Evaluation
An OT is evaluating a school-aged child with CP. Which procedure should DEFINITELY be included in the process?
A. Screening of gross and fine motor performance
B. the COPM
C. Interview with child's parent
D. BOT-2
C- Interview with child's parent
An OT observes a child climb into a high chair and jump up and down on the floor. However, when presented with a new rocking horse, the child is unable to mount the horse and ride. This MOST likely indicates a problem with which area?
A. Muscle strength
B. Motor control
C. Reflex integration
D. Praxis
D. Praxis
When developing play activities for a child with juvenile rheumatoid arthritis, what kinds of activities should the OT avoid?
A. Light touch
B. Vestibular
C. Resistive
D. Elevated temperature
C. Resistive
A. Creeping
B. Rolling from back to stomach
C. Cruising
D. Rolling from supine to sitting.
A. Creeping
During intervention planning, before the OT develops goals and objectives for a 6 YO child with ASD, what other steps need to be completed?
a. Identify a practice model and frame of reference and select intervention activities
b. engage in the clinical reasoning process to identify priorities for this student
c. collaborate with other team members to develop long term goals and project duration of services
d. review school's requirements to understand the preferred format and style for goal writing
c. collaborate with other team members to develop long term goals and project duration of services
A child with ASD engages in limited and repetitive acts during an OT eval. How would the OT MOST likely document the child's behavior?
A. The child rocks and bangs his head against the wall throughout the eval.
B. The child frequently cries, without an obvious reason that creates tearfulness.
C. The child does not verbally respond to the questions initiated by the OT.
D. THe child does not make eye contact with the OT throughout the eval.
A. The child rocks and bangs his head against the wall throughout the eval.
At a team meaning, a teacher reports that a child is having difficulty copying letters, completing paper mazes, and using scissors. This behavior MOST likely indicates a problem in which area?
A. Visual motor integration
B. Visual acuity
C. Visual tracking
D. Visual discrimination
A. Visual motor integration
An OT is planning intervention for an 11 month old child who was born 3 months prematurely and spent 2 months in the NICU. When thinking about expectations, how does the OT need to consider the baby's development?
A. as an infant who is 8 months old
B. as an infant who is 9 months old
C. as an infant who is 11 months old
D. according to norms for premature infants
A. as an infant who is 8 months old
In planning a therapeutic dressing intervention for a 1st grade child who has Down syndrome, what should the OT consider first?
A. Adaptive equipment
B. Adaptive clothing
C. Proper positioning
D. Adapted teaching techniques
D. Adapted teaching techniques
An OT is working with a family and their 1MO infant who have just enrolled in early intervention. Which is MOST likely a first step in her initial home visit?
a. update the developmental assessment completed 2 weeks ago by the eval team to establish current baseline
b. ask the parent's to describe the infant's daily schedule and identify routines that are going well and those that are challenging
c. confirm the parent's schedule and review the dates of planned visits for the months before the next Quarterly review
d. handle the infant to assess muscle tone and provide visual, touch, and movement stimulation to observe sensory response
b. ask the parent's to describe the infant's daily schedule and identify routines that are going well and those that are challenging
When completing a screening following the teacher's concerns over a 3rd grader's hand-writing skill, what is the PRIMARY goal of the OT?
A. Provide strategies to promote student's fine motor development
B Document the appropriateness of the teacher's referral
C. Establish the student's hand skill and penmenship baselines
D. Determine the need for further formal evaluation
D. Determine the need for further formal evaluation
A. Change pace of test activities according to test manual specification
B. Terminate session and score the remaining items at 0 points
C. Follow administration instructions without deviation
D. Adapt the remaining test items to ensure the child's success
A. Change pace of test activities according to test manual specification
What is the priority in the OT intervention plan for a new student who travels to elementary school using a wheelchair?
A. opportunities to practice maneuvering the wheelchair through an obstacle course made of cones.
B. Plans for routine wheelchair maintenance and subsequent needed repairs
C. Training for the school bus driver to ensure that the student travels to school safely and comfortably
D. plans to design and create a writing surface that can be attached to the wheelchair for student's use during seat work.
C. Training for the school bus driver to ensure that the student travels to school safely and comfortably
An OT is working with a group of 3 year old children in a preschool setting. The OT has decided to initiate a group that facilitates symbolic play. Which would be the MOST appropriate activity to introduce first?
