TrueLearn Review Set #1
Section 3: The OTR consults with the classroom teacher about implementing strategies or modifications to facilitate improvement in the child's classroom performance and participation. Which strategies are the MOST APPROPRIATEto implement in the classroom for this specific child?
A. A daily checklist for task completion B. Gloves to wear for during messy play G. Social opportunities for sharing and group work with peers H. A token economy for participation and classroom rules and behaviors
An older adult with age-related macular degeneration has been admitted to inpatient rehabilitation following total hip replacement. The OTR completes an evaluation and determines that the client has reduced contrast sensitivity. Which action is BEST for the therapist to take? A. Add high-contrast markers to adaptive equipment for dressing B. Utilize low, calm lighting to decrease stress while learning dressing C. Ensure all adaptive equipment is white to promote cleanliness
A. Add high-contrast markers to adaptive equipment for dressing
Section 2: The OTR completed observations in the classroom to better understand the dynamics and structure of the third-grade class. The OTR made specific notes on each student and provided feedback to the teacher regarding observed behaviors. Together, the OTR and the teacher developed individualized goals for each student and developed general interventions and group projects for the classroom to promote social-emotional learning. Through observations, the OTR noted 6 students who demonstrated withdrawal from many group activities, demonstrated difficulty with organization of school materials, therefore, were always behind in activities, and elicited stress responses throughout the day. The OTR identified these students as being at risk for developing mental health challenges. Which of the following are MOST APPROPRIATE for the OTR to implement with this smaller group of students? A. Analyze the sensory, social, and cognitive demands of school tasks and recommend adaptations. B. Provide individual classroom modifications for the six students who have been identified by the OTR. C. Complete a screening of psychological functions for the 6 students identified. D. Continue with the inte
A. Analyze the sensory, social, and cognitive demands of school tasks and recommend adaptations. C. Complete a screening of psychological functions for the 6 students identified. E. Consult with the teacher to encourage modified learning demands and academic routines.
During a management meeting, the director of the department begins to discuss the building plans for the new rehabilitation space. The occupational therapy manager expresses concern that there is not enough space allocated for occupational therapy services, especially with the plans to hire 3 new therapists over the next few months. The occupational therapy manager identifies the need for additional space to accommodate a growing staff as well as allow space for private treatment areas to address specialty practices. To communicate, the occupational therapy manager states thoughts firmly and clearly. The occupational therapy manager also uses "I statements" when sharing personal opinions. Which method of communication is the occupational therapist using? A. Assertive communication techniques B. Passive communication strategies C. Active listening D. De-escalation techniques
A. Assertive communication techniques
Section 2: The classroom teacher decides to refer the child to the school psychologist who coordinates testing for special education and related services. The child is tested by a variety of school professionals a month later. Testing revealed average to above-average performance in all standardized IQ assessments, and below average in speech and social work assessments. The occupational therapy standardized testing revealed average fine motor skills and abilities related to classroom performance; however, the Sensory Profile School Companion assessment revealed scores of "definite difference/much more than others". The assessment identified deficits in registration, avoiding, and sensitivity, as well as auditory processing, touch processing, and behavioral responses associated with sensory processing. Based on these results, the IEP team recommended the following services: social work (monthly sessions to address bullying and self-esteem), speech (weekly to address social skills/behaviors), and OT (twice monthly consultation to address auditory processing, touch processing, and behavioral responses in the classroom).The next step in the IEP process is for the team to write educationally
A. By the end of the school year, the student will implement sensory strategies to tolerate touching a variety of textures in order to participate in art activities in the classroom independently, 100% of the time. C. By the end of the school year, the student will independently tolerate wearing a different clothes outfit at school 75% of the time.
Section 3: In the IEP meeting, the IEP team decides to focus on the following areas for the child in OT:Poor cutting skillsIllegible and poor letter formationDifficulty opening containers at lunch The next step in the IEP process is for the team to write educationally relevant, measurable goals. Choose the goals below that meet these criteria. A. By the end of the school year, the student will write 4 sentences using correct letter formation, consistent spacing, and proper line placement with independent work in 2 out of 3 trials. B. By the end of the school year, the student will write all letters legibly without tears in the paper during classroom writing block. C. By the end of the school year, the student will cut out simple shapes within ¼" of the line in 4 out of 5 trials during independent classroom work, demonstrating separation of sides of hands and bilateral coordination for optimal success in a school setting. D. By the end of the school year, the student will open lunch and classroom containers independently.
A. By the end of the school year, the student will write 4 sentences using correct letter formation, consistent spacing, and proper line placement with independent work in 2 out of 3 trials. C. By the end of the school year, the student will cut out simple shapes within ¼" of the line in 4 out of 5 trials during independent classroom work, demonstrating separation of sides of hands and bilateral coordination for optimal success in a school setting.
