Deck 6: Developing the Occupational Profile and Analyzing Occupational Performance

Question 1

An OTA is working with a client who has experienced a spinal cord injury. The client has spent several weeks in rehabilitation and is preparing to return home. What should the OTA consider when looking at the client's body functions?

A) Hand strength to grip the wheels on the wheelchair
B) Available ROM to lift toothbrush to mouth and brush teeth
C) Ability to propel wheelchair while stabilizing an item on his lap
D) Ability to open and close doors

Answer 1

Available ROM to lift toothbrush to mouth and brush teeth

Question 2

An OTA is working with a client who has experienced a TBI. The client demonstrates impulsivity and sometimes inappropriate language when participating in group settings. How can the OTA assist the client with the social demands of going to a restaurant?

A) Discuss when the client should arrive at the restaurant to greet his friends.
B) Discuss the menu options and when it will be appropriate to order his food.
C) Discuss appropriate conversation and language to use while eating with others.
D) Discuss how to order food from the menu that fits his budget.

Answer 2

Discuss appropriate conversation and language to use while eating with others.

Question 3

An OTA is working with a client who has experienced a spinal cord injury. The client has spent several weeks in rehabilitation and is preparing to return home. What should the OTA consider first when looking at the space demands of the client's home?

A) The number of steps leading up to his apartment
B) The proximity of the client's home to his work
C) The client's ability to access public transit in the community
D) The client's kitchen layout, to see if he can access the stove

Answer 3

The number of steps leading up to his apartment

Question 4

An OT practitioner is working with a client to develop an intervention as a part of his outpatient therapy program. The OT practitioner decides to administer the Canadian Occupational Performance Measure to the client. In which area would this tool best assist the OT practitioner in the development of interventions?

A) Self-care
B) Cognition
C) Motor skills
D) Sleep and rest

Question 5

An OTA notes that an individual with a TBI is able to appropriately initiate, attend to, and terminate a conversation with another individual. What would be the best term to document these actions?

A) Process skills
B) Motor skills
C) Social interaction skills
D) Body functions

Question 6

An OTA is assisting with the construction of an occupational profile for a client who has just had a transtibial amputation. What method would provide the best information to the OTA?

A) Interviewing the client about her past history and goals for therapy
B) Contacting a caregiver to inquire about the client's status before the amputation
C) Reviewing the client's chart to note significant concerns and history
D) Talking with other healthcare providers who also treat the client

Question 7

An individual who is being treated for cancer is experiencing chemotherapy-induced neuropathy. Problems with which of the following would most likely show that the client is having difficulties with body structures?

A) Lifting a hairbrush during morning ADLs
B) Tying shoes with both hands at midline
C) Reciting the steps to brush teeth in the morning
D) Donning a pullover shirt

Question 8

During a motivational interviewing session, an OT practitioner is engaging in reflective listening. Which of the following is the best example of reflective listening?

A) "You will get better, and life will move on."
B) "Life must be very difficult for you since the automobile accident."
C) "I'm glad all of your family members are able to help you since your accident."
D) "Being able to cook dinner for your family brought you a great source of pride."

Question 9

An OT practitioner is utilizing motivational interviewing with a client to help set up her plan of care. As a part of this process, the practitioner is utilizing open-ended questions. Which of the following is the best example of an open-ended question?

A) "What did you enjoy the most about baking cookies with your grandchildren?"
B) "What are your favorite cookies to bake with your grandchildren?"
C) "Do you miss baking cookies with your grandchildren?"
D) "How often did you bake cookies with your grandchildren?"

Question 10

An individual who has experienced a TBI has difficulty with sequencing. How can the OTA best assist this individual with making a cake for her friend's birthday?

A) Provide picture cues of the steps to complete the task.
B) Take the client to a store to order a premade cake.
C) Have the client ice the cake after the OTA prepares it.
D) Assist the client to make cupcakes instead of a cake.

Question 11

An OTA is working with a client who has just experienced a CVA, resulting in minor weakness in grip strength in her dominant hand. The client would like to be independent in her morning routine for ADLs. What would be the best example of adapting the task of brushing her teeth?

A) Suggest that she purchase an electric toothbrush.
B) Place foam around the toothbrush for easier grasp.
C) Teach the client to brush her teeth with her nondominant hand.
D) Have the client hold the toothbrush with both hands.

Question 12

An OTA is working with an attorney who has just experienced a CVA, resulting in weakness in his dominant hand. The attorney would like to resume his job; however, he has concerns about signing documents. What would be the best example of adapting this activity?

A) Fitting the attorney with a grip to assist with holding his writing utensil
B) Suggesting that the attorney use a name stamp to sign his documents
C) Inquiring about technology to e-sign all of his documents
D) Training the attorney to sign his name with his nondominant hand

Question 13

A client is reporting competence with her ability to engage in preferred leisure activities. Using the Canadian Occupational Performance Measure, how can the OT practitioner decide if it is time to change the goals?

A) The client has stated that she has engaged in the activity one or two times.
B) The client has stated that her satisfaction has risen from a 5 to an 8.
C) The client has stated that she is considering three new leisure activities.
D) The client rates her ability as a 3 in the leisure categories.

Question 14

An OT practitioner is working on developing an occupational profile for a client who has recently experienced a heart attack and has weakened endurance in daily tasks. What information would be most pertinent when developing this profile?

A) The client has a college degree.
B) The client demonstrates limited ROM in the upper extremities.
C) The client needs adaptive equipment to complete cooking activities.
D) The client is a single mother who cares for two children.

Question 15

An OTA is working with a client who has experienced a severe burn. The client has difficulty raising her arms past 90 degrees of flexion or abduction due to significant scarring. What should the OTA consider when looking at the space demands of the client's home?

A) The client's ability to access technology for communication with family
B) The client's ability to dress herself after showering
C) The client's ability to access kitchen cabinets to obtain dishes and food
D) The client's ability to access the laundry room

Question 16

During an evaluation, an OT practitioner notes that a client is able to stabilize, grip, and manipulate objects. What would be the best term to document these actions?

A) Motor skills
B) Body structure skills
C) Process skills
D) Social interaction skills