Question 1

Fran, your 74-year-old cancer patient, is scheduled to be discharged from the nursing home in two days. She is concerned about carrying heavy pots and pans around her kitchen. How do you teach Fran to manage heavy items in her kitchen?

Accepted Answer

A)  Tell Fran to get help since she shouldn't be cooking alone anyway.
B)  Show Fran how to slide heavy pots and pans between the stove top and sink using the countertop.
C)  Show Fran how to use a wheeled cart to move heavy pots and pans across her kitchen.
D)  Both B and C. D

Question 2

The third-grade class has several children with disabilities, including two children with ADHD, one child with a cognitive disability, and one child with a hearing impairment. What does your special education director purchase for the classroom teacher to use with this group of students?

Accepted Answer

A)  Classroom amplification system
B)  Handheld microphone
C)  Smart board
D)  Personal amplification system A

Question 3

Walter is a 58-year-old patient with a diagnosis of quadriplegia. He has developed decubiti on his buttocks and has been admitted to the hospital for treatment. Walter's wheelchair has a standard sling seat, so he can fold the chair and put it in the trunk of his car when traveling. What device do you recommend to Walter to help prevent him from developing additional decubiti?

Accepted Answer

A)  Gel cushion (for his current wheelchair) 
B)  Solid cushion (for his current wheelchair) 
C)  New wheelchair
D)  Standing table A

Question 4

Tucker is a 10-year-old brain injury patient with multiple flexion contractures. He is unable to participate in any functional activities beyond sensory stimulation. Tucker is experiencing skin breakdown in both palms. What solution does your OT department ask you to implement for Tucker?

Accepted Answer

A)  Bilateral cylindrical splints with finger separators; made of dense, washable foam.
B)  Bilateral resting pan splints with finger separators; made of hard material.
C)  Place a rolled-up wash cloth in each hand.
D)  Design an hourly passive range of motion program, and train Tucker's mother how to administer the program.

Question 5

Mary is a 12-year-old student with a C4 spinal cord injury. She has normal cognitive function, vision, and hearing, plus head movement. What type of wheelchair do you expect Mary would be able to use independently?

Accepted Answer

A)  A manual wheelchair with postural supports, a custom seat, and push knobs on the wheels.
B)  An electric wheelchair with postural supports, a custom seat, and joystick controls.
C)  A manual wheelchair with a custom seat and padded wheelchair rims.
D)  An electric wheelchair with postural supports, a custom seat, and a head control.

Question 6

Felix, your new 3-year-old student, runs around the therapy room and jumps on all the equipment in an unsafe manner. He does not respond to verbal or visual commands. How can you adapt the therapy room to keep Felix safe?

Accepted Answer

A)  Strap Felix into a chair, so that he cannot get up by himself.
B)  Block off all equipment except the item you want to use with Felix, so he cannot run from item to item.
C)  Ask Felix's mother to stay for therapy sessions.
D)  Give Felix rewards for safe behavior.

Question 7

Jenny, your 36-year-old patient with fibromyalgia, complains to you that she cannot get anything done during the day because she gets so tired. What do you recommend to Jenny to help her get more done during the day?

Accepted Answer

A)  Hire a house cleaning service, so she does not have to do housework.
B)  Make a To Do list every day; and alternate heavy and light activities to include rest breaks while working.
C)  Only plan on doing one or two things every day because that is all a person with fibromyalgia can handle.
D)  Ask her husband and children to pitch in more around the house.

Question 8

What activity could you select for your new rheumatoid arthritis patient who has a short-term objective to increase upper body strength?

Accepted Answer

A)  Pulley exercises against 10 pounds of resistance.
B)  Upper-arm exercises using three-pound dumbbells.
C)  Active range of motion exercises using ½-pound wrist weights.
D)  Sanding wood with a box sander.

Question 9

Mia, an 8-year-old student, underwent flexor tendon transfer surgery on her thumb two weeks ago. She has been immobilized up to this point, but her immobilizer and stitches are now removed. What type of splint does your OT department ask you to fabricate for Mia?

Accepted Answer

A)  A full-thumb post splint to continue to immobilize Mia's thumb.
B)  A half-thumb post with a flexion outrigger to facilitate passive flexion.
C)  A half-thumb post to allow active range of motion at the interphalangeal (IP)  joint.
D)  A cone splint to position Mia's thumb in opposition.

Question 10

Your OT department asks you to develop a sensory break routine and schedule for Brayden, your student with high-functioning autism. What is the purpose of a sensory break routine and schedule?

Accepted Answer

A)  To improve Brayden's cognitive function, so that he can learn more.
B)  To reward Brayden for good behavior in his classroom.
C)  To help Brayden wake up during the day, due to lack of sleep at night.
D)  To help Brayden meet his sensory input needs during his school day.

