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Quizzes Created: 4 | Total Attempts: 2,217

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1/100 Questions

An individual who has a stroke is copying a picture of a clock. The drawing appears as a lopsided circle with a flat side on the left. The numbers 1 through 8 are written in numerical order around the right side of the clock. The hands are correctly drawn on the clock to represent three o’clock. The individual’s performance appear to demonstrate
- Right hemianopsia
- Left unilateral neglect
- Cataracts in the left eye
- Bitemporal hemianopsia

About This Quiz

In this quiz that focuses in on a wide range of medical disorders and the symptoms that accompany them, we’ll offer you a variety of scenarios that you’ll have to respond accordingly to. Could you save a person’s life?

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2.

A school age child has DMD. Although he is able to use a manual chair for distances between classes, he is tired on arrival. What would be the best recommendation the OT could make for wheelchair use at school?
- Retain the manual wheelchair to build up strength
- Change to an ultralight sports model because it requires less strength
- Change to a power wheelchair to reduce effort
- Encourage walking with a walker to alternate mobility methods
Correct Answer

A. Change to a power wheelchair to reduce effort

Explanation

The best recommendation the OT could make for wheelchair use at school would be to change to a power wheelchair to reduce effort. This would help alleviate the child's fatigue upon arrival at school, as they would no longer have to manually propel themselves between classes. The power wheelchair would provide the child with the necessary assistance and reduce the physical exertion required, allowing them to conserve energy for other activities throughout the day.

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3.

An OT practitioner is treating a client who demonstrates pain, progressive weakness of the thumb, atrophy of the thenar muscles and numbness and tingling in the thumb, index, long and half of the ring fingers. The client is not experiencing proximal upper extremity limitations so the practitioner will most likely suspect problems with which of the following?
- Ulnar nerve
- Median nerve
- Radial nerve
- Brachial plexus
Correct Answer

A. Median nerve

Explanation

The client is experiencing symptoms that are consistent with carpal tunnel syndrome, which is caused by compression of the median nerve. The pain, weakness, atrophy, and numbness and tingling in the thumb, index, long, and half of the ring fingers are all characteristic of median nerve compression. The fact that the client is not experiencing proximal upper extremity limitations suggests that the issue is localized to the median nerve rather than a more widespread nerve problem such as ulnar nerve compression or brachial plexus injury. Therefore, the practitioner will most likely suspect problems with the median nerve.

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4.

A client who recently started using a wheelchair will be returning to work and an OT is evaluating the client’s workplace for accessibility, according to ADA guidelines. The doorway to the client’s office has a clear opening of 28 inches. Which of the following recommendations would be the most appropriate to facilitate clear passage of the wheelchair through the doorway?
- The doorway width needs to be expanded to have a minimum clear opening of 32 inches
- The client needs to obtain a wheelchair narrower than 28 inches
- The doorway width needs to be expanded to have a minimum clear opening of 45 inches
- The doorway width is satisfactory and needs no modification
Correct Answer

A. The doorway width needs to be expanded to have a minimum clear opening of 32 inches

Explanation

The most appropriate recommendation would be to expand the doorway width to have a minimum clear opening of 32 inches. This is because the ADA guidelines require a minimum clear opening of 32 inches for wheelchair accessibility. A clear opening of 28 inches is not sufficient for the client to pass through comfortably with their wheelchair. Expanding the doorway width to 32 inches would ensure that the client can navigate through the doorway without any difficulties.

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5.

During an oral motor evaluation, an OT practitioner asks the client to stick out her tongue. Next, the client is asked to move her tongue from side to side. The two functions that the OT practitioner is attempting to facilitate are
- Protrusion and humping
- Lateralization and tipping
- Protrusion and lateralization
- Lateralization and humping
Correct Answer

A. Protrusion and lateralization

Explanation

In an oral motor evaluation, the OT practitioner is assessing the client's tongue movements and functions. Protrusion refers to the act of sticking out the tongue, while lateralization refers to moving the tongue from side to side. Therefore, the OT practitioner is attempting to facilitate both the protrusion and lateralization functions during the evaluation.

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6.

A child’s long-term goal is to increase fine motor skills. The assessment has revealed a deficit in tactile discrimination, specifically stereognosis. The most relevant short-term goal would be:
- “The child will correctly identify five out of five fingers touched when given tactile stimulus.”
- “The child will correctly identify five out of five shapes drawn on the dorsum of her hand.”
- “The child will correctly identify five out of five matching textures.”
- "The child will correctly identify, by feel only, five out of five common objects.”
Correct Answer

A. "The child will correctly identify, by feel only, five out of five common objects.”

Explanation

The most relevant short-term goal would be for the child to correctly identify, by feel only, five out of five common objects. This is because the deficit in tactile discrimination, specifically stereognosis, indicates a difficulty in recognizing objects by touch. By setting this goal, the child will be encouraged to improve their fine motor skills and tactile discrimination abilities by accurately identifying common objects through touch alone.

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7.

A 3^rd grade student receives direct OT services provided through public school system. Which of the ff activities should the OT recommend to the gym teacher to best consolidate the child’s skills in spatial organization and motor planning?
- Relay races
- Obstacle courses
- The balance beam
- Freeze tag
Correct Answer

A. Obstacle courses

Explanation

Obstacle courses would be the best activity to consolidate the child's skills in spatial organization and motor planning. Obstacle courses require the child to navigate through various physical challenges, such as climbing over objects, crawling under obstacles, and balancing on beams. These activities enhance the child's ability to plan and execute movements in a coordinated manner, while also improving their spatial awareness and problem-solving skills. Relay races and freeze tag may involve running and tagging, but they do not specifically target spatial organization and motor planning. The balance beam primarily focuses on balance skills rather than spatial organization and motor planning.