Which of the following is NOT a part of a swallow screening for clients with potential dysphagia? A. Check extraoral and intraoral sensation B. Ask the client to swallow C. Observe for drooling D. Listen to the voice after swallowing
A. Check extraoral and intraoral sensation
An elderly client was recently discharged after having a right MCA stroke. At a home follow-up appointment the OTR reviews medication management. The OTR plays a supportive role to the physician and nursing staff by doing WHICH of the following? A. Ensuring the client is taking the medication at the right time B. Identifying adverse reactions, and recommending stopping medications if needed C. Recommending medications D. Administering medications during home visits
A. Ensuring the client is taking the medication at the right time
An 8-year-old child with Down syndrome attends 3rd grade at the neighborhood elementary school. The child participates primarily in a typical classroom and is supported by the school's special education teacher. The child is pulled out of the typical classroom as needed for academic support. The child has an IEP and has received OT at school since kindergarten. During arts and crafts, the child was observed to have difficulty manipulating child-size scissors efficiently and demonstrates choppy cutting requiring the whole hand to open and close as a unit. Prior to recess, the child was observed having trouble fastening the zipper on a jacket. The child gave up after two attempts and left it open. At lunch, the child relies on friends to open containers and snack bags. Recently, the child's teachers noticed an inefficient grasp, poor letter formations, and illegible handwriting. Section 1: The teacher expressed her concerns to the IEP team, and they decided to re-evaluate the child based on these new observations. What information is important for the OTR to gather, and which assessments are MOST APPROPRIATE to utilize during the re-evaluation? A. Classroom observations. B. Classroom wor
A. Classroom observations. B. Classroom work samples D. The Bruininks-Oseretsky Test of Motor Proficiency E. Beery-Buktenica Developmental Test of Visual-Motor Integration
An 82-year-old client with a recent shoulder arthroplasty was transferred from the hospital to a skilled nursing facility for rehabilitation. The orthopedic surgeon's order states that the client should work on improving passive and active range of motion (ROM) up to 90 degrees of shoulder elevation for the next 2 weeks, at which point the surgeon will reassess the client's progress and restrictions. The OTR is instructing the occupational therapy assistant (OTA) with appropriate activities and exercises to implement with the client. Which activities would be CONTRAINDICATED for the next 2 weeks? A. Cleaning windows B. Grooming and hygiene C. Cleaning table height surfaces D. Folding towels
A. Cleaning windows
Section 4: The OTR is working on functional transfers to encourage the client's safety prior to discharge. Which is MOST APPROPRIATE to promote safety and independence in functional transfers? A. Commode chair with arms B. Commode chair without arms C. Extend the operated leg when sitting D. Commode chair with lower front legs E. Sit at the back of the chair with leg bent F. Lean forward to reach a walker and stand
A. Commode chair with arms C. Extend the operated leg when sitting D. Commode chair with lower front legs
An occupational therapist is looking for local state efforts regarding new service provisions related to Medicaid. The occupational therapist was aware of new information and lobbying efforts by professionals but is unsure where this information may be located. The therapist is interested in potentially engaging in lobbying efforts as well, particularly when changes in services impact client access. Where might the therapist go to locate this information? A. Contact the state association B. Contact AOTA C. Contact WFOT D. Contact the licensing board
A. Contact the state association
An OTR is a chair member of an employee wellness committee, and recently has joined the subcommittee on smoking cessation. When implementing ideas for assisting employees in this program, specifically smoking cessation, which primary prevention strategy would be MOSTappropriate? A. Create a poster of useful stress management strategies B. Suggest specific diet changes and implementing regular exercise C. Provide education on the importance of lung cancer screening D. Discuss common triggers for anxiety that lead to smoking
A. Create a poster of useful stress management strategies
A child has been referred for an occupational therapy screening in your clinic. What is the PRIMARY purpose of an occupational therapy screening? A. Determine if a comprehensive evaluation is needed B. Obtain a comprehensive assessment of performance C. Obtain data from which a treatment plan can be devised
A. Determine if a comprehensive evaluation is needed
A client is admitted to an inpatient rehabilitation unit following total hip replacement surgery using the posterolateral approach. The client has a complex medical history including type 1 diabetes, obesity, and early onset dementia. The client is assigned to a rehabilitation team, including an OTR, PT, and SLP. Section 1: When preparing to evaluate this client, which is appropriate for the OTR to complete prior to seeing the client? A. Determine precautions, weight-bearing restrictions, and contraindications. B. Consult with other members of the rehabilitation team. C. Determine cognitive status through chart review. D. Review only the orthopedic notes to determine the client's needs. E. Call a family member listed in the chart to determine the client's needs due to dementia. F. Consult with nursing staff available in the unit to determine the client's pain and needs.
A. Determine precautions, weight-bearing restrictions, and contraindications. B. Consult with other members of the rehabilitation team. F. Consult with nursing staff available in the unit to determine the client's pain and needs.
During the clinical driving evaluation, an OTR identifies a client has reduced performance with divided attention tasks. Which is the MOST APPROPRIATE way for the OTR to explain the functional implications of divided attention to the client? A. Divided attention is required to focus on multiple stimuli in the environment including viewing traffic and changing lanes B. Divided attention is required to recognize when a pedestrian is in the crosswalk and to initiate the appropriate reaction C. Divided attention is required to attend to the urgent changes in traffic patterns, change lanes, and listen to music when driving D. Divided attention is required for the client to navigate safely to unfamiliar and familiar areas without assistance
A. Divided attention is required to focus on multiple stimuli in the environment including viewing traffic and changing lanes
During an intervention session with an elderly client, the OTR observes the client displaying poor balance when reaching for items during a sinkside grooming task. The OTR reacts by providing contact guard assistance to help the client regain balance. The client currently lives alone and would like suggestions for safely completing sinkside grooming activities each day. Which task modification would be BESTfor the OTR to recommend upon discharge? A. Encourage the client to complete grooming tasks while seated at the sink B. Provide verbal cueing for the client to grasp a grab bar when balance is challenged C. Trial the use of a standard walker for the client to grasp when feeling off-balance D. Place all of the items close to the client on the vanity to decrease the need for reaching
A. Encourage the client to complete grooming tasks while seated at the sink
A large orthopedic practice includes doctors, surgeons, and occupational therapists to provide comprehensive client care. Each client receives physician care, surgical repair, and therapeutic intervention pre- and post-surgery. When billed, the client receives one bill that covers all of the services received at this orthopedic practice. Which BEST represents the payment model this orthopedic practice is using? A. Episode payment program B. Quality payment program C. Value-based payment D. Prospective payment
A. Episode payment program
A foster family with an 18-month-old foster child has been asked by social workers and therapists working with the child to seek the physician's input regarding potential alcohol exposure in utero. The foster family has no medical history on the child. When the physician is considering fetal alcohol syndrome as a potential diagnosis for a young child, which 3 criteria must be met? A. Facial dysmorphia, slowed growth, CNS abnormalities B. Maternal alcohol intake during pregnancy, facial dysmorphia, slowed growth C. Maternal alcohol intake during pregnancy, slowed growth, CNS abnormalities D. CNS abnormalities, facial dysmorphia, maternal alcohol intake during pregnancy
A. Facial dysmorphia, slowed growth, CNS abnormalities
An OTR is working with a client to use a button hook for fastening pants and shirt buttons. Which BEST reflects the reasoning behind the OTR's use of a button hook with this client? A. Finger ROM and strength are limited or unavailable B. Lower extremity function and strength are reduced C. Neck flexion required to see buttons is impaired D. To improve strength required for buttoning tasks
A. Finger ROM and strength are limited or unavailable