A. scissors and cutting with construction paper
B. Jump rope games with complex footwork
C. Make-believe group with stuffed animals and imaginary friends
D. Building towers with blocks that resemble pictures in books.
C. Make-believe group with stuffed animals and imaginary friends
a. applesauce and mashed bananas
b. cut up meats and sandwiches
c. strained fruits and veggies
d. scrambled eggs and pureed bacon
b. cut up meats and sandwiches
A. Significantly below age level
B. Slightly below age level
C. At age level
D. Above age level
C. At age level
In planning the evaluation for an adolescent with psychosocial problems, which is the school-based OT MOST likely to include?
A. Prevocational and career skills
B. Observation in the cafeteria and during classroom free-play period
C. Standardized measures of visual motor performance related to school tasks
D. Community mobility checklist
B. Observation in the cafeteria and during classroom free-play period
A STG of the treatment plan of a child with CP is to improve the ability to manipulate objects during play, and increased flexor tone interferes with the child's ability to grasp objects. What activity would be MOST appropriate to meet this objective?
A. building a block tower
B. Active release of blocks into container
C. Traction on the finger flexors
D. Weight-bearing over a small bolster in prone position
D. Weight-bearing over a small bolster in prone position
An outpatient OT has administered, scored, and interpreted data from interview, observation, and assessments. What is the FIRST step in developing recommendations for the child?
A. Describe and prioritize the child's problem and needs
B. Document evaluation findings in a language and manner that are useful for team members, including child's parents
C. Consider roles and occupations required for this child and develop recommendations that increase the child's competence in these areas
D. Analyze the effects of the child's difficulty on developmental tasks and performance
C. Consider roles and occupations required for this child and develop recommendations that increase the child's competence in these areas
Based on evaluation data, the IEP team has developed goals for a new student with ASD and is now developing a service plan. Which represents the MOST likely next step?
a. team leader identifies the classrooms in the school district that are available for students with ASD
b. IEP team leader describes the services the school typically provides to students with similar needs
c. Family and other team members discuss the service options to identify those that match established priorities and support student's achievement
d. IEP team approves services that are available in the school and refers the family to community resources for those they cannot provide.
c. Family and other team members discuss the service options to identify those that match established priorities and support student's achievement
An OT is assessing a 3 YO child born with fetal alcohol syndrome. In addition to the parent interview, which is the NEXT strategy to gather assessment data?
A. Complete an interest and activities survey with child
B. Record the child's developmental milestones on a standardized chart for comparison
C. Refer to the child's medical records and reports from early intervention services
D. Watch the child engage in play, eating, and bathing techniques
D. Watch the child engage in play, eating, and bathing techniques
A child is lacing a series of geometric beads by copying from a stimulus card and is unable to identify a moon-shaped bead when it is turned sideways on the table. What area of visual perception is MOST difficult for the child?
A. Figure Ground
B. Form constancy
C. Position in space
D. Visual sequencing
B. Form constancy
A family and their young child are ready to transition from part C early intervention to a preschool program. Which option will MOST likely support the family in the process?
A. Home-based OT advises family that services and paperwork differ in preschool so they are prepared to expect changes
B. Home-based OT contacts OT at preschool agency and offers to answer any questions after the toddler begins preschool.
C. Preschool staff invite the parent and child to come and visit the preschool before they end current services
D. IFSP team ensures that all paperwork is complete and in the child's file before the anticipated transition date.
C. Preschool staff invite the parent and child to come and visit the preschool before they end current services
A child with ASD presents as clumsy and has difficulty with moving through space and executing efficient gross motor control. The OT can BEST support this child through which approach?
A. look at pictures of children playing on an obstacle course and talk about what they are doing with this child just prior to beginning the activity
B. include ample opportunities for practice and repetition in parts of an obstacle course before trying multiple segments together
C. Prior to beginning, remind the child about what an obstacle course is and demo various ways of moving through its segments
D. Limit tactile sensory experiences in the obstacle course segments, preferring primarily vestibular experiences
A. look at pictures of children playing on an obstacle course and talk about what they are doing with this child just prior to beginning the activity
A 3YO child with Down syndrome is dependent in all areas of dressing. When using a developmental approach with this child, which skills should FIRST be addressed?
a. pulling shoes off feet
b. putting on a t shirt
c. removing sweat pants
d. putting on hat
a. pulling shoes off feet