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8.

An OT practitioner is treating a client who demonstrates pain, progressive weakness of he thumb, atrophy of the thenar mm and numbness and tingling in the thumb, index, long and half of the rign fingers. The clien is not experiencing paroxysmal UE limitations so the practitioner will most likely suspect problems with which of the ff?
- Ulnar nerve
- Median nerve
- Radial nerve
- Brachial plexus
Correct Answer

A. Median nerve

Explanation

The client's symptoms of pain, progressive weakness, atrophy, and numbness and tingling in specific fingers suggest a compression or injury to the median nerve. The median nerve innervates the muscles of the thumb and is responsible for sensation in the thumb, index, long, and half of the ring fingers. The absence of paroxysmal UE limitations indicates that the problem is not related to the ulnar nerve, radial nerve, or brachial plexus. Therefore, the most likely suspect is the median nerve.

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9.

Which individual would benefit the mostfrom using a wrist driven flexor hinge splint during a prehension activity?
- C1 injury
- C3 injury
- C6 injury
- T1 injury
Correct Answer

A. C6 injury

Explanation

A C6 injury affects the sixth cervical vertebra, resulting in limited hand and wrist movement. Using a wrist driven flexor hinge splint would be most beneficial for someone with a C6 injury because it helps to stabilize and support the wrist joint, allowing for improved grip and control during prehension activities. This type of splint assists with flexion and extension movements of the wrist, which are particularly important for individuals with C6 injuries who have limited hand function.

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10.

After assessing a client who had recently lost his spouse in a fire, the psychiatrist calssifies the client as hacing an anxiety disorder caused by the occurrence of a major life event. Which of the following best represents this disorder?
- Cyclothymic disorder
- Dysthymia
- Schizophrenia
- Post-traumatic stress disorder (PTSD)
Correct Answer

A. Post-traumatic stress disorder (PTSD)

Explanation

The correct answer is Post-traumatic stress disorder (PTSD). PTSD is an anxiety disorder that can develop after experiencing or witnessing a traumatic event, such as a fire and the loss of a loved one. The client's symptoms, such as anxiety, distressing memories, nightmares, and avoidance of reminders related to the traumatic event, align with the diagnostic criteria for PTSD. Cyclothymic disorder is a mood disorder characterized by periods of hypomanic symptoms and depressive symptoms, while dysthymia is a chronic form of depression. Schizophrenia is a severe mental disorder characterized by hallucinations, delusions, and disorganized thinking.

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11.

An individual alternately exhibits laughing and crying throught a treatment session. this behavior should be documented as:
- Mania
- Emotional lability
- Paranoia
- Denial
Correct Answer

A. Emotional lability

Explanation

The individual's alternating display of laughing and crying during the treatment session suggests emotional lability. Emotional lability refers to rapid and unpredictable shifts in mood, often accompanied by intense emotional reactions. This behavior is not indicative of mania, paranoia, or denial, as these terms do not encompass the specific pattern of emotional fluctuation observed in the individual.

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12.

Which of the following assessment methods would an OT most likely choose to learn about a family’s values and priorities?
- Interview
- Skilled Observation
- Inventory
- Standardized tests
Correct Answer

A. Interview

Explanation

An OT would most likely choose an interview as an assessment method to learn about a family's values and priorities. This is because an interview allows for direct communication and interaction with the family, providing an opportunity to ask specific questions and gather detailed information about their values and priorities. Skilled observation, inventory, and standardized tests may provide useful information about the family, but they may not directly capture the subjective perspectives and personal insights that can be gained through an interview.

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13.

An individual who had a stroke is copying a picture of a clock. The drawing appears as a lopsided circle with a flat side on the left. The numbers 1 through 8 are written in numerical order around the right side of the clock. The hands are correctly drawn on the clock to represent three o’clock. The individual’s performance appears to demonstrate:
- Right hemianopsia
- Left unilateral neglect
- Cataracts in the left eye
- Bitemporal hemianopia
Correct Answer

A. Left unilateral neglect

Explanation

The individual's performance demonstrates left unilateral neglect. Left unilateral neglect is a condition in which a person is unable to attend to or be aware of stimuli on one side of their body or environment, typically the left side. In this case, the individual's lopsided drawing of the clock with a flat side on the left suggests that they are neglecting the left side of the clock and focusing only on the right side. This is a common symptom seen in individuals who have had a stroke affecting the right side of the brain.

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14.

An OT practitioner is working with a client who has been diagnosed with borderline personality disorder. An individual with a personality disorder is most likely to demonstrate impaired functioning in:
- ADL
- IADL
- Relationship with others
- Sensorimotor skils
Correct Answer

A. Relationship with others

Explanation

Individuals with borderline personality disorder often struggle with maintaining stable and healthy relationships with others. They may have difficulty with interpersonal relationships due to their intense and unstable emotions, impulsivity, and fear of abandonment. These challenges can lead to a pattern of unstable and tumultuous relationships, difficulty in maintaining long-term relationships, and conflicts with others.

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15.

