Evaluation
1. An individual has a history of substance abuse and poor social skills and is cognitively intact. she has enrolled in a program with an emphasis on developing skills to live independently in the community. the philosophy of the facility is guided by the recovery model. which assessment should be part of the initial evaluation?
A. Functional Independence Measure (FIM)
B. Assessment of Motor and Process Skills (AMPS)
C. Canadian Occupational Performance Measure (COPM)
D. Allen Diagnostic Module (ADM)
39. An OT is evaluating an individual with a cognitive disability. the ability to complete a tile trivet following a sample is demonstrated, and an inability to utilize written instructions is observed. which one of the following jobs would be the MOST appropriate assignment in an employment training program?
A. Sorting plastic utensils into separate containers
B. Assembling packets that include a knife, fork, spoon and napkin based on a sample
C. Selecting matching shoelaces from a mixed pile and lacing them into a display card
D. Gluing labels on cans and placing them in an appropriate container according to color
95. When fabricating an orthotic device for an individual with swan-neck deformities, the orthotic should be designed to prevent what positions?
A. Hyperextension of the PIP and DIP joints
B. Hyperextension of the PIP joint and flexion of the DIP joint
C. Flexion of the PIP joint and hyperextension fo the DIP joint
D. Hyperextension of the MP joint and flexion of the PIP joint
100. After several months of working with an OT, a client with severe and persistent mental illness has obtained a job cleaning empty offices for 4 hours a day. While taking public transportation to the job site, the client experiences ridicule from school-age children taking the same bus to school in the morning. Using an environmental adaptation approach, what is the best action for the OT to take so that this client can keep this job?
A. Negotiate work hours that would allow the client to travel at times that children are less likely to be on the same bus.
B. Have the client take a taxi rather than a city bus
C. Work with the client on coping skills so that the schoolchildren's taunting is more manageable
D. Volunteer to offer a mental health awareness day for the local school district
177. At the end of an outpatient treatment session, a patient states that his Medicare cap has been reached and he does not want to continue Occupational Therapy Services because he cannot afford to pay for the treatment. Which of the following actions would be MOST appropriate for the OT practitioner to take?
A. Treat the individual per the physician's order and notify the office manager about the patient's refusal
B. Based on his refusal, do not treat the individual and document the interaction in the chart
C. Treat the individual, but do not charge or document the services
D. Do not treat the individual and only charge for the spent completing the chart review
2. An individual requires 40% to 50% assistance from the OT to transfer from a wheelchair to a sliding board and to lift his legs from the wheelchair into and out of a bathtub. According to Functional Independence Measure (FIM) Levels, the individual will require which level of assistance to complete the transfer?
A. Total Assistance
B. Minimal Assistance
C. Moderate Assistance
D. Maximal Assistance
40. An individual is recovering from digit amputations of the right hand and complains of pain when any sensation is felt on the affected hand. when implementing a program of desensitization training for the patient, the MOST appropriate sequence for grading the sensory stimuli that will be applied to the patient's hand is from:
A. soft to hard to rough
B. tap to rub to touch
C. light to medium to heavy
D. rough to hard to soft
96. An OT is developing a retirement planning protocol for a group of older adults at a community senior center, based on the trans theoretical model. What activity would be MOST appropriate for individuals in the precontemplation stage?
A. "Identify one life role you wish to continue after retirement"
B. "List five potential changes you will face following retirement"
C. "List the steps you need to take to accomplish one of your goals"
D. "Choose one goal to address for this session"
101. The OT is observing a 3-year-old child during toothbrushing. the child demonstrates good bilateral upper extremity / hand strength, but decreased dexterity. Which piece of equipment would the OT MOST likely encourage the child to use during toothbrushing?
A. A small soft bristle toothbrush
B. A toothbrush with universal cuff
C. An electric toothbrush
D. A soft sponge-tipped toothette
178. An OT is part of a team developing a policy for discontinuation of services to students in school-based settings. What is the MOST appropriate time to end School-based OT services?
A. Failure to achieve long-term objectives by the end of the school year
B. Inability to accomplish short-term goals within one marking period
C. Transition from middle school to high school
D. Participation in all classroom activities and routines with agreed upon adaptations
3. An OT working at a Veterans Administration Hospital has been asked to participate in developing a new program for individuals with post-traumatic stress disorder (PTSD). the PRIMARY focus of treatment planning and intervention will most likely be on which of the following areas?
A. Pain management and balance
B. Memory and concentration
C. Sleep and emotional regulation
D. Communication and social participation
41. When preparing a home program with the goal of independent toileting for a young child with postural balance difficulties, what is the MOST important adaptation the OT can recommend?
