What Is Occupational Therapy?

100 Questions | Total Attempts: 496

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What Is Occupational Therapy?

Today, we are placed in positions that most if the times require us to work endlessly to make ends meet. However, most of the times we become vulnerable to illnesses. For this reason occupational therapy is important. Enjoy the quiz.


Questions and Answers
  • 1. 
    A child with myelomeningocele meets the short term goals of achieving functional gross grasp and lateral pinch. After several additional weeks of occupational therapy, the child does not meet the goals of demonstrating pincer grasp and three jaw chuck. Consequently, the therapist modifies the child’s intervention plan. Which intervention is best to include in the revised plan?
    • A. 

      Splint the index finger in 30° PIP flexion and 30° DIP flexion to achieve pincer grasp

    • B. 

      Increase strength of lateral pinch as a basis to develop pincer grasp and three jaw chuck

    • C. 

      Teach the child to use gross grasp and lateral pinch for functional activities

    • D. 

      Teach the child to use ulnar grasp for functional activities

  • 2. 
    An occupational therapist works with a survivor of a house fire. The client has burns on both hands that limit thumb mobility. The client identifies a personal goal of being able to pick up and hold cans to enable independent shopping and meal preparation activities. Which movement of the thumb should the goal statement include as desired functional outcome?
    • A. 

      Carpometacarpal (CMC) palmar abduction

    • B. 

      CMC extension

    • C. 

      Metacarpophalangeal (MCP) flexion

    • D. 

      Interphalangeal (IP) flexion

  • 3. 
    An occupational therapist works in a program for survivors of domestic violence. Which of the following would the therapist do when using a client-centered approach?
    • A. 

      Offer specific concrete behavioral suggestions for dealing with confrontations

    • B. 

      Respond to participants’ self-deprecating comments with positive feedback on personal characteristic

    • C. 

      Reinforce only the participant’s neutral comments about themselves and personal skills

    • D. 

      Reflectively paraphrase the participants’ statements to help clarify their feelings

  • 4. 
    An individual prepares for discharge home following rehabilitation for a left CVA. Residual difficulties include fair dynamic balance, decreased upper extremity (UE) strength and poor dexterity. The individual’s stated priority is to be able to ambulate safely to the senior center located in the client’s apartment building. Which ambulatory aid would be most effective for the occupational therapist to recommend to this client?
    • A. 

      A hemi-walker

    • B. 

      A rolling walker

    • C. 

      A side-stepper walker

    • D. 

      A standard walker

  • 5. 
    An occupational therapist is evaluating a child with developmental delay characterized by hypotonicity. According to the Rood approach, which is the first stability pattern that the therapist should facilitate during intervention?
    • A. 

      Roll over

    • B. 

      Quadruped

    • C. 

      Neck co-contraction

    • D. 

      Prone on elbows

  • 6. 
    A child with congenital anomalies has severe developmental delay. The child demonstrates motor and cognitive skills at the nine-month level. Which is the best adaptation for the occupational therapist to use during intervention to develop child’s visual and auditory awareness?
    • A. 

      A hand-held rattle of the child's favorite cartoon character

    • B. 

      A wrist bracelet with blinking lights that make noise when moved

    • C. 

      A button switch that activates a CD player when the switch is pressed

    • D. 

      A communication device that offers selections of "yes" and "no"

  • 7. 
    An occupational therapist providing home-based occupational therapy services implements a bed positioning plan for a person recovering from a cerebral vascular accident. The person is receiving care from family members and personal care assistants employed by a home care agency. Which action should the therapist take to ensure the accurate implementations of this plan by the client’s caregivers?
    • A. 

      Provide verbal step-by-step directions of the desired positions to the client’s caregivers

    • B. 

      Post written step-by-step directions of the desired positions on the way by client’s bed

    • C. 

      Post pictures of desired positions next to the headboard of client’s bed

    • D. 

      Require each caregiver to demonstrate the replication of the desired positions

  • 8. 
    An individual is evaluated for a repetitive stress disorder. The individual complains of numbness and tingling of the thumb, index, middle, and radial half of the ring finger and aching pain in the proximal forearm. The client states that these symptoms are not evident at night. The occupational therapist notes a positive Tinel’s sign. Which site should be the therapist document as the location of this sign for this client?
    • A. 

      Wrist

    • B. 