Question 11

You have worked on relaxation techniques with your inpatient, Chelsea. She is ready to be discharged from the inpatient psychiatric unit. What do you give Chelsea to take home with her, so she can continue to practice relaxation skills?

Accepted Answer

A)  Aromatherapy set
B)  Relaxation CD and handout with several relaxation techniques
C)  Ear plugs and eyeshades
D)  All of the above.

Question 12

Ruby is a 56-year-old outpatient with rheumatoid arthritis. She has been experiencing increased pain and swelling in her hands every time she does her laundry. Her washer and dryer are in the basement of her home, and she uses large, plastic laundry baskets to carry her clothes. What do you recommend to Ruby?

Accepted Answer

A)  Install a laundry chute, so Ruby does not have to carry clothes down the stairs.
B)  Remodel a closet on the first floor of the home, so Ruby does not have to carry clothes to the basement.
C)  Purchase smaller laundry baskets or bags with large handles, so Ruby can carry smaller loads of laundry using her forearms instead of her hands.
D)  Hire a laundry service to do Ruby's laundry.

Question 13

Regarding your outpatient, Christy, who has carpal tunnel syndrome and works in accounts receivable for a local car dealership: Besides her keyboard height, what other recommendations would you give her?

Accepted Answer

A)  Use a wrist rest.
B)  Use a wrist rest and ergonomic keyboard; and take a two-minute stretch break every 30
C)  Use a wrist rest and take a five-minute stretch break every hour.
D)  Use a wrist rest and ergonomic keyboard; and take a two-hour lunch break.

Question 14

Savanna is an 11-year-old spinal cord injury patient on the rehabilitation unit. She has a C7 spinal cord injury and has active movement in her shoulders and elbows. But she cannot move her fingers enough to grasp objects. What adaptive device do you issue to Savanna to help her hang on to daily living objects, such as silverware, her toothbrush, and other items?

Accepted Answer

A)  Foam handle
B)  Robotic arm
C)  Universal cuff
D)  Mobile arm support

Question 15

Your 18-month-old student, Ashley, is too young to follow verbal directions or a visual schedule. How do you structure her therapy session, so she will participate in the activities you have planned?

Accepted Answer

A)  Place all the activities on the floor and allow Ashley to choose which one she will complete first.
B)  Physically move Ashley from one activity to the next.
C)  Present the activities to Ashley one at a time, and physically move her through each activity. Decrease the amount of assistance you give Ashley as she learns the activities.
D)  Present the activities to Ashley one at a time, moving to the next activity if Ashley does not understand how to complete a task.

Question 16

What does universal design mean?

Accepted Answer

A)  The way the universe was designed.
B)  Designing objects and spaces so they can be used by everyone, including elderly and disabled people.
C)  Designing objects and spaces so they can be used only by disabled people.
D)  Designing objects with ergonomic principles.

Question 17

Waverly must take six medications each morning. He tells you he often forgets to take one or more of his medications because he just can't keep them organized. What do you recommend for Waverly?

Accepted Answer

A)  Pill organizer
B)  Prescription bottle holder
C)  Review of medications (make sure they are all necessary) 
D)  Bigger medicine cabinet

Question 18

You co-treat three children with Down syndrome with the physical therapy assistant. All three children have difficulty with larger motor eye-hand coordination activities. Scheduling these students has been difficult due to the large number of services they receive. How could you address all of these issues?

Accepted Answer

A)  Inform the teachers of these students that therapy services are required as part of the children's IEPs. Therefore, therapy sessions must be given priority.
B)  Plan a large motor group with the physical therapy assistant and provide services to the children in a group setting.
C)  Continue to co-treat the children individually with the physical therapy assistant and be as flexible as possible with scheduling.
D)  Treat the children separate from physical therapy and address your own goals.

Question 19

What is a reacher?

Accepted Answer

A)  A long, wooden stick with hooks on either end that are used for hooking clothing.
B)  An elastic device with a sticky hand at one end that will stick to objects when tossed at them. The device can then be used to pull the objects toward the person.
C)  A long, metal shaft with a trigger handle at one end and a claw or suction cup grabber at the other. When the trigger is pulled, the claw or grabber closes. The devise can be used to grab objects that are out of reach of the person operating the device.
D)  An accordion-shaped device that extends outward when the handles are pushed together. The end of the device can slide under the object. The objects are brought to the person when the handles are pulled apart.

Question 20

Your parents are building their retirement home. They tell you that they will live in this home until they die. What recommendations do you give them regarding the home?

Accepted Answer

A)  Build a one-story house with no steps to enter, and doorways should be 32-36 inches wide.
B)  Build a one-story house with a wheelchair ramp and grab bars in the bathroom.
C)  Build a two-story house with a chair lift.
D)  Build a one-story house with railings along the steps and an automatic door opener.

Exam 2: Implementing Interventions