Deck 1: Acquiring Information

Question 1

Gladys, the 92-year-old wife of your client, complains about stiffness in her shoulders. But she says she can do everything for herself. You would expect her range of motion measurements to include:

A)180 degrees of flexion
B)90 degrees of flexion
C)160 to 170 degrees of flexion
D)45 degrees of flexion

Answer 1

160 to 170 degrees of flexion

Question 2

You walk into the kindergarten classroom of your 4-year-old child, and six children of the same age ask you to help them get ready for recess. You tell them to try doing everything themselves, except this task:

A)Tie their shoes
B)Zip their jackets
C)Line up to leave the classroom
D)Put on their hats and mittens

Answer 2

Tie their shoes

Question 3

Your friend has a prestigious job in upper management at a high-profile company. Lately, she complains to you that she has been very forgetful. She is worried that she may have Alzheimer's disease. What questions do you ask before giving her advice?

A)"Are you sleeping okay at night?"
B)"Are you having problems with your vision?"
C)"Do your fingers feel numb?"
D)"Have you had your hearing tested?"

Answer 3

"Are you sleeping okay at night?"

Question 4

A client has a 4-year-old son named Joey. She gushes to you about Joey's physical prowess. But she complains that he is not allowed to sign up for the local children's soccer league because he is too young. You know Joey and feel he is a perfectly typical 5-year-old boy. She asks you if she should file for an exception. What do you tell her?

A)"File for the exception. Joey will show them how good he is!"
B)"Maybe Joey should learn how to play chess."
C)"Joey is really good at physical activities. I think he is a little young to play on the soccer team, though. You might want to wait a couple of years."
D)"Why don't you become a soccer coach? Then you could have Joey on your team and make sure he is getting the playing time he deserves."

Question 5

Your co-worker expresses to you that her 2- year-old son is not talking like the other 2 year olds at his daycare center. She asks you if you think she should take him to speech therapy. You know that your co-worker has four children and her 2 year old is the youngest. You also remember your co-worker complaining about her children having numerous ear infections. What recommendation would you give her?

A)You should tell her to watch all of her children interacting with others to see if the older children speak for the 2 year old or anticipate his needs.
B)You should tell her to have her son evaluated by a speech therapist because he is behind.
C)You should tell her to have her son's hearing checked before requesting a speech therapy referral.
D)You should tell her not to worry about it since differences in the development of speech are not significant before the age of 3.

Question 6

Fred, your 75-year-old uncle, has declined an invitation to your college graduation, which is scheduled for 7 p.m. at your college. He lives in another city that is about 30 minutes away. You would really like him to attend. How do you respond?

A)You beg him to come because you really, really want him to be there.
B)You get mad at him for not thinking that your graduation is important enough.
C)You tell him you understand that it might be difficult for him to drive to another city at night. You offer to help him find a ride.
D)You say nothing and accept that he will not be at your graduation.

Question 7

Your sister complains that your 14-year-old nephew eats all the food in the house. There is nothing left for anyone else. How do you comment?

A)"Tell him not to eat so much. He will get fat."
B)"That's normal for his age. Better increase your grocery budget."
C)"Maybe he is lacking an essential nutrient. Take him to a dietician."
D)"He must have an eating disorder!"

Question 8

An 11-year-old boy displays difficulty sitting still in his classroom and repeatedly asks the teacher to repeat the instructions for assignments. He says his favorite class is physical education. In his records, you would expect to see a diagnosis of: ______.

A)autism
B)attention deficit hyperactivity disorder (ADHD)
C)oppositional defiant disorder
D)bipolar disorder

Question 9

Arthur, a 75-year-old man, was just admitted to your rehabilitation unit. He is receiving treatment for Stage III colon cancer. What symptoms would you expect to observe?

A)Generalized weakness
B)Poor appetite
C)Periodic confusion
D)All of the above

Question 10

Roberto is a sheltered workshop employee who sorts and packages hardware parts. He has a diagnosis of cerebral palsy with spastic quadriplegia. What would you expect his body to look like as he places nuts and bolts into a template?

A)Legs and arms relaxed with smooth movement patterns.
B)Mild tremor in arms and legs, with more severe tremor in the dominant hand.
C)Muscle tightness with flexion patterns in arms and legs; more flexion in the non-dominant arm and hand.
D)Low tone in the arms and legs with a slouched posture and difficulty controlling movement in the dominant hand.