An occupational therapy practitioner is working with an adolescent in a school-based setting to address developmental delays. During the session, the adolescent is very withdrawn, reports feeling stressed from classwork, and refuses to participate in the session. Which is MOST appropriate for the OTR to implement? A. Implement relaxation strategies to provide a coping mechanism for stress B. Allow the adolescent to return to the regular classroom without receiving therapy C. Notify the adolescent's parents regarding refusal to participate in therapy D. Allow the client to watch movies during the therapy session
A. Implement relaxation strategies to provide a coping mechanism for stress
An occupational therapy practitioner is preparing a client for occupational therapy interventions. Prior to the ADL task, the occupational therapy practitioner provides fluidotherapy and ultrasound. Which BEST describes the intervention approach the occupational therapy practitioner is implementing with this client? A. Interventions to support occupations B. Education and training C. Advocacy interventions D. Virtual interventions
A. Interventions to support occupations
An OTR is treating a client who is in rehabilitation following a R MCA CVA. The client demonstrates full ROM against gravity in the L bicep and demonstrates the ability to sustain this level of muscle contraction for two full sets of 20 exercises with a 1-pound dumbbell and to self-feed up to 50% of meals. The client voices concern over lack of ability to use the LUE to reposition in the bed stating, "I just don't have the strength I need." What is the BEST addition the OTR and client can
A. Low repetitions of exercises that provide maximal resistance
A new occupational therapy graduate is hired to begin working in a school district. The new graduate is expected to manage a caseload independently, participate in individualized education plans for students, provide evaluation for students identified with learning difficulty, and provide intervention both in the classroom and on an individual level. The new graduate is unsure how to manage the many responsibilities and is overwhelmed by the job demands. To promote this new graduate's learning, which is MOST important for the school district to provide to the new graduate? A. Mentorship B. Mentee C. Independent contract D. Employment
A. Mentorship
An OTR is conducting a feeding evaluation in a family's home. The OTR observes the child stuffing solid food into the mouth during feeding. The parents seem worried that the child will choke due to the overstuffing behavior. Which feeding issue is the child MOST LIKELY experiencing? A. Oral hyposensitivity B. Decreased oral control and coordination C. Oral hypersensitivity D. Decreased tongue lateralization and oral movements
A. Oral hyposensitivity
An OTR is assigned to work with a client with a traumatic below-the-knee amputation following a car crash. The client experiences extreme pain in the residual limb. Which is the MOST important for the OTR to address? A. Phantom limb pain and adjustment B. Prosthetic limb preparation programs C. Selection of a specific prosthetic limb D. Limb dominance change and function
A. Phantom limb pain and adjustment
Section 2: Observations and work samples of the child's handwriting revealed that the child uses a modified static tripod grasp with his right hand to hold a pencil. The child demonstrates a thumb wrap and wrist is flexed. Handwriting samples showed dark, heavy pencil marks and occasional small tears in the paper where the pencil went through the paper. Printing appeared too large for the lines, with letters frequently floating above or below the line. A. Poor hand strength and pencil grasp B. Decreased letter formation and placement C. Difficulty copying from the board D. Decreased dressing skills
A. Poor hand strength and pencil grasp B. Decreased letter formation and placement
An OTR, with many years of experience, is supervising a level II fieldwork student in a busy acute care setting. Which best reflects the type of supervision that occurs with level II fieldwork supervision? A. Professional practice supervision B. Functional practice supervision C. Clinical practice supervision D. Administrative supervision
A. Professional practice supervision
An occupational therapy practitioner is an expert on new billing and documentation requirements for pediatric home health settings. The occupational therapy practitioner is providing specific training to other therapists regarding policy changes and new documentation expectations. The occupational therapy practitioner develops a program to facilitate skill acquisition specific to the new policy changes and documentation expectations. Which BEST represents the type of intervention the occupational therapy practitioner is providing? A. Training B. Advocacy C. Occupations D. Groups
A. Training
Section 4: The OTR attended a parent/teacher conference with one of the students who had been identified and participated in the occupational therapy group for students at high risk for mental health challenges. The parent noted that the student becomes overwhelmed and stressed with evening homework and cries daily. The parent notes that the student often has misplaced the homework, has trouble remembering what assignments need to be completed, and comes home with many assignments that were intended to be completed during the school day. Which is MOST APPROPRIATE for the OTR to implement with this specific student? A. Provide additional one-on-one intervening services for the student. B. Provide education to the teacher regarding the student's social-emotional needs. C. Explain to the parents that the student has mental health challenges that limit success. D. Develop behavioral interventions including a behavioral plan to promote success. E. Adapt routines in the classroom to allow the student to complete required assignments. F. Modify routines at home to create a positive experience around homework.
A. Provide additional one-on-one intervening services for the student. E. Adapt routines in the classroom to allow the student to complete required assignments. F. Modify routines at home to create a positive experience around homework.
An occupational therapist is working with a school-aged child with intellectual disability to improve participation in the classroom setting. The child is working on integrating into regular education class settings but needs supports. Which of the following would be good options to support the child's transition into the regular education classroom? A. Quiet work space, repetition of concepts, decrease student-teacher ratio B. Loud work space, repetition of concepts, increase student-teacher ratio C. Quiet work space, hands-on learning, increase student-teacher ratio D. Quiet work space, hands-on learning, teach concepts once
A. Quiet work space, repetition of concepts, decrease student-teacher ratio
During an OTR activity group at a mental health facility, a client with depression, who is receiving electroconvulsive therapy (ECT) treatment, complains about short-term memory loss. What is the MOST BENEFICIAL approach to use in this situation? A. Reassure the client that short-term memory loss is a typical response to electroconvulsive therapy (ECT) B. Immediately contact the psychiatrist to inform him of this symptom development C. Provide cues during activities to compensate for short-term memory loss D. Tell the person to inform his psychiatrist of this symptom development
A. Reassure the client that short-term memory loss is a typical response to electroconvulsive therapy (ECT)
An entry-level OTR has been advised to complete point of care documentation as part of the job duties, ensuring accurate and timely documentation. During an intervention session, the client informs the OTR, "I don't feel like you're listening to me because you're always on your computer." How BEST should the OTR respond? A. Relocate the device and continue with the session B. Apologize and explain it is what is required for the job C. Explain the reason for point of care documentation D. Make a conscious effort to use the computer less when treating this client
A. Relocate the device and continue with the session
A 45-year-old client presents to an outpatient rehabilitation facility in a teaching hospital for an occupational therapy evaluation. When the client learns a level II occupational therapy student is scheduled to complete the evaluation, the client gets angry and attempts to leave. The student approaches the client and asks the client to return to the waiting area. The client refuses to allow the student to complete the evaluation and threatens to notify the referring physician. Which is the MOST acceptable course of action for the occupational therapy student to take? A. Speak to the supervisor and assure the client that occupational therapist will be present for the evaluation B. Explain to the client that this is a teaching hospital and working with students is expected C. Allow the client to leave and notify the office of the client's complaints
A. Speak to the supervisor and assure the client that occupational therapist will be present for the evaluation
A client with chronic lung disease is referred for pulmonary rehabilitation. Which of the following BEST reflects the goal for pulmonary rehabilitation provided by occupational therapy? A. Stabilize or reverse the disease process and promote functional outcomes B. Medically manage the chronic lung disease and determine medications C. Review the client's medication list and determine if oxygen therapy is needed D. Review the client's diet and make recommendations regarding potential changes
A. Stabilize or reverse the disease process and promote functional outcomes
