Question 1

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?

Accepted Answer

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 2

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?

Accepted Answer

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 3

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?

Accepted Answer

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

Question 4

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

Accepted Answer

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

Question 5

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?

Accepted Answer

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 6

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:

Accepted Answer

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

Question 7

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?

Accepted Answer

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 8

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?

Accepted Answer

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 9

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?

Accepted Answer

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 10

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

Accepted Answer

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 11

Your co-workers in your outpatient clinic are all very stressed. What could you do to help?

Accepted Answer

A) Schedule a few brief sessions of training relaxation techniques during the next few lunch hours. 
B) Give them all free biofeedback sessions. 
C) Tell the head of the clinic to stop stressing everyone out. 
D) Send everyone on vacation to Hawaii.

Question 12

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):

Accepted Answer

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

Question 13

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

Accepted Answer

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

Question 14

Your school occupational and physical therapists are collaborating on a backpack weigh-in day. What is the purpose of this program?

Accepted Answer

A) To determine the most stylish backpack. 
B) To determine the most ergonomic backpack. 
C) To educate students on how much a backpack should weigh to prevent back problems. 
D) To educate students on how to carry a backpack.

Question 15

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:

Accepted Answer

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

Question 16

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?

Accepted Answer

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 17

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?

Accepted Answer

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 18

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: _________.

Accepted Answer

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 19

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:

Accepted Answer

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

Question 20

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?

Accepted Answer

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.

Exam 1: Acquiring Information