Question 1

Ava is your outpatient with a diagnosis of bipolar disorder. She is going on her first job interview in two years, and she is very nervous. How can you help calm Ava's nerves before she goes on her job interview?

Accepted Answer

A) Tell Ava to take her anti-anxiety medication. 
B) Drive Ava to her job interview to help calm her down. 
C) Assure Ava that she is an intelligent woman, and she will do fine during her interview. 
D) Conduct two or three practice interviews prior to the actual interview. This will allow Ava to become comfortable with the interview process.

Question 2

You must perform scar mobilization to your outpatient Erick's forearm. What modality could you use to heat the area prior to completing scar mobilization?

Accepted Answer

A) Ultrasound 
B) Diathermy 
C) Transcutaneous Electrical Nerve Stimulation (TENS) 
D) Paraffin bath

Question 3

Richard has severe panic attacks while he is out in his community. He only goes to a limited number of places when he is out of the house. What accommodation could you arrange for Richard to help manage his panic attacks?

Accepted Answer

A) Have Richard dial 911, so the police can pick him up and bring him home. 
B) Arrange for someone to drive Richard everywhere he needs to go. 
C) Arrange for two or three "safe places" where Richard can go to calm down if he has a panic attack. 
D) Tell Richard to stay home.

Question 4

What is a mechanical soft diet?

Accepted Answer

A) A diet that is easy to chew and swallow. It includes ground meats, cooked fruits and vegetables, soft dairy products, and softened breads and cereals. 
B) A diet with food that have been softened by a mechanical device. 
C) A diet that has been pureed in a blender. 
D) A diet for a robot.

Question 5

Carl is a 48-year-old man with multiple psychological diagnoses. He has difficulty with executive functions and is unable to balance his bank account without making numerous errors. What do you recommend to Carl to help him manage his bank account?

Accepted Answer

A) Use a calculator to make calculations, rather than attempting to complete math problems mentally while balancing his bank account. 
B) Check the bank balance online every day to make sure the account has enough money. 
C) Request that the bank monitor his bank balance for him. 
D) Open more than one bank account in case one becomes overdrawn.

Question 6

Harvey has generalized weakness and uses a wheelchair to move around his assisted living facility. He is able to transfer himself in and out of his wheelchair. But a staff member is required to watch him while he transfers due to his balance problems. What type of transfer assistance is this?

Accepted Answer

A) Minimal assistance 
B) Standby assistance 
C) Maximum assistance 
D) Moderate assistance

Question 7

The special education teacher complains to you that your student, Evan, has been in his wheelchair all day. Evan has poor postural control and spasticity in his legs, which makes him prone to lower extremity contractures. How can you work on fine motor skills while accommodating Evan's need for a change in position?

Accepted Answer

A) Move Evan to a regular chair to work on fine motor skills. 
B) Have Evan sit or lay on the floor to work on fine motor skills. 
C) Move Evan to the standing table with a tray in place to work on fine motor skills. 
D) Do not move Evan from his wheelchair because he should be seated to work on fine motor skills.

Question 8

As you continue the home evaluation, you notice that Frances' home is full of beautiful antique furniture, accent tables, and handmade throw rugs. What do you tell Frances regarding her home?

Accepted Answer

A) "Frances, your home looks like an antique store! Why don't you get rid of all this junk?" 
B) "Frances, you have a beautiful home. I can see why you want to come back here to live." 
C) "Frances, you have a beautiful home. But your accent tables and throw rugs might be safety hazards. Can someone help you move them out of the way until you are stronger?" 
D) "Frances, your throw rugs might cause you to trip. Have someone tape them down with duct tape, so you don't catch your walker on the edges."

Question 9

What activities do you select for your new hospital inpatient with respiratory Methicillin Resistant Staphylococcus Aureus (MRSA)?

Accepted Answer

A) Upper-body strengthening using the exercise equipment in the physical therapy gym. 
B) Upper-body strengthening using exercise bands and exercise putty in the patient's room. 
C) Upper-body strengthening using the range of motion arc and ladder in the OT clinic. 
D) Upper-body strengthening using wrist weights and a resistive hand exerciser in the OT clinic.

Question 10

A middle school student with cognitive disability cannot write his name. What would be an appropriate adaptation?

Accepted Answer

A) Have the student attempt to write with a large, black marker. 
B) Have the student type his name. 
C) Have the student use a self-inking name stamp. 
D) Have an adult write the student's name for him.

Question 11

You issue a slant board and pencil grip to your first-grade student to use in his classroom. When you check on his status, you notice that he is not using either device. You ask his teacher about the devices, and she tells you that she forgot about them. How do you emphasize the importance of these devices to your student's teacher?