A client developed lymphedema of the right arm after undergoing axillary node dissection and mastectomy. Which of the following is the BEST occupational therapy intervention for breast cancer-related lymphedema? A. The OTR assists in activities that include gentle exercise, wearing compression garments, and manual lymphatic drainage B. The OTR provides intervention for lymphedema, especially in the presence of cellulitis, to prevent further congestion of the fluid C. The OTR instructs the client on techniques to reduce the risk of lymphedema, such as wearing tight-fitting clothing
A. The OTR assists in activities that include gentle exercise, wearing compression garments, and manual lymphatic drainage
A client presents to an occupational therapy evaluation with shoulder dysfunction. During the evaluation, the OTR notes significant scapular winging bilaterally. Which conclusion is MOST likely? A. The client is displaying shoulder instability caused by weakness of the serratus anterior muscle B. The client exhibits shoulder weakness caused by decreased use of the long head of the biceps brachii C. The client demonstrates a weak subscapularis D. The client is compensating for a weak rotator cuff
A. The client is displaying shoulder instability caused by weakness of the serratus anterior muscle
An OTR uses contrast baths and active range of motion to treat edema in a client with a complex right-hand injury. The OTR uses a volumeter to objectively measure the outcome of these interventions with the following results: pre-treatment-30 mL displacement, post-treatment-20 mL displacement. What is the BEST conclusion the OTR can make about the given treatment? A. The treatment reduced swelling and should be continued in future sessions B. The treatment exacerbated the swelling and should be
A. The treatment reduced swelling and should be continued in future sessions
An OTR works in a wellness program for a large grocery supply company responsible for delivery of daily groceries to stores. The OTR is responsible for completing functional capacity evaluations on all new employees in order to determine baseline physical capabilities. Which is MOSTlikely for the OTR to assess during a functional capacity evaluation? A. Unloading groceries from trucks B. Reading speed and accuracy C. Ability to remember three items D. Efficiency with fine motor tasks
A. Unloading groceries from trucks
Section 4: As an OTR in the school setting, it is common to consult with the classroom teacher about implementing strategies or modifications to improve classroom and school participation and performance. Based on observations of the child's handwriting which demonstrates heavy pressure and holes in the paper, observations of letter formation, observations of cutting skills, and observations of fine motor skills when zipping the jacket and when opening containers at lunch, which strategies are the MOST APPROPRIATE for the OTR to implement in the classroom for this child? A. Using slanted writing surface B. Sitting on a wiggle cushion C. Using adapted scissors D. Positioning the student close to the chalkboard E. Using mechanical pencils F. Doing Theraputty exercises G. Highlighting the writing line on notebook paper H. Decreasing clutter and visual distractions in the classroom
A. Using slanted writing surface C. Using adapted scissors E. Using mechanical pencils G. Highlighting the writing line on notebook paper
An OTR is completing an evaluation with a client following total hip replacement surgery, noting the client is to be non-weight bearing on the post-surgical leg. Which is MOSTimportant for the OTR to educate the client on during evaluation? A. Utilize upper extremities to push off the edge of the bed and chair during transfer, allowing for 0% weight bearing on the post-surgical leg B. Utilize a two person stand pivot transfer technique, allowing the client to place 50% of weight on the post-surg
A. Utilize upper extremities to push off the edge of the bed and chair during transfer, allowing for 0% weight bearing on the post-surgical leg
An occupational therapy practitioner is completing a telehealth session with a client who lives in a rural area and was recently discharged from the hospital following a fall. The client and the occupational therapy practitioner connect using an internet connection with video and audio connections. The occupational therapy practitioner addresses questions regarding ADL and IADL performance after returning home from the hospital. The client responds to the questions and uses the video camera to show the occupational therapy practitioner the living environment, including the bathroom setup. The occupational therapy practitioner makes recommendations regarding environmental modifications to improve safety as well as recommendations for durable medical equipment. Which BEST describes the intervention approach the occupational therapy practitioner is using with this client? A. Virtual interventions B. Group interventions C. Occupations and activities D. Interventions to support occupations
A. Virtual interventions
Section 2: The OTR completes a full chart review and discusses the client with the current nursing staff. The nursing staff notes that the client has extreme pain with bed mobility and has not been transferred out of bed since arriving to the unit. In order to promote this client's bed mobility and transfers, which is MOST APPROPRIATE for the OTR to recommend to the client? A. When lying in bed, the client should use an abduction wedge or large pillow between the legs. B. Initiate transfer out of bed to the side of the operated leg. C. Initiate transfer out of bed from the side of the non-operated leg. D. Sit up in bed with hips flexed to 90° to initiate movement to the edge of the bed. E. Flex the knee of the operated leg to promote movement of the body to the edge of the bed. F. Encourage the client to prop upper body on elbows and slide the operated leg to the edge of the bed.
A. When lying in bed, the client should use an abduction wedge or large pillow between the legs. C. Initiate transfer out of bed from the side of the non-operated leg. F. Encourage the client to prop upper body on elbows and slide the operated leg to the edge of the bed.
An OTR evaluates a 73-year-old client who had a right CVA. Clinical observations and formalized testing reveal left-sided weakness, a left visual field cut, and loss of trunk control while seated. As a result of these impairments, the client currently requires total assistance for all ADLs. What should the OTR focus on INITIALLY when providing intervention to address trunk control for the purpose of ADLs? A. Wheelchair positioning systems B. A stable, well-aligned posture C. Trunk strengthening exercises D. Weight shifts during occupation
B. A stable, well-aligned posture
A OTR is developing a treatment plan to help the client with post-polio syndrome to manage chronic pain. The intervention includes promoting lifestyle changes, modifying roles and habits, and altering beliefs and attitudes in order to adapt to the condition and lead a satisfying life using his remaining functional skills. Which of the following intervention techniques is the OTR applying in this scenario? A. Energy conservation B. Cognitive-behavioral therapy C. Task-oriented approach D. Client-
B. Cognitive-behavioral therapy
An occupational therapist is working with a child with spinal bifida. During a session, the parent confides to the occupational therapist that dealing with all the areas associated with a child with spina bifida is overwhelming. Based on the parent's comments, which interventions are MOST appropriate for the occupational therapist to implement with this child? A. Recommend a visiting nurse to help guide health management needs B. Develop interventions that can become part of the family's everyday routines C. Reduce therapy sessions to twice a week D. Provide interventions to be performed at the same time every day
B. Develop interventions that can become part of the family's everyday routines
An OTR is providing a presentation on sensory processing disorders. Which of the following are considered behaviors that are aligned with tactile defensiveness? A. Discomfort with clothing textures; avoidance with play dough; loves lots of hugs B. Difficulty wearing shoes; discomfort with clothing textures; avoidance with messy textures C. Discomfort with clothing textures; difficulty with tooth brushing; tolerates nail cutting D. Dislike for clothing tags; sensitivity to nail cutting; tolerates a variety of clothing choices
B. Difficulty wearing shoes; discomfort with clothing textures; avoidance with messy textures
A client is referred to occupational therapy with diabetic retinopathy. In the first therapy session, the client demonstrates significant loss of visual acuity and has difficulty participating in all reading tasks. In the next therapy session, the client is able to read the newspaper. Which BESTexplains what the OTR is observing with this client? A. Clouding of the crystalline lens B. Fluctuations or changes in vision C. Decreased peripheral vision D. Positive response to intervention
B. Fluctuations or changes in vision
An OTR provides intervention for a 79-year-old client who recently sustained a left hip fracture and is non-weight bearing through the left lower extremity. The OTR and client have consistently engaged in muscle strengthening exercises to improve bilateral upper extremity strength for functional mobility and functional transfers. However, the OTR identifies a problem with muscle endurance when the client cannot propel a wheelchair more than 25 feet without a rest break and complaints of arm fati
B. High repetitions of exercises that provide low resistance
Section 4: After a year of school-related services, the child made minimal progress toward goals and continues to be bullied by peers due to poor hygiene. The child is acting more aggressively toward peers. What are the MOST APPROPRIATE actions for the IEP team to take to ensure continued services for this child?