Question 11

Donna, a 35-year-old woman, is a new outpatient at your clinic. She complains of the following symptoms: Numbness and tingling in her hands and feet, severe fatigue, and blurred vision. You also notice that she drags her right foot when she walks. Upon review of her records, what diagnosis would you expect?

A)Multiple sclerosis
B)Fibromyalgia
C)Rheumatoid arthritis
D)Chronic fatigue syndrome

Question 12

Mildred is a 67-year-old woman with chronic obstructive pulmonary disease (COPD). She tells you that she would like to be able to cook dinner again, but she just cannot do it. Her husband is tired of eating at McDonald's. What problems would you expect Mildred to report regarding cooking?

A)She cannot hold on to utensils because she begins to shake.
B)She becomes so short of breath that she cannot finish cooking a meal.
C)She starts to tear up every time she gets near the stove.
D)All of the above.

Question 13

Your student, Michael, is a 16-year-old boy with Down syndrome. You have been seeing him for occupational therapy (OT) since he was 3 years old. His mother would like him to be independent with dressing in the morning. But she says she still has to help him zip his coat and get his shoes on. Sometimes she even has to help him snap his jeans after using the bathroom. What do you tell her?

A)"Michael and I will work harder on fine motor skills. I will ask OT to revise his goals."
B)"Michael still has a hard time with fine motor skills, even though we've been working on them for a long time. We might want to consider adapting those tasks for him, so he can be independent."
C)"Michael is lazy. He is a teenage boy, and he does not want to work on OT anymore. All he wants to do is talk about are trucks and girls."
D)"You shouldn't help Michael so much. Let him struggle with these tasks, so he will learn that he has to do them himself."

Question 14

Helen, your 86-year-old nursing home patient with a diagnosis of Stage IV Alzheimer's disease, is getting ready to go home. Her son asks you what he should do to help her at home. What do you tell him?

A)Label drawers and closets, place a list of telephone numbers next to the phone, purchase microwaveable meals and/or order Meals on Wheels, and help her with banking, appointments, driving, and social functions. Check in with her daily.
B)Help her with bathing and dressing, cook meals for her, and take over management of her medical and financial affairs. Do not let her live alone.
C)Write appointments on a wall calendar, place a list of telephone numbers next to the phone, encourage her to use a calculator when balancing her checkbook, and buy her a global positioning system (GPS) to use when driving. Check in with her every few days.
D)Do not let her return home. She should stay in the nursing home.

Question 15

Your occupational therapy (OT) department has asked you to set up a file for a newly admitted nursing home patient with a diagnosis of hip fracture with repair. What should you include in the file?

A)Blank evaluation form, hip protocol form, and Medicare documentation forms.
B)Blank evaluation form, hip protocol form, Medicare documentation forms, copy of physician's orders, and copy of patient's post-surgical precautions.
C)Blank evaluation form, hip protocol form, Medicare documentation forms, copy of physician's orders, and copy of surgical records from the hospital.
D)Blank evaluation form, hip protocol form, Medicare documentation forms, copy of physician's orders, copy of surgical records and other pertinent medical records, and copy of patient's post-surgical precautions.

Question 16

A toddler receiving birth-to-three services is being referred for continued therapy at your school, once he turns 3 years old. Your OT department has asked you to gather the background information for this student. What should you do?

A)Obtain contact information from your school, and call the child's parents about his ability to function at home.
B)Copy the birth-to-three records once your school district has received them.
C)Schedule a time to visit the child at his home and observe how he functions during activities of daily living.
D)A and B.

Question 17

Gary is a 44-year-old male who sustained a degloving injury at work. OT is in the process of completing Gary's initial evaluation for outpatient services. You are asked to gather information about Gary's job requirements. What is the best way to do this?

A)Go to Gary's workplace and observe other workers performing his job.
B)Call the Human Resources Department at Gary's workplace and request a copy of his job description.
C)Ask Gary what he does at work all day.
D)Look up Gary's job on the Internet and print off the job descriptions you find.

Question 18

Lola is a 72-year-old female who has just been admitted to your rehabilitation facility following a mild stroke. Her physician reports that her rehabilitation potential is excellent, and the plan is for Lola to return home in two weeks. OT has asked you to gather information about what Lola will be required to do before she can return home. How should you do this?

