Question 1

May cannot put weight on her lower extremities to transfer from her wheelchair. But she has good upper-body strength. What type of transfer do you teach May to use when transferring from her wheelchair to her bed?

Accepted Answer

A) One-person pivot transfer 
B) Sliding board transfer 
C) Two-man lift 
D) Pivot disk transfer

Question 2

What modality could you use to heat the muscles in the shoulder girdle prior to deep tissue massage?

Accepted Answer

A) Ultrasound 
B) Transcutaneous Electrical Nerve Stimulation (TENS) 
C) Diathermy 
D) Hot pack

Question 3

Mabel is your 87-year-old nursing rehabilitation patient with a diagnosis of chronic obstructive pulmonary disease (COPD). She lives alone and has a private home health aide, who visits daily to help her with bathing, meal preparation, and housekeeping. What activities will you focus on during Mabel's therapy sessions?

Accepted Answer

A) Hygiene, dressing, toileting, and using a microwave to heat food. 
B) Hygiene, dressing, preparing cold food, and light cleaning. 
C) Hygiene, dressing, and getting in/out of the bathtub. 
D) Hygiene only.

Question 4

What does the term, "Flat affect" mean?

Accepted Answer

A) The person's face is flat. 
B) The person exaggerates emotions with large fluctuations in facial expressions. 
C) The person does not change facial expressions, giving the face a consistently neutral appearance. 
D) The person cries all the time.

Question 5

Your nursing home patient, Helen, is an 89-year-old woman with a diagnosis of advanced Alzheimer's disease. At breakfast, you see Helen being fed by a nursing assistant while reclined in a geri chair. What do you say to the nursing assistant?

Accepted Answer

A) "Do not feed Helen. Let her feed herself, so she can be as independent as possible." 
B) "Great job! You are feeding Helen exactly right." 
C) "Do not feed Helen with the chair reclined. She might choke or aspirate food." 
D) "Do not feed Helen in the dining room. She makes too big a mess."

Question 6

Four of the six students in the early childhood play group at your school receive OT for sensory processing disorders. How could you service these children as a group?

Accepted Answer

A) Have them all find small toys in the ball pit because it is large enough to accommodate all four students. 
B) Schedule one therapy session with all four students together and have them rotate through sensory stations. 
C) Ask one paraprofessional to work with each child as you direct the sensory activities for all four children. 
D) Arrange for a sensory group time with the early childhood teacher. Provide sensory interventions during the group time that meet the needs of your OT students.

Question 7

Your student has limited mobility. After performing passive range of motion on the student in supine, how do you position him in side lying to work on active reaching?

Accepted Answer

A) Logroll the student to side lying. Then position the top leg, so it is bent and in front of the bottom leg. 
B) Logroll the student to side lying. Then position the bottom leg, so it is bent and in front of the top leg. 
C) Assist the student to sit up in long sitting. Then help the student shift his hips to the side and assist him to lie back down. 
D) Assist the student to sit up on the edge of the mat. Then help the student shift his hips to the side and assist him to lie back down.

Question 8

Marshall is a 13-year-old student with quadriplegic cerebral palsy. When he sits upright in his wheelchair, the front edge of his seat hits the back of his mid thighs. His lateral supports and headrest are fully extended. What do you conclude?

Accepted Answer

A) Marshall's wheelchair needs to be adjusted. 
B) Marshall needs a larger wheelchair. 
C) Marshall needs a smaller wheelchair. 
D) Marshall's wheelchair meets his needs at this time.

Question 9

Dawn is a 36-year-old cognitively disabled woman in your community activity program. She has not developed the emotional skills of sympathy and empathy. Lately, Dawn has been bossing the other clients of the program around and threatening them if they do not do what she says. How do you address Dawn's behavior?

Accepted Answer

A) Ask Dawn how she would like it if someone did that to her. 
B) Make Dawn do the things she has been demanding that the other clients do. 
C) Ignore Dawn's behavior to discourage her from seeking attention by engaging in it. 
D) Tell Dawn that she will need to move to another part of the room if she does not stop threatening other clients.

Question 10

Lucy is a 93-year-old nursing home patient who wants to be independent in her kitchen at home. How do you structure strengthening exercises, so Lucy can lift her arms to reach into her cupboards?

Accepted Answer

A) Have Lucy complete dowel exercises with a one-pound weight. 
B) Have Lucy wear ½-pound wrist weights while she lifts plastic dishes to shelves at heights that are graded upward. 
C) Have Lucy stand on a step stool and lift weights to waist height only. 
D) Have Lucy do pulley exercises with 10 pounds of resistance.