B. Hold another IEP meeting. D. Increase OT services.
A fourth-grade regular education teacher stops the OTR in the hallway of the school to express concern about one of the students. The teacher states that the 10-year-old child does not follow classroom rules, does not take turns with other children, and prefers to sit on the side of the room, limiting interactions. The teacher notes that when the child is approached by other children, the child hits and shoves others, including when standing in line. During classroom activities, the child particularly objects to art activities and refuses to do any activities which involve clay, glue, or sand. Most days the child also arrives late. The mother reports the child has difficulty dressing and brushing teeth during the morning routine. The child wears the same sweat pants to school daily and is bullied due to poor hygiene and dress. Section 1: Based on the classroom teacher's concerns, choose the MOST APPROPRIATE areas for the school-based OTR to address with this child.
B. Hypersensitivity to textures E. Hypersensitivity to ADLs F. Transitioning between classroom tasks G. Inappropriate social behaviors with peers
Section 3: The 6 students who were identified by the OTR as at risk for mental health challenges were invited to participate in a smaller group to work directly with the OTR. Which interventions are MOST APPROPRIATE for the OTR to implement with this smaller group of students? A. Provide education to the teachers regarding the mental health needs of the class. B. Implement group projects to develop peer relationships. C. Create behavioral intervention plans for each student in the group. D. Explore hobbies and leisure activities with the group. E. Collaborate with the school-based mental health providers to implement consistent interventions. F. Provide strategies including organization and communication strategies to address assignment completion.
B. Implement group projects to develop peer relationships. D. Explore hobbies and leisure activities with the group F. Provide strategies including organization and communication strategies to address assignment completion.
An occupational therapist receives a referral for a client who has been admitted to the intensive care unit with a diagnosis of Guillain-Barré syndrome. This client is currently intubated. After the evaluation is completed including information gathered from the client's spouse, the OTR develops a treatment plan. What would be the MOST APPROPRIATEintervention to initiate during the treatment session? A. Provide active assistive range of motion to allow the client to assist with washing the fa
B. Include the spouse in performing passive range of motion to the client's extremities
A client is referred to occupational therapy to address hand function secondary to edema. The OTR determines that the edema is greatly limiting the client's occupational engagement and ability to perform ADL tasks. The OTR provides interventions, but recognizes that the edema remains unchanged. Through which means would the OTR identify persistent edema? A. A grip test using a dynamometer B. Observation, volume, and circumference measurement C. Observation alone
B. Observation, volume, and circumference measurement
A client with COPD exacerbation, on an acute care unit, is referred to occupational therapy to address basic ADL. Each time the OTR presents to the room, the client reports increased pain with all movement and refuses therapy. The OTR discusses the client's pain behaviors with the nursing staff. The nursing staff reports that the client moves to the edge of the bed independently throughout the day and has been seen feeding self and grooming; however, the nursing staff also notes that if someone is in the room, the client's dependence increases, and the pain behaviors are present. The OTR determines that the client's pain behaviors may be perpetuated by the need for increased attention or sympathy. Based on the observations from the OTR and the nursing staff, which behavioral approach to pain management is MOST APPROPRIATE for the OTR to implement? A. Respondent strategies B. Operant strategies C. Cognitive behavioral strategies D. Pharmacological strategies
B. Operant strategies
A OTR is reviewing a chart for a client prior to evaluation. The client has a diagnosis of obsessive-compulsive disorder. Which features is the OTR likely to observe with this client? A. Social withdrawal, eccentric, constricted emotions B. Orderliness, perseverance, indecisiveness, and rigidity C. Unstable mood, emotional dysregulation, cognitive perceptual distortions D. Exaggerated sense of importance, craves admiration, indifference to others
B. Orderliness, perseverance, indecisiveness, and rigidity
A 3-month-old infant is observed to involuntarily flex his fingers around a rattle as it is placed in the palm of his hand. Which age-appropriate reflex is this BEST known as? A. Hypertonicity B. Palmar grasp reflex C. Moro reflex D. Plantar grasp reflex
B. Palmar grasp reflex
A client is seen in an outpatient occupational therapy clinic. The client has a diagnosis of low back pain. When entering the clinic, the client reports extreme pain and asks to lie down on a mat prior to beginning the session. Which is MOSTappropriate positioning for the OTR to utilize to decrease the client's pain when lying on the mat? A. Place the client flat on the back, without pillows, encouraging the client to stretch legs and arms B. Place the client on the back with knees slightly bent, use a pillow underneath the knees, and a thin pillow under the head C. Place the client in side-lying, with a pillow under the head and a pillow positioned along the spine and tucked under hips D. Encourage the client to sit in a stable chair with armrests, placing pillows on either side of the client
B. Place the client on the back with knees slightly bent, use a pillow underneath the knees, and a thin pillow under the head
A client is working with an OTR in inpatient rehabilitation following a CVA. The client experiences difficulty with brushing teeth and requires maximum cues to complete all the steps required in the correct order. The OTR creates a list of steps required to complete brushing teeth using pictures for each. The list is placed on the mirror above the sink for easy access by the client. Which BEST describes the type of memory the OTR is addressing with this intervention? A. Episodic memory B. Procedural memory C. Long-term memory D. Semantic memory
B. Procedural memory
An OTR is attending a journal club with other therapists where research-based articles are selected and reviewed. Which best reflects the purpose of the journal club? A. Promote interdisciplinary competency education B. Promote the use of evidence-based practice C. Provide entry-level competency education D. Provide continuing education hours
B. Promote the use of evidence-based practice
A client presents to occupational therapy for intervention in an outpatient setting. The client is late to the appointment, has not had lunch, and is very stressed about a recent argument with a spouse. The client has difficulty focusing during the session. Which is the MOST effective way for the OTR to improve the client's engagement during this session? A. Offer to give the client a doughnut if the client will participate B. Provide deep breathing, relaxation methods, and meditation C. Role play situations promoting positive interactions with spouse
B. Provide deep breathing, relaxation methods, and meditation