A)Interview Lola about her daily activities, hobbies, family, and community involvement.
B)Ask Lola's neighbors what she will be required to do at home.
C)Copy the hospital records that contain Lola's vital statistics.
D)All of the above.

Question 19

Ashley, a first-grade student at your school, has just been diagnosed with Prader-Willi syndrome. Your OT department has asked you to research this condition because you have not had a student with this diagnosis. What is the best way to obtain information regarding your student's diagnosis?

A)Look up the disease on the Internet.
B)Contact your student's parents, and ask if her physician provided them with any information about the disease. If they did receive information, request a copy of it.
C)Contact your student's physician and request information about the disease.
D)Ask your student's teacher for information about the disease.

Question 20

Josh, a 21-year-old high school student with multiple developmental delays, is scheduled to graduate from your school district at the end of the school year. The work program he will be attending after graduation has requested a recommendation from your OT department. It will be used to determine the appropriate supported employment placement for Josh. What information will you need from the work program to be able to make the recommendation?

A)Operating hours of the work program.
B)A list of all the jobs offered by the work program.
C)Descriptions of a few job placements that the work program is considering for Josh.
D)All of the above.

Question 21

Your work hardening patient, Shelly, is recovering from an L1-L2 laminectomy. She will be ready to return to her job at a local daycare center in about two weeks. What information will you need to gather to insure that Shelly is able to meet the physical requirements of her job?

A)A copy of Shelly's job description, including lifting capacity and physical mobility requirements.
B)A list of the children under Shelly's care and their ages.
C)A copy of Shelly's work schedule.
D)A written letter from Shelly's work supervisor detailing expectations of Shelly once she returns to work.

Question 22

You have a new referral from the intensive care unit of your hospital. What information will you need to gather before your OT department can conduct an initial evaluation?

A)Date of admission, primary diagnosis, and physician's orders.
B)Date of admission, primary diagnosis, and copies of any consults or surgical reports.
C)Date of admission, primary diagnosis, physician's orders, and copies of post-procedural precautions.
D)Primary diagnosis, physician's orders, and copies of any consults or surgical reports.

Question 23

Your OT department has asked you to handle the administration of the Sensory Processing Measure as a part of the re-evaluation process for William, a kindergarten student with autism. What are you required to do to administer this test?

A)Observe William in multiple areas of the school and answer the test questionnaires.
B)Fill out the questionnaires based on the knowledge you have about William from treatment sessions.
C)Conduct a structured sensory treatment session and answer the questionnaires based on William's performance.
D)Distribute the test questionnaires to William's teacher, parents, and other adults in the school who work with William.

Question 24

Sally has senile dementia and is a patient in your nursing home. You have received orders from Sally's doctor to complete an OT evaluation, and your OT department has asked you to complete an Allen Cognitive Levels screen. What will you have Sally do?

A)Paint a picture.
B)Complete leather lacing on a leather rectangle.
C)Perform a basic crochet stitch.
D)Produce a scrapbook page because Sally has been scrapbooking for years.

Question 25

Your OT department is busy and needs you to complete a visual perception test with Howard, a 67-year-old stroke patient. You need to identify Howard's current abilities to develop a goal for handwriting. What test will you use?

A)Developmental Test of Visual Perception
B)Test of Visual Perceptual Skills
C)Motor-Free Visual Perception Test
D)Beery-Buktenica Developmental Test of Visual-Motor Integration

Question 26

You must measure grip strength for Doris, your 58-year-old hand rehabilitation patient. What position will you have Doris place her arm in before you use a dynamometer to test her hand strength?

A)Shoulder adducted and neutrally rotated, elbow flexed to 90 degrees, forearm in neutral position, and wrist between 0-30 degrees dorsiflexion and 0-15 degrees ulnar deviation.
B)Shoulder adducted and neutrally rotated, elbow flexed to 90 degrees, forearm pronated to 90 degrees, and wrist between 0-30 degrees dorsiflexion and 0-15 degrees ulnar deviation.
C)Shoulder adducted and internally rotated, elbow flexed to 90 degrees, forearm pronated to 90 degrees, and wrist between 0-30 degrees dorsiflexion and 0-15 degrees ulnar deviation.
D)Shoulder flexed to 90 degrees and neutrally rotated, elbow extended, forearm neutrally rotated, and wrist between 0-30 degrees dorsiflexion and 0-15 degrees ulnar deviation.

