CRAK C2, C3, C7

B- A long-handled reacher

A13 (C3) A client is being discharged after recovery from hip replacement surgery to live at home alone. Which is the most important equipment for the OTA to review with the client prior to discharge?

A- obtain prospective group members' occupational profile and postdischarge goals and options.

A1 (C2) 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. e

A- finkelstein's test.

A101 (C3) An 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 Quervain's tenosynovitis. Which assessment measure should the OTA use to confirm the diagnosis?

B. Active ROM

A105 (C3) An individual with rheumatoid arthritis (RA) is currently in a stage of remission. During this an active chronic phase of this to disease, the OTA works with the client to maintain range of motion (ROM) and muscle strength. Which of the following is most effective for the OTA to recommend the client included in a daily home exercise program?

C. Have the child support the elbows on a table at chest height to don the T-shirt over the arms, then don over the head.

A109 (C7) A child with spinal muscle atrophy can no longer reach beyond 90° of shoulder abduction and 90° of shoulder flexion. The parents stated that the child can no longer independently don or dog a T-shirt. Which is the best approach for the OTA to recommend a child use it on a T-shirt?

B. Maintain active range of motion.

A110 (C3) An older adult with rheumatoid arthritis is provided with the functional hand splint to help prevent deformity. The OTA and also advises the individual about actions that can be taken to help prevent deformity. Which of the following is most important for the OTA to advise the individual to do?

B. A key guard overlay.

A112 (C7) A high school senior with Friedreich's ataxia is working on developing keyboarding skills in a school-to-work transition program. During the initial session, the OTA observes signs of dysmetria. Which is the most appropriate adaptation for the OTA to recommend to increase the effectiveness of the students keyboarding skills?

B. Compression garments.

A117 (C3) An OTA works with a person who incurred full-thickness burns to both arms. Which intervention to approach would be most effective for the OTA to provide to control hypertrophic scar formation?

B. Acknowledge the resident's desire to return home.

A119 (C2) An OTA working in a skilled nursing facility conducts an initial therapeutic feeding session with an older adult with dysphasia. During the session the resident consistently expresses a desire to return home. Which is the OTA's best response?

A. An isometric strengthening program.

A137 (C3) 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 operation. Which is the most effective intervention for the OTA to implement at this time?

D- Paraphrase the consumer's statements about past difficulties to help clarify feelings.

A14 (C2) An OTA provides occupational Therapy services in a program for survivors of domestic violence. Teh OTA uses a client-centered approach. Which should the OTA do during intervention session?

C. Invite the individual to join in the discussion, if the person would like.

A144 (C2) A caregiver support group meets weekly at a senior center. A new member attends a group for the third time and listens intently. The person nods in agreement when other speed, but does not participate verbally. Which action is most effective for the OTA to take to facilitate the individual's engagement engagement in the group?

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

A145 (C3) 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?

B- State vocational rehabilitation services.

A15 (C7) A 19-year-old with spastic diplegia and an IQ in the range of 55-69 is graduation 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 student's postsecondary goals. Which of the following should the OTA recommend be included as a postdischarge referral?

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

A150 (C2) An OTA reviews the positioning protocol for a premature infant with severe spasticity cerebral palsy with the infants 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 text. Which action is best for the OTA to take initially in response to this observation?

A. The trigger of pain.

A151 (C3) And OTA evaluates the client's pain by asking the client which movement or activity is elicit pain. Which of the following is the OTA assessing?

B. The client was able to identify three current life stressors.

A153 (C2) And OTA documents an individual's performance during a stress management group. According to establish documentation standards, which statement should the OTA include in the daily progress note?

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

A155 (C2) An OTA is asked, at the last minute, to assist another OTA with the problem-solving skills group. Which is the most helpful action for the OTA to take?

C. Two-thirds of the forearm.

A158 (C3) And OTA constructs a dorsal forearm splint. Which is the most appropriate appropriate length for the splint?

A. Training in compensatory strategies and adaptive equipment to enable the unilateral performance of task. B. Instruction in how to use the residual non-dominant upper extremity as a stabilizer during task performance. E. Instruction in how to protectively wrap the residual limb in a figure of eight diagonal pattern going from a distal to proximal direction.

A161 (C3) 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 and without a prosthesis. However, the limb is painful and very sensitive. Which should the OTA include in the OT intervention program? Select the three best responses.

D. Wrist drop.

A166 (C3) A client who incurred a nerve laceration exhibits maximum motor and sensory loss is consistent with a radial nerve laceration below the supinator. Which deformities should the OTA note the client is exhibiting?

C. Demonstrate the test with the clients vision not occluded.

A170 (C3) An individual with a post-polio syndrome receives an occupational therapy reevaluation. How should the OTA initiate sensory testing with this client?

A. At a 45° incline angle so that the individual's hands are above the elbow when the elbows are flexed.

A178 (C3) 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 provided the client with a table top wood project to complete. To develop triceps' muscle strength, how should the OTA position the tabletop when the person sands the project?

B- Advise the client to purchase a stationary cart and a rolling cart and train the client in their safe use.

A18 (C7) An OTA completes a home evaluation for an individual with post-polio syndrome who recently moved into a rent-stabilized studio apartment. When evaluating the accessibility of the client's 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?

C. Integrate previously learned strategies into new activities to facilitate generalization.

A181 (C2) A home care OTA seeks to enhance an elder's compliance with the occupational therapy intervention program. After discussing the goals of the program with the person, which intervention is most effective for the OTA to use?

C. Elevation of the affected hand above the heart.

A186 (C3) An individual with complex regional pain syndrome (CRPS), type I presents with severe pain and pitting edema in the right hand. The individual has a secondary diagnoses of degenerative joint disease (DJD). What should the OTA initially recommend to the person to address these concerns?

B- Prism glasses

A7 (C7) 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?

A. Install room darkening shades. B. Play soothing music to relax. F. Use earplugs and/or white noise machines to block sound.

A199 (C7) An OTA is treating an adult who sustained a radial nerve injury at work. During the therapy session, the OTA observes the client yawning excessively and having difficulty concentrating on the therapeutic activities. The client works a midnight to 7 AM shift. The client reports irregular sleep patterns do to disruption that occurs during the day when the client needs to sleep. The OTA suspects poor sleep hygiene may have been a contributing factor to the work related injury. After discussing the clients typical sleep routine with the client, which of the following environmental approaches should the OTA recommend to the client? Select the three BEST responses.

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

A21 (C2) 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 this conflict?

