Question 1

Felicia is an 8-year-old outpatient who sustained a thumb injury when her hand was slammed in a car door. You would like to use fluidotherapy to help relieve pain and improve mobility in Felicia's carpometacarpal (CMC) joint. But she is afraid of the unit. What could you do to help Felicia accept the treatment?

Accepted Answer

A) Tell Felicia she has to accept the treatment because her parents say so. 
B) Tell Felicia to pretend her hand is in a sandstorm. 
C) Allow Felicia to inspect the fluidotherapy unit while it is off, and explain to her how it works. 
D) Select another treatment for Felicia because fluidotherapy is not appropriate for children.

Question 2

Bud is at home recovering from a stroke. He can no longer sit in the bathtub to take a bath. Bud uses a wheelchair to get around his house most of the time. What adaptation do you recommend to Bud for bathing?

Accepted Answer

A) Bath bench with back rest that extends over edge of tub 
B) Bath bench with no back rest; sits inside bathtub 
C) Roll in shower stall 
D) Long-handled scrub brush

Question 3

How do you evacuate a wheelchair-bound high school student from the second story of the high school in the event of a fire?

Accepted Answer

A) Use the elevator. 
B) Use a two-person carry. 
C) Use a one-person carry. 
D) Carry the wheelchair down the stairs, using as many people as necessary.

Question 4

Your student, Megan, cannot feed herself. She often pockets food when eating. What does this mean?

Accepted Answer

A) Megan spits food out. 
B) Megan chokes on food when she attempts to swallow it. 
C) Megan holds her lips together and requires physical assistance to open her mouth. 
D) Megan does not swallow food, but holds it inside her cheeks instead.

Question 5

Your student, Dani, begins to cry when you ask her to write a paragraph. She says it's too hard and you are a mean OT teacher. How could you grade this activity, so it is not so overwhelming for Dani?

Accepted Answer

A) Have Dani write single words instead of long sentences. 
B) Reduce the number of sentences Dani is required to write. 
C) Have Dani type a paragraph. 
D) Excuse Dani from writing for the rest of the session.

Question 6

Arthur is an 82-year-old man with a diagnosis of left cerebrovascular accident with right hemiplegia. How do you teach him to put on a button-down shirt by himself?

Accepted Answer

A) Slide the right sleeve over the right arm using the left hand; pull the shirt around the back of the neck, slide the left arm in, and button using either one hand or a button hook. 
B) Slide the right arm into the right sleeve using the shoulder muscles to push the arm in, pull the shirt around the back of the neck, slide the left arm in, and button using either one hand or a button hook. 
C) Slide the left arm in the left sleeve, pull the shirt around the back of the neck, slide the right sleeve over the right arm using the left hand, and button using either one hand or a button hook. 
D) Button the shirt first using one hand, slide the shirt over the head, and slide the arms in the sleeves.

Question 7

Three of your OT students are experiencing difficulties feeding themselves in the lunch room. They spill their trays, create large messes, and do not eat much food. All three of the students have diagnoses of autism spectrum disorder. How could you address the feeding issues of your students?

Accepted Answer

A) Schedule one OT session per week as a "lunch group" in a quiet area. You can work on proper lunch room skills with all three students without the lunch room distractions. 
B) Schedule one OT session per week as a "lunch group" in the lunch room. You can work on proper lunch room skills in the lunch room environment. 
C) Schedule one OT session per week with each student in the lunch room. 
D) Give recommendations to the paraprofessionals who work with the students on facilitating lunch room skills.

Question 8

Brenda, your outpatient, owns an antique store. She has had multiple back surgeries and, as a result, can no longer climb the stairs to the second story of her shop. Brenda complains to you that the second story of her shop is where she keeps all of her inventory, and she must be able to access it. What recommendation do you give to Brenda to address this problem?

Accepted Answer

A) Install an elevator. 
B) Sell the building that houses the antique shop, and buy a one-story building. 
C) Install a chair lift along the stairs to the second story. 
D) Get out of the antique business.

Question 9

Your student, Eric, must have thickened liquids at a honey consistency. What does this mean?

Accepted Answer

A) The liquid will still pour, but flows slowly. The liquid appears to be the same consistency of honey. 
B) The liquid will not pour and must be spoon fed. 
C) The liquid will still pour and appears to be the same consistency as tomato juice. 
D) The liquid is not altered in any way.

Question 10

Alyssa, your new 3-year-old student, jumps all over the therapy room and cannot attend to a task for more than a few seconds at a time. How do you structure Alyssa's therapy sessions?

Accepted Answer

A) Plan for several activities that are short and involve gross motor skills to accommodate Alyssa's high energy level. 
B) Make Alyssa sit still to complete tasks and give her stickers if she listens to instructions. 
C) Have Alyssa jump on a trampoline for two minutes before attempting any other activities. 
D) Have Alyssa wear a weighted vest during therapy sessions.

Question 11

How could you inhibit spasticity in the left, upper extremity of your patient - a toddler with cerebral palsy?