A client is experiencing acute right upper extremity and hand lymphedema after a recent mastectomy. The client’s primary complaint is joint stiffness. The initial techniques the OT can implement to alleviate joint stiffness would most likely be:
- Contrast baths, active and passive range of motion, and retrograde massage
- Ultrasound, electrical stimulation, and dynamic splinting
- Resistive exercises, weight bearing, and lifting
- Joint mobilization, serial casting, and dynamic splinting
Correct Answer

A. Contrast baths, active and passive range of motion, and retrograde massage

Explanation

Contrast baths involve alternating between warm and cold water, which can help decrease joint stiffness. Active and passive range of motion exercises can help improve joint mobility and reduce stiffness. Retrograde massage involves using gentle pressure to stimulate lymphatic flow and reduce swelling, which can also help alleviate joint stiffness. Therefore, implementing these techniques would be the most appropriate initial approach for alleviating joint stiffness in a client with acute right upper extremity and hand lymphedema after a mastectomy.

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16.

In assessing the dressing skills of a 5yo child the OT practitionerobserves that the child is able to put on a jacket, zip the zipper, and tie a knot in the draw string but needs verbal cueing to tie a bow. The OT practitioner would most likely determine that the child’s dressing skills are:
- Age appropriate
- Delayed
- Advanced
- Limited
Correct Answer

A. Age appropriate

Explanation

The OT practitioner would determine that the child's dressing skills are age appropriate because the child is able to perform tasks such as putting on a jacket, zipping the zipper, and tying a knot in the drawstring, which are skills typically expected of a 5-year-old. The fact that the child needs verbal cueing to tie a bow suggests that they may still be developing this particular skill, but overall their dressing skills align with what is expected for their age.

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17.

An OT practitioner is assessing a client who has schizophrenia and appears to be experiencing acute symptoms of the disease. Which of the ff is considered to ba an acute or positive symptom of schizophrenia that the OT might document in her assessment?
- Flat affect
- Lack of pleasure
- Hallucinations
- Withdrawal from others
Correct Answer

A. Hallucinations

Explanation

Hallucinations are considered to be an acute or positive symptom of schizophrenia. Hallucinations refer to sensory perceptions that are not based on external stimuli, such as hearing voices or seeing things that are not there. These hallucinations can be auditory, visual, or even tactile in nature. The presence of hallucinations is an important symptom to document in the assessment of a client with schizophrenia as it helps in understanding the severity and nature of their psychotic experiences.

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18.

An OT practitioner is transferring a client with hemiplegia from a wheelchair to an elevated mat. The client is able to place both feet on the floor and move the buttocks to the edge of the wheelchair. The therapist then places one hand on the client’s right anterior pelvis and the other hand on the client’s left shoulder. The client is set up so the transfer can be performed toward the client’s stronger side. The client then pushes to a standing position and pivots with the therapist’s guidance. This is most likely an example of a/an:
- Independent transfer from wheelchair to mat
- Assisted stand pivot transfer
- Pneumatic lift transfer
- Dependent stand pivot transfer
Correct Answer

A. Assisted stand pivot transfer

Explanation

The given scenario describes a transfer where the client is able to participate in the transfer by placing both feet on the floor and moving their buttocks to the edge of the wheelchair. The therapist provides assistance by placing one hand on the client's right anterior pelvis and the other hand on the client's left shoulder. The transfer is performed towards the client's stronger side, and the client pushes to a standing position and pivots with the therapist's guidance. This indicates that the client is able to actively participate in the transfer but requires some assistance and guidance from the therapist, making it an example of an assisted stand pivot transfer.

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19.

An OT practitioner observes a 5-year old child with Down syndrome who was low muscle tone sitting on the floor exclusively using a “W” sitting position. This observation most likely indicates that the child is:
- Developing abnormally
- Using a noncompensatory position to achieve stability
- Demonstrating typical development for a child with Down syndrome
- Using a position normal for a younger child, not for a 5-year old child
Correct Answer

A. Demonstrating typical development for a child with Down syndrome

Explanation

The observation of a 5-year old child with Down syndrome exclusively using a "W" sitting position indicates that the child is demonstrating typical development for a child with Down syndrome. "W" sitting is a common sitting position for children with low muscle tone as it provides a wider base of support and helps to stabilize their bodies. While it may not be a typical sitting position for a 5-year old child without Down syndrome, it is considered normal for children with Down syndrome due to their specific physical characteristics and muscle tone.

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20.

An OT practitioner is treating a client who has a swallowing limitation, partly caused by the inability to receive visual and olfactory stimulation before eating. This limitation typically occurs in which stage of the swallowing process?
- Oral preparatory phase
- Oral phase
- Pharyngeal phase
- Esophageal phase
Correct Answer

A. Oral preparatory phase

Explanation

The correct answer is the Oral preparatory phase. In the oral preparatory phase of the swallowing process, the food is prepared to be swallowed. This includes activities such as chewing and mixing the food with saliva to form a bolus. In this case, the client's swallowing limitation is partly caused by the inability to receive visual and olfactory stimulation before eating, which suggests that the issue is occurring before the food is actually being swallowed. Therefore, it is likely to be happening in the oral preparatory phase.

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21.

A toddler diagnosed with developmental delays does not finger-feed when presented with food in the clinic. The best way to obtain further information about his feeding skills is to:
- Interview his parents to determine his favorite foods
- Observe him in his home during feeding time
- Review his chart for food allergies
- Repeat the observation in a quiet area (in order to minimize distractions)
Correct Answer

A. Observe him in his home during feeding time

Explanation

Observing the toddler in his home during feeding time would provide the best opportunity to assess his feeding skills. It allows for a natural and familiar environment where the toddler is likely to be more comfortable and behave in a typical manner. By observing him in this setting, it would be easier to identify any specific challenges or difficulties he may have with finger-feeding and gather more accurate information about his feeding skills. This method also eliminates potential distractions that may occur in a clinic or other unfamiliar setting.

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22.