A- Understand the purposes and functions of the splint E- Understand that the splint should be worn at night and when performing repetitive activities. F- Self-direct the correct application of the splint to ensure bony prominences are considered.

A22 (C3) 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 provides splint training to the client. Which of the following should the OTA ensure the client can do upon completion of the splint training sessions? Select the three BEST responses.

C- Determine a destination.

A25 (C7) 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?

A- Focus on intact senses and areas of intact sensation.

A34 (C7) An older adult with peripheral neuropathy resulting from the chronic effects of diabetes expresses concern 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?

A-Wiping tabletops.

A36 (C2) An OTA provides home-based services to a child with developmental delays. The child picks up and puts away toys when reminded by the parents and mimics the parents when they dry dishes and fold clothes. The family has identified a goal of including the child in home management activities. Which activity should the OTA introduce next during intervention?

B- Focusing on the group tasks rather than the feelings of the participants.

A37 (C2) 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 and peer pressure. Which of the following would be most likely for the OTA to observe the participants doing in the group?

C- continue the evaluation according to the established administration protocol.

A40 (C2) An OTA administers a standardized cognitive-perceptual assessment to a client. The client demonstrates difficulty performing the first two tasks of the evaluation. Which is the next best action for the OTA to take?

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

A45 (C2) A 3 year-old with recurring headaches and decreased gross and fine motoro skills is hospitalized for a diagnostic workup. 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 OT. The OTA provides support. Which is the next best action for the OTA to take in response to this situation?

A- storing glasses on shelves at chest height.

A5 (C3) A restaurant employee incurred a fracture to the left humerus. After cast removal, the patient received occupational therapy and now demonstrates ⅗ strength of the left triceps and full ROM of the left elbow. To increase elbow function in order to perform work-related tasks, which activity is most effective for the OTA to next include during intervention?

D- An activities of daily living evaluation.

A54 (C7) 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 the client?

C- Hypersensitive along the median nerve distribution of the thumb and index fingers.

A57 (C3) An individual is status post carpal tunnel release. When the OTA conducts a sensory test for sharp/dull (pain), the person reportes dull as sharp on the palmar surface of the thumb and index finger. All other responses are correct. Which is accurate for the OTA to document about the individual's sensation?

B- A set of identical objects.

A59 (C3) An OTA conducts a standardized sensory evaluation of an individual recovering from a left cerebral vascular accident. The individual has right hemiplegia and expressive aphasia. During the evaluation of stereognosis which should the OTA have the client use to identify responses to the testing stimuli?

B- sitting at the kitchen table.

A60 (C7) An adult diagnosed with multiple sclerosis over 10 years ago experiences an exacerbation of symptoms. The individual's principle complaint is decreased strength and endurance. The person 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?

B- Learning alternative computer access skills C- Organizing the client's morning personal care routine D- Learning home safety and emergency procedures.

A66 (C7) 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.

C- complaints of pain in the wrist extensors.

A70 (C3) A person fell and sustained bilateral Colles' fractures. The client wore bilateral short-arm casts for 6 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?

D- Ask the group members about their social concerns.

A71 (C2) An OTA works in a school setting with adolescents with autism spectrum disorder (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 scenations for the role-play activities?

D-Duplicate the job task components as closely as possible.

A78 (C7) 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 this situation?

C- Recommend a prosthesis with a myoelectrically controlled hand.

A80 (C3) An older reenager with a congenital right, below-elbow amputation had never wanted a prosthesis. Now the teen wants a prosthesis "to look good at the prom and for going on dates." which action would be most beneficial to meet the client's expressed need?

A- ask the parents about their priorities for their child.

A81 (C2) An OTA is working with the parents of a 5 year-old child with developmental delay. This child is not self-feeding. The occupational therapist's evaluation of the child indicates that the child has potential to participate in this ADL. When talking to the parents about this possible goal, they indicate this is not a priority for them. Which action is best fo the OTA to take in response to the parents' statement?

C- Incorporate the parent's engagement in a diversity of role activities into the home program.

A83 (C2) A single parent with rheumatoid arthritis and two school-aged children reports difficulty completing a home exercise program. The parent state 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?

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

A86 (C7) An OTA is working in a in-patient rehabilitation facility for persons with SCI. A patient sustained a C5 complete SCI following an automobile accident two weeks ago. The OTA is working with the patient to attain the patient's goal to independently self-feed. Which piece of a adaptive equipment are best for the OTA to teach the patient to use during intervention? Select the three BEST response.

A- a volumeter.

A91 (C3) An OTA supervises a Level II fieldwork student 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?

D- Normal elbow ROM.

A95 (C3) in measuring the ROM of a client's elbow, the OTA records a flexion measurement of 145 degrees. Which is most accurate for the OTA to document based on the measurement?

A- An overhead suspension sling.

A96 (C7) A client in the descending phase of Guillain-Barre syndrome has bilateral shoulder strength of ⅖. The client fatigues easily. Which equipment should the OTA recommend to enhance the person's performance of activities of daily living?

C. Clutter-free floors, low clothing racks, tub bench, and long-handled shower head.

An OTA is conducting an educational group in a rehabilitation facility with individuals who recently sustained a complete spinal cord injury at the T1 level. The group's goal is to develop members' ability to attain and maintain maximum independence in their BADL. Which of the following home modification and adaptive equipment recommendations are best for the OTA to make to help members attain this goal?

D. Role-playing how to self-direct personal care assistants.

An adolescent with a complete C4 spinal cord injury receives inpatient occupational therapy services. To foster independence in basic activities of daily living (BADL), which is the best intervention activity for the OTA to use with this patient?

B. Moving from lying supine to sitting.

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

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

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

D. Be prepared to respond to any unexpected behavioral or physical responses a child may have during the assessment.

An occupational therapist is supervising an OTA to establish service competency in the administration of a standardized pediatric assessment. Which of the following guidelines should the therapist highlight as important for the OTA to follow during assessment administration?

C. Advise the client to ask the child's parents to provide elastic waist pants and pull-on tops for the visit.

An older client with severe rheumatoid arthritis lives independently and receives occupational therapy services at an outpatient clinic. During an intervention session, the client expresses concern about the ability to assist a three-year-old grandchild with donning and doffing clothing during a planned weekend visit. During prior visits, the client's spouse had assisted the child, but the spouse is now deceased. The client reports that the child has abilities that are typical of this age. After providing support to the client, which action is best for the OTA to take in response to these state of concerns?