Question 27

Your OT department has asked you to complete a 9-hole peg test with Doris, your 58-year-old hand patient. After you complete the test, you realize that you had placed the board in front of Doris backwards. What should you do?

A)Write down the results anyway because it doesn't matter how the board is positioned during the 9-hole peg test.
B)Re-administer the test, and explain to Doris that you made an error. Inform your OT department that you made an error during the first administration of the test.
C)Use another test to assess Doris' fine motor skills.
D)Throw out the test results, and tell your OT department that you do not feel competent as an OT assistant

Question 28

Your monthly OT summary for Medicare is due on Velma, your 89-year-old patient with a diagnosis of generalized weakness. You must measure her shoulder flexion. How will you position the goniometer to complete this measurement?

A)Axis of the goniometer positioned over the lateral aspect of the head of the humerus approximately 1 inch below the acromion process, stationary arm of the goniometer parallel to the midaxillary line of the trunk, movable arm parallel to the longitudinal axis of the humerus pointing toward the lateral epicondyle.
B)Axis of the goniometer positioned over the anterior aspect of the head of the humerus approximately 1 inch below the acromion process, stationary arm of the goniometer parallel to the midaxillary line of the trunk, movable arm parallel to the longitudinal axis of the humerus pointing toward the medial epicondyle.
C)Axis of the goniometer positioned over the posterior aspect of the head of the humerus approximately 1 inch below the acromion process, stationary arm of the goniometer parallel to the midaxillary line of the trunk, movable arm parallel to the longitudinal axis of the humerus pointing toward the lateral epicondyle.
D)Axis of the goniometer positioned over the lateral aspect of the head of the humerus approximately 1 inch below the acromion process, stationary arm of the goniometer parallel to the longitudinal axis of the humerus pointing toward the lateral epicondyle, movable arm parallel to the midaxillary line of the trunk.

Question 29

Your OT department has asked you to complete a portion of the Peabody Developmental Motor Scales with a second-grade student. You have not been trained to administer this assessment. How do you respond?

A)Read the manual and administer the assessment anyway.
B)Remind your OT department that you are only qualified to complete activities of daily living (ADL) assessments.
C)Tell your OT department that you have not been trained to administer this assessment. Ask if someone could train you for future assessments.
D)Either B or C.

Question 30

Marti, your kindergarten student with autism, has been making steady progress. During your next session, however, she displays more repetitive behaviors and resistance to structured tasks. What is the most likely cause of this change?

A)Marti is being naughty.
B)Marti has had a major change in her schedule.
C)Marti is not feeling well.
D)Marti's family is having problems.

Question 31

Your sheltered workshop client, Evan, has a cognitive developmental delay. He is able to feed himself lunch and go to the bathroom while at work. However, when he is out in the community, he needs help performing such tasks. Why does Evan have this problem?

A)Evan cannot generalize skills across environments due to his cognitive delay.
B)Evan is afraid of public restrooms.
C)Evan likes attention and wants someone to help him when he is not at work.
D)Evan does not know where to find a restaurant or bathroom.

Question 32

What factors would you consider when preparing a 78-year-old man to return after inpatient treatment for a hip fracture?

A)Income, location of family, and motivation to be independent.
B)Marital status, availability and ability of family to help, and location of the man's home.
C)Religion, marital status, and motivation to be independent.
D)Income, religion, and marital status.

Question 33

Sarah is a third-grade student with a history of nerve graft secondary to a right brachial plexus injury. You notice that she rushes through her hand exercises and is sometimes resistant to working on tip pinch activities. Which of these factors is responsible for Sarah's behavior during therapy?

A)Sarah lives on a farm, and she is tired from doing chores.
B)Sarah also has a diagnosis of ADHD.
C)Sarah is bored with fine motor tasks.
D)Sarah is three years post-surgery, and her progress is plateauing.

Question 34

Millie is your home health client. She is 87 and lives alone since the recent death of her husband. You are concerned that Millie is not progressing. She does not smile much and often speaks with a flat tone. She seems to have lost interest in keeping her house clean and is eating mostly junk food. What do you report to your OT department?

