Question 1

An OTA is working with a client who is communicating through an interpreter. Which statement in their conversation would best illustrate appropriate use of an interpreter?

Accepted Answer

A)   "Please have her write her medical history, and then you can translate it for me."
B)   "Please ask her to discuss her medical history."
C)   "Do you know anything about her medical history?"
D)   "Can you tell me about some of your medical history?" D

Question 2

An OT practitioner would like to give a written home program to a client to help with carryover of treatment. Each time, the client refuses the program, stating that he cannot read the program due to "forgetting his glasses." What is the best way for the OT practitioner to proceed?

Accepted Answer

A)   Make a referral to an eye doctor to have the client's vision checked.
B)   Provide a handout with pictures, and demonstrate the program components to the client.
C)   Inform the client that he will not make progress in therapy if he refuses the program.
D)   Provide the client inexpensive reading glasses. B

Question 3

An OTA is teaching a client to use a dressing stick. How can the OTA ensure that the client's learning will be carried over into daily activities?

Accepted Answer

A)   Give the client a handout with clear pictures.
B)   Instruct the client using a multisensory method, and use the teach-back method.
C)   Provide the client many opportunities to practice.
D)   Using the client's phone, make a video recording of the client performing the task. B

Question 4

An OTA is leading a yoga group at a senior center. During this activity, the clients are all engaged in the activity, but they engage in very little communication with one another. Which type of group would this most likely be demonstrating?

Accepted Answer

A)   Mature
B)   Project
C)   Parallel
D)   Cooperative

Question 5

A client is very reluctant to participate in occupational therapy. When questioned about his lack of motivation, the client states that "it's not worth it," and "I won't be any good at doing what I used to do, and I can't make anything better!" What would best fit the description of the client's perceptions?

Accepted Answer

A)   Learned helplessness
B)   Perceived barriers
C)   Low self-efficacy
D)   Lack of self-advocacy

Question 6

During a treatment session in an outpatient therapy clinic, a client who has sustained a brain injury is demonstrating recall of the instructions and steps to order and purchase a cup of coffee. However, the client has difficulty knowing what to do when the OTA takes the client to the hospital cafeteria to do the same task. Which stage of client education is the client most likely engaging in?

Accepted Answer

A)   Retention
B)   Acquisition
C)   Generalization
D)   Initiation

Question 7

During a treatment session, an OT practitioner is listening to a client's story. The OT practitioner leans forward slightly, nods, and presents with neutral body language along with using narrative and clinical reasoning. What is the OT practitioner utilizing as she communicates with this client?

Accepted Answer

A)   Therapeutic mimicking
B)   Empathy
C)   Open communication
D)   Therapeutic use of self

Question 8

During fieldwork, an OTA student would like to provide a client with images and information obtained from a medical website as a part of his home program. What should the OTA student do first before printing off this program?

Accepted Answer

A)   Evaluate the website and photos for accuracy.
B)   Obtain copyright information from the website.
C)   Make sure the client is comfortable with technology.
D)   Select the large-font option.

Question 9

An OT practitioner is wrapping up a group for adults with developmental disabilities. What would be the best way to conclude this group?

Accepted Answer

A)   Give a summary of the group meeting, and remind the members of the next meeting.
B)   Praise all of the members for their work, and give an appropriate salutation.
C)   Allow all of the members to finish their projects and to leave when they feel ready.
D)   Ask group members to share how they felt about each other's projects.

Question 10

While working with a client who has just experienced an exacerbation of multiple sclerosis, the OTA takes into consideration the client's past history as he prepares the client's treatment. Which component of adult learning theory would the OTA be utilizing?

Accepted Answer

A)   Adult learner experience
B)   Orientation to learning
C)   Readiness to learn
D)   Motor learning principles

Question 11

An OTA student is preparing a home program for a client. Which of the following would best increase the client's understanding of the instructions?

Accepted Answer

A)   Use bullet points rather than paragraphs or text.
B)   Use all-uppercase letters when communicating important information.
C)   Place words directly on photos to emphasize instructions.
D)   Increase the font size for easy reading.

Question 12

An OTA has just prepared a home program for the client, and she is currently instructing the client on each activity. How can the OTA ensure client understanding for carryover?

Accepted Answer

A)   Have the client practice each activity once.
B)   Use the "show-me" method.
C)   Provide all information during a therapy session.
D)   Use the "Ask-Me-Three" method.

Question 13

An OTA is working with a client who demonstrates right-side weakness after experiencing a CVA. The client's first language is not English, and he is very resistant toward participating in therapy with the OTA. What would be the initial step for the OTA to increase client engagement?

Accepted Answer

A)   Research the client's culture and learn acceptable customs.
B)   Refer the client to another OT practitioner who has worked with his culture.
C)   Speak louder as you encourage the client to do the activities on his plan of care.
D)   Ask a family member of the client for assistance.

Question 14

A client presents with limited health literacy. Which of the following tasks would most likely be difficult for the client?

Accepted Answer

A)   Understanding precautions after a total hip replacement
B)   Discussing pain levels at the beginning and end of therapy
C)   Using a shower bench during her morning ADLs
D)   Explaining how she normally prepares a recipe

Exam 5: Teaching and Learning With Clients and Community