D. Doing chair push-ups before table top activities

B105 (C3) A 6 year old child is referred to occupational therapy to improve fine motor skills. The student is having difficulty drawing simple shapes (i.e circle, square, and triangle) and cutting a straight line with scissors. Which of the following activities is best to help develop the arches of the hand and increase hand strength to improve the student's ability to grasp a writing utensil or scissors?

A- Donning and Doffing a variety of shirt types of personal preference

B10 (C7) A middle school-age child with right upper extremity Amelia attend occupational therapy to learn how to dress independently. which of the following is most beneficial for the OTA to focus on during intervention?

C- Wear work gloves for activities involving extremes or variations in temperature

B100 (C7) A client successfully completes a work hardening program to return to work as a cable installer and repair person. The client has residual moderate impairment in temperature perception. During the discharge planning session, the OTA discusses how this impairment may impact areas of occupation and suggests activity modifications to facilitate the clients occupational performance. What is the most appropriate recommendation for the OTA to make to the client?

B- Use self-advocacy skills to explain to the agents that work will be completed according to priorities set by the office manager D- Employ cognitive behavioral strategies to engage in positive self-talk and eliminate negative self-talk E-Meet with the office manager at the end of each day to prioritize the next day's work load

B104 (C7) An individual with cyclothymic disorder who successfully completed a Transitional Employment Program (TEP) is competitively employed in a busy real estate office as an administrative assistant. the person reports decreased self efficiency and feeling overwhelmed by the number of part-time real estate agents who drop off work late in the afternoon and insist it be completed within 1 -2 days. The individual contact the TEP for suggestions on dealing with this works stress. Which actions are most effective for the OTA to recommend the person take in response to this situation? Select the three best responses

C. upper extremity strengthening with emphasis on the tripceps

B107 (C3) An individual recently had a left transfemoral amputation as a result of the complications of diabetes. The client is 2 years' status-post right transtibial amputation as a result of the same precipitant. The client is referred to OT for preprosthetic interventions. The referral notes that the complications of neuromas and phantom limb pain are present in the left residual limb. Which intervention is best for the OTA to implement during the first OT session?

A. Communicate effectively to develop a therapeutic relationship with the family.

B108 (C2) An OTA conducts an initial home visit to a family with a premature infant who, at 4 months and 5 lbs, has just been sent home. The child has multiple disabilities and has been evaluated by the occupational therapist. Which is the best primary goal for the OTA to work on with the family during the first session.

D.Describe the observation to the supervising occupational therapist.

B112 (C3) A person with arthrogryposis undergoes serial casting with weekly cast changes, of the right wrist. Upon case removal during the fourth week, the OTA nots a small open area ¼ cmx1/4 cm and a red rash over the ulnar styloid. Which is the OTA's best response to these observations?

C. Volumeter

B114 (C3) An individual with degenerative joint disease (DID) incurred an injury to the right hand. The client complains of severe pain, stiffness, and extreme temperature changes in the hand. The OT referral states that the person has pitting edema and blotchy, shiny skin. The OTA collaborates with the occupational therapist to complete the patient's evaluation. Which evaluation tool would the OTA use to assess this client?

C. A forearm-based thumb spica splint.

B120 (C3) An adult is referred to an outpatient hand clinic for treatment of de Quervain's syndrome. Which is the most beneficial splint for the OTA to construct for this client?

A.Flexion of the distal interphalangeal (DIP) joint and proximal interphalangeal (PIP) hyperextension.

B128 (C3) An OTA with established service competence in the evaluation and intervention of musculoskeletal disorders works in an outpatient orthopedic setting for persons with upper extremity impairments. A person with rheumatoid arthritis is referred by a primary care physician. The referral notes that the client has hand pain and likely to observe during the assessment of this client?

B. Grade an activity of interest into achievable steps to facilitate successful completion

B129 (C2) An OTA implements a transitional program for a 15 year old high school student with a history of numerous school-related failures. Which is the most important principle of intervention for the OTA to use with this student?

A. A wrist-driven flexor hinge splint with a slot to hold a typing stick.

B131 (C7) An individual with a complete C6 spinal cord injury prepares for discharge. The client plans to return to work as an editor of children's books. Which adaptive equipment is best for the OTA to recommend the client use to access desktop publishing programs?

C. Say nothing to the group member and proceed with the group.

B133 (C2) During a parallel task group, one of the members appears agitated and fidgety. The member gets up and looks out the window for a few minutes and then sits back down and quietly returns to the task. This behavior continues throughout the group. What is the OTA's best response when the group member stands again?

D. Consult with a stable owner to discuss alternative methods of mounting a horse.

B135 (C7) In an outpatient rehabilitation clinic, an OTA is treating a high school student with spina bifida resulting in full motor paralysis and sensory deficits below L1 spinal cord level. The client is a competitive swimmer and is able to transfer independently from the wheelchair to the pool without an assistive device. The client's goal is to learn how to mount and ride a horse. Which is best for the OTA to do initially to help the client attain this goal?

B,C,F- Chess clubs, computer clubs, public aquatic programs

B14 (C7) A middle school age child with osteogenesis imperfecta reports feelings of low self-esteem, social isolation, boredom, and lethargy. The OTA collaborates with the child to identify resources for after-school leisure activities to promote socialization and Community participation. Which of the following activities are most beneficial for the OTA to explore with the child? Select the three best responses

A. Dressing the lower body.

B142 (C7) A 5 year old child with spina bifida at the C7 level receives home-based occupational therapy services. Which ability is most relevant for the OTA to focus on during intervention?

D. Calmly remind the child of acceptable behaviors within a clinical setting.

B146 (C2) An OTA constructs a splint for a middle-school aged child who fractured the radius and ulna. The child becomes angry and pushes the OTA as the OTA attempts to mold the splint onto the child's arm. What should the OTA initially do in response to the child's behavior?

B. Dusting the shelves, cabinets, and furniture in the clinic.

B148 (C3) An OTA is working with an older adult who is recovering from a CVA, which resulted in right side hemiparesis. Based on contemporary motor learning theory, which purposeful activity is best for the OTA to have the patient perform during intervention to improve right shoulder flexion and horizontal adduction?

A. Traveling via public transportation.

B149 (C7) An OTA and occupational therapist collaborate with a high school student and the student's parents to establishing transition plan goal. The student has spina bifida. The defective closure of the student's vertebral column is at the L2 level. Which activity should be included as a long-term goal for independent performance in the student's transition plan?

A- Positions of comfort

B15 (C3) An individual is recovering from deep partial thickness burns on both upper extremities, Chest and lower neck. The OTA provides equipment to prevent positions that can result in contractures. Which are the most important positions for the OTA to prevent?