A child with spina bifida has a lesion at the lumbar level that causes her bladder to be flaccid. At what age should the OT practitioner consider lack of bladder control as a delay and constitute a toilet training program?
- Never, because children with flaccid bladders typically cannot be toilet trained
- At 3 years of age when normally developing children recognize the need to urinate
- At 4 years of age because normally developing children tend to get toilet trained at this age
- At 4-5 years of age
Correct Answer

A. Never, because children with flaccid bladders typically cannot be toilet trained

Explanation

Children with flaccid bladders, such as those with spina bifida, typically have difficulties with bladder control and cannot be toilet trained. This is due to the fact that the nerves controlling the bladder are affected, resulting in a lack of sensation and muscle control. Therefore, the OT practitioner should not consider lack of bladder control as a delay and should not initiate a toilet training program for these children.

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23.

An individual uses a mouthstick when working with a computer. Which of the following devices will prevent the mouthstick from accidentally striking other keys?
- A moisture guard
- A keyguard
- An auto-repeat defeat
- One-finger-access software
Correct Answer

A. A keyguard

Explanation

A keyguard is a device that is placed over the keyboard and has holes or slots that correspond to each key. It prevents the mouthstick from accidentally striking other keys by providing a physical barrier between the mouthstick and the rest of the keys. This allows the individual to accurately target and press the desired key without any unintended keystrokes.

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24.

A teenage patient is hospitalized with anorexia nervosa. An OT practitioner has been assigned to collect data on the child’s family background, education, and habits through a chart review. Where will the practitioner most likely find this information?
- In the nurse notes
- In the doctor’s notes
- In the social worker’s notes
- In the admitting note
Correct Answer

A. In the social worker’s notes

Explanation

In this scenario, the OT practitioner is tasked with collecting data on the teenage patient's family background, education, and habits. The most likely place to find this information would be in the social worker's notes. Social workers are trained to gather comprehensive information about a patient's social and familial context, which would include details about their family background, education, and habits. The nurse and doctor's notes may focus more on the medical aspects of the patient's condition, while the admitting note may provide general information but may not delve into specific details about the patient's family background, education, and habits.

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25.

An individual learning to use an augmentative communication system has mastered the task of understanding picture symbols and their use. The next step would be:
- Sequencing of picture symbols
- Recognizing letters on the alphabet
- Recognizing whole words
- Spelling letter by letter
Correct Answer

A. Sequencing of picture symbols

Explanation

After mastering the task of understanding picture symbols and their use, the next step for an individual learning to use an augmentative communication system would be sequencing of picture symbols. This involves arranging the picture symbols in a specific order to convey a message or express a thought. It is a more advanced skill compared to simply recognizing letters or words, and it allows the individual to communicate more complex ideas and thoughts using the augmentative communication system.

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26.

An individual has been referred to OT following open heart surgery and a period of prolonged bedrest. After the individual is able to tolerate sitting unsupported at the edge of the bed, the next activity the OT practitioner should introduce s:
- Peeling potatoes while seated
- Wheelchair propulsion in 1.2mph
- Taking a shower
- Walking at 1mph
Correct Answer

A. Walking at 1mph

Explanation

After a period of prolonged bedrest, it is important for the individual to gradually regain their strength and endurance. Walking at 1mph would be the most appropriate activity to introduce at this stage. Walking helps in improving cardiovascular fitness, muscle strength, and balance. It also promotes weight-bearing and helps in preventing complications such as blood clots. Peeling potatoes while seated, wheelchair propulsion, and taking a shower may be introduced at a later stage when the individual has further progressed in their recovery.

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27.

A child is observed grabbing toys from others, becoming easily frustrated and is unable to sit still. This behavior most likely indicates:
- ADHD
- Mood disorder, manic episode
- Conduct disorder
- Anxiety disorder
Correct Answer

A. ADHD

Explanation

The child's behavior of grabbing toys from others, becoming easily frustrated, and being unable to sit still is indicative of ADHD (Attention Deficit Hyperactivity Disorder). ADHD is a neurodevelopmental disorder characterized by symptoms such as impulsivity, hyperactivity, and difficulty in sustaining attention. The mentioned behaviors align with the common symptoms of ADHD, making it the most likely explanation for the observed behavior.

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28.

An OT practitioner working in a drug and alcohol rehab center is educating clients about discharge options. The primary expectation for becoming a member in a self-help group for alcohol problem is:
- Members are encouraged to tell the other members their names and where they live and work
- Members share their experiences and struggles with alcohol use
- Mebers are required to attend a set number of meetings
- Members are encouraged to advice to others
Correct Answer

A. Members share their experiences and struggles with alcohol use

Explanation

The primary expectation for becoming a member in a self-help group for alcohol problem is that members share their experiences and struggles with alcohol use. This is a fundamental aspect of self-help groups, as it allows individuals to connect with others who have similar experiences and learn from each other's journeys. Sharing personal experiences and struggles helps create a supportive and empathetic environment where members can gain insights, receive encouragement, and develop coping strategies for their alcohol problems.

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29.

An OT practitioner is working with an individual with ALS who is no longer able to ambulate for kitchen or home managementactivities best addresses the goals of independence in meal preparation for this individual?
- Meal prep techniques using wheelchair
- Training in use of adapted cooking equipment
- Simple cooking activities while standing at the counter for gradually increasing amounts of time
- Egin with cold meals and progress to hot
Correct Answer

A. Meal prep techniques using wheelchair

Explanation

The answer "Meal prep techniques using wheelchair" is the best option for addressing the goals of independence in meal preparation for an individual with ALS who is no longer able to ambulate. Since the individual is unable to stand or walk, using a wheelchair for meal preparation allows them to maintain independence and continue to participate in kitchen and home management activities. This option provides a practical solution that accommodates the individual's physical limitations while still allowing them to engage in meal preparation.