A. Replacing buttons on clothes with hook and loop closures
B. Mounting a safety rain next to the toilet
C. Introducing toilet paper tongs to facilitate independence
D. Placing colorful "target" in the toilet bowl
97. An OT is working as part of a multidisciplinary team that contributes to an Individualized Education Program (IEP). How is an IEP MOST ACCURATELY described?
A. A contract that lists the student's goals and services intended to help achieve those goals.
B. A document that outlines the district's educational curriculum together with the state's learning standards
C. A process and legal document that outlines strengths, needs and educational services for a student with a disability.
D. A plan of services and supports for families and their infants and toddlers with disabilities.
102. An individual with a history of anger self-control issues has met the goals of independently identifying anger-provoking stressors in his home and work life and identifying his typical behaviors in anger-provoking situations. What action should the OT take NEXT?
A. Initiate training in conflict resolution strategies
B. Utilize creative media to explore situations that trigger anger
C. Implement use of journaling to identify stressors and responses
D. Recommend discontinuation of occupational therapy services
179. An OT is filling out an incident report regarding a patient who was seen on the rehabilitation unit. Which of the following scenarios is the MOST likely to be the subject of an incident report?
A. The patient complained of nausea during a standing activity
B. A patient with a spinal cord injury indicated that his hand orthoses were uncomfortable
C. A patient who had a total hip replacement did not follow precautions while completing dressing activities but did not complain of discomfort
D. A patient with the diagnosis of CVA and left neglect caught his left arm in the wheel of the wheelchair, resulting in a cut and bruise
4. While developing an occupational therapy profile of a child with autism spectrum disorder, the OT meets with the child's primary caregiver. what should the OT do as a FIRST step?
A. Ask the caregiver about the child's typical day and nighttime routines
B. Explain that norm-referenced testing will be included in the evaluation
C. Interview the teacher to determine developmental milestones the child has reached
D. Observe the child in daily activities within the child's typical environment
42. An artist recently diagnosed with MS is interested in pursuing a Leisure activity that will promote physical fitness. because the individual symptoms are limited to mild UE numbness and slight weakness in the dominant hand at this point, the BEST activity to recommend is:
A. volleyball
B. painting with the dominant hand
C. swimming in a cool water pool
D. jogging on a track or treadmill
98. A patient with a fractured radial head has the arm immobilized from above the elbow to below the wrist. the patient has requested exercises that will help maintain strength in the elbow and forearm muscles while awaiting permission to move the arm in response, what types of exercises should the OT provide instructions to perform?
A. Isometric
B. Isotonic
C. Progressive Resistive
D. Passive
103. A child who has a traumatic brain injury (TBI) demonstrates tongue thrust. What should the OT do FIRST prior to feeding?
A. Position the child's trunk, head, neck and shoulders in the proper alignment
B. Recline the child's seat backward and position the neck in slight extension
C. Place the OT's digits directly under the child's chin, facilitating tongue retraction
D. Provide upward pressure under the child's lower jaw prior to chewing
180. An OT in a psychosocial setting is documenting a client's responses to an activity. Which of the following should the therapist write in the chart in order to relay the objective portion of the note?
A. The client did not want to finish her stenciling activity.
B. The client was hostile to another client in the activity group.
C. The client independently selected one of six craft designs presented.
D. The client demonstrated an appropriate level of frustration tolerance.
5. An OT wishes to identify how a patient spends his leisure time, which leisure activities he especially enjoys, and which others he has participated in that he would be interested in renewing. the MOST appropriate tool for this purpose is the:
A. Kohlman Evaluation of Living Skills
B. Modified Interest Checklist
C. OT-Quest
D. Leisure Satisfaction Scale
43. Results of an occupational therapy evaluation show that a young child has many tactile defensive behaviors. What is the MOST appropriate beginning activity for intervention for this child with sensory processing difficulties?
A. The child pretends to be part of a "sandwich" between heavy mats
B. The therapist applies lotion to the child's arms and legs
C. The child is blindfolded and guesses where he or she is touched on the body
D. The child and therapist play the "duck, duck, goose" circle game
99. An individual with a below-elbow amputation lacks sensation in the residual limb. What is the MOST appropriate intervention for the OT to teach the patient?
A. Techniques of tapping, rubbing and application of textures to the residual limb
B. Routinely inspect the skin closely for signs of skin breakdown
C. Deeply massage the residual limb.
D. Perform proper skin hygeine
104. The OT is working individually with a client who has demonstrated anchor and aggression on several occasions. when the OT observes the client becoming increasingly restless, then yelling, what is the FIRST action the OT should take?
A. Remove himself/herself from physical proximity of the client altogether
B. Provide the client with the choice to talk about it or end the session
C. Call for help to escort the client to the emergency room
D. Leave the door to the treatment room open
181. An OT clinician is teaching her colleagues about survey development and various forms of survey design. A survey is considered to be which of the following?
A. Non-experimental
B. Quasi-experimental
C. Pre-experimental
D. Time series tool