A. Several exercise videos with diverse exercise styles and music.

B150 (C2) Several residents of a skilled nursing facility report that they are bored with their individual daily range-of-motion exercise programs. The OTA collaborates with the occupational therapist to design a group to attain the goals of the individual exercise programs. Which would be most beneficial for the OTA to recommend incorporation into the proposed group?

A. CMC palmar abduction

B151 (C3) An OTA works with a survivor of a house fire. The client has burns on both hands that limit thumb mobility. The client identifies a personal goal of being able to pick up and hold cans to enable independent shopping and meal preparation activities. The OTA collaborates with the occupational therapist to establish a long-term goal for the client. Which movement of the thumb should the goal statement include as the desired functional outcome?

D. Observe the client complete a typical ADL morning routine in the client's room

B155 (C2) A client is admitted to a skilled nursing facility (SNF) following a fall that resulted in a concussion. Upon evaluation, the occupational therapist noted cognitive changes resulting in difficulty sequencing tasks and short-term memory impairment. The therapist and OTA decide that an analysis of the client's current activity performance based on an occupation-based approach would help guide the intervention plan. Which method is best for the OTA to use when completing this activity analysis?

C. OTA demonstration of techniques followed by a lab with caregivers practicing positioning on each other

B157 (C2) An OTA conducts a caregiver education to workshop on positioning techniques for family caregivers. At the conclusion of the class, the caregivers will be expected to utilize the skills taught. Which is the most effective method for the TOA to use when teaching these techniques?

B. Playing on the monkey bars in the school playground.

B158 (C3) A child is referred to occupational therapy because of hand fatigue during handwriting and difficulty managing clothing fasteners, such as buttons and zippers. Upon evaluation, the occupational therapist determined that the child has undeveloped hand arches and a closed web space. Which activity is best for the OTA to use to facilitate an open web space?

A. Refer the patient to the assigned primary individual therapist.

B159 (C2) An individual with borderline personality disorder is admitted to the hospital following a suicide attempt. After attending an OT orientation group, the patient tells teh OTA, "You are the only therapist who has ever been really helpful." The patient asks to meet with the OTA privately on a regular basis instead of the assigned primary individual therapist. Which action is best for the OTA to take in response to the patient's request?

A. Putting on a pullover top.

B163 (C3) An adult is referred to occupational therapy for ADL training. The patient incurred a fracture of the right proximal humerus and is using a shoulder immobilizer for the first 2 weeks to aid healing and help control pain. The patient is right-hand dominant. Which activity will be the most difficult for the patient?

D. A straw.

B169 (C7) A child in fifth grade is having difficulty self-feeding and frequently spills beverage. The student has non-spastic cerebral palsy resulting in fluctuating muscle tone and poor motor control. Which is best for the occupational therapist to recommend the student use to improve independence in self-feeding and minimize spillage?

A. Iris recognition software for computer access.

B170 (C7) An OTA is working with a college-aged patient who incurred a complete C2 SCI. The patient has expressed a desire to resume previous life roles. During intervention, which is best for the OTA to train the patient to use to attain this stated goal?

B. Utensils with cylindrical foam handles, 1.5 inches in diameter

B171 (C3) An adult has been referred to occupational therapy. The individual demonstrates decreased ROM in the dominant hand secondary to a nerve injury. Active thumb ROM for the IP and MP is within normal limits. Active ROM of the IPs of all four fingers is 0 to 60 degrees. The individual wants to be able to hold a knife. Spoon, and fork. Which utensils are best for the OTA to recommend to this person?

A. Joining a school club in an area of personal interest.

B177 (C7) During an intervention session, a high school student with Friedrich's ataxia makes self-deprecating remarks to the OTA. Upon consulting with the student's teacher, the OTA learns that the student is socially isolated from peers. The teacher asks the OTA to make recommendations for extracurricular activities to improve the student's self-esteem and social participation. Which is best for the OTA to recommend to the student?

D. Use oven mitts that extend to the elbows

B178 (C7) A high school student is referred to occupational therapy for ADL training. The student has not received occupational therapy services for the past 7 years. The student has non-spastic cerebral palsy resulting in right side hemiparesis and decreased muscle tone. The student plans to attend college and live on campus. During a transition planning meeting, the student's teacher reports the student has had several accidents during a meal preparation class (i.e., incurring cuts when using a knife and burning hands when taking items out of the oven). As part of the transition plan, the OTA will teach the student adaptive techniques used in a kitchen setting to compensate for right side weakness. Which of the following adaptations should the OTA recommend to improve the student's independence in preparing meals safely?

A. 35 degrees of wrist extension, 70 degrees of metacarpophalangeal (MCP) flexion, interphalangeals (IPs) in extension, and thumb in abduction.

B186 (C3) a patient has extensive full-thickness burns to the dorsum of the right hand and forearm is being fitted with a splint to support the wrists and hands in antideformity position. In which positions should the OTA construct this splint?

C. Treat the student as an adult and incorporate the student's orientation and mobility goals into intervention sessions.

B187 (C2) A school-based OTA is teaching orientation and mobility skills to an adolescent with a degenerative visual disorder. Which is the most effective motivational technique for the OTA to use with this student?

B. Explore other options with the client to perform activities that do not use the MAS.

B188 (C4) An adolescent with Duchenne muscular dystrophy reuses to use mobile arm supports (MAS) because "they look so big and stupid." Which action should the OTA take first in response to the client's statement?

B. Watering plants in the rehabilitation facility's greenhouse.

B190 (C3) An older adult experienced a fall that resulted in a Colles' fracture of the right wrist. This required external fixation to stabilize the wrist. The client had the external fixator removed 24 hours ago and is experiencing limited wrist flexion and extension. Which intervention is best for the OTA to use to facilitate the most improvement in wrist flexion and extension in the shortest amount of time?

B. The use of dorsal splint with universal cuff to hold feeding utensils.

B191 (C7) A young adult with a complete C5 spinal cord injury receives occupational therapy services at a rehabilitation center. To develop skills in independent feeding, which is best for the OTA to focus on during intervention with this patient?

B. Phalen's test.

B195 (C3) An OTA has established service competency in completing biomechanical evaluations. The OTA evaluates a person who complains of numbness and tingling of the thumb, index, middle, and radial half of the ring fingers. The person also reports dropping things more than normal. Based on this client's report, the OTA suspects that the client has carpal tunnel syndrome. Which assessment measure should the OTA use to confirm the diagnosis?

