Question 1

What activity would you use to address core strengthening with a child?

Accepted Answer

A) Sit on a therapy ball to play catch. 
B) Figure eight drawing on a chalkboard. 
C) Play hopscotch. 
D) Find beanbags in a ball pit.

Question 2

What is a wrist cock-up splint used for?

Accepted Answer

A) Positioning the wrist in 60 to 70 degrees of flexion. 
B) Positioning the wrist in neutral. 
C) Positioning the wrist in 20 to 30 degrees of extension. 
D) Positioning the wrist in 60 to 70 degrees of extension.

Question 3

Marva has hemiplegia and gets assistance cutting her food at dinner. What adaptation do you give to Marva to use to cut her own food?

Accepted Answer

A) Large handled knife 
B) Rocker knife 
C) Lightweight knife 
D) Ergonomic knife

Question 4

Mack is gung ho regarding upper-body strengthening. He often wants to perform the same exercises every day with more resistance than the amount you and your OT department have recommended. How do you help Mack to complete upper-body strengthening without hurting himself?

Accepted Answer

A) You restrict Mack's access to the therapy gym. 
B) You tell Mack that he must stick to the exercise protocol, or his doctor will discontinue therapy. 
C) You tell Mack that it is a good idea to exercise different muscles from day to day and slowly increase repetitions to avoid injury. 
D) You tell Mack to exercise as much as he wants to because he will get better faster that way.

Question 5

Karl, a second-grade student, cannot sit still in his desk chair. However, he responds well to core strengthening activities during therapy sessions. What adaptation do you provide for him to use in his classroom?

Accepted Answer

A) Ball chair 
B) Standing desk 
C) Inflatable cushion 
D) Fidget toys

Question 6

Your client Stephanie is a 31-year-old woman with autism. She has undergone medication changes, and her tactile defensiveness has exacerbated. How do you help Stephanie to manage her tactile defensiveness?

Accepted Answer

A) Teach Stephanie the full Wilbarger brushing protocol; and expect her to follow the full protocol independently. 
B) Introduce the Wilbarger brushing protocol to Stephanie, and ask her if she would like to try it. 
C) Introduce the Wilbarger brushing protocol to Stephanie and only complete brushing to her arms. As she becomes used to the procedure, expand it to her legs and back. 
D) Wrap Stephanie up in a weighted blanket.

Question 7

Ariana, your 6-year-old student, cannot complete any activity that involves more than one step at a time. Your OT department tells you that she has difficulty with praxis, or planning and carrying out ideas. What activity could you use to help Ariana develop this skill? Build a(n): _______.

Accepted Answer

A) Block tower 
B) Obstacle course 
C) Pillow pile 
D) House with small building blocks

Question 8

Roy is a 45-year-old client with Down syndrome. You have been working with him on independent community mobility, but he can never remember where to get off the bus near his apartment. What adaptation do you provide to Roy to help him get off at the correct bus stop?

Accepted Answer

A) Give the bus driver a picture of Roy and his address. Ask the driver to tell Roy when to get off the bus. 
B) Do not let Roy ride the bus unsupervised since he cannot remember his bus stop. 
C) Give Roy a picture of the bus stop, and tell him to watch for the same stop. 
D) Give Roy an identification card with his address and bus stop number on it. Have him show it to the driver when he gets on the bus, and train him to ask the driver to tell him when the bus gets to his stop.

Question 9

Christy, your outpatient, sees you for conservative management of her carpal tunnel syndrome. She works in accounts receivable for a local car dealership. What recommendations will you give Christy regarding her work station?

Accepted Answer

A) You will tell Christy to stand while working. 
B) You will tell Christy to sit on a ball chair while working. 
C) You will tell Christy to make sure her keyboard is at a height that allows her shoulders to be 
D) You will tell Christy to ask for a new desk.

Question 10

Nathan has advanced Alzheimer's disease and often wanders out of his yard and into the fields adjacent to his farm. What adaptation do you recommend to Nathan's family to assist them in locating Nathan when he wanders away from home?

Accepted Answer

A) Cell phone 
B) Video cameras (located in strategic spots) 
C) Walkie-talkie 
D) GPS locator

Question 11

Howard is your 42-year-old hand therapy patient with a diagnosis of carpal tunnel syndrome. He works as a salesman for a pharmaceuticals company and has a territory that covers half of your state. What activity must you spend time adapting for Howard to prevent his carpal tunnel syndrome from exacerbating?