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30.

When evaluating somatosensory system, the OT would have to include testing procedures for?
- Taste
- Smell
- Vision
- Touch
Correct Answer

A. Touch

Explanation

In order to evaluate the somatosensory system, the OT would need to include testing procedures for touch. The somatosensory system is responsible for processing the sensations of touch, pressure, temperature, and pain. By testing touch, the OT can assess the individual's ability to perceive and discriminate different tactile stimuli. This can help identify any deficits or abnormalities in the somatosensory system and guide the development of appropriate interventions to improve sensory processing and integration.

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31.

While standing and holding onto furniture, a 3yo boy with delayed motor developmentshifts his weight onto one leg and steps to the side with the other.this movement pattern is best described as:
- Creeping
- Crawling
- Cruising
- Clawing
Correct Answer

A. Cruising

Explanation

The movement pattern described in the question, where a 3-year-old boy shifts his weight onto one leg and steps to the side with the other while holding onto furniture, is best described as "cruising." Cruising is a developmental milestone in which a child uses furniture or other support to move around in a standing position. It is a precursor to walking independently and helps the child develop balance and coordination skills.

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32.

An individual demonstrates the ability to pickup a penny fromflat surface. This represents which of the ff prehension patterns?
- Lateral
- Palmar
- Tip
- 3 jaw chuck
Correct Answer

A. Tip

Explanation

The ability to pick up a penny from a flat surface using the tip of the fingers is a characteristic of the "Tip" prehension pattern. In this pattern, the fingers and thumb come together to form a precision grip, allowing for precise and delicate manipulation of small objects. This is different from the other prehension patterns mentioned, such as the lateral pattern where the object is grasped between the fingers and thumb, or the palmar pattern where the object is held against the palm.

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33.

An individual with C6 spinal cord injurt has been referred to OT two days post-injury. Immobilized with a Halo brace, the individual demonstrates fair plus wrist extension and poor minus finger flexion. Which of the following interventions should be implemented first?
- Volar resting pan splints to prevent flexion contractures
- Wrist support with universal cuff to promote independence
- Wrist splints to promote development of tenodesis
- Instruction in bed mobility techniques to prevent decubiti
Correct Answer

A. Wrist splints to promote development of tenodesis

Explanation

The individual with C6 spinal cord injury demonstrates fair plus wrist extension and poor minus finger flexion. Wrist splints should be implemented first to promote the development of tenodesis. Tenodesis is a functional grasp pattern that allows individuals with limited finger flexion to grasp objects by using wrist extension. By using wrist splints, the individual can practice and strengthen this grasp pattern, which will ultimately promote independence in activities of daily living. The other options, such as volar resting pan splints and wrist support with a universal cuff, may be beneficial later in the rehabilitation process, but the priority at this stage is to promote the development of tenodesis. Instruction in bed mobility techniques is not directly related to the individual's hand function and would not be the first intervention to implement.

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34.

An OT practitioner is selecting treatment activities to use with a young adult diagnosed with schizophrenia, undifferentiated type, that would help to receive, process, and respond to sensory information. The most suitable activities for the patient would include:
- Social skills training
- Vestibular stimulation and gross motor exercise
- Role-playing
- Discussion group
Correct Answer

A. Vestibular stimulation and gross motor exercise

Explanation

Vestibular stimulation and gross motor exercise would be the most suitable activities for a young adult diagnosed with schizophrenia, undifferentiated type, who needs help with receiving, processing, and responding to sensory information. Vestibular stimulation involves activities that stimulate the inner ear and help with balance and spatial orientation, which can be beneficial for individuals with sensory processing difficulties. Gross motor exercise, on the other hand, involves physical activities that engage large muscle groups, promoting body awareness and coordination. Both of these activities can help the individual improve their sensory integration skills and enhance their ability to process sensory information effectively.

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35.

An individual with aC6 spinal cord injury is unable to button his shir. The OT would be MOST likely to select which type of adaptive equipment to assist this client with buttoning?
- A buttonhook with an extra-long, flexible handle
- A buttonhook with a knob handle
- A buttonhook on a 0.5 inch diameter, 5-inch long wooden handle
- A buttonhook attached to a cuff that fits around the palm
Correct Answer

A. A buttonhook attached to a cuff that fits around the palm

Explanation

The individual with aC6 spinal cord injury would have limited hand function and dexterity. Therefore, the most suitable adaptive equipment would be a buttonhook attached to a cuff that fits around the palm. This would provide stability and support to the hand, allowing the individual to grasp and manipulate the buttonhook more easily. The cuff would also distribute pressure evenly across the palm, reducing the strain on the individual's hand and fingers.

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36.

Which of the ff performance components are most important to consider when analyzing activities for use with adults with psychosocial problems?
- The amount of self-control demands, time management demands, self-expression opportunities, and interest in the activity
- Age-appropriateness, prehension patterns required, and presence of small pieces that could be mistakenly swallowed
- Tactile, kinaesthetic, visual and olfactory properties
- Space requirements, equipment and supply needs, cost and safety considerations
Correct Answer

A. The amount of self-control demands, time management demands, self-expression opportunities, and interest in the activity

Explanation

The most important performance components to consider when analyzing activities for use with adults with psychosocial problems are the amount of self-control demands, time management demands, self-expression opportunities, and interest in the activity. These factors are crucial in promoting emotional regulation, cognitive functioning, and overall engagement in the activity, which can have a positive impact on individuals with psychosocial problems. Considering these components can help ensure that the chosen activities are suitable and beneficial for this specific population.

