TherapyEd Occupational Therapy (OT) Exam A Practice

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