C- A daily pill holder with time labeled slots for each dosage

B22 (C7) An individual with mild cognitive deficits takes medications for multiple medical conditions. DOTA works with the individual to develop the ability to safely self administer medications. Which equipment and or strategy should the OTA train the client to use?

B,C,E- Gentle stretching of the wrist and fingers, training and how to avoid positions of deformity, education on the benefits of wearing bilateral resting hand splints

B25 (C3) A client is receiving acute care occupational therapy services for an exacerbation of rheumatoid arthritis. The client presents with pain and inflammation in the wrist and fingers. The OTA and occupational therapist collaborate to plan intervention. Which approaches should they include in their initial interview plan? Select the three best responses

B- Mobile arm supports

B26 (C7) An individual with bilateral proximal weakness identifies a goal of Independence and sell feeding. Which equipment is most beneficial for the OTA to recommend for goal attainment?

A- Replay snaps and zippers with velcro

B3 (C7) An adolescent with Duchenne's Muscular dystrophy Can no longer close snaps or zip zippers on jeans. Which recommendation is best for the OTA to make to this client?

B- Participate as a member

B32 (C2) An OTA conducts a communication group in a wellness program for a large corporation. In this mature level group, what should the OTA do?

C- Decreased task speed

B38 (C7) Several individuals participate in a work hardening program with a goal to resume working on a production line that utilizes electrical equipment and conveyers. Which functional deficit would the individuals participating in this program most likely demonstrate?

B- Stand pivot transfer to the non-surgical side

B4 (C7) A patient is recovering from a right total hip replacement (posterolateral incision, cementless fixation). Which Is the best type of bed to wheelchair transfer for the OTA to teach the patient to use?

C- Lead a group discussion on the legal rights afforded in the interview process

B43 (C7) During a topical work preparation group for individuals recovering from mental illness, a member expresses concern about answering questions related to personal psychiatric history during a job interview. Which action is best for the OTA to take in response to these expressed concerns?

D- Washing a car

B48 (C3) An individual is being treated in an outpatient clinic for complex regional pain syndrome, type one. Which activity is best for the OTA to recommend the person complete at home?

C- Minimal assistance

B5 (C7) An OTA is assisting a patient with arthritis in the completion of dressing tasks. The patient requires assistance to pull the shirt down over the body and verbal cues to orient the shirt correctly. And documenting the patient's performance, which most accurately represents the patient's performance in the upper body dressing?

B-Tendon gliding exercises

B53 (C3) An adult participated in daily occupational therapy after incurring severe lacerations and median and ulnar nerve damage from shattered glass. The wounds have healed and the patient is being discharged. The final evaluation shows minimal limitations in Palmer sensation, joint, ROMLacking 10 to 20 degrees of full ROM, and Palmer scarring. The occupational therapist and OTA collaborate to prepare the home program for this patient. Instructions for which intervention are most important to include in this plant?

D-Initiate a discussion with the individual about what is personally important

B57 (C2) During an individual session with an OTA, a client states, "I don't know what I want to work on. I don't really know what my goals are." What is the best action for the OTA to take in response to the clients concerns?

A-Use common, everyday language to explain this functional relationship

B6 (C2) In a school setting, a six-year-old child is referred to occupational therapy for interventions to develop skills for handwriting and engagement and other fine motor activities. During an individualized education plan meeting, the OTA explains how upper-extremity h ypotonicity can influence handwriting and other fine motor activities. The OTA recommends having the child engage in home exercises prior to completing homework that requires handwriting. Which is the best method for the OTA to use when discussing the relationship between muscle tone and handwriting with the child's parents?

A- Use ergonomically designed tools that eliminate deviations at the wrist C- Stand directly in front of items to be reached for, open or closed, rather than to the side F- Start an activity only if it can be immediately stop when it requires capacities be on existing capabilities

B64 (C3) An occupational therapist and OTA collaborate to provide a wellness and prevention education series to the members of a community Senior Center. The topic of the week is joint protection. Which joint protection principles are best to include in the presentation? Select the three best responses

B- The Adolescent desires greater control over the environment

B65(C2) An OTA works with adolescents who are survivors of child abuse. OT interventions can be provided in groups or on an individual basis. Which of the following would indicate to the OTA that and intervention should be provided to an adolescent on an individual basis rather than in a group?

C- A developmental group

B70 (C2) To develop social interaction skills, and OT a implements a group program for students with autism spectrum disorder. Which group is best for the OTA to include in this program?

A- Grade the activity that the client successfully completed to its next level of difficulty

B74(C2) An OTA provides Community Mobility training for a resident in a group home for individuals with developmental disabilities. A resident successfully completes the intervention activity the OTA had designed with the occupational therapy supervisor. The OTA needs to plan the next day's intervention session, but the supervising occupational therapist is on a two-week vacation. Which is the best action for the OTA to take in response to this situation?

B- Modifications of techniques used to hold a hammer

B77(C3) A carpenter complains of tingling of the left thumb, index, and middle finger, weekend grasp, and night pain secondary to carpal tunnel syndrome. The left thenar eminence appears smaller and more flattened compared to the right thenar eminence. The OTA collaborates with the client and the occupational therapist to develop an intervention plan. Which recommendation is best to include in this plan?

D-Lock the elbow in 90 degrees of flexion and teach only TD control

B79 (C3) An individual with a traumatic above-elbow (transhumeral) amputation has received a body-powered prosthesis. To train the person in the operation of the terminal device (TD), which of the following should the OTA do initially during intervention?

C- Comply with the parents request and just continue providing sugary snacks

B8 (C2) a child with attention deficit hyperactivity disorder and conduct disorder attends and after school program that utilizes sensory integrative and Behavioral Management approaches to achieve intervention goals. Snacks are provided and occasionally used as rewards. A patient insist that a child not be given any foods containing sugar. Which is the OTAs best response to this request?

A-Conduct an ergonomic tool handle for each employee

B82 (C7) An occupational therapist and an OTA provide Consultation Services to a manufacturing company which is seeking to decrease their employees incidence of repetitive stress disorder. which action is best for the therapist and OTA to take first to address this need?

C- Washing the family's laundry

B85(C7) A parent recovering from brain cancer is preparing to be discharged home from a rehabilitation center. The client has residential cognitive deficits in problem-solving. Sensorimotor abilities are within functional limits. To develop requisite problem solving skills for independent functioning at home, which task should the OTA work on with the client during OT intervention?

