Play
ADLs
IADLs
Social Participation
100

Which technique would a therapist not use to help facilitate playfulness?

  • Be strict in applying rules

  • Read child's cues

  • Demonstrate spontaneity

Be strict in applying rules
Being flexible and spontaneous helps to facilitate playfulness.

100

How would you rate Ollie's level of independence in dressing if, with set up, he dresses on his own but requires assistance with fasteners?

  • Is independent with set up
  •  Needs moderate assistance
  • Needs minimal assistance 
  •  Needs supervision
  •  Needs minimal assistance
100

Which of the following is the BEST description of the IADL of health management and maintenance?

  •  Placing water in a bowl to feed a pet and care of a service animal
  •  Engaging in eating a healthy diet and medically managing a condition
  •  Knowledge of and ability to initiate emergency requests
  •  Caring for a younger sibling or other family members

Engaging in eating a healthy diet and medically managing a condition

100

Studies have shown that providing opportunities to engage in community service for youth with disabilities results in all of the following EXCEPT

  •  are more likely to have higher grades.
  •  are more likely to graduate from college.
  •  are more likely to vote in national elections.
  •  have reduced disciplinary referrals.

are more likely to vote in national elections.

200

Which set of factors inhibits play?

  • Safe atmosphere, nonintrusive adults, fun environment

  • Too much novelty, limited choices, overcompetition

  • Freedom from stress, novelty, opportunities to make choices

  • Familiar peers, toys and other materials, freedom of choice

Too much novelty, limited choices, overcompetition
Factors that may inhibit play include external constraints, too much novelty or challenge, limited choices, and overcompetition.

200

When using an educational approach, which of the following methods may be used?

  •  Cognitive Orientation to Occupational Performance (CO-OP) model
  •  Coaching
  •  Anticipatory problem solving
  •  All of the above

All of the above

200

Which of the following is the BEST description of self-determination?

  •  Basic exercise and eating a healthy diet
  •  Helping behaviors such as picking up toys
  • Making choices regarding one’s own actions and interactions
  •  Setting and clearing the table
  • Making choices regarding one’s own actions and interactions
200

Friendships are more significant to one’s psychological adjustment at which of the following stages?

  •  Infancy
  •  Young childhood
  •  Middle childhood
  • Adolescence
  • Adolescence
300

Which characteristics of play are found in children who have been environmentally deprived?

  • Regression, increased social play, decreased anxiety

  • Self-stimulation, decreased social play, limited repertoire of play

  • Playfulness, creativity, increased endurance, and movement

  • Creativity, increased social play, increased verbalizations

Self-stimulation, decreased social play, limited repertoire of play
Children who experience severely deprived environments exhibit self-stimulation, limited repertoire of activities, decreased social play, and either increased or decreased fantasy play.

300

Carley is 12 years old and has had occupational therapy most of her life. With increased extensor tone, Carley has difficulty holding a utensil, accurately placing the washcloth on her face, and brushing her own teeth. Which of the following methods would be most beneficial to use with Carley?

  •  Establish and restore.
  •  Modify or adapt.
  •  Prevent or promote.
  •  Educate her parents about new or different methods to use with Carley.

Modify or adapt.

300

What is the overall goal of occupational therapy practice with children and youth as they enter adult roles?

  •  Full employment
  •  Sensory-motor skill development
  •  Academic achievement
  • Community participation
  • Community participation
300

Studies have shown that children who have friendships that are reciprocated are more likely to demonstrate all of the following EXCEPT

  •  higher grades in school. 
  •  higher language levels.
  •  better conflict resolution skills.
  •  more positive effect.

higher grades in school.

400

Which statement is not an essential criterion for a behavior to be referred to as play?

  • Behavior produces an end product.

  • Behavior is spontaneous, voluntary, or pleasurable.

  • Behavior changes over time.

  • Behavior is initiated when one is relaxed.

Behavior produces an end product.

The criterion includes: Behavior is incompletely functional (play is an end in and of itself).

400

Noah is an active, inquisitive 4.5-year-old who has autism. The family and therapists have brainstormed a variety of ways to increase Noah's toileting skills. Currently, he has 1-2 accidents a day. Based on the evidence, what is the best way to increase Noah's toileting independence?

  •  Use an alarm system in his underwear to signal when he is wet.
  •  Take him to the bathroom every 15 minutes.
  •  Use a picture sequence schedule to show Noah the correct steps for urinating in the toilet.
  •  Place diapers on Noah, and wait until he is ready for toilet training.

Use a picture sequence schedule to show Noah the correct steps for urinating in the toilet.

400

Which of the following are examples of environment factors that could influence IADL performance and participation?

  •  Child’s abilities and capacities
  • Cultural norms and social relationships
  •  Physical, cognitive, and social task demands
  •  Mental health and physical and cognitive abilities
  • Cultural norms and social relationships
400

According to self-determination theory, satisfaction of all the following needs will promote well-being EXCEPT

  •  safety.
  •  autonomy.
  •  competence.
  •  relatedness.

safety.

500

You are treating a 4-year-old boy with poor strength and endurance. You play a game of building a castle tower using large boxes filled with beanbags. You allow the child to take breaks but decrease the time for the breaks each week. How are you using play in this treatment session?

  • As a tool to increase strength and endurance

  • As an occupation

  • As a tool to increase cognition

  • As a reward to gain compliance with the activity

As a tool to increase strength and endurance
When play is used to facilitate another skill, in this case strength and endurance, we have called that using play as a tool.

500

Inbal is an inquisitive 2-year-old who exclaims, "Me do it." She has shortened ulna and radius, bilaterally, and has a hand at the end of her left arm, with no right hand. She is learning to brush her own teeth. What assistive devices are appropriate for Inbal?

  •  A prosthetic arm with a universal cuff to hold the toothbrush
  •  A key to twist the toothpaste out of the tube
  • A long-handled, built-up toothbrush
  •  a and c
  •  All of the above
  • A long-handled, built-up toothbrush
500

Which of the following is an important consideration when addressing IADLs in an early intervention setting?

  •  Utilize skill-based interventions to address development.
  • Incorporate interventions into the family’s everyday activities and routines.
  •  Provide one-on-one intervention with only the child.
  •  Address IADLs that are educationally relevant.
  • Incorporate interventions into the family’s everyday activities and routines.
500

Which of the following is an example of a sensory problem that limits social participation?

  •  Not being aware of one’s voice intonation may communicate the wrong message. 
  •  Not understanding the perspectives of others may cause misunderstandings.
  •  Participating in disruptive behaviors, such as meltdowns, may limit the development of friendships.
  •  Not being aware of appropriate strategies for starting a conversation may limit social acceptance from peers.

Not being aware of one’s voice intonation may communicate the wrong message.

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