasp and shoulder mobility, an OTA asks a client to move numerous identical 1-pound cans of vegetables from the countertop to the cabinet shelf above the counter. According to the contemporary motor learning approaches, what type of practice has the OTA implemented for this client?

blocked practice

An OTA works with a person with incurred full thickness to both arms. Which intervention to the approach would be most effective for the OTA to provide to control hypertrophic scar formation

compression garments

an adult is recovering from a traumatic brain injury following an automobile accident. the adult is having difficulty with the completion of activities that require sensory-perceptual performance skills. during an intervention session focused on dressing, which will the adult most likely have difficulty with when donning shoes

discriminating between the right and left shoe

An older adult who is recovering from a CVA attends OT two times per day. The intervention environment is highly structured and not overstimulating, yet the client's mood often changes abruptly. Within one session, the client will laugh and then become tearful with no apparent precipitant. What should the OTA document these behaviors as potential signs of in the client's daily progress note?

emotional lability

A school based OTA consults with the teacher regarding a nonspeaking student who uses a wheelchair and in argumentative communication device. The teacher reports that the student is making many errors on the communication device but that no difficulties had been observed when the student use the device in the pass. Which is the most effective initial action for the OTA to take in response to the teachers with report

evaluate the position of the student in the wheelchair and device on the wheelchair

Patients in a cardiovascular unit are referred to occupational therapy for rehabilitation in areas of occupation. Which diagnosis would be an inclusive criteria on for participation in the home management activity group conducted in the departments simulated apartment?

hypotension or low blood pressure

an individual with spinal cord injury at C7 reports noticeable redness on the ischial tuberosity during self exam with the mirror. Which action is most effective for the OTA to recommend in response to the clients observation

integrate weight shifting into daily activities

An individual recovering from hepatitis type C has decreased upper and lower extremity muscle strength and hypertension. Six months ago the client had an angioplasty and is very fearful of having a heart attack. Which should the OTA advise the client to perform to increase muscle strength?

isotonic exercises

An OTA employed at a day treatment center for clients with psychiatric disorders is conducting a leisure-planning group. The members of the group decide to take a day trip to the local sculpture garden. Which side effect of psychotropic medications is most important for the OTA to discuss preventative precautions with the group?

photosensitivity

And OTA works with an eight year old with pervasive developmental disabilities in order to improve self-care skills. In teaching the child to brush teeth, the OTA places the toothbrush in the child's hand and guides it to the mouth. To help the child learn to complete the activity the OTA uses the somato- sensory system. Which of the following is the most effective for the OTA to use during next intervention with this child?

provide hand over hand assistance to brush the child's teeth

an elementary school age child with duchennes muscular dystrophy receives occupational therapy services. The family is establishes a goal of maintaining the child's leisure and social participation's. Which is the best activity for the OTA to recommend the family pursue if this child

recreational swimming

An individual recovering from a head trauma exhibits a motor pattern indicative of being influenced by the symmetrical tonic neck reflex. Which is the most likely for the OTA to observe the client having difficulty with during functional mobility?

moving from lying supine to sitting

An OTA applies for the position of activities program director in a skilled nursing facility (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 from an OT?

none

an ota is asked to develop a discharge planning group for clients being discharged within the next month from a long-term facility for adults with serious and persistent mental illness. which action is best for the ota to take initially

obtain prospective group members occupational profile and post-discharge goals and options

a middle school student with down syndrome with moderate intellectual disability does not eat lunch during the schools lunch hours. instead the student spends the lunch period socializing with peers. A 1:1 aide is not assigned to the student. which is the first intervention the school based ota use to promote the activity of eating lunch

set student at a lunchroom table with one peer

During an intervention session in a school, the OTA observes a young child turn the pages of a book. The OTA identifies this behavior as an example of an in-hand manipulation task. What task should the OTA report to the occupational therapist that the child is capable of performing?

shift

A 19-year-old with spastic diplegia and an IQ in the range of 55 to 69 is graduating from a special education program. The student has been involved in transitional programming since the age of 14. The OTA collaborates with the occupational therapist and the student to complete a discharge plan to meet the students post secondary goals. Which of the following should the OTA recommend be included as a post discharge referral?

state vocational rehabilitation services

During an OT session, the OTA observes that a child bangs objects on a tabletop but has difficulty physically letting go of a toy upon request. The OTA documents these behaviors. Which developmental level would be most accurate for the OTA to report the child's observed behaviors indicate?

three to four months

An OTA constructs a dorsal forearm splint. Which is the most appropriate length for this splint?

two-thirds of the forearm