An OTR is completing a worksite evaluation for a client 12 weeks status post a myocardial infarction (MI). During the assessment the client displays the ability to perform the job tasks effectively, demonstrating appropriate safety and cognitive ability. However, the client struggles with decreased endurance after completing an hour of work tasks. The OTR feels endurance may limit the ability to complete a full 8-hour shift. Which recommendation is MOST appropriate for the OTR to make based on these observations? A. Continue with a work hardening program until the client meets the full requirements of the job duties B. Recommend the client return to work at a part-time status or work shorter shifts until endurance improves C. Encourage the client to explore other work options with less physical demands D. Complete a job demand analysis to determine if the client can fully meet the job requirements
B. Recommend the client return to work at a part-time status or work shorter shifts until endurance improves
A client with breast cancer is undergoing chemotherapy. She experienced loss of grasp and fine motor function as a side effect of chemotherapy. The client also underwent radiation therapy, which led to a frozen shoulder. The client is a 35-year-old mother who wants to be able to resume her role at home. Her goals include regaining the use of her upper extremity. Which of the following intervention approach is MOST BENEFICIAL for the client? A. Educational approach B. Restorative approach C. Occu
B. Restorative approach
A 66-year-old retired carpenter experienced involuntary, jerky movements after taking a neuroleptic medication and was referred for OT. His wife expressed concern that he is starting to get depressed. The client mentioned that he had planned to repair an old drawer in his workshop. The OTR decided to include a woodworking project in the intervention to address the client's movement disorder, provide a source of satisfaction, and facilitate engagement in a valued occupation. Which activity woul
B. Sanding the wood with a hand sander
A 32-year-old client with multiple sclerosis (MS), who owns and works in a bakery, is seeking outpatient occupational therapy services. The client is complaining of increased mental and physical fatigue throughout the workday due to the demands of the job. The client is also a parent of 3-year-old twin girls who are very active. The client states that the relationship partner is extremely supportive and completes much of the home-management responsibilities with regard to cooking and cleaning du
B. Train the client on energy-conservation techniques to use through the day to prevent fatigue
A client with a diagnosis of Ménière disease is working with an occupational therapist in an outpatient clinic. Prior to intervention, the occupational therapist provides preparatory activities to the client. Which preparatory activity is MOST appropriate to implement with this client? A. Place the client in quadruped, encouraging weight bearing throughout all extremities B. With the client sitting on a large therapy ball, the OTR shifts the client's hips, encouraging the client to maintain po
B. With the client sitting on a large therapy ball, the OTR shifts the client's hips, encouraging the client to maintain postural alignment
An OTR is working in a rural community clinic that offers developmental screenings to all 5-year-old children. As part of the process, the OTR screens for Duchenne muscular dystrophy (DMD). Which of the following observations would lead the OTR to suspect that the child has a diagnosis of DMD? A. Excessive bruising B. A positive Trendelenburg sign C. A positive Gower sign
C. A positive Gower sign
An OTR is reviewing a client's chart prior to evaluation. The client has been referred to occupational therapy to address basic ADL performance following a transradial amputation of the left upper extremity. Which BEST describes this client's amputation? A. Amputation of the entire upper extremity B. Amputation through the humerus C. Amputation through the radius and ulna D. Amputation through the shoulder joint
C. Amputation through the radius and ulna
A client who experienced a cerebrovascular accident in the cerebellum is referred to outpatient occupational therapy. Which deficits can the occupational therapy practitioner prepare to address during evaluation? A. Vision, including cortical blindness and hemianopsia B. Cognition, including memory impairment and confusion C. Ataxia, including gait and impaired eye movements
C. Ataxia, including gait and impaired eye movements
A client with a memory impairment is giving directions to the OT during a therapy session. The client uses landmarks to describe how to locate various items around the client's home. Which is MOST APPROPRIATE for the OTR to document during the session? A. Client demonstrates appropriate episodic memory for events that occurred B. Client demonstrates adequate problem solving to identify problematic areas C. Client demonstrate appropriate working memory, specifically visuospatial sketchpad D. Cl
C. Client demonstrate appropriate working memory, specifically visuospatial sketchpad
A client with hemiparesis post cerebrovascular accident (CVA) is participating in OT. The OTR has restrained the unaffected upper extremity during therapy and throughout the day and is focused on repetition of functional reaching and grasping tasks. Which BEST represents what intervention the OT is providing? A. Mental practicing B. Strength and exercise C. Constraint-induced D. Action observation
C. Constraint-induced
An OTR is working with a kindergarten classroom teacher in developing seating options for all students in her classroom. The teacher shared that her students are seated on the floor during several academic instruction times. They are positioned in a circle and often students struggle with keeping their hands to themselves and their bodies in their own space. What type of chair might the OTR recommend to the teacher? A. Corner chair B. Infant sitter C. Cube chair D. Howda Hug chair
C. Cube chair
Opening Scene: An occupational therapist working in a school-based setting is contacted by one of the third-grade teachers to discuss social-emotional learning in the classroom. The teacher notes difficulty within the classroom efficiently changing from one activity to the next, managing the students' stress during testing, and has identified multiple students who withdraw from the classroom activities regularly. Section 1: The OTR consults with the teacher and determines that this classroom specifically has social-emotional needs that could be addressed through occupational therapy services. Which would be MOST APPROPRIATE for the OTR to implement within this classroom? A. Identify the students who need services and provide intensive and individualized occupational therapy services to those students. B. Complete evaluations, including interviews and medical reviews, for each student to determine mental health diagnoses. C. Develop general interventions to be provided within the classroom to all students. D. Assist the teacher in developing individualized goals for each student based on varying social-emotional needs. E. Conduct screenings or assessments to develop comprehensive
C. Develop general interventions to be provided within the classroom to all students. D. Assist the teacher in developing individualized goals for each student based on varying social-emotional needs. F. Create group projects for the teacher to implement that incorporate academics and social-emotional learning.