Question 11

Ralph is an inpatient on the intensive care unit. He was admitted overnight with a diagnosis of acute right cerebrovascular accident (CVA) with left hemiplegia. What kind of splint does Ralph's doctor order for him?

Accepted Answer

A) Dorsal anti-spasticity ball splint 
B) Volar resting pan splint 
C) Volar thumb spica splint 
D) Dorsal wrist cock-up splint

Question 12

Two weeks after being admitted to the hospital with a diagnosis of acute right CVA with left hemiplegia, Ralph is now able to get out of bed and participate in twice-daily therapy sessions. His left arm has not regained movement, and you notice a separation in Ralph's shoulder joint that is two fingers wide. You ask your OT department to contact the physician and request orders for what type of orthotic device?

Accepted Answer

A) Hemi-arm sling 
B) Suspension sling 
C) Airplane splint 
D) Mobile arm support

Question 13

Don is a 35-year-old outpatient with a medical history of brain injury. He is able to drive, but often gets lost. He cannot remember the routes he needs to drive to get where he needs to go. What adaptation do you recommend for Don?

Accepted Answer

A) Map 
B) Global Positioning System (GPS) unit with preprogrammed routes 
C) Cell phone 
D) Both B and C.

Question 14

During a home evaluation, you observe that Frances has two narrow steps with no railings to enter her home. She is currently using a wheeled walker for mobility, but her physical therapist anticipates that she will not need this much longer. What modification do you recommend to Frances for her home?

Accepted Answer

A) A wheelchair ramp. 
B) Railings on each side of the entry steps with a grab bar next to the door for stability when stepping over the threshold. 
C) A railing on one side of the entry steps. 
D) A grab bar next to the door for stability when stepping over the threshold.

Question 15

How many people are required to safely transfer a patient from a bed to a wheelchair using a Hoyer lift?

Accepted Answer

A) One, since the hydraulics of the lift does most of the work. 
B) Three: One to position the patient, one to operate the lift, and one to stand by in case there is a problem. 
C) Two: One to position the patient, and one to operate the lift. 
D) Four: One to position the patient, one to operate the lift, one to keep the bed and wheelchair from sliding out of place, and one to make sure OSHA regulations are observed.

Question 16

Arlene has severe arthritic deformities in both of her wrists. She cannot supinate her hand to neutral to hold a pen and write. What adaptation do you recommend for Arlene, so she can write?

Accepted Answer

A) Pen grip 
B) Dictation software 
C) Easy touch keyboard 
D) Ergonomic pen

Question 17

How can you facilitate a swallowing reflex with Megan, so she will not pocket food?

Accepted Answer

A) Press your thumb up into the soft fleshy area just behind Megan's lower jaw. 
B) Gently push the bowl of the feeding spoon down on Megan's tongue before pulling the spoon out of her mouth. 
C) Gently press your hand across Megan's mouth after each bite of food. 
D) Gently push Megan's cheeks in toward the center of her mouth to prevent her from pocketing the food.

Question 18

Matthew, your 16-year-old student with quadriplegic cerebral palsy, has limited upper extremity motor skills. His teacher asks you for some ideas for Matthew that would address leisure skills. He spends most of his time at home watching television. What is one adaptation that you could recommend for Matthew?

Accepted Answer

A) Play catch with an adapted football. 
B) Hang out with other teenagers who can do things for Matthew. 
C) Play music on a switch-adapted compact disc (C
D)  player. 
D) Play video games on an iPad.

Question 19

Sandy is a 32-year-old client of the community program where you work. She has a diagnosis of Down syndrome with cognitive delay. Sandy completes her own basic self-care tasks, simple meal preparation, and housekeeping. Her case manager asks you for a recommendation for a supported employment placement. What do you recommend?

Accepted Answer

A) Cashier at Wal-Mart. 
B) A housekeeping position at a local hotel. 
C) Receptionist at the therapy clinic. 
D) Packaging parts at the sheltered workshop.

Question 20

Is the use of physical restraint or seclusion allowed in public school?

Accepted Answer

A) Yes, if the school has developed a policy regarding the use of physical restraint or seclusion. The policy must follow guidelines from the U.S. Department of Education and laws regarding physical restraints and seclusion from the state in which the school is located. 
B) No, under any circumstances. 
C) Yes, the school may use physical restraint or seclusion as necessary because student safety comes first. 
D) Yes, with parent permission.

Exam 2: Implementing Interventions