A)Millie needs more therapy to help her learn how to cook for herself.
B)Millie should be dismissed from therapy because she is not progressing.
C)Millie should move to assisted living because she is not taking proper care of herself.
D)Millie appears depressed and should be assessed by the home health nurse.

Question 35

Your carpal tunnel patient comes to her therapy session on Monday morning reporting increased pain, stiffness, and numbness in her thumb and index finger. You are not surprised by her symptoms when you hear her tell you the following:

A)She drove 300 miles by herself to see her sister in a neighboring state.
B)She sat around and did nothing all weekend.
C)She did a few household chores and took several rest breaks.
D)She went to a party on Saturday night and did not get much sleep.

Question 36

George, your 92-year-old nursing home patient, is not willing to participate in therapy sessions. He feels therapy is not necessary because his wife will help him with everything at home. What do you tell him?

A)You will end therapy sessions because George does not want to participate.
B)You encourage him to participate so that he can do more for himself and make things easier for his wife.
C)You tell him his doctor is requiring him to participate in therapy sessions.
D)You tell him that Medicare will not pay for his nursing home stay unless he participates in therapy sessions.

Question 37

Emily is a new client in your inpatient psychiatric activity group. She tells you that the announcer on television is talking to her. She also paces the activity room, appears to talk to herself, and has difficulty remembering instructions for games or crafts. What diagnosis would you expect to see on her chart?

A)Bipolar disorder
B)Chronic depression
C)Obsessive compulsive disorder
D)Schizophrenia

Question 38

Which of the following are not typical symptoms of carpal tunnel syndrome?

A)Numbness in the thumb, index, and middle fingers.
B)Numbness in the ring and little fingers.
C)Pain in the hand, wrist, and forearm.
D)Difficulty manipulating small objects.

Question 39

Your elderly outpatient, Alice, cannot remember how to do her arm exercises. What can you do to help her remember?

A)Practice the exercises repeatedly until Alice remembers.
B)Give Alice different exercises that she can remember.
C)Tell Alice not to do the exercises since she cannot remember them.
D)Associate the exercise movements with typical activities that Alice already knows how to do.

Question 40

People with Down syndrome often thrust their tongues out as they concentrate on a task. Why do they do this?

A)People with Down syndrome usually have small mouths and large tongues, making it difficult to keep the tongue in the mouth.
B)People with Down syndrome like to explore objects with their mouths.
C)People with Down syndrome do not like to work, so they stick out their tongues.
D)People with Down syndrome have low muscle tone and cannot pull their tongues back in their mouths.

Question 41

You are working with Sheldon, your 72-year-old hip replacement patient, on dressing skills. While Sheldon is putting on his pants, he complains that his non-surgical hip has been aching for days. How should you respond?

A)You rush to tell the nurse immediately because you fear that Sheldon has broken his other hip.
B)You tell Sheldon that the pain is normal and not to worry about it.
C)You tell Sheldon that he may have more pain in his non-surgical hip due to putting more weight on that side while he is walking.
D)You tell Sheldon that his other hip is also wearing out, and he will have to have that one replaced, too.

Question 42

Which of the following symptoms is not characteristic of anorexia nervosa?

A)Purging
B)Binging
C)Ritualistic eating
D)Compulsive behaviors related to food and exercise

Question 43

Max is a 23-year-old rehabilitation patient with a new diagnosis of C7-T1 spinal cord injury. During therapy sessions, Max displays flat affect and little interest in participating in activities. He is often sleeping when you go to see him for therapy and requires encouragement to participate. What do you conclude?

A)Max is in too much pain during therapy sessions.
B)Max does not like you and needs another therapist.
C)Max is depressed due to his spinal cord injury, resulting in functional limitations.
D)Max does not have enough energy to participate in therapy.

Question 44

Hunter, your 9-year-old student with ADHD, has suddenly become irritable and aggressive toward his classmates. He complains of headaches. His mother informed you that Hunter saw the doctor the week before and his medication was adjusted. What do you suspect is the cause of Hunter's change in behavior?

A)Hunter does not like school.
B)Hunter's medication dose is too high.
C)Hunter's medication dose is too low.
D)Hunter is on the wrong medication.

Question 45

Your OT department has written the following short-term treatment goal for a hip fracture patient: Will put on underwear and pants independently, using adaptations, in two weeks. What components of this task will you need to analyze as you begin to work with this patient?

