An OT is preparing to evaluate a toddler who has upper limb orthopedic concerns. How will the OT MOST likely obtain the majority of initial assessment data?
A child demonstrates aggressive and disruptive behavior in school as a result of low sensory threshold. Which suggestions would be MOST useful to discuss with the teacher regarding an upcoming class bus trip to the zoo?
a. Review bus rules with the child and apply consequences consistently
b. Seat child at front of the bus and use earmuffs to dampen noise
c. Have child monitor classmates as "bus patrol" and report behavior
d. Let the child set the criteria for a successful trip, and provide a reward if the criteria are met
b. Seat child at front of the bus and use earmuffs to dampen noise
A 7YO child with limited pincer grasp wants to zip his own pants in the school because he gets embarrassed when he has to ask his teacher for assistance after using the bathroom. Which should the OT recommend the child try FIRST?
a. Large key ring
b. Oversized fasteners
c. Colored zippers
d. Hook and loop fasteners
Large Key ring
During the initial interview, parents describe their child as having difficulty communicating and interacting with others. The OT observes him repeatedly gazing upward and scanning the ceiling or quickly patting his hip. The behaviors described are MOST likely to be associates with what disorder?
Autism Spectrum Disorder
A child with behavioral problems has difficulty with peer interactions. The OT's intervention plan is MOST likely based on which approach?
a. Provide small group occupation based activities in an authoritarian environment with clear expectations
b. Begin with 1:1 occupation-based activities to develop child's social skills, then introduce group activities
c. Provide small group occupation-based activities to encourage exploration
d. Provide small group occupation-based activities with rules to define acceptable play guidelines
Begin with 1:1 occupation-based activities to develop child's social skills, then introduce group activities
During an initial evaluation, the OT suspects that a child has somatodyspraxia. In what area should the OT focus the evaluation?
As the school team meets to develop the IEP for a 3rd grade student with ASD, the OT helps to project longer-term academic and functional performance outcomes for the student in middle school and high school. Which is the MOST significant benefit of this approach for program planning?
a. Assurance that services will be available for the student in future years
b.Likelihood for optimal progress toward relevant post-high school grades
c. Current services that focus on steps to achieve targeted long-range outcomes
d. Avoidance of unnecessary duplication of services from year to year
c. Current services that focus on steps to achieve targeted long-range outcomes
The OT is treating a child with an above elbow amputation who is experiencing hypersensitivity of the residual limb. The therapist would MOST likely perform which intervention in the preprosthetic phase of treatment?
a. Engage child in play that strengthen bilateral upper extremities
b. include activities to increase ROM in the shoulder of affected side
c. Encourage play activities that incorporate tapping, application of textures, and weight bearing to the residual limb
d. Practice dressing activities that include putting on and taking off UE prosthesis
Encourage play activities that incorporate tapping, application of textures, and weight bearing to the residual limb
A toddler with spina bifida has been referred for assessment. When collecting the initial data during the interview with the child’s parent, what should the OT focus on PRIMARILY?
An OT is developing a measurement plan to track changes in social participation of several students with ASD. Which is the MOST likey measurement strategy the OT selects?
a. School Function Assessment
b. Documentation of change in narrative progress notes
c. Photographs taken over a 2month period during recess
d. Goal Attainment Scaling
Goal Attainment Scaling
A child avoids playground equipment that requires her feet to be off the ground. What does this behavior MOST likely indicate?
A preschooler is having difficulty performing tasks requiring hand-eye coordination as a result of poor visual tracking skills. What activity should the OT use FIRST to promote visual tracking skills?
a. Tossing and catching water balloon
b. Catching and bursting soap bubbles
c. Throwing and catching a beach ball
d. Playing softball
Catching and bursting soap bubbles
Which leisure activity BEST suits a 6th grade student with juvenile rheumatoid arthritis to help him maintain ROM?
a. Swimming
b. Basketball
c. Soccer
d. Aerobics
Aerobics
An OT is initiating an evaluation of a pre-school child diagnosed with autism spectrum disorder. What is the OT MOST likely to include in the evaluation process?
A child with underreactive sensory processing has been referred to OT. Based on sensory integration frame of reference, intervention activities should have which facilitatory characteristics?
a.Arrththmic and expected
b. Arrhythmic and slow
c. sustained and slow
d. unexpected and rhythmic
unexpected and rhythmic
When the OT suspects tactile defensiveness as a rationale for a child’s challenges, in what area of participation should the OT focus on FIRST?
An outpatient OT meets with the parents of a 7YO boy with developmental coordination disorder (DCD). The OT believes his performance challenges his participation in school and brings this up. What is the MOST appropriate way for the OT to address the parents?
a. Request permission to send progress report to school district
b. Ask parent for permission to call school OT to learn about IEP referral process
c. Suggest that the school district pay for the child's outpatient therapy, as it likely relates to the child's school performance
d. Ask whether the school district has addressed his coordination difficulties and it not, discuss further whether the parent wishes to raise the issue with the child's teacher
Ask whether the school district has addressed his coordination difficulties and it not, discuss further whether the parent wishes to raise the issue with the child's teacher
The OT fitted a 6YO child with an adapted seat to use during mealtime and other tabletop activities at home. What information is MOST appropriate to convey to the parents?
a. use seat as the child is willing
b. bring seat in for each weekly therapy session
c. bring seat in for reevaluation in 4-6 months
d. keep seat until the end of the IEP
bring seat in for reevaluation in 4-6 months
A child has considerable difficulty with problem-solving when paying with interlocking blocks, becomes frustrated, and gives up easily. An OT would MOST likely suspect problems in what area?
A child with cerebral palsy and limited postural stability is developmentally ready for toileting. Which element of treatment planning should be considered FIRST?
a. Training and management of fasteners
b. Utilization of foot supports
c. Provision of seat belt
d. Training in climbing onto toilet
Training in climbing onto toilet
What is the MOST important aspect of administering and scoring a standardized test?
The OT is planning intervention intervention for a 10YO child with learning disabilities and significant difficulties accomplishing writing and drawing tasks, secondary to perceptual-motor dysfunction. When selecting a service delivery approach, which is the BEST choice?
a.Consultation with teacher to student stays in least restrictive environment
b. 1:1 intervention from the OT to focus on student's skill development before middle school
c. intervention from the OT in a small group with other students with similar needs
d. a combination of service delivery models so OT can address student, teacher, and task needs
a combination of service delivery models so OT can address student, teacher, and task needs
A child with developmental delay in a kindergarten class has just developed the strength and stability in his R hand to hold scissors properly and make snips in paper. Which activity would help the child to develop the next level of scissor skills?
a. cut cloth and cardboard
b. cut along curved lines
c. cut along straight lines to cut out triangle
d. cut paper in two following straight line
cut paper in two following straight line
A preteen with spastic cerebral palsy wants to use a computer. Prior to evaluating computer needs, what should the OT learn about FIRST?
a. The family's ability to afford a computer and its upgrades
b. Computer learning programs to facilitate student's participation in the classroom
c. The student's physical and cognitive capacities to determine appropriate keyboard and screen options
The student's physical and cognitive capacities to determine appropriate keyboard and screen options
The mother of a 3YO with spastic quadriplegic wants her son to walk independently around the house. The child is not yet ready to achieve this goal; however, his mobility would be helpful to the mother who is finding her child difficult to lift. What is the BEST way to assist in the development of family-centered intervention?
a. suport and work on the parent's goal as she has stated
b. Suggest an alternate goal of improving sitting balance for playing
c. Propose a modified goal that still meets the parent's needs
d. include the child in the goal-setting process
Propose a modified goal that still meets the parent's needs