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37.

An individual attending an adult day program has expressed interest in obtaining employment. In groups, however, the individual grabs tools from others, frequently acts out of turn, and has difficulty accepting feedback. Participation in which one of the following interventions is most appropriate for addressing this individual’s limitations and helping to prepare the individual for a work environment?
- Operating the photocopy machine in a clerical group
- Handing out trays and utensils in a food service group
- Placing books back on the shelves in a library group
- Balancing the books at the end of the day in a thrift
Correct Answer

A. Handing out trays and utensils in a food service group

Explanation

The individual's difficulty with accepting feedback and acting out of turn may indicate challenges with social skills and impulse control. Participating in a food service group, where they would be responsible for handing out trays and utensils, can help address these limitations. This intervention would provide opportunities for the individual to practice appropriate social interactions, follow instructions, and develop self-control, which are important skills for success in a work environment. Additionally, the structured nature of a food service group can provide clear expectations and routines that can support the individual's learning and development.

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38.

During an initial evaluation, an OT practitioner documents that the client’s chart reveals a history of both depression and substance abuse. The term that indicates a diagnosis from two mental diagnostic criteria is:
- Dual diagnosis
- Multiply handicapped
- Axis I and II duplicity
- Primary and secondary diagnoses
Correct Answer

A. Dual diagnosis

Explanation

The term "dual diagnosis" is used to indicate a diagnosis that involves two or more mental health conditions or disorders. In this case, the client is diagnosed with both depression and substance abuse, making it a dual diagnosis. The term "multiply handicapped" refers to individuals with multiple physical disabilities, so it does not apply to this situation. "Axis I and II duplicity" is not a recognized term in mental health diagnosis. "Primary and secondary diagnoses" does not specifically indicate that there are two mental health conditions present.

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39.

A new client exhibits no awareness of functional limitations resulting from his recent head injury, and he attempts to perform transfers without assistance. He also has expressed that he doesn’t see the need for therapy. The best approach to promote awareness and insight is to:
- Have the patient explain why he believes he is not impaired
- Provide the client with a checklist of skills he must have to perform various activities and review these
- Have the client predict his performance before an activity, then have him self-evaluate the performance
- Disregard the client’s perceptions and proceed with therapy
Correct Answer

A. Have the client predict his performance before an activity, then have him self-evaluate the performance

Explanation

The best approach to promote awareness and insight in this situation is to have the client predict his performance before an activity and then have him self-evaluate his performance. This approach allows the client to actively participate in the evaluation process and reflect on his own abilities. It encourages self-awareness and insight by comparing his predictions to his actual performance, which can help him recognize any functional limitations resulting from his head injury. This approach respects the client's autonomy and allows him to take ownership of his therapy progress.

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40.

A therapist reviews an individual’s chart as part of the screening process. The psychiatrist has written “observe for side effects with current antianxiety medications.” The OT practitioner is most likely to report about which of the following side effects?
- Akathisia
- Confusion
- Extrapyramidal syndrome
- Tardive dyskinesia
Correct Answer

A. Confusion

Explanation

The OT practitioner is most likely to report about confusion as a side effect of the current antianxiety medications. This is because confusion is a common side effect of many medications, including antianxiety medications. It is important for the therapist to monitor and report any instances of confusion in order to ensure the individual's safety and well-being.

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41.

A therapist is evaluating an individual with a peripheral nerve injury for strength, range of motion, and endurance. The most appropriate frame of reference on which to base the evaluation is:
- Rehabilitative frame of reference
- Neurodevelopmental frame of reference
- Biomechanical frame of reference
- Psychoanalytic frame of reference
Correct Answer

A. Biomechanical frame of reference

Explanation

The biomechanical frame of reference is the most appropriate for evaluating an individual with a peripheral nerve injury for strength, range of motion, and endurance. This frame of reference focuses on the physical aspects of movement and function, such as muscle strength, joint range of motion, and endurance. It considers the mechanical principles of the body and aims to restore or improve the individual's physical abilities through specific exercises and interventions. This approach is particularly relevant for individuals with physical impairments, as it emphasizes the restoration of biomechanical function.

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42.

To assess an individual who is suspected of having carpal tunnel syndrome, the OT tests for Tinel’s sign by gently tapping the median nerve at the level of the carpal tunnel with the person’s wrist positioned in:
- 10 degrees of ulnar deviation
- 10 degrees of radial deviation
- 20 degrees of flexion or 20 degrees of dorsiflexion
- Neutral
Correct Answer

A. Neutral

Explanation

When assessing for Tinel's sign in a person suspected of having carpal tunnel syndrome, the OT tests by gently tapping the median nerve at the level of the carpal tunnel. The wrist should be positioned in a neutral position. This means that the wrist should not be deviated in either the ulnar or radial direction, and it should not be flexed or dorsiflexed. A neutral wrist position allows for a more accurate assessment of Tinel's sign and helps to identify any potential nerve compression or irritation in the carpal tunnel.

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43.

Which individual would benefit the most from using a wrist-driven flexor hinge splint during a prehension activity?
- A client with C1 injury
- A client with C3 injury
- A client with C6 injury
- A client with T1 injury
Correct Answer

A. A client with C6 injury

Explanation

A client with a C6 injury would benefit the most from using a wrist-driven flexor hinge splint during a prehension activity. This is because a C6 injury typically results in limited hand function and weak wrist extension. The wrist-driven flexor hinge splint can provide support and assist with wrist extension, allowing the client to have a more functional grip and better control during prehension activities.