B- Complete active ROM through complete range against gravity

B87(C3) An individual recovering from myasthenia gravis has Fair minus muscle strength in both upper extremities. The occupational therapist and OTA develop an intervention plan to include the goal of increasing muscle strength. According to the biomechanical approach, what should the OTA work on with the patient during intervention?

D-The parents degree of anxiety

B89 (C2) A 2 month old infant with bilateral hip dislocations is being discharged home from an acute pediatric facility. The occupational therapist and OTA half developed at home program for the parents of the first born child. Which is most important for the occupational therapist and OTA to assess before and struck Ting the parents in the details of this home program?

B-Wear a cotton stockinet liner under the splints

B94 (C3) A child with moderate arthrogryposis complains of profuse sweating when wearing bilateral night resting splints. Which of the following should the OTA suggest to the child?

A. Balloon volleyball

C171 (C3) A school-based OTA works with an elementary school-age child who has juvenile rheumatoid arthritis. The child's teacher expresses concern that the child does not engage in play activities with other children during recess. The teacher asks the OTA for recess activity suggestions that could be offered to foster the child's participation in play activities with peers. Which activity is best for the OTA to recommend?

D. Training in the use of joint protection and energy conservation techniques during meal preparation.

C10 (C3) pg 664 And OTA provides home based services to a client with a history of falls. The client has osteoarthritis and reports joint pain and fatigue during meal preparation activities. Which intervention approach is best for the OTA to implement with this client?

A. An overhead suspension sling.

C104 (C7) pg 718 A client in the descending phase of Guillian-Barre syndrome has bilateral shoulder strength of 2/ 5. The client fatigues easily. The OTA works with the client to develop independence in the completion of activities of daily living. During intervention sessions, which equipment is best for the OTA to train the client to use?

C. Evaluate child's trunk and lower extremity ROM.

C106 (C3) pg 719 A child with congenital bilateral above-elbow amputations is referred to occupational therapy to increase independence in ADL. The adolescent wants to be independent in donning and doffing shirts. The OTA and occupational therapist collaborate to determine the best action to take to help the child attain this desired goal. Which action is best to take first in response to this referral?

A. A dynamic extension splint.

C108 (C3) pg 721 An OTA constructs a splint for a client with a low radial nerve injury to facilitate healing and promote function. Which is the most effective splint for the OTA to fabricate for this individual?

B. Biofeedback

C110 (C3) pg 722 The occupational therapist and OTA collaborate to plan intervention for a client with a recent diagnosis of complex regional pain syndrome (CRPS) type I. Which intervention approach is most effective to use to reduce pain and increase function?

A. Modify the splints at the wrist.

C111 (C3) pg 722 A child with juvenile rheumatoid arthritis wears bilateral night resting splints with wrists in 0 degrees of extension, MPs and IPs flexed, ulnar deviation of 10 degrees, and thumbs in opposition. The child complains of pain in wrists upon awakening. No redness is noted upon removing splints. ROM measurements show ulnar deviation of 5 degrees. Which action should the OTA take in response to this complaint and these observations?

A. The ulnar aspect of the forearm and hand.

C114 (C3) pg 724 An OTA works with an individual with cubital tunnel syndrome who reports numbness and tingling. Which of the following is the most likely location for this person's sensory symptoms?

A. Wrapping.

C119 (C3) pg 727 A patient incurred a traumatic upper extremity amputations. During preprosthetic treatment, the OTA molds the contours of the residual limb to shrink and shape it in preparation for a prosthesis. Which method is most effective for the OTA to use?

D. Personal self-care.

C33 (C7) pg 677 An OTA screens potential members for a vocational rehabilitation group according to established inclusionary and exclusionary criteria for membership. Functional deficient in which area would exclude persons from memberships in this group?

B. Collaborate with the Occupational therapist and resident to establish goals for sexual expression.

C121 (C7) pg 728 An elder resident of a skilled nursing facility becomes tearful during an occupational therapy session. The resident has a diagnosis of advanced osteoarthritis and relates that pain is causing discomfort during sexual activities. The resident expresses fear about "losing" a valued intimate relationship and asks the OTA for advice. Which is the most beneficial action for the OTA to take in response to the resident's expressed concerns?

D. Reevaluating the child to determine deficit areas that are contributing to dysfunction.

C124 (C2) pg 729 A middle school-aged child with a sensory processing disorder participates in weekly occupational therapy sessions at a private pediatric clinic. Initial evaluation had identified the presence of symptoms consistent with a sensory-based motor disorder. The child has shown no improvement in coordination, equilibrium, and motor planning for the past 2 months. The parents report that the child continues to exhibit difficulties with play, learning, and social participation.Based on these observations and parental report, which is most important for the OTA to discuss with the Occupational Therapist?

D. The use of modified techniques to perform transfers and BADL

C126 (C3) pg 731 An individual who is scheduled for a right hip total arthroplasty (THA) is referred to occupational therapy. A posterolateral surgical approach will be used. Which should the OTA focus on during preoperative occupational therapy interventions?

D. Motor function of the ulnar nerve

C127 (C3) An OTA working in a hand clinic has established service competence in the evaluation of upper extremity disorders. During the evaluation, the therapist uses the Froment's sign. When documenting the outcome of this evaluation procedure, which is most accurate for the OTA to state was assessed?

C. A structured cooking task.

C128 (C2) An OTA collaborates with an occupational therapist to develop the preadmission screening procedures for a supported housing program with several levels of care. The population served by this program is persons with serious and persistent mental illness who are actively engaged in their recovery. Which tool is best for the therapist and OTA to include in the recommended screening procedures?

C. Maximal assistance

C130 (C7) An OTA provides home-based occupational therapy services. During an initial evaluation, the OTA notes that a client requires assistance from a caregiver approximately 75% of the time to dress the upper and lower extremities. Which level of independence is most accurate for the OTA to document that the client has in the activity of dressing?

B. Review written handouts about the group's purpose, norms, and goals in an environment that minimizes auditory distractions.

C133 (C2) An OTA initiates a lifestyle redesign group at an assisted living facility for new residents. Which approach is best for the OTA to use during the group's initial session?

A. Conduct an ergonomic risk assessment of the exployee's work tasks

C134 (C7) An occupational therapist and an OTA provide consultation services to a manufacturing company that is seeking to decrease their employees' incidence of repetitive stress disorders (RSDs). Which action is best for the therapist and OTA to take first to address this need?