An OTR is working in an acute care hospital with a client who lives with multiple family members who insist on providing all necessary care upon discharge home. The client lacks independence in dressing and toileting but refuses to participate in these interventions. The OTR recognizes good potential for the client to be independent in these areas. What is the MOST APPROPRIATE action for the OTR? A. Discharge OT services since the client is refusing services B. Administer a standardized test to measure baseline status of ADL function to prove deficits in those areas C. Discuss goals with the client and family to establish intervention priorities D. Report the situation to the rehab supervisor to assign a clinician of the opposite gender for this client
C. Discuss goals with the client and family to establish intervention priorities
An OTR discusses toileting with a client who underwent surgical repair for a right distal femur fracture and is now partial weight-bearing. The client is uncomfortable using the bedside commode and says, "I would like to use the actual bathroom. I think I can walk there." What is the INITIAL step the OTR should take to address functional ambulation for toileting with this client? A. Trial a variety of assistive devices for mobility in the room B. Reinforce the client's new weight-bearing status for safety C. Discuss recommended assistive devices with the PT D. Tell the client that physical therapy will address ambulation
C. Discuss recommended assistive devices with the PT
An OTR has completed an evaluation of a person living with HIV/AIDS (PLWHA). While observing the client's ability to complete upper body dressing, the OTR notes that the client has difficulty managing the fasteners on a pair of shorts. The client also complained of a burning sensation in the hands and feet. What should the OTR conclude is the PRIMARYcause for this deficit? A. Psychomotor retardation B. AIDS-dementia complex C. Distal polyneuropathy D. Muscle atrophy
C. Distal polyneuropathy
Section 3: The OTR is working with the client to address ADL. Which is the MOST APPROPRIATE adaptive equipment for the OTR to provide to this client based on diagnosis and recent surgery? A. Built-up handles B. Task lighting C. Dressing stick D. Reacher E. Long-handled sponge F. Shoehorn
C. Dressing stick D. Reacher E. Long-handled sponge
An OTR uses behavioral modification with clients in an outpatient psychiatric setting. Later the same day, the same OTR runs a group on healthy eating habits as well as an exercise group to help the clients maintain range of motion. Which of the following BEST describes the OTR's approach to treatment? A. Psychodynamic perspective B. Biomechanical C. Eclectic D. Cognitive behavioral
C. Eclectic
An OTR treats a 36-year-old client who is 10 days post right transradial amputation. The client states that it occasionally feels like the wrist on the affected extremity is painful and feels stuck in flexion. The OTR and client are able to perform active-assisted right forearm pronation and supination without pain. What should the OTR do NEXT? A. Continue probing the client about phantom pain in the affected RUE B. Initiate RUE isometric exercises to be performed three times per day C. Encourage active movement and functional use of the residual limb D. Inform the client that surgery is the only option to address phantom pain
C. Encourage active movement and functional use of the residual limb
The parents of a 17-year-old adolescent diagnosed with depression ask the occupational therapy practitioner for recommendations to support the adolescent's transition from school into the community. Which of the following should the occupational therapy practitioner include in recommendations for the adolescent's transition? A. Encourage the adolescent to withdraw from relationships with high school peers B. Encourage the adolescent to seek employment to earn money for needs C. Encourage the adolescent to pursue activities that are enjoyable and personally gratifying D. Encourage the adolescent to move out of the home and live independently
C. Encourage the adolescent to pursue activities that are enjoyable and personally gratifying
An OTR works in a wellness center for a large corporation. An employee of the company has difficulty meeting the demands of the job. Which would be the MOST appropriate for the OTR to complete? A. Functional range of motion testing B. Functional manual muscle testing C. Functional capacity evaluation D. Functional cognition evaluation
C. Functional capacity evaluation
A client has been diagnosed with C6 tetraplegia after a motor vehicle accident. The occupational therapist assigned to the case is providing education to the client about the importance of tenodesis to help facilitate self-care tasks such as eating and grooming. What strategy would be MOST appropriate for the occupational therapist to focus on to preserve tenodesis grasp? A. Perform a stretching program with the wrist in extension while bringing the fingers into extension B. Create a splint that
C. Instruct the client to grasp finger foods using wrist extension
An OTR is performing an evaluation in the home of a client with mild cognitive impairment and notices medication bottles throughout the apartment. Some of the bottles are unopened, expired, or empty while some medications are not in labelled bottles. The OTR recognizes medication management as a priority for the client. What is the BESTstrategy the OTR can provide to allow the client to safely administer personal medications? A. Provide a visual list of medications with dosage in an easily accessible location B. Organize all medications into one location that the client can easily locate C. Provide a pill organizer with separate slots for morning and afternoon medications D. Ask the pharmacist to fill medications in easy-open containers
C. Provide a pill organizer with separate slots for morning and afternoon medications
A client sustained a below-elbow amputation and was fitted with an upper-limb body-powered prosthesis. The client's goal is to return to work. Which of the following should the OTR do to BEST facilitate a client-centered intervention program? A. Ask the client to identify the best time of the day for an exercise program. B. Help incorporate a skin hygiene program into the client's morning routine. C. Review a list of bilateral activities and determine those that are important. D. Assess the client's movement, sensation, motor skills, and process skills.