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44.

An ot practitioner conducating a hnad assessment would use which instrument to measure strength of three jaw chuck:
- Aesthesiometer
- Pinch meter
- Dynamometer
- Volumeter
Correct Answer

A. Pinch meter

Explanation

A pinch meter is a commonly used instrument in hand assessments to measure the strength of a three jaw chuck. It is specifically designed to measure the pinch force exerted by an individual's thumb and index finger. By using a pinch meter, an OT practitioner can accurately assess the strength and coordination of the muscles involved in a three jaw chuck grip. This information is crucial in determining a patient's functional abilities and designing an appropriate treatment plan.

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45.

A child has considerable difficulty with problem solving when playing with LEGOS and becomes frustrated and gives up easily. This most likely indicates a problem in which area of play?
- Sensorimotor
- Imaginary
- Constructional
- Game
Correct Answer

A. Constructional

Explanation

The child's difficulty with problem solving when playing with LEGOS and their tendency to become frustrated and give up easily suggests a problem in the area of constructional play. Constructional play involves the ability to manipulate and build objects, which requires problem-solving skills and spatial reasoning. The child's struggles and frustration indicate a difficulty in this specific area of play.

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46.

A deficit in visual memory is affecting a chid’s reading skills. Which would be the best game to promote visual memory?
- Dominoes
- Concentration
- Pickup sticks
- Checkers
Correct Answer

A. Concentration

Explanation

Concentration would be the best game to promote visual memory because it requires the player to remember the location of matching pairs of cards. This game helps improve visual memory by challenging the child to remember the positions of the cards and make connections between them. By playing Concentration, the child can practice and enhance their ability to retain and recall visual information, which can ultimately benefit their reading skills.

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47.

While observing a client who has just been admitted to the rehabilitation unit after a right CVA with left hemiplegia, the OT notices that the patient’sn right arm lay limply by the patient’s side. In documenting this observation the term most likely used is:
- Paralysis
- Flaccidity
- Subluxation
- Spasticity
Correct Answer

A. Flaccidity

Explanation

The term most likely used to document the observation of the client's right arm laying limply by their side after a right CVA with left hemiplegia is "flaccidity." Flaccidity refers to a lack of muscle tone or muscle weakness, which can result in the limb appearing limp and without resistance to movement. This is commonly seen in the acute stage following a stroke, where there is a loss of voluntary muscle control due to damage to the brain.

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48.

An OT practitioner is working with an individual with amyotrophic lateral sclerosis (ALS) who is no longer able to ambulate for kitchen or home management activities. Which of the following interventions best addresses the goals of independence in meal preparation for this individual?
- Meal preparation techniques using a wheelchair
- Training in the use of adapted cooking equipment
- Simple cooking activities while standing at the counter for gradually increasing amounts of time
- Begin with cold meals and progress to hot meals
Correct Answer

A. Meal preparation techniques using a wheelchair

Explanation

Meal preparation techniques using a wheelchair would be the most appropriate intervention for an individual with ALS who is no longer able to ambulate. This intervention addresses the individual's specific mobility limitations and allows them to continue to participate in meal preparation activities independently. Training in the use of adapted cooking equipment may also be helpful, but it does not directly address the individual's inability to ambulate. Simple cooking activities while standing at the counter may not be feasible for someone with ALS who can no longer ambulate. Beginning with cold meals and progressing to hot meals does not address the individual's independence in meal preparation.

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49.

Which of the following is the best example of “objective” information as written by an OT practitioner for the objective section of a discharge summary?
- “Pt reports he can work at the computer much longer and more comfortably than he could initially.”
- “Pt was initially able to work at the computer for only 10 minutes. Upon discharge, he can work at the computer for 3 hours with stretch breaks every 30 minutes.”
- “Pt has improved significantly in his ability to work at the computer.”
- “Pt reports that he is now able to work at the computer for 3 hours, where initially he was only able to tolerate 10 minutes.”
Correct Answer

A. “Pt was initially able to work at the computer for only 10 minutes. Upon discharge, he can work at the computer for 3 hours with stretch breaks every 30 minutes.”

Explanation

The answer "Pt was initially able to work at the computer for only 10 minutes. Upon discharge, he can work at the computer for 3 hours with stretch breaks every 30 minutes" is the best example of "objective" information because it provides specific and measurable details about the patient's progress. It includes specific timeframes and actions, such as the initial ability to work for only 10 minutes and the current ability to work for 3 hours with stretch breaks every 30 minutes. This information is factual and can be observed or measured, making it objective rather than subjective.

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Mar 21, 2023

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Nov 10, 2016

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Quiz Preview

A school age child has DMD. Although he is able to use a manual chair for distances between classes, he is tired on arrival. What would be the best recommendation the OT could make for wheelchair use at school?

During an oral motor evaluation, an OT practitioner asks the client to stick out her tongue. Next, the client is asked to move her tongue from side to side. The two functions that the OT practitioner is attempting to facilitate are

A child’s long-term goal is to increase fine motor skills. The assessment has revealed a deficit in tactile discrimination, specifically stereognosis. The most relevant short-term goal would be:

A 3rd grade student receives direct OT services provided through public school system. Which of the ff activities should the OT recommend to the gym teacher to best consolidate the child’s skills in spatial organization and motor planning?

Which individual would benefit the mostfrom using a wrist driven flexor hinge splint during a prehension activity?

After assessing a client who had recently lost his spouse in a fire, the psychiatrist calssifies the client as hacing an anxiety disorder caused by the occurrence of a major life event. Which of the following best represents this disorder?