B. Use the terminal device to hold the waistband while the left hand zips the zipper and fastens the snap.

C139 (C3) A client receives occupational therapy services following a right below elbow amputation. The client works as a carpenter and plans to return to work. The client has been fitted with a body-powered prosthesis. The current focus of prosthetic training is the development of dressing skills. What strategy is best for the OTA to teach the client for donning work pants?

D. Instrumental groups.

C14 (C2) An OTA collaborates with an occupational therapist to design a new day treatment program for individuals with dementia. Which groups are best for the OTA to recommend the program include?

B. Provide the caregiver with a home accessibility checklist and guidelines for videotaping key aspects of the home which the OTA will review with the client and caregiver during the family care plan meetings

C152 (C2) An OTA works in a subacute rehabilitation center that is experiencing significant staffing shortages. As a result, the director of rehabilitation has temporarily suspended all predischarge in-home evaluations to ensure all essential direct services are provided to clients. The OTA is working with an older adult who requires a wheelchair for mobility due to hemiplegia and a lower extremity amputation. The client will be discharged to live with an adult child who will provide supportive care to the client. During an initial intervention planning meeting with the client and the family caregiver, the client and caregiver express concern that the caregiver's home is not wheelchair accessible. Which is the best action for the OTA to take in response to the client's and caregiver's expressed concerns?

C. Walking with a neighbor

C153 (C7) A person diagnosed with dementia, Alzheimer's type, is evaluated by an occupational therapist and an OTA. Although the client demonstrates diminished memory skills, the occupational therapist and OTA determine that the patient is still able to live at home with supportive structure. They collaborate with the client to identify activities to include in a structured routine that enables the client's continued participation. Which activity is best to recommend to the client?

C. A functional hand splint

C159 (C3) A welder incurred burns to the dorsal surface of the non-dominant hand. The occupational therapist and OTA collaborate to determine the best approach to prevent the contracture tendencies of this burn. Which splint will most effectively position the client in an anticontracture position?

C. Move through full range of motion against gravity and not be able to take any resistance.

C165 (C3) A client has been evaluated as having fair muscle strength. In planning intervention activities with the occupational therapist, which level of functional performance should the OTA expect the person to be capable of performing?

B. Enlarged, soft foam handles on makeup applicators.

C17 (C7) pg 668 A teenage girl with juvenile rheumatoid arthritis (JRA) identifies the goal of applying her own makeup. Which adaptation is the most beneficial for the OTA to recommend?

C. Implementation of cognitive behavior management strategies into a pre sleep routine D. Development and use of a daily pattern of relaxation activities before going to bed. E. Establishment of pre-sleep routines

C172 (C7) An OTA reviews the results of a role checklist with a client who has rheumatoid arthritis. The client describes active and present engagement in the valued roles of parent, spouse, elder caregiver, friend, home maintainer, and gardener. The client identifies difficulties completing daily activities due to joint pain during the completion of activities during the day and difficulty falling asleep at night due to the inability to not think about tasks that need to be completed the next day. Which behavioral approaches are best for the OTA to recommend to the client to facilitate restful sleep? Select the three best responses

B. Distal palmar crease

C173 (C3) An OTA constructs a volar hand splint to allow 90 degrees of MCP flexion. In constructing this splint, which crease should the OTA ensure the splint does not extend beyond?

C. A wrist splint with the wrist in neutral position

C174 (C3) An individual with carpal tunnel syndrome (CTS) is referred to occupational therapy. The client's physician has decided to treat the CTS conservatively. The physician has requested a wrist splint be constructed for the client to wear during the night and when performing repetitive activities during the day. Which splint is best for the OTA to construct?

C. Place the child in a semirecling seat with an attached tray containing toys covered by a cloth for the child to find and hide again.

C179 (C3) A 6 month old child with osteogenesis imperfecta does not have sufficient trunk control to maintain a seated position. The parents are concerned that their child is not receiving enough intellectual stimulation. Which recommendation is best for the OTA to make to the parents?

B. Long-handled sponge.

C187 (C3) An individual is recovering from posterolateral total hip replacement surgery. An OTA provides training to teach the client how to safely complete daily tasks while observing post surgery hip precautions. Which piece of adaptive equipment is best for the OTA to teach the client to use to bathe independently and safely?

C. Have the OTA work with the person during group sessions to develop independence in task completion.

C19 (C2) pg 669 An occupational therapist and an OTA colead a work adjustment group. One member has become progressively more dependent on the OTA for directions, praise, and input throughout the group activities. Which action should the group leaders initially take in response to these behaviors?

C. The person has impaired proprioception

C192 (C3) An OTA assesses the sensation of a person who had incurred a right CVA. During the sensory test, the OTA positions the person's left elbow in 90 degrees of flexion and asks the client to duplicate this position with the right elbow. The person cannot replicate this position. When documenting the results of this evaluation, which is most accurate for the OTA to report?

B. Train the client in the use of compensatory approaches and adaptive techniques during home maintenance tasks.

C193 (C7) An OTA provides occupational therapy services at an assisted living facility. A new resident with parkinson's disease expresses a desire to maintain the role of home maintainer. The resident also reports difficulty performing home management tasks due to tremors. Which action is best for the OTA to take in response to the client's stated goal?

A. Pain Management

C195 (C3) An OTA develops an intervention plan with the occupational therapist for a client with fibromyalgia syndrome. Which is most important for the therapist and OTA to include in the intervention plan?

B. A palmar extension splint

C196 (C3) An OTA constructs a splint for a person who has incurred burns to the volar surface of the hand. Which splint is best for the OTA to construct for this client?

C. Stabilize the jar in an under the counter jar opener and use both hands.

C199 (C7) An OTA is teaching joint protection techniques to persons with arthritis. The OTA emphasizes methods to prevent stress on the joints in the hand that can lead to deformities. Which is the best method for the OTA to teach the clients to use to open a jar?

B. Test distal to proximal for all sensory tests.

C2 (C3) pg 659 A person who incurred a peripheral nerve injury is referred to an outpatient clinic for occupational therapy services. After the occupational therapist screens the client and determines that further evaluation is needed, the OTA completes an evaluation of the client's sensation. When administering the different types of sensory test, which is the best protocol for the OTA to follow?

A. "The strap provides passive ROM to the index finger."

C20 (C3) pg 670 After a work-related injury to the left index finger, an assembly line worker is fit with a buddy strap incorporating the index and middle fingers. In describing the primary purpose of the strap to the client, which of the following explanations is most accurate for the OTA to state?