      Guyon's canal

    • C. 

      Elbow

    • D. 

      Forearm

  • 9. 
    An adult diagnosed with bipolar disorder has been taking lithium for five years. Prior to a weekly occupational therapy vocational planning group, the client reports noticeable functional changes since the last group session. In describing these changes, the client reports symptoms that may be indicative of a possible lithium overdose. With the client’s permission, the therapist contacts the psychiatrist to describe the client’s concerns. Which symptom would the therapist most likely report as indicative of this problem?
    • A. 

      Reduction in mood swing

    • B. 

      Gross hand tremors

    • C. 

      Decreased velocity of speech

    • D. 

      Fine hand tremors

  • 10. 
    A client with traumatic below-elbow amputation of the dominant right arm has participated in occupational therapy for prosthetic training. The therapist prepares a discharge plan that incorporates recommendations to facilitate independence in meal preparation and feeding. Which method is best for the therapist to recommend the client use to cut meat?
    • A. 

      Hold a regular knife in the terminal device and hold a regular fork in the left hand

    • B. 

      Hold a knife with a built-up handle in the terminal device and hold the plate with the left hand

    • C. 

      Use a one-handed technique with a rocker knife in the left hand and hold the plate with the terminal device

    • D. 

      Hold a regular fork in the terminal device and hold a regular knife in the left hand

  • 11. 
    During a classroom screening, an 8-year-old is observed holding a pencil with tight grip. The student appears to rely heavily on visual cues to assist during both fine and gross motor tasks. During gross motor activities, the student moves in an uncoordinated manner. The occupational therapist uses a sensory integrative frame of reference to interpret evaluation of data. Which impairment should the therapist document as needing further evaluation?
    • A. 

      Vestibular processing dysfunction

    • B. 

      Proprioceptive system dysfunction

    • C. 

      Hyporesponsive tactile system

    • D. 

      Hyperresponsive tactile system

  • 12. 
    An occupational therapist develops a task group for the newly admitted patients of a psychiatric inpatient unit of a busy city hospital. The therapist considers several activities to use for the group’s first session. Which activity is best for the therapist to present to the group members?
    • A. 

      Planning a weekend pizza party for the patients and their visitors

    • B. 

      Decorating styrofoam cups and planting cuttings in them

    • C. 

      Publishing a weekly newsletter about city attractions for patients on the unit

    • D. 

      Painting large mural to cover one wall of day room

  • 13. 
    The occupational therapist plans the client’s early mobilization program. Which is the most appropriate exercise routine for the occupational therapist to use within the limits of a dorsal block splint?
    • A. 

      Active flexion / Passive extension

    • B. 

      Active flexion / Active extension

    • C. 

      Active extension / Passive flexion

    • D. 

      Passive flexion / Passive extension

  • 14. 
    A person fell and sustained bilateral Colle’s fractures. The client wore bilateral short-arm casts for six weeks. After cast removal, the client began OT sessions to increase endurance and strength prior to returning to work. The client tends to work hard when performing resistive exercises with both wrists. The therapist monitors the client for overextension. Which behavior indicates overextension?
    • A. 

      Decreased respiration rate during resistive wrist flexion

    • B. 

      Increased ability to achieve full ROM of the wrist

    • C. 

      Complaints of pain in the wrist extensors

    • D. 

      Consistent strength in wrist extension activities

  • 15. 
     A two-year-old child receives home care early intervention services. The occupational therapy intervention plan includes a goal to develop child’s pincer grasp. Which is the most appropriate activity for the occupational therapist to work on with the child during an intervention session?
    • A. 

      Finger-feeding of O-shaped cereal

    • B. 

      Picking up marbles

    • C. 

      Drawing with jumbo crayons

    • D. 

      Stacking one-inch cubes

  • 16. 
    In measuring the ROM of a client’s elbow, the occupational therapist records a flexion measurement of 145°. Which is the most accurate for the therapist to document based on this measurement?
    • A. 

      Hypomobility

    • B. 

      Dysfunctional elbow ROM

    • C. 

      Hypermobility

    • D. 

      Normal elbow ROM

  • 17. 
    An adult diagnosed with multiple sclerosis (MS) over 10 years ago experiences exacerbation of symptoms. The individual’s principle complaint is decreased strength and endurance. The person can ambulate short distances within a cane in the home and uses a wheelchair outside of the home. The client asks for suggestions to enable independent home maintenance. Which is the best positioning recommendation for the occupational therapist to suggest the person use during meal preparation?
    • A. 