A)Ability to stand up, pull up underwear, pull up pants, and fasten pants.
B)Ability to pull underwear over feet, pull up underwear, pull pants over feet, pull up pants, and fasten pants.
C)Ability to pull underwear over feet, pull pants over feet, stand up, maintain standing balance, pull up underwear, pull up pants, and fasten pants.
D)Ability to pull underwear over feet, pull pants over feet, stand up, pull up underwear, and pull up pants.

Question 46

Would you consider teaching ADL in a nursing home or home health setting?

A)Teaching ADL in a nursing home is a better option due to the safer room layout and availability of medical equipment.
B)Teaching ADL in a home health setting is a better option because you have more flexibility in scheduling sessions.
C)Teaching ADL in a nursing home is a better option because you can teach them at the actual time the patient must complete them.
D)Teaching ADL in a home health setting is a better option because you can work with the patient in a familiar setting with his/her own furniture and clothing.

Question 47

Alex, your hand patient, is recovering from a compound wrist fracture on his dominant side. He asks you if he will ever be able to bowl again. What factors will you need to consider when answering his question?

A)The location of Alex's fracture and any pinning done to fix that fracture in place while healing.
B)Alex's ability to drive himself to the bowling alley.
C)The time Alex's bowling league plays every week.
D)Both A and C.

Question 48

Missy is a 6-year-old kindergarten student with a diagnosis of athetoid cerebral palsy. You have been working on independent self-feeding during lunch time in the therapy room. Missy's teacher would like her to start eating in the lunch room with her classmates. What aspect of the environment will you need to consider as you transition Missy to eating in the lunch room?

A)The noise and activity level in the lunch room.
B)The type of food Missy will eat.
C)The location of Missy's seat in the lunch room.
D)All of the above.

Question 49

Your patient Arlene is scheduled to be discharged from the nursing home in two days to go to her own home. What would be an appropriate activity to use to incorporate hand strengthening as you prepare her for discharge?

A)Sweeping the floor
B)Preparing a small meal
C)Transporting items on a wheeled cart
D)Dusting furniture

Question 50

A 2-year-old client needs to work on fine motor skills. What activity would you select?

A)Finger feeding cereal or cracker pieces
B)Playing with toy cars
C)Buttoning a shirt
D)Playing in sand

Question 51

Marie, a sheltered workshop client, wants to work on a job where she must coat metal lawn mower parts with a protectant. She must hang each part on a hook, dip the part in a liquid coating, and hang the part up to dry. What skill is the most important when considering Marie's ability to complete this job task?

A)Marie's ability to reach overhead.
B)Marie's ability to sequence a three-step task.
C)Marie's ability to stand for long periods of time.
D)Marie's ability to tolerate her co-workers.

Question 52

When selecting an activity for a client, you must analyze the steps of the activity, the setting where the activity will take place, and _________

A)the age and gender of the person completing the activity.
B)the level of interest of the person doing the activity.
C)the starting skill level of the person who will complete the activity.
D)All of the above.

Question 53

Howard is a 93-year-old cardiac patient who lives with his daughter. She reports that she works during the day and takes care of their home. You should make sure to address the following skill areas with Howard, except:

A)Toileting
B)Dressing
C)Grooming
D)Light house cleaning

Question 54

Mary reports that she was independent with ADLs before she came to the nursing home. But she is having significant difficulty now. Her diagnosis list includes diabetes, peripheral neuropathy, and macular degeneration. Why do you think Mary is having so much difficulty with ADLs?

A)She is weak from her hospital stay and must regain her strength.
B)She is depressed over having to live in a nursing home.
C)She is not familiar with her surroundings and cannot see well enough to locate her clothes or toiletries.
D)She likes the attention she gets when the nursing assistants help her.

Question 55

Your 3-year-old student with a diagnosis of seizure disorder is not progressing well in therapy. What might be the reason?

A)OT is not appropriate for this student right now.
B)Your student receives physical therapy just before OT.
C)Your student is seen in the afternoon.
D)Your student does not like the activities you have provided for him.

Question 56

If your 3-year-old student with a seizure disorder is becoming too tired in physical therapy to participate in OT, what could you propose to the physical therapy assistant?

A)Ask the physical therapy assistant to make sessions less strenuous.
B)Ask the physical therapy assistant to reschedule the student's sessions.
C)Ask if the physical therapy assistant would like to co-treat this student.
D)Either B or C.

