TherapyEd Occupational Therapy (OT) Exam A Practice

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• A patient with borderline personality disorder asks to meet privately with the OT after orientation; best response?
• In post-polio syndrome reevaluation, how should sensory testing be initiated?
• An adolescent with a below-elbow amputation seeks to improve independence; which approach is most appropriate given dislike of a prosthesis?
• Which option accurately names the core MOHO components?
• How is progress toward outcomes typically measured in OT?
• Which practice supports participation in educational tasks for students with disabilities?
• During a predischarge home evaluation for a client with thromboangiitis obliterans, what is the most important area to assess in the apartment?
• What is the PEO model and how is it used in OT assessment?
• Which test is used to screen functional mobility and balance?
• In applying PNF to increase use of the right upper extremity after right-side weakness, which activity best promotes a diagonal movement pattern?
• In home management tasks, a client explains eggs should be on top because they break. This illustrates which cognitive style?
• What is the role of evidence-based practice (EBP) in OT decision making?
• How do activity tolerance and endurance differ in OT practice?
• A single parent with schizophrenia is hospitalized; discharge planning occurs; best recommendation for OT?
• In a progressive neuromuscular condition, which dressing approach best aligns with anticipated decline in ROM?
• A toddler with spastic quadriplegia CP shows a consistent tonic bite reflex. Which technique should the OT use to help inhibit this reflex?
• Which statement best describes a screening process?
• To ensure best practice, a new entry-level OT will be provided with supervision of their caseloads. At what level should this supervision be provided?
• Which tools are used to quantify hand grip and pinch strength?
• Differentiate occupation-based activity from purposeful activity in OT practice.
• An OT evaluates a client after a mild stroke for executive function. Which cognitive foci are most relevant to assess as a prerequisite for higher-level cognition?
• Which scenario best indicates a need for a comprehensive seating assessment rather than a standard wheelchair evaluation?
• Which statement about the Functional Reach test is true?
• Which measure is commonly used to assess independence in daily activities in adults with physical dysfunction?
• Which infection-control principle underpins standard precautions in occupational therapy sessions?
• What does SMART stand for in OT goal setting?
• An individual recovering from TBI is assessed to be at level VI of Rancho Los Amigos Scale. What should the OT use to implement treatment?
• How do you select appropriate assistive devices for someone with limited grip strength?
• Which focus is common in autism spectrum disorder?
• After immobilization in orthopedics, what is a typical instruction?
• For a client with rotator cuff tendinopathy, which sleeping position is contraindicated?
• Which cueing strategy would best support initiation of dressing for an individual with ideational apraxia?
• In a cognitive assessment after brain injury, which task best tests initiation and planning in daily activities?
• Regarding CRPS Type I, which statement is accurate?
• Which of the following is an environmental factor affecting performance in OTPF-3?
• In the initial session of a task-oriented group for adolescents with anorexia nervosa, which activity is best?
• Signs indicating a child may benefit from sensory modulation in pediatrics?
• When planning assistive technology for a student with severe disabilities in school, which step should occur first?
• Which test assesses dexterity and fine motor coordination?
• Explain grading and grading up/down in OT interventions.
• In prosthetic training for meal prep, why is holding the knife in the terminal device not recommended?
• What is the OT role in IDEA and school settings?
• Which scenario best illustrates occupational imbalance?
• When is sensory modulation indicated in pediatrics and what signs suggest it?
• According to the Rood approach, which stability pattern is the first to facilitate in a hypotonic child?
• Name two standardized cognitive assessments commonly used in OT practice.
• Which pair of standard outcome measures is commonly used in adult physical dysfunction OT evaluation?
• An adolescent with Duchenne muscular dystrophy and depression is evaluated for a power wheelchair. Which area is MOST important to assess to determine their readiness for the wheelchair?
• Which assessment is commonly used to evaluate handwriting in school-age children?
• An OT is teaching a 3-year-old with left CVA to perform one-handed dressing; which cueing method is most effective?
• In a child who regressed emotionally after trauma, which professional is typically best positioned to address this issue with the family?
• How might OT address caregiver burden?
• What is the role of a pressure-relieving cushion in wheelchair seating?
• Which statement best describes ADLs?
• In a child with suspected visual deficits, which professional evaluation should be obtained first to assess visual acuity?
• An OT evaluation uses multiple data sources to determine needs; the term used for a single measurement within that process is?
• Which intervention supports motor learning for functional tasks?
• Which is the most appropriate item to include in a budget request for anticipated direct expenses of a growing private practice?
• An OT conducts an early intervention screening for an 8-month-old and notes the child sits with propping forward on both arms. What is the best action next?
• Which statement best describes 'volition' in MOHO?