An individual alternately exhibits laughing and crying throught a treatment session. this behavior should be documented as:

Which of the following assessment methods would an OT most likely choose to learn about a family’s values and priorities?

An OT practitioner is working with a client who has been diagnosed with borderline personality disorder. An individual with a personality disorder is most likely to demonstrate impaired functioning in:

A client is experiencing acute right upper extremity and hand lymphedema after a recent mastectomy. The client’s primary complaint is joint stiffness. The initial techniques the OT can implement to alleviate joint stiffness would most likely be:

In assessing the dressing skills of a 5yo child the OT practitionerobserves that the child is able to put on a jacket, zip the zipper, and tie a knot in the draw string but needs verbal cueing to tie a bow. The OT practitioner would most likely determine that the child’s dressing skills are:

An OT practitioner is assessing a client who has schizophrenia and appears to be experiencing acute symptoms of the disease. Which of the ff is considered to ba an acute or positive symptom of schizophrenia that the OT might document in her assessment?

An OT practitioner observes a 5-year old child with Down syndrome who was low muscle tone sitting on the floor exclusively using a “W” sitting position. This observation most likely indicates that the child is:

An OT practitioner is treating a client who has a swallowing limitation, partly caused by the inability to receive visual and olfactory stimulation before eating. This limitation typically occurs in which stage of the swallowing process?

A toddler diagnosed with developmental delays does not finger-feed when presented with food in the clinic. The best way to obtain further information about his feeding skills is to:

A child with spina bifida has a lesion at the lumbar level that causes her bladder to be flaccid. At what age should the OT practitioner consider lack of bladder control as a delay and constitute a toilet training program?

An individual uses a mouthstick when working with a computer. Which of the following devices will prevent the mouthstick from accidentally striking other keys?

A teenage patient is hospitalized with anorexia nervosa. An OT practitioner has been assigned to collect data on the child’s family background, education, and habits through a chart review. Where will the practitioner most likely find this information?

An individual learning to use an augmentative communication system has mastered the task of understanding picture symbols and their use. The next step would be:

An individual has been referred to OT following open heart surgery and a period of prolonged bedrest. After the individual is able to tolerate sitting unsupported at the edge of the bed, the next activity the OT practitioner should introduce s:

A child is observed grabbing toys from others, becoming easily frustrated and is unable to sit still. This behavior most likely indicates:

An OT practitioner working in a drug and alcohol rehab center is educating clients about discharge options. The primary expectation for becoming a member in a self-help group for alcohol problem is:

An OT practitioner is working with an individual with ALS who is no longer able to ambulate for kitchen or home managementactivities best addresses the goals of independence in meal preparation for this individual?

When evaluating somatosensory system, the OT would have to include testing procedures for?

While standing and holding onto furniture, a 3yo boy with delayed motor developmentshifts his weight onto one leg and steps to the side with the other.this movement pattern is best described as:

An individual demonstrates the ability to pickup a penny fromflat surface. This represents which of the ff prehension patterns?

An individual with C6 spinal cord injurt has been referred to OT two days post-injury. Immobilized with a Halo brace, the individual demonstrates fair plus wrist extension and poor minus finger flexion. Which of the following interventions should be implemented first?

An OT practitioner is selecting treatment activities to use with a young adult diagnosed with schizophrenia, undifferentiated type, that would help to receive, process, and respond to sensory information. The most suitable activities for the patient would include:

An individual with aC6 spinal cord injury is unable to button his shir. The OT would be MOST likely to select which type of adaptive equipment to assist this client with buttoning?

Which of the ff performance components are most important to consider when analyzing activities for use with adults with psychosocial problems?

During an initial evaluation, an OT practitioner documents that the client’s chart reveals a history of both depression and substance abuse. The term that indicates a diagnosis from two mental diagnostic criteria is:

A new client exhibits no awareness of functional limitations resulting from his recent head injury, and he attempts to perform transfers without assistance. He also has expressed that he doesn’t see the need for therapy. The best approach to promote awareness and insight is to:

A therapist reviews an individual’s chart as part of the screening process. The psychiatrist has written “observe for side effects with current antianxiety medications.” The OT practitioner is most likely to report about which of the following side effects?

A therapist is evaluating an individual with a peripheral nerve injury for strength, range of motion, and endurance. The most appropriate frame of reference on which to base the evaluation is:

To assess an individual who is suspected of having carpal tunnel syndrome, the OT tests for Tinel’s sign by gently tapping the median nerve at the level of the carpal tunnel with the person’s wrist positioned in:

Which individual would benefit the most from using a wrist-driven flexor hinge splint during a prehension activity?

An ot practitioner conducating a hnad assessment would use which instrument to measure strength of three jaw chuck:

A child has considerable difficulty with problem solving when playing with LEGOS and becomes frustrated and gives up easily. This most likely indicates a problem in which area of play?

A deficit in visual memory is affecting a chid’s reading skills. Which would be the best game to promote visual memory?

While observing a client who has just been admitted to the rehabilitation unit after a right CVA with left hemiplegia, the OT notices that the patient’sn right arm lay limply by the patient’s side. In documenting this observation the term most likely used is:

An OT practitioner is working with an individual with amyotrophic lateral sclerosis (ALS) who is no longer able to ambulate for kitchen or home management activities. Which of the following interventions best addresses the goals of independence in meal preparation for this individual?

Which of the following is the best example of “objective” information as written by an OT practitioner for the objective section of a discharge summary?

A 3^rd grade student receives direct OT services provided through public school system. Which of the ff activities should the OT recommend to the gym teacher to best consolidate the child’s skills in spatial organization and motor planning?