Question 57

Susan, your 53-year-old hand patient, tells you that she thinks the fine motor tasks you have her do in therapy are silly. What could you do to make therapy more interesting for Susan?

A)Find out what Susan's interests are and provide fine motor tasks that are aligned with them.
B)Tell Susan that the activities will help her get better and ask her to do them anyway.
C)Allow Susan to select her own fine motor activities for her therapy sessions.
D)Discontinue treatment because Susan feels therapy is not helping her.

Question 58

Your 89-year-old home health patient, Boyd, is able to toilet himself, dress himself, and make himself microwavable food upon discharge from the hospital. You emphasize to Boyd's wife the importance of allowing Boyd to complete these tasks himself, but she keeps hovering over him and doing things for him. What do you expect Boyd's condition to be when he returns for a follow-up visit in two weeks?

A)Boyd will be completely independent at home.
B)Boyd will still be able to complete toileting, dressing, and microwave meal preparation by himself.
C)Boyd's ability to complete toileting, dressing, and microwave meal preparation will have declined.
D)Boyd's wife will re-admit him to the hospital because he cannot do anything for himself.

Question 59

You see a 9-month-old infant with a congenital disorder at her home. She loves her siblings and follows them everywhere. What would you ask the mother to do to insure that the infant is able to participate in your therapy sessions?

A)Lock her siblings out of the room where therapy is occurring.
B)Allow all the siblings to watch the therapy session, so that the infant does not feel lonely.
C)Allow one of the siblings to assist during therapy sessions to motivate the infant.
D)Provide therapeutic activities for all the children, so that they will feel included.

Question 60

It is time to report progress for Emma, your 75-year-old stroke patient. Which of the following measurements will you defer to your OT department?

A)Shoulder range of motion using a goniometer
B)Manual muscle test
C)Grip and pinch strength using a dynamometer and pinch meter
D)Fine motor coordination using a 9-hole peg test

Question 61

On an initial evaluation, the OT department recorded range of motion for Emma's internal and external shoulder rotation as WFL. What does this mean?

A)Within Functional Limits
B)Within Full Limits
C)Within Failure Limits
D)Working For Lemons

Question 62

You have worked with Mikey, your fourth-grade student, on pencil grasp for a number of years. You do not see any change, and Mikey continues to work very hard to hold a pencil while writing. What do you recommend to your OT department?

A)Continue therapy for Mikey, as he still cannot hold a pencil.
B)Discontinue therapy because Mikey's progress has plateaued.
C)Try a variety of pencil grips or adaptive pencils with Mikey to see if one will help his grasp.
D)Tell Mikey to type his assignments, as his hand writing is not legible.

Question 63

You completed a therapeutic exercise protocol with your new hand patient, Linda. At Linda's next treatment session, she tells you that her hand hurt so bad after therapy that she could not move it for six hours. How should you respond to this information?

A)Tell Linda, "No pain, no gain."
B)Inform your OT department that treatment goals need to be revised because the protocol is too much for Linda.
C)Decrease Linda's treatment frequency to once per week, so she will have more time to recover from exercises.
D)Decrease the number of repetitions and amount of resistance for each exercise.

Question 64

Patrick, your sixth-grade student, has met his sensory processing goals. He is also progressing toward his handwriting and typing goals, but could use a little more work on these skills. What do you recommend to your OT department?

A)Keep working with Patrick twice per week to accomplish his writing and typing goals.
B)Decrease Patrick's frequency to once per week to address writing and typing.
C)Decrease Patrick's frequency to consultation once per month, and allow Patrick to work on writing and typing in his classroom.
D)Dismiss Patrick from OT, as writing and typing will improve on their own.

Question 65

How could you collect data on the treatment goals for your patients for your OT department?

A)Take detailed notes during treatment sessions.
B)Use a simple +/- checklist for each short-term goal.
C)Remember how your patients did in therapy because you have a photographic memory.
D)Tell the OT department to observe every therapy session.

Question 66

Your student Isaac is doing great during therapy and has met all of the objectives written in his Individualized Education Plan (IEP). The meeting to review his IEP is not scheduled to happen for another four months. What does your OT department tell you when you mention that Isaac's objectives have been met?