• In the OT process, what distinguishes an assessment from an evaluation?
• When administering a standardized cognitive-perceptual assessment, a client cannot perform the first two tasks. What is the most appropriate action for the OT to take to maintain reliability?
• For a patient with CRPS Type I, which home activity best addresses stress loading and weight bearing?
• What is a common OT approach to cognitive impairment after TBI?
• Which cognitive screen is commonly used to support goal setting in OT?
• How would you perform an activity analysis for a morning grooming task for a client with cognitive impairment?
• Static splints are used primarily for what in hand therapy?
• What is the difference between Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)?
• In OT documentation, where is progress toward goals typically recorded?
• During the first OT home visit with a premature infant with multiple disabilities, which action is most important?
• What is the rationale for using a 45-degree incline during tabletop tasks for strengthening the triceps?
• How is COPM scored and used to guide intervention?
• Which developmental finding would most likely prompt an occupational therapy referral in pediatrics?
• Distinguish between screening and a comprehensive evaluation.
• What is the role of sensory integration in pediatric OT?
• In geriatric occupational therapy, which is a common fall-risk screening tool?
• What does client-centered practice entail in OT?
• Which adaptive equipment is most likely to support independence for a person with limited hand function?
• In the final question of a task-oriented group for anorexia nervosa, which activity best supports self-expression?
• What is Occupational Adaptation (OA) as a FOR and its clinical focus?
• An outpatient child who recently experienced burns and fractures has begun wetting the bed daily. Which professional should the OT advise the parent to contact to address this concern?
• How can you distinguish upper motor neuron signs from lower motor neuron signs during evaluation?
• Which approach is commonly used for edema and scar management in OT?
• For a 3-year-old with left spastic CP with suspected visual deficits, which professional should be referred first to assess visual acuity?
• In wheelchair seating, which feature is most important to prevent pressure ulcers?
• What safety considerations are important when using heat modalities in OT?
• Which of the following is NOT a core ethical principle guiding OT practice?
• Provide an example of an ethical dilemma in OT and typical resolution approach.
• When is a static splint preferred over a dynamic splint in hand therapy?
• Which element is more likely to be included in a comprehensive seating assessment but not in a basic wheelchair evaluation?
• In pediatric sensory processing OT, which statement best describes approach?
• Which approach is commonly used for chronic pain management in OT?
• OT working in school has been asked to recommend technological devices for a student with severe spastic quadriplegia and dysarthria. Which action should the OT take prior to recommending specific equipment?
• A parent of a newborn infant has bilateral shoulder weakness and is referred to OT for energy conservation training for parenting and home management tasks. Which adaptation is most effective?
• In a work group for individuals with traumatic brain injury, one member continues to make sexually suggestive comments after redirection. What is the best initial response by the OT?
• What is the recommended approach for caregiver planning?
• In ergonomics, what does a job demands analysis involve?
• Which item is a direct expense in a private practice budget?
• For a client with a below-elbow amputation undergoing prosthetic training, which method best allows safe meat cutting during meal prep?
• Name memory compensation strategies used in cognitive rehabilitation.
• Which section would you consult to find the ongoing therapy plan after completing initial treatment?
• Which impairment is primarily addressed by the Biomechanical FOR?
• Which post-stroke ADL assessment tools are commonly used?
• Which of the following is a typical OT goal after injury?
• Which combination is used to measure hand grip and pinch strength?
• What is the difference between remediation and compensation in OT?
• Which strategy supports energy conservation for people with chronic conditions?
• During activity, a person with diabetes experiences dizziness and sweating indicating possible hypoglycemia. What is the most immediate action?
• Which item is not typically part of occupational therapy rehabilitation after tendon repair?
• Which skill is most likely intact during a screening for sensory processing disorder in an elementary school child, indicating no further evaluation is needed?
• Which conditions commonly require edema and scar management in OT?
• Which statement about the Allen Cognitive Level Screen is true?
• What is the typical role of assistive technology in occupational therapy?
• A patient recovering from hip replacement wants to begin meal preparation but refuses the walker ordered by the physician. What is the best initial action for the OT?
• How do OT practitioners distinguish occupation from ADLs?
• What is the purpose of a discharge summary in OT documentation?
• Why is occupation central to occupational therapy practice?
• For a client with osteoarthritis, which intervention approach is appropriate?
• Which sequence represents a typical OT approach after tendon repair or carpal tunnel surgery?
• When planning a home program after OT discharge, which principle is most important?
• For an acute care OT topical group for substance abuse, which intervention focus is best?
• What best describes the difference between a screening and an evaluation in occupational therapy?
• During a community health developmental screening, the OT assesses an 8-month-old's oral motor development and determines normal limits. Which jaw movement would you most expect to see at this age?