A. The person's instrumental ADL skills.

C21 (C7) pg 670 A young adult with a diagnosis of schizophrenia is scheduled to be discharged from an inpatient setting to a halfway house and psychosocial clubhouse. The OTA is assisting the team with the discharge plan. What is the most important information for the OTA to provide to the team about this person?

B. 90 degrees to the joint.

C22 (C3) pg 671 An OTA designs a dynamic splint for an individual recovering from a tendon repair. At which angle should the OTA position the outrigger?

C. Evaluate the patient's BADL and IADL Using a standardized measure.

C29 (C7) pg 675 An older adult with a diagnosis Of osteoarthritis in both knees is referred to inpatient occupational therapy. During screening, the patient expresses a desire to return home to live alone independently. The occupational therapist and the OTA collaborate to determine their next action. Which should the therapist and the OTA do next in response to the patient stated goal?

A. A board game using a tenodesis grasp.

C32 (C7) pg 677 An OTA provides recommendations for play activities that a parent with a complete spinal cord injury at the C7 level can do with children aged 8 and 10. Which is the best adapted activity for the OTA to recommend?

d. personal self-care

C33 (C7) pg 677 An OTA screens potential members for a vocational rehabilitation group according to established inclusionary and exclusionary criteria for membership. Functional deficient in which area would exclude persons from memberships in this group?

B. Group norms are being followed.

C41 (C2) pg 682 A cooking group mates for 1 1/2 hours each week at a partial hospitalization program. During the group, members do not smoke, they wait for everyone to be served before eating, and they clean up after the meal. When reporting these observations, which of the following is most accurate statement for the OTA to make?

B. Instructions on proper handling and positioning in gravity-eliminated positions to prevent fractures.

C47 (C3) pg 685 A newborn with severe osteogenesis imperfecta (OI) Is referred to occupational therapy. The occupational therapist completes an evaluation and reviews the results with OTA. They collaboratively determine a focus for the initial family intervention session. Which is the most important to include in this session?

D. Beading a necklace using glass or wooden beads

C50 (C3) pg 687 A client has completed a one week hospitalization for an exacerbation of rheumatoid arthritis. The client currently has no complaints of pain and demonstrates the ability to integrate joint protection techniques into activities. The client enjoys crafting and is a member of a club that meets regularly to share craft ideas. At discharge the client asked the OTA for a recommendation for a craft to demonstrate at the next club meeting. Which craft is best for the OTA to recommend the client demonstrate?

A, C, D. A-Adjustable work stations, C-Computers with detachable keyboards, D-Moveable document holders.

C51 (C7) pg 688 An OTA completes a risk analysis of computer work stations for a large corporation. Which is the best for the OTA to recommend the company provide its employees to decrease ergonomic risk? Select the three BEST responses.

C. A fixed elbow socket and a heavy-duty serrated grip terminal device.

C55 (C3) pg 690 A carpenter incurred a short below-elbow amputation. The client plans to return to work. Which component would be most important for the OTA to recommend for the client's prosthesis?

A. Safety and emergency maintenance.

C56 (C7) pg 691 An OTA collaborates with an occupational therapist to develop a life skills group for high school students with mild intellectual disorders. The students have established the post-secondary goal of living independently. To develop the students instrumental activities of daily living skills, which is the most relevant for the OTA and therapist to include in the group?

C. Contrast baths in preparation for purposeful activities.

C57 (C3) pg 691 An individual is referred to occupational therapy for evaluation and intervention following carpal tunnel release (CTR) surgery. The client has secondary diagnosis of atherosclerosis, peripheral vascular disease (PVD), and diabetes. After the completion of a comprehensive evaluation, the therapist and the OTA collaborate to determine intervention methods to use with the client. In addition to tendon gliding exercises and sensory education, which should the OTA use during treatment sessions with this client?

ANSWER: D. Teach the client to use a book holder with an electronic page turner.

C58 (C7) pg 692 An adult with amyotrophic lateral sclerosis (ALS) express his frustration that the ability to turn pages in books has been lost. A client states that the family's collection of classic books provides great pleasure and is saddened that the reading print books is no longer an option. Which action is best for the OTA to take in response to the clients loss?

D. Shoulder adducted and forearm neutral.

C59 (C3) pg 693 An OTA is preparing to measure the grip strength of a client using a dynamometer. The OTA places the client's elbow in 90 degrees of flexion. In which position should the OTA place the client shoulder and forearm?

A. A task-oriented group.

C67 (C2) pg 697 An OTA accepts a job in an after-school program. The program provides services for adolescents at risk for mental health problems due to their history of being victims of abuse. The OTA collaborate with the occupational therapist to plan an intervention program. They decide that an activity group to elicit the adolescents' thoughts and feelings in a safe atmosphere would be instrumental to their recovery. Which group would be most relevant for the therapist and OTA to design?

B. Verbally review the goals and purposes of the group.

C69 (C2) pg 698 Ten members of a community reintegration group are not working well together and show decreased levels of trust. The occupational therapist and OTA establish a goal to enhance the level of cohesiveness in the group. To begin the next group session, which is the best action for the OTA to take?

C. Measure each hand three times and calculate the mean.

C7 (C3) pg 662 An OTA measures the pinch strength of a client by using a pinch meter. To obtain the most accurate measurement, which protocol should the OTA follow?

D. Boutonniere deformities.

C79 (C3) pg 704 A client with arthritis of both hands has ulnar drift of metacarpophalangeals (MPs) during finger extension and flexion and at rest. The person also has a lengthening of the central slips of the extensor digitorum communis tendons of the right index and middle fingers. Which of the following should the OTA report the person is exhibiting?

A. The amount of resistance provided with a stronger level of therapy band.

C81 (C3) pg 705 A client participates in occupational therapy for intervention following a rotator cuff injury. During an intervention session, the OTA provides progressive resistive exercises. When grading these exercises, which of the following is best for the OTA to increase?

C. Initiate a discussion with the individual about what is personally important.

C92 (C2) pg 711 A young adult recently diagnosed with depression and anorexia nervosa is a consumer of services at a psychosocial clubhouse. The client attends individual occupational therapy sessions once a week and several evening and weekend groups. During an individual session with the OTA, the client states, "I don't know what I want to work on. I don't really know what my goals are." Which is the most appropriate action for the OTA to take in response to this client's statement?

B. Reflect the patient's verbal expressions back to the patient.

C97 (C2) pg 714 An OTA meets with a patient with fibromyalgia who has had difficulty meeting intervention goals. The patient complains of being hurt and frustrated in attempts to resolve pain and fatigue issues. Which is the most effective technique for the OTA to use to help the patient increase insight into the situation?