A)Keep treating Isaac to reinforce the skills he has acquired.
B)Dismiss Isaac because he doesn't need OT anymore.
C)Keep working with Isaac and treatment objectives will be upgraded during therapy until his IEP is revised.
D)To identify what skill areas you feel Isaac needs to work on and those will be new IEP goals.

Question 67

You would like to know if Caden, your 4-year-old student with autism, is capable of using a picture schedule during therapy sessions. Who should you consult regarding this skill?

A)Caden's mother
B)Caden's speech and language therapist
C)Caden's preschool teacher
D)Caden's paraprofessional adult helper

Question 68

The charge nurse for the rehabilitation unit informs you that you cannot see your patient at the scheduled time because the patient's physician is making rounds. This will throw off your entire schedule for the afternoon. What do you do?

A)Inform the nurse that therapy is important, and the physician can see the patient while in therapy.
B)Inform the nurse that therapy is important, and the physician will have to come back later.
C)Do not see your patient. Instead, let the patient see the physician.
D)Attempt to swap therapy times for this patient and another patient, so that you can still see your patient - just at a later time.

Question 69

Marge, your nursing home patient, has expressed to you that she is afraid of returning home due to the condition of her house. She has not told anyone else her concerns. Who should you report this information to?

A)OT department and charge nurse
B)Social worker
C)OT department and social worker
D)Marge's physician

Question 70

Ethan, your 6-year-old student with cerebral palsy, cannot jump on a trampoline, hop on one foot, or throw a ball. He has significant difficulty climbing the stairs at school. He already received adaptive physical education services. You discuss this with your OT department and agree that a referral should be made to:

A)Speech and language therapy
B)Physical therapy
C)Special education
D)Response to intervention team

Question 71

A professional who coordinates a patient's care from admission to discharge is called a: ______.

A)Case manager
B)Social worker
C)Psychologist
D)Home health nurse

Question 72

You would like your shoulder replacement patient, Alfred, to start completing his bathing and dressing tasks independently while he is still in the nursing home. Who do you need to train, so that Alfred can complete these tasks without assistance?

A)Physical therapy team
B)Nursing staff (including the certified nursing assistants and the nurse who supervises them)
C)Activities department
D)Other occupational therapy assistants

Question 73

Your student Shawn, who has a diagnosis of quadriplegic cerebral palsy, has an appointment to have his ankle foot orthotics (AFOs) adjusted. He will see a(n):

A)Prosthetist
B)Wheelchair specialist
C)Orthotist
D)Rehabilitation engineer

Question 74

The OT frame of reference that focuses on a person's ability to function in occupational and personal roles is called: __________.

A)Model of Human Occupation
B)Psychodynamic Practice Model
C)Applied Behavior Analysis
D)Spatiotemporal Adaptation Theory

Question 75

To strengthen your stroke patient Roger's right-upper extremity, you have him reach for cones with his left hand while supporting himself on his right hand and both knees. This technique incorporates the following therapeutic approach: _________.

A)Brunnstrom's Movement Therapy
B)Proprioceptive Neuromuscular Facilitation (PNF)
C)Bobath's Neurodevelopmental Treatment (NDT)
D)Carr and Shepherd's Motor Relearning Program

Question 76

Using handwriting as a therapeutic activity to strengthen the fingers is an example of a: ______.

A)Sensory integrative approach
B)Task oriented approach
C)Biomechanical approach
D)Work hardening approach

Question 77

Swinging prone on a platform swing to retrieve puzzle pieces is an example of a: _______ technique.

A)Motor learning
B)Kinesthetic
C)Functional
D)Sensory integrative

Question 78

To apply a Proprioceptive Neuromuscular Facilitation (PNF) approach during upper extremity pulley exercises, you would ask your patient to: ________.

A)Pull the pulley laterally across his chest
B)Pull the pulley across his chest and down in a diagonal pattern
C)Pull the pulley straight up
D)Pull the pulley down and backwards

Question 79

When you complete passive range of motion stretches with your 87-year-old Alzheimer's patient, you are utilizing the: _______ approach.

A)Brunnstrom
B)NDT
C)Biomechanical
D)Task oriented

Question 80

Teaching a brain injury patient how to use a calendar to remember appointments is an example of: ________ approach.

A)An adaptive treatment
B)A remedial treatment
C)Cognitive rehabilitation
D)A multi-context treatment