• Which statement best describes the use of the Box and Block Test and Purdue Pegboard as dexterity measures?
• During a home visit, a client who had a stroke reports difficulty finding objects and relies on directions that are not helpful. Which cognitive-perceptual ability should the OT evaluate further?
• Which characteristic best promotes motor learning in functional tasks?
• How should manual handling and lifting be documented for safety in OT notes?
• What is a key goal of gait training after stroke?
• A person with diabetes and a below-knee amputation is learning home management tasks with a prosthesis. After transferring laundry from a front-loading washer to a top-loading dryer, the person feels weak, dizzy, and nauseated and is sweating and unsteady. What is the best immediate action?
• For a high school senior with developmental delay transitioning to work, which living environment should the OT recommend?
• Describe the OT process steps from evaluation through outcomes.
• An adolescent with unilateral below-elbow amputation, following a growth spurt, is reevaluating for a new prosthesis. The adolescent reports the prosthesis is annoying to wear and dislikes the claw, but acknowledges it is sometimes needed for bilateral activities. What action is best for the OT to take?
• Which activity is appropriate for a Rancho Los Amigos Level VI patient to support goal-directed behavior with cues?
• An OT works with a sensory-seeking child who is under-reactive to touch and movement. Using Ayres' sensory integration approach, which strategy would be most effective to facilitate an adaptive response?
• Which statement accurately reflects MOHO's view on environment?
• In a task-oriented OT group, which statement best describes the group's primary goal?
• What is the primary purpose of an occupation-based activity analysis in OT evaluation?
• In a small group therapy session, what is the rationale for the therapist being positioned at the same level as participants?
• In the scenario where a parent’s refusal of an OT-provided information to an HIV-infected adolescent occurs, what is the best action for the OT?
• When performing a basic activity analysis for a bathing task, which components should be identified?
• An elementary school teacher diagnosed with MS requires an accommodation to address lower-extremity weakness; which adaptation is best?
• What is transition planning in OT and where is it applied?
• What safety practice is essential when using assistive devices at home?
• After immobilization, which practice most effectively prevents contractures?
• A patient who recently had electroconvulsive therapy asks to join the OT leisure skills group later in the day. What is the best OT response?
• In PNF therapy, which movement pattern most effectively facilitates coordinated, functional use of the involved limb?
• In hospice care for a parent with cancer, what is OT's primary focus in therapy?
• In pediatrics, what is considered the child’s primary occupation?
• To ensure accurate implementation of a bed-positioning plan by family caregivers, what method should the OT use to communicate positions?
• During an OT program evaluation of driver rehabilitation, which outcome measure best indicates program success?
• A preschool child born with congenital CMV has difficulty seeing but enjoys peer play. Which intervention best improves play experiences with classmates?
• A patient has difficulty identifying partially obscured objects after a stroke. Which cognitive-perceptual skill should be addressed to improve object identification?
• How should progress toward goals at discharge be documented?
• Which statement about pediatric FORs is correct?
• In pediatric settings, which occupation is most central to developmental progress and daily functioning?
• Wraparound armrests on a wheelchair are sometimes used to reduce overall width. What is the effect?
• How does MOHO view the influence of environment on performance?
• To develop triceps strength in a patient with 3/5 strength, how should the tabletop be positioned when sanding the project?
• Which principle supports return to work after injury?
• What is graded activity and how is it applied in pain management?
• Which is a key consideration for HIPAA-compliant OT documentation?
• The Biomechanical FOR emphasizes which aspects and when is it typically applied?
• What is the primary goal of compensatory strategies in OT?
• Name a common outcome measure for functional independence in rehab.
• Which PAM is appropriate to prepare a patient with CRPS Type I for functional activity?
• A 6-year-old with thumb weakness shows difficulty performing which activity?
• For a patient with diminished temperature sensation, which home safety modification is essential to prevent scalding?
• In a psychiatric hospital group with eight participants, which seating arrangement is best for effective group interaction?
• What is a central goal in pediatric sensory processing OT?
• After tendon repair or carpal tunnel surgery, what are typical OT roles?
• Which of the following is an Instrumental Activity of Daily Living (IADL)?
• Which handwriting assessment is designed for school-age children?
• In interviewing a COTA for a role in a program serving LGBTQ youth, which interview question is most relevant to assess the applicant's ability to perform essential job tasks?
• CRPS Type I management: which of the following statements is true?
• A staff therapist begins dating a former patient; what is the best response for the supervisory chain?
• Which goal illustrates a sensory processing focus for a child with ASD?
• During a wheelchair evaluation, a client notes 31-inch doorway width; they know 32 inches is minimum. Which recommendation best addresses mobility needs?