      Sitting in the wheelchair with a tray table

    • B. 

      Sitting at the kitchen table

    • C. 

      Leaning against the counter while standing

    • D. 

      Leaning against a tall stool while standing

  • 18. 
    A person is 5 days post coronary artery bypass graft (CABG). The patient expresses anxiety about performing any type of activity and reports chest pain during ambulation. The cardiologist has approved activities at a metabolic equivalent (MET) level of 2-3. Which activity is best for the occupational therapist to use when initiating intervention with this person?
    • A. 

      Grooming while standing at the sink

    • B. 

      Grooming in sitting

    • C. 

      Sponge bathing while sitting

    • D. 

      Performing light housework

  • 19. 
    A ten-year-old with congenital anomalies wears bilateral ankle-foot orthoses. The parents want the child to be able to don and doff shoes independently, but the child cannot tie shoes. Which is the beast footwear recommendation for the therapist to make for the child to wear?
    • A. 

      Leather slip-on loafers

    • B. 

      Slip-on tennis shoes with no laces

    • C. 

      Running shoes with Velcro shoe closures

    • D. 

      Hi-rise sneakers with sliding adapters on the laces

  • 20. 
    A patient is recovering from a right total hip placement (posterolateral incision, cementless fixation). Which is the best type of bed-to-wheelchair transfer for the occupational therapist to teach the patient to use?
    • A. 

      Stand-pivot transfer to surgical side

    • B. 

      Stand-pivot transfer to the non-surgical side

    • C. 

      Lateral side transfer using a transfer board

    • D. 

      Squat-pivot transfer to the surgical side

  • 21. 
    A nine-year-old child identifies the assembly of a model as the most desired play activity. The occupational therapist determines that the child would have difficulty completing the selected model. Which action is most effective for therapist to take during next intervention session?
    • A. 

      Allow the child to work on the model and provide maximum assistance as the child completes the project

    • B. 

      Explore with the child why completing the model is desired by the child and provide alternative project choices

    • C. 

      Break the project down into accomplishable segments and instruct the child to complete one segment at a time

    • D. 

      Explain to the child several reasons why the selected model is not the best choice for the child and provide alternative project choices

  • 22. 
    An individual with Parkinson’s disease exhibits difficulty moving from sitting in a chair to standing. Which technique is best for the therapist to recommend the person use to help successfully complete this functional mobility activity?
    • A. 

      Rise from the chair while sitting with buttocks against the back of the chair

    • B. 

      Extend both legs so that both feet are in front of the chair while rising

    • C. 

      Sit at the edge of the chair and rock back and forth before rising

    • D. 

      Rise while weight-bearing on one foot and pushing up with both arms

  • 23. 
    A client participates in occupational therapy for intervention following a rotatory cuff injury. The therapist provides progressive resistive exercises. When grading these exercises, which of the following is best for the therapist to increase?
    • A. 

      The amount of resistance provided with stronger level of therapy band

    • B. 

      The range of motion involved in completing the exercises

    • C. 

      The proximal load on the muscles the client uses during the exercises

    • D. 

      The repetitions of external rotation exercises with less distal weight

  • 24. 
    The parents of a school-aged child with Rett syndrome ask the occupational therapist for activities to do at home to help their child regain lost skills. Which of the following should the therapist include in the home program for the parents to do with their child?
    • A. 

      Encourage the child to use pressure distribution techniques

    • B. 

      Use four-step sequencing cards to increase attention

    • C. 

      Give positive feedback for active ROM performance

    • D. 

      Perform passive ROM to prevent contractures

  • 25. 
    An individual is status post carpal tunnel release. When the occupational therapist conducts a sensory test for sharp/dull (pain), the person reports dull as sharp on the palmar surface of the thumb and index finger. All other responses were correct. Which is accurate for the therapist to document about the individual’s sensation?
    • A. 

      Impaired for pain along C5 and C6 dermatomes

    • B. 

      Hypersensitive along the ulnar nerve distribution of the palmar surface of the hand

    • C. 

      Hypersensitive along the median nerve distribution of the thumb and index fingers

    • D. 

      Absent for pain along the median nerve distribution

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