Accepted Answer

A) Have the toddler reach for toys overhead with the left hand. 
B) Have the toddler reach for toys in varying positions. 
C) Have the toddler side sit with his weight on the left arm and reach for toys with the right hand. 
D) Have the toddler run across the room and retrieve toys with the left hand.

Question 12

Lester will be discharged from the nursing home in one week. He lives alone, and you have concerns regarding Lester's ability to follow through with the adaptive dressing and housekeeping techniques you have taught him during his nursing home stay. What do you and your OT department decide to do to insure that Lester will be able to follow through with the techniques you have taught him?

Accepted Answer

A) Ask his daughter to check on him every day, even though she lives an hour away. 
B) Tell Lester's physician that he must have home health services to insure he follows through with dressing and housekeeping techniques. 
C) Complete a home visit with Lester and have him demonstrate dressing and housekeeping techniques while you are there. 
D) Tell Lester that he must stay in the nursing home another two weeks.

Question 13

Emily is an 88-year-old outpatient with senile dementia. Her family reports that Emily likes to watch television, but she cannot operate the remote control. They have to help her find stations. What adaptation do you recommend for Emily?

Accepted Answer

A) A television with an old fashioned dial that you have to turn by hand. 
B) Tape off all the remote buttons, except for the On/Off button. 
C) A simple remote control with large, color-coded buttons for On/Off, Channel, and Volume. 
D) A special television that will change channels when Emily waves her hand.

Question 14

Your patient Iva, who has a diagnosis of left cerebrovascular accident with right hemiplegia, has partial shoulder movement with grade 2+ strength. What modality could you use to facilitate shoulder flexion during a reaching activity?

Accepted Answer

A) Ultrasound 
B) Transcutaneous Electrical Nerve Stimulation (TENS) 
C) Neuromuscular Electrical Stimulation (NMES) 
D) Diathermy

Question 15

Ford is a 33-year-old rehabilitation patient with a C5-C6 spinal cord injury. He would like to work on pulley exercises to strengthen his upper extremities, but he cannot hold on to the pulley handles. How can you adapt the pulleys, so Ford can exercise?

Accepted Answer

A) Have Ford slide his hand through the pulley handle opening, and pull on the pulleys with his wrists. 
B) Have Ford wear holding mitts that will strap his fingers onto the pulley handles while he exercises. 
C) Have Ford do an alternate exercise since he cannot hang on to the pulleys. 
D) Tell Ford that it is too soon after his injury to worry about exercising.

Question 16

Your friend Angie has muscular dystrophy. She can still walk around her home using a wheeled walker, but she can no longer manage her grocery shopping. She gets too tired walking behind the shopping cart. What do you recommend to Angie?

Accepted Answer

A) Purchase an electric scooter for grocery shopping, and use a reacher to reach for groceries on the higher shelves. 
B) Put a large basket on the wheeled walker and use that for grocery shopping. 
C) Have groceries delivered. 
D) Use the electric scooter already available at the grocery store, and use a reacher to reach for groceries on the higher shelves.

Question 17

Amy is a 57-year-old inpatient with a diagnosis of schizophrenia. She dislikes the smell of food and avoids eating when possible. Amy's doctors are concerned about her nutritional status. What interventions could you try with Amy to desensitize her sense of smell, so she can eat?

Accepted Answer

A) Have Amy smell foods that she dislikes to desensitize her to their presence. 
B) Have Amy smell essential oils from bottles to stimulate her appetite. 
C) Place an essential oils diffuser in Amy's room, and load it with oils that are designed to stimulate her appetite. 
D) Tell Amy she must eat or her doctor will make her use a feeding tube.

Question 18

Remy is a 37-year-old man with a cognitive disability. He has been working with you on shopping skills and can now successfully shop for and purchase one item at a department store with no assistance. What would be your next step in teaching Remy shopping skills?

Accepted Answer

A) Teach Remy how to take the bus to the store by himself. 
B) Teach Remy how to make a shopping list and shop for more than one item. 
C) Teach Remy how to shop at different stores. 
D) Teach Remy how to shop on the Internet.

Question 19

Norman has left hemiplegia from a right CVA. His Medicare Part A coverage has run out, and his wife wants to take him home rather than pay for a longer nursing home stay. Norman is developing spasticity in his affected arm and has been issued a resting pan splint. What training will his wife need before she takes Norman home?

Accepted Answer

A) How to position Norman's arm while he is resting. 
B) How to perform passive range of motion exercises to Norman's affected arm. 
C) How to apply Norman's resting pan splint, and what his wearing schedule is for the splint. 
D) All of the above.

Question 20

Your student Jesse, who has multiple developmental disabilities, cannot feed herself at lunch without spilling food on her lap. She holds her spoon with a gross grasp and cannot scoop food without shoveling it off her tray. She does not pay attention to where her food items are and repeatedly knocks her milk and tray off the lunch table. What adaptations do you recommend for Jesse to her teacher?

Accepted Answer

A) Swivel spoon and lip plate 
B) Sectioned lip plate, non-skid mat, and covered cup 
C) Large handled utensils, sippy cup, and suction bowl 
D) A plastic bib and non-skid mat under the tray

Exam 2: Implementing Interventions