• In adult mental health OT, what is a common goal of group therapy?
• Which technique helps reduce hand edema after injury?
• Which element is typically described in the Plan of Care section of an OT report?
• Which statement best describes the 'body functions' component in activity analysis for a task?
• Which adaptive equipment is commonly used to support independence for someone with limited hand function by increasing grip leverage?
• Which statement correctly lists the five domains of the OTPF-3 with an example for each?
• Which of the following describes the purpose of standard precautions in occupational therapy?
• What does the Functional Independence Measure (FIM) assess in an OT evaluation?
• What is the purpose of occupation analysis in OT?
• How does OT contribute to ergonomics and workplace safety?
• What is a key principle of Sensory Integration in pediatric OT?
• What is a therapeutic use of self in OT practice?
• After electroconvulsive therapy, how long is rest typically recommended before resuming activities?
• In wound care, which practice supports scar management and functional recovery?
• A child with spinal muscle atrophy can no longer reach beyond 90 degrees of shoulder abduction and 90 degrees of shoulder flexion. Which dressing approach is best for the OT to recommend?
• What is a typical OT role in wound care and scar management?
• Which statement best differentiates a standard wheelchair evaluation from a comprehensive seating assessment?
• What infection control practice is essential when facilitating therapy groups for populations with possible bloodborne exposure?
• Which client-rated measure assesses satisfaction with performance in daily life?
• Explain occupational justice and occupational imbalance.
• Reevaluation prior to discharge shows residual cognitive deficits in problem solving. Which activity should the OT target to develop problem-solving skills for independent home functioning?
• When documenting manual handling in OT notes, which aspect is essential for safety?
• Which item is a capital expense in an OT private practice budget?
• Parent of two elementary-aged children, receiving hospice services due to metastasized bone cancer. Client has pain and poor endurance and decreased muscle strength. OT should incorporate which intervention?
• A child with mild spastic diplegia wants to ride a bike with peers. Which bike is best?
• Under HIPAA, if consent is required to share information, what should you do?
• In a work-group setting, what is the most appropriate initial action when a participant continues to make inappropriate comments after redirection?
• What information should be included in a discharge summary?
• Which test can be used as an alternative to the Box and Block Test for dexterity?
• Which assessments are commonly used to assess fall risk in older adults?
• What is a typical role of OT on a physical rehabilitation team?
• Which OT strategy aligns with cognitive-behavioral principles for anxiety?
• Which statement best describes the value of client-reported outcomes in OT practice?
• In planning discharge for a young adult with schizophrenia from inpatient care to a halfway house and psychosocial clubhouse, what is the most important information the OT should share with the team?
• Which is the most effective neurophysiologic diagonal pattern intervention for Parkinson's disease to facilitate trunk rotation during activities?
• Differentiate impairment-level outcomes from occupation-level outcomes.
• A repetitive strain condition presents with numbness and tingling in the thumb, index, middle, and radial half of the ring finger, with forearm pain but no nocturnal symptoms. Where would the Tinel's sign be documented?
• In a preschool child with CMV and low vision, why are 3D objects recommended for play with classmates?
• To compare a lateral pinch to norms, which positioning is standard for the pinch meter?
• Which cognitive strategy supports memory in daily activities?
• Which ethical principle is primarily concerned with avoiding harm?
• What is the purpose of changes in COPM scores?
• When evaluating driving readiness after a stroke, which metric most directly indicates program effectiveness?
• Which instrument is commonly used to measure independence in activities of daily living in rehab settings?
• Which task is best for the supervising OTs to assign to COTAs?
• Which areas does OT aim to improve to promote independence on a physical rehabilitation team?
• What is the core purpose of evidence-based practice in OT?
• Which item is NOT typically included in a discharge summary?
• Which OT intervention is most effective for improving arm function after stroke?
• What factors constitute occupational risk and safety concerns in daily living?
• Which adaptation is most appropriate for a teacher with MS to address fatigue and lower-extremity weakness?
• At 8 months of age, which seating development is typical?
• Which statement best describes MOHO's approach to occupation?
• Which of the following is an example of an occupation in OT practice?
• What should a discharge plan include for OT?
• What is the COPM and what does it measure?
• Which FOR emphasizes motivation, routines, and the environment's impact on performance?
• Which statement about adult mental health group therapy is NOT a goal?
• Parents of a 2-year-old with unilateral congenital UE amputations report complete disinterest in toilet training. When should the OT advise starting toilet training?
• A house painter with rotator cuff tendinitis is advised to conserve shoulder use. Which suggestion is most appropriate?
• What is a key principle of motor learning used in OT interventions?
• How are Contexts and Environments defined in OTPF-3?
• Which section of an OT report describes future care recommendations?