Accepted Answer

A) Talking on the phone 
B) Typing on the computer 
C) Driving 
D) All of the above.

Question 12

William is a new nursing home patient who had a hip replacement three days ago. The doctor has ordered that William's hips be positioned in abduction while he is in bed. What device can you use to position William's lower extremities while he is in bed?

Accepted Answer

A) Wedge cushion 
B) Body pillow 
C) Abductor pillow 
D) Rolled blanket

Question 13

Sasha is your 24-year-old inpatient in the eating disorders unit. She has a diagnosis of anorexia nervosa and must have everything organized and perfect to feel comfortable. How do you approach a craft activity with Sasha?

Accepted Answer

A) Have her mold messy, wet clay. 
B) Allow her to choose an activity, and let her take her time organizing her materials. 
C) Give her a flower arranging task, and then purposely mess up all the flowers. 
D) Give her a cross-stitch activity, and set a timer to limit the amount of time she can spend organizing the threads.

Question 14

Breanna is a 17-year-old student with juvenile rheumatoid arthritis. She uses a scooter for mobility around the high school. When Breanna's joints are in an active flare, she can weight bear on both legs but cannot stand independently. What transfer technique do you use to help Breanna transfer from her scooter to the therapy mat?

Accepted Answer

A) Independent pivot transfer 
B) Independent sliding transfer 
C) Assisted pivot transfer 
D) Assisted sliding transfer

Question 15

You have been working with three middle school students on using assistive technology to complete language arts assignments. You would like to see them incorporate the assistive technology they have learned into their language arts classes. They all work with the same special education teacher during language arts. How could you facilitate incorporating the assistive technology?

Accepted Answer

A) Talk to the special education teacher about incorporating the technology during language arts. 
B) Ask each student to start using the technology during language arts. 
C) Ask the special education teacher if you can come into his/her classroom during language arts and work with your students as a group. 
D) Ask the special education teacher to have all his/her students use the assistive technology.

Question 16

Your 7-year-old student, Gabriel, cannot draw a recognizable picture. He holds pencils with a perfect tripod grasp. How could you help him draw a simple picture of his house?

Accepted Answer

A) Give him a picture to trace. 
B) Give him a visual sample to copy. 
C) Give him step-by-step visual samples to imitate. 
D) All of the above.

Question 17

Ethel is a 96-year-old nursing home resident who will be moving in with her daughter in one week. She will be living on the main floor of her daughter's home. Her daughter and her husband sleep upstairs. They express concerns about hearing Ethel if she encounters a problem during the night. What do you recommend to Ethel and her daughter?

Accepted Answer

A) Use an easy push button intercom to communicate between the two floors of the house. 
B) Use a baby monitor to listen for problems in Ethel's bedroom. 
C) Use a video monitoring system to keep track of Ethel. 
D) Sleep on the couch on the same floor as Ethel's bedroom.

Question 18

Andrew is a seventh-grade student with a learning disability. He continues to struggle with writing, being unable to handwrite legibly or type at a functional speed. He completes written assignments very slowly and dislikes language arts. What type of assistive technology does your OT department tell you to begin teaching Andrew to use?

Accepted Answer

A) Speech to text or dictation software 
B) Word prediction software 
C) Color-coded keyboard 
D) Voice recorder

Question 19

Your student, Melody, is a sixth-grader with autism. She is doing well in therapy, and you have recommended dismissing her from regular treatment to your OT department. Melody's teacher has expressed concerns about her transition to middle school the next school year. What does your OT department recommend at Melody's IEP review?

Accepted Answer

A) Dismiss Melody from OT services as she has met her IEP goals. 
B) Decrease Melody's OT frequency to consultation once per month to insure that Melody's skills are maintained. 
C) Decrease Melody's OT frequency to consultation once per month with an increase in frequency to once per week for the month of September in the next school year. 
D) Continue to see Melody for regular treatment.

Question 20

Steven has paranoid schizophrenia. He will, at times, become violent and unknowingly hurt himself by hitting his limbs against furniture and walls. What adaptation do you recommend to Steven's family?

Accepted Answer

A) Provide Steven with a room with soft furniture and no breakable items, so Steven can go there and be safe when he has violent episodes. 
B) Strap Steven down when he has violent episodes, so he cannot hurt himself. 
C) Admit Steven to the hospital since he should not be in the community when he is violent. 
D) Leave Steven alone during a violent episode, so the episode does not become worse.

Exam 2: Implementing Interventions