C. Review a list of bilateral activities and determine those that are important.
An OTR working in outpatient pediatrics implements a therapy intervention commonly known as the just-right challenge. This intervention focuses on providing challenges that are not too difficult nor too easy for the child to complete. The therapist utilizing this intervention is heavily influenced by what theory that promotes the use of just-right challenges? A. Infant space theory B. Theory of occupational adaptation C. Sensory integration theory
C. Sensory integration theory
An OTR is providing intervention to a student in the 2nd grade with a diagnosis of ADHD (attention-deficit hyperactivity disorder). The student often struggles with distraction in the classroom and over-stimulation. One of the student's goals is to copy complete sentences on homework assignments legibly. When the student is in the OT room for 1:1 sessions, the student copies words from an example the OTR produces showing both good spacing and letter formation. During classroom activities the student is unable to copy in a timely manner resulting in illegible work. How BEST can the OTR grade the activity to promote carryover of the skills from the OT sessions into the classroom? A. Provide the student with noise-canceling headphones to be used during class B. Move the student to the front of the room and place a privacy screen around the student's workstation C. Show the student how to use a ruler to stay on one line at a time, provide the student with lined paper, and highlight the sentence to be copied D. Suggest the student type the work during classroom activities
C. Show the student how to use a ruler to stay on one line at a time, provide the student with lined paper, and highlight the sentence to be copied
A 65-year-old with edema of the right dominant extremity is an avid baker. What suggestion should the OTR make in regards to baking? A. Keep the right extremity raised above heart level B. Refrain from baking until the edema dissipates C. Use your right extremity to mix the ingredients
C. Use your right extremity to mix the ingredients
An occupational therapy practitioner working in an inpatient rehabilitation unit is meeting with other team members to discuss discharge planning for a specific client. The physical therapist reports that the client ambulates 150 feet with rolling walker. The occupational therapy practitioner notes that the client completes functional transfers with supervision during ADL/IADL tasks. The client lives alone but does, however, have family support as needed. Which is the MOSTappropriate recommendation from the occupational therapy practitioner to make regarding this client? A. Modify the short-term goals to progress rehabilitation B. Update the intervention plan to ensure independence before discharge C. Begin the discharge process and provide education for returning home
C.Begin the discharge process and provide education for returning home
An OTR working in an outpatient clinic is evaluating a client currently undergoing chemotherapy treatments for breast cancer. The doctor referred the client for OT evaluation to promote strengthening and endurance, specifically to address chemotherapy-related side effects. The client states the shoulder is very sore from a recent strain injury while reaching into an overhead cupboard. The client requests heat modality prior to exercise for comfort. How should the OTR respond? A. Provide continuous ultrasound to the most painful point on the shoulder for 8 minutes, sweeping the transducer in that spot B. Apply a heat pack to the affected shoulder for 10 minutes with 6 layers of towel in between the pack and the client's shoulder C. Apply a warm compress to the shoulder for 15 minutes D. Complete gentle stretching and AROM exercises to the affected shoulder within the zone of comfort while monitoring pain levels
D. Complete gentle stretching and AROM exercises to the affected shoulder within the zone of comfort while monitoring pain levels
An OTR is treatment planning for a 9-year-old client who struggles with sensory reactivity and hyporesponsiveness. The client's teacher has noted difficulty in the classroom setting, specifically with behavior regulation. The teacher notes that the client is often unengaged in tasks, lying the head on the desk during classroom learning. Which intervention would be BEST to consider to implement within the classroom setting? A. Positively reward "good choice" behaviors during classroom tasks B. Decrease distractibility by having clear, short instructions written on a label in front of the student on the desk C. Suggest the teacher give concise, clear verbal instructions ensuring the student understands classroom expectations D. Create a sensory diet geared towards increasing arousal levels at key points throughout the day
D. Create a sensory diet geared towards increasing arousal levels at key points throughout the day
An OTR is completing an evaluation session with a 35-year-old musician who underwent flexor tendon repair. The client's medical record did not specify the surgical method used by the hand surgeon. The client is anxious to begin his treatment since he wants to regain full use of his hand in time for the local music festival. What is the MOST important aspect of early active motion following flexor tendon repair that the OTR should remember when considering this approach for therapy? A. Early active motion is generally used for all flexor tendon repair to reduce the risk of adhesion and tendon rupture. B. Early active motion protocols are appropriate for all clients since the protocols are simple and easy to follow. C. Early active motion should be applied immediately to reduce inflammation so therapy must be initiated at that time. D. Early active motion is applied after sophisticated surgical procedures and must be monitored by the surgeon.
D. Early active motion is applied after sophisticated surgical procedures and must be monitored by the surgeon.
A 34-year-old client sustained a deep right proximal forearm laceration. The client reports difficulty fastening bra and jewelry clasps. The OTR performs formalized sensory testing and identifies impaired sensation in the ulnar nerve distribution. Pinprick and hot/cold sensory testing are intact. The client is able to recognize touch sensation with a 4.31 monofilament. What is the MOST EFFECTIVE sensory re-education program to implement in future treatment sessions? A. Using built-up handles to
D. Graded discriminative sensory re-education
A client, who recently experienced a right cerebrovascular accident (CVA) to the parietal lobe, presents with consistent inattention to the left. The client demonstrates a lack of attention to the left upper extremity, not dressing that side. While eating, the client does not use utensils placed in the left hand. When brushing hair, the client only brushes half of the head. What symptoms is the client experiencing as a result of the CVA? A. Left visual field cut B. Diplopia C. Homonymous hemianopsia D. Unilateral neglect
D. Unilateral neglect
A busy medical practice has consulted with an OTR to address workstation ergonomics. Recently the staff has experienced increased work-related injuries specifically related to back pain. The OTR completes observations of the clinic and notices that most of the staff use rolling stools throughout the day while providing patient care, completing documentation, and eating lunch. The OTR also observes that the number of chairs in the office and clinical area is limited. Which is the MOST APPROPRIATE
D. Provide additional chairs with a back rest and lumbar support
An OTR provides a home exercise program for a client with rheumatoid arthritis. Which is MOST APPROPRIATE for the OTR to recommend? A. During a flare, discontinue all exercises B. Begin with 20 repetitions of each exercise C. Complete all exercises as quickly as possible D. Reduce repetition of exercises during a flare
D. Reduce repetition of exercises during a flare
A client is participating in pulmonary rehabilitation with an occupational therapist. During an activity, the client becomes short of breath and begins to feel anxious. The client requests to stop the activity immediately. Which intervention is MOST APPROPRIATE for the OTR to implement following termination of the activity? A. Dyspnea control posture B. Pursed-lip breathing C. Diaphragmatic breathing D. Relaxation techniques
D. Relaxation techniques
A client with hemiparesis of the dominant upper extremity is referred to occupational therapy. The OTR recommends the use of constraint-induced movement therapy in order to promote use of the upper extremity. Which BEST represents the OTR recommendations? A. Restraint of the unaffected limb; cognitive rehearsal of affected limb B. Restraint of the unaffected limb; forced use of affected limb C. Restraint of the affected limb; repetitive-task practice for unaffected limb D. Restraint of the affec
D. Restraint of the affected limb; forced use of the unaffected limb
A toddler is working with an occupational therapist on transitioning to solid foods. Which motor motion is required for the toddler to transition to solid foods? A. Gag reflex B. Rooting reflex C. Transverse tongue reflex D. Rotary chewing
D. Rotary chewing
An OTR is working on self-feeding skills with a 19-month-old infant diagnosed with developmental delays. During the therapy session the infant was observed dipping the spoon into yogurt and bringing the spoon to the mouth. To progress interventions, which feeding skill is MOST APPROPRIATE for the OTR to introduce next? A. Stabbing meat with a fork and bringing food to the mouth B. Sipping milk through a straw C. Using an inferior pincer grasp to pick up Cheerios and bring Cheerios to the mouth D. Scooping the yogurt with a spoon and bringing it to the mouth
D. Scooping the yogurt with a spoon and bringing it to the mouth
Which position would be best for a client who recently underwent a posterior hip arthroplasty? A. Seated in a recliner with a lumbar support pillow B. Side lying with a pillow in between the knees and one under the head C. Prone in bed with a pillow under the hips for support D. Seated in a regular height chair with a thick firm cushion under the bottom for support
D. Seated in a regular height chair with a thick firm cushion under the bottom for support
