100-Question Test + 3 Case Scenarios

A client recently experienced a ground level fall and as a result obtained a right femoral fracture. The client is being seen in a skilled nursing facility for an occupational therapy session focused on bed mobility. The client has orders for toe-touch weight-bearing restrictions of the right lower extremity. Which of the following intervention tactics below would be appropriate to include with this client to increase independence with bed mobility?

A client who has experienced a CVA is sitting edge of bed during an acute care evaluation, with support from the OT. The OT removes the physical support from the client and the client begins to fall to the unaffected side, though he is able to catch himself with his unaffected extremity. Based on this information, which of the following statements is most likely correct?

A client who is status-post 3 weeks from experiencing a Colles’ Fracture is being seen for occupational therapy services. The client’s cast has been removed, and he has been fitted with a removable splint to don. At this point of the intervention process, which of the following treatment options below is NOT indicated?

A client who experienced a tendon repair is being re-evaluated 8 weeks status-post the repair. The OT measures the client’s PIP flexion AROM as 50 degrees, and the client’s PIP flexion PROM as 70 degrees. Which of the following can this discrepancy most likely be contributed to?

Which of the following is TRUE regarding touch pressure and two-point discrimination testing?

During an evaluation with a client who experienced a CVA, the OT determined that the client experiences hemiplegia and absent sensation in the affected dominant extremity. The client will be discharging home independently in two weeks. Prior to discharge, which of the following is MOST important to include as part of the intervention plan as it relates to the hemiplegia and sensory loss of the affected extremity?

During an evaluation at an outpatient facility, a client with a peripheral nerve injury consistently rates a dull stimulus as “sharp” when presented over the radial half of the 4th digit on the volar surface of the hand. How should the OT document this client’s response to the stimulus?

A client who experiences De Quervain’s Tenosynovitis is entering the third week of treatment for OT services at an outpatient hand clinic. Which of the following represents a priority to be INITIATED during this stage of the healing process?

A 52 year-old client presents to an outpatient facility with wrist drop. Which of the following diagnoses has the client MOST likely experienced?

Which of the following represents the MOST effective use of NMES to target spasticity of the elbow flexors in a client following a CVA?

For which of the following clients is thermotherapy MOST indicated?

A client who experiences Complex Regional Pain Syndrome (CRPS) is being seen in an outpatient facility for OT services. Which of the following options is MOST appropriate to implement as part of treatment sessions?

A client who underwent a posterolateral total hip arthroplasty 3 weeks ago was injured in a car accident 5 days post-operatively. The client experienced a TBI and is now being seen at an acute care facility. The client is functioning at a Rancho Los Amigos Level II, and presents with a tonic labyrinthine reflex. Which of the following bed positions is the BEST option for use with this client?

• An OT in the school system demonstrates a special interest in addressing handwriting abilities, including both remediation of handwriting abilities, and the use of compensatory strategies to address handwriting.

• Case Scenario 1A: In collaboration with educators/instructors, which of the following represent potential accommodations to address difficulties in handwriting within the school system? (choose the best three options)

• An OT in the school system demonstrates a special interest in addressing handwriting abilities, including both remediation of handwriting abilities, and the use of compensatory strategies to address handwriting.
• The OT is addressing a Tier 1 Program for handwriting with kindergarten students and their teachers.

• Case Scenario 1B: Which of the following recommendations are consistent with a Tier 1 Approach to address handwriting skills? (choose the best three options)

• An OT in the school system demonstrates a special interest in addressing handwriting abilities, including both remediation of handwriting abilities, and the use of compensatory strategies to address handwriting.
• The OT has been referred a first-grade student who qualifies for special education services through an IEP and is being evaluated for the need for individualized OT intervention. Based on report from the student’s teacher, reviewing a sample of the student’s written work, and a brief observation of the child in the classroom and at lunch, the OT hopes to gather information regarding the student’s handwriting abilities, fine motor abilities, and overall school participation/performance.

• Case Scenario 1C: Which of the following represent appropriate assessments to administer to address the aforementioned targeted areas for assessment? (choose the best three options)

• An OT in the school system demonstrates a special interest in addressing handwriting abilities, including both remediation of handwriting abilities, and the use of compensatory strategies to address handwriting.
• To address the student’s noted difficulties in handwriting, the OT has implemented a motor learning and sensorimotor remedial approach with the student. The child is in the associative phase of motor learning with the handwriting instruction.

• Case Scenario 1D: Which of the following approaches are MOST appropriate to implement with the student in the associative stage of motor learning? (choose the best three options)

A client with lateral epicondylitis presents for an intervention session in an outpatient facility with acute inflammation over the epicondyle. Which of the following represents the BEST option to incorporate into the treatment session?

A 69 year-old client with traditional Medicare is being seen for home health OT services secondary to a functional decline resulting from a mild TIA. The client was hospitalized for 2 days, and then was found appropriate to be discharged home. Which of the following is true as it relates to the coverage of home health OT services under this client’s insurance?