Accepted Answer

A) You tell the teacher that using the devices is a part of your student's IEP, and she must remember to have your student use them. 
B) You show the teacher how the devices are used and how they improve your student's ability to complete written work. 
C) You ask your OT department to talk to the teacher since she won't listen to you. 
D) You grab the slant board and pencil grip and give them to your student. This shows the teacher that she is irresponsible in not reinforcing the use of the devices.

Question 12

Susan is a 76-year-old home health patient with a diagnosis of macular degeneration. She has lost most of her vision and is learning to adapt her ADLs. What product could you use to mark Susan's stove, light switches, and other areas to allow her to feel for settings?

Accepted Answer

A) Duct tape 
B) Bump dots 
C) Tacky glue 
D) Glow-in-the-dark sticky stars

Question 13

Wade, your work hardening patient, must return to his job at a warehouse after a L1-L2 laminectomy. Part of his job involves unloading small- to medium-sized boxes by hand from semi-trucks. What ergonomic principle are you going to teach Wade before he returns to work?

Accepted Answer

A) You will teach Wade to keep his back straight and bend his knees while lifting heavy boxes. 
B) You will teach Wade to carry heavy boxes away from his body. 
C) You will teach Wade to stand and twist his body as he moves boxes from place to place. 
D) All of the above.

Question 14

Hannah is an 82-year-old nursing home patient who is recovering from hip replacement surgery. You are teaching her to use a sock aid to put on her socks, but she does not understand the process. How can you adapt this activity for Hannah?

Accepted Answer

A) Break the activity down into smaller steps. Have Hannah complete just one or two steps until she learns them, then add additional steps. 
B) Have Hannah do the activity over and over until she gets it. 
C) Put the sock on the sock aid for Hannah every time. Then, just have her pull the sock on. 
D) Ask nursing staff to help Hannah with her socks.

Question 15

Your outpatient, Amanda, asks you why she needs to complete internal and external active range of motion exercises to her dominant arm following a shoulder injury. What do you tell her?

Accepted Answer

A) So she can regain full motion in her shoulder joint. 
B) So she can throw a softball again. 
C) It is a part of the shoulder rehabilitation protocol. 
D) So she can reach the back of her head to comb her hair.

Question 16

Rod is a 73-year-old patient with severe osteoarthritis in his shoulders. He has a pacemaker. What modality could you use to relieve shoulder pain prior to exercise?

Accepted Answer

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

Question 17

Charlie positions his right arm in slight flexion due to an old triceps tendon injury with resulting weakness. How could you facilitate contraction of the triceps muscle to improve extension and prevent contracture in Charlie's right arm?

Accepted Answer

A) Provide passive range of motion to Charlie's right elbow. 
B) Provide quick stretch to Charlie's biceps, followed by reaching forward for a cone. 
C) Provide quick stretch to Charlie's triceps, followed by weight bearing on the right arm. 
D) Complete active range of motion exercises.

Question 18

John and his wife Lavinia have been married for 63 years. John is being discharged from the nursing home. You have worked hard at teaching him how to complete ADLs himself, but he insists that Lavinia help him with everything once he gets home. Lavinia has severe osteoarthritis and has trouble completing her own ADLs. What do you tell John to encourage him to complete ADLs himself?

Accepted Answer

A) "John, you are lazy. You must complete your own self-care tasks. 
B) "John, your doctor will not let you out of this nursing home until you can complete your own self-care tasks." 
C) "John, I know Lavinia is very willing to help you do everything at home. But she is in a lot of pain, and she has trouble completing her own self-care tasks. Don't you think that if you could complete your own self-care tasks, you would make life easier for Lavinia?" 
D) "John, I will not allow Lavinia to do everything for you. You must complete your self-care tasks yourself!"

Question 19

Darla is a 2-year-old student with spina bifida. She cannot sit on the floor with her playmates at her daycare to play with toys. What accommodation do you recommend for Darla?

Accepted Answer

A) Position Darla in side lying on the floor using bolsters or pillows. 
B) Position Darla in a floor sitter, such as a universal corner chair. 
C) Either A or B. 
D) Position Darla on an adjustable bench that is close to the floor.

Question 20

You have six OT students in the kindergarten class at your school. The classroom teacher has asked you for ideas to help with handwriting for all of the students. How could you approach this request?

Accepted Answer

A) Offer to co-teach a 30-minute handwriting unit to the entire class once per week. 
B) Offer to teach a 30-minute handwriting unit to the entire class while the teacher takes a break. 
C) Offer to teach handwriting to a small group that only includes your students. 
D) Offer to teach handwriting to small groups of all of the students.

Exam 2: Implementing Interventions