An OT is measuring AROM of MCP flexion during the evaluation process. The client is able to complete 90 degrees AROM in an against gravity and a gravity eliminated position. Which of the following is appropriate for the OT to complete next?

Which of the following occurs as one of the steps of the qualitative research process?

An OT is involved in a team of researchers completing a qualitative study. The data collection has been completed, and the researchers are analyzing the data through the use of a low-technology approach. All of the following are appropriate as part of the data collection process, EXCEPT?

An OTA is treating a client in the plateau phase of GBS in an acute care facility. The client requires moderate to maximal assistance for ADLs secondary to severe muscle belly tenderness of the proximal musculature, impairments in sensation, and impairments of strength and AROM. The client demonstrates impairments in feeling sensations such as light touch and temperature. The client also reports tingling sensations in the arms. The client reports feelings of anxiety about his lack of knowledge regarding Guillain Barre and the recovery process. Which of the following are MOST appropriate for the OTA to complete with the client at this stage of the disease process?

A client has recently experienced an ASIA A SCI at level C3. The client is being seen in an LTAC for an OT evaluation, with the OTA assisting with the process. Which of the following is the MOST appropriate for the OTA to complete as part of the evaluation process?

Which of the following is CORRECT as it relates to the placement of straps on a single surface orthosis?

A client in a skilled nursing facility presents with scoliosis, and poor trunk control. The clinician has been consulted to determine optimal seating and positioning for the client to optimize comfort and preserve skin integrity. The clinician has recommended a custom contoured back for the client’s wheelchair. In regards to pressure relief needs, which of the following will be MOST appropriate for the client?

An OT is working with a client with Limb-Girdle Muscular Dystrophy. The client demonstrates difficulty with control and efficiency during joystick use when maneuvering their power wheelchair. Given this information, which option represents an appropriate course of action for the OT to take as the NEXT step to address these concerns?

A 5 year-old child presents with spina bifida myelomeningocele at the lumbar level. The child is being seen for OT services, and the OT is making recommendations to optimize function within the least restrictive environment/method during play activities and functional mobility. Which of the following options is BEST to achieve this goal?

An OT Level II Fieldwork student is treating a client in a pediatric outpatient facility. The client experiences deficits in oral motor control and is currently on a Level II Dysphagia Diet. When taking another child back to the parent waiting area, the OT student noted that the child’s mother appeared to be assisting him with eating the snack of goldfish. What response should the OT student take in this scenario?

A client presents to an outpatient facility with acute stenosing tenosynovitis of the first dorsal extensor compartment of the wrist. Which of the following represents the MOST appropriate type of splint the client should be provided with?

A client presents to an outpatient facility with pain noted in the first dorsal compartment of the wrist. Which of the following assessments is appropriate for the OT to administer to determine the presence of tenosynovitis?

An OT is treating a client in a long-term care facility who is status-post experiencing a CVA occluding the middle cerebral artery approximately 5 months ago. The client continues to have significant visual attention and scanning problems and nursing staff reports that the client demonstrates confusion and frustration when attempting to find things on the left side of their room due to anosognosia and poor insight. Which of the following best practice options for intervention is MOST appropriate for the OT to consider at this time?

A client with an acute ischemic cerebellar infarct presents for OT intervention in an inpatient rehab setting. The client presents with impairments in upper extremity coordination, impaired standing balance, and impaired safety awareness with limitations in metacognitive abilities. When addressing ADL and IADL abilities, which of the following interventions would be appropriate to INITIALLY implement with the client?

A client with an acute ischemic cerebellar infarct presents for an OT evaluation in an acute care setting. The OT is evaluating ADLs to gain a measurement of the client’s baseline status with basic occupational performance. Which of the following assessments is MOST appropriate to administer with this client?

A client with an acute ischemic cerebellar infarct presents for an OT evaluation in an acute care setting. The OT has progressed to the point of the evaluation process of assessing the client’s ability to progress from a supine to a sitting position at edge of bed, and the client has tolerated this well. Which of the following represents the NEXT appropriate step of the assessment process?

A client with an acute ischemic cerebellar infarct presents for an OT evaluation in an acute care setting. Which of the following motor performance skills is MOST appropriate to assess?

A client with an acute ischemic cerebellar infarct presents for an OT evaluation in an acute care setting. Which of the following client factors is most appropriate to assess?

A child with autism spectrum disorder (ASD) experiences ideational and somatodyspraxia affecting motor skills and ADL/play development, with the child continuing to require moderate assistance with basic ADLs such as grooming and oral hygiene. Which of the following INITIAL approaches is most appropriate to implement with the child?

An OT is working with a 7 year-old child who experiences difficulties with handwriting abilities. To address these noted difficulties, the OT has implemented a motor learning remedial approach with the client. The child is in the associative phase of the handwriting instruction. Based on this information, which of the following is MOST appropriate to implement with the client in this stage of motor learning?

Which of the following options represents the most advanced handwriting skill that a typically developing 2 year-old child will demonstrate?

A 3 year-old client that is receiving occupational therapy services uses a writing grasp that is seen in a typically developing 1.5 year old. Which of the following writing grasps will you expect to see in this client?

A 1 year-old child is being seen for OT early intervention service. The parents report that when laying the child in the crib to prepare for sleep, the child is easily startled awake, which is impacting the child’s nighttime routine. Which reflex is interfering with this occupation?

Which of the following is TRUE as it relates to neuromaturation and development of movement?

A client who has experienced chronic pain has been diagnosed with CRPS Type I of the right upper extremity. The client has a past medical history notable for epilepsy. The OT has administered the COPM as part of the evaluation process to track the client’s improvements in pain and occupational performance. As part of the intervention process, which of the following is MOST appropriate?

A client who has experienced chronic pain has been diagnosed with CRPS Type I of the right upper extremity. The OT has administered the COPM as part of the evaluation process to track the client’s improvements in pain and occupational performance. As part of the intervention process, the OT is instructing the client in autogenic training. Which of the following correctly describes this approach?

A client who has experienced chronic pain has been diagnosed with CRPS Type I. The OT is addressing the OT process with the client using the biopsychosocial model of pain. Which of the following represents a feature of the “suffering” domain of this model?

A client who has experienced chronic pain has been diagnosed with CRPS Type I. Which of the following represents a feature of chronic pain?

A right-hand dominant client presents for hospitalization with a deep partial thickness burn to the dorsum of the right hand, and the hand presents in an intrinsic minus position. Along with splinting the wrist/hand in an intrinsic plus position, during the initial evaluation and intervention process in the acute pre-graft stage, which of the following is MOST appropriate?

A client presents for hospitalization with a deep partial thickness burn to the dorsum of the right hand, and the hand presents in an intrinsic minus position. Which of the following describes the position that the client’s extremity should be splinted in at the MCP and IP joints to address this?

A client presents for hospitalization with a deep partial thickness burn to the dorsum of the right hand. Which of the following describes the position that the client’s extremity should be splinted in?

An OT is working in the school system with a child who experiences handwriting impairments. Based on the results of the evaluation, the child appears to demonstrate increased muscle tension and fatigues quickly with handwriting tasks when using a pencil. Which of the following recommendations is appropriate to address this area of concern?

An OT is working with a client with significant hypotonia and poor upper body strength and control. The client is largely non-ambulatory. As it relates to seating and positioning needs, which of the following is MOST appropriate to recommend for the client?

An OT is working in an outpatient facility with a seven year-old child who experiences difficulties with fine motor coordination impacting ADL performance. The child is unable to fasten the buttons on his clothing, unable to fasten zippers on coats without assistance to start them on the track, and is unable to tie his shoes. When working with this client using a motor learning approach, which of the following is the MOST appropriate intervention?

An OT clinician in the school system is working with an 8 year-old child with neuromuscular impairments along with impairments in executive functioning. The child demonstrates impairments in handwriting abilities, and the clinician is using a motor learning approach with the child when addressing handwriting abilities. The child is in the associative stage of motor learning. Which of the following represents an example of the MOST appropriate intervention to use with the client?

An OT clinician is completing an evaluation with a four year-old client in an outpatient therapy facility, and is administering the Peabody Developmental Motor Scales-2 (PDMS-2). The child was born at 32 weeks of gestation. During the assessment the child required assistance for stabilization of the proximal upper extremity when reaching for and grasping various task objects. During the synthesis and interpretation of the assessment, which of the following is MOST appropriate to include?

An OT is completing an evaluation with an elementary school student who has been identified as being developmentally delayed. During an assessment of handwriting, the OT notes that when the child adjusts their grasp on the pencil, they stabilize the pencil on the table surface to reorient it’s position. Which of the following areas does this MOST likely indicate impairments in?

An OT working in an early intervention setting is completing an evaluation with an 18 month old child. The OT notes that the child experiences difficulties grasping flat objects such as crackers and cookies and frequently drops the items, though is able to successfully hold larger items with the MCP joints extended and the IP joints flexed. What does this suggest regarding the child’s development?

An OT is working with a client diagnosed with generalized anxiety disorder using the Model of Human Occupation, specifically using the Remotivation Process technique. The client has been identified as being at the exploration stage of the motivation continuum based on the Volitional Questionnaire. The client has expressed interest in participation in role-playing card group games. Which of the following interventions is most appropriate to INITIALLY implement with this client?

A client in a community mental health setting presenting with major depressive disorder and mild intellectual disability experiences difficulty with motivation and attending her daily group. The OT determines the client would benefit from an approach to intervention providing structure and an external locus of control. Which of the following approaches would BEST illustrate an intervention consistent with this approach?

An OT is engaging a client with Bipolar Disorder in social skills training (SST). The client has thus far completed several sessions of the training. Which of the following represents the FIRST step that should occur as part of each subsequent session after the initial session?

An OT is working with a child in the school system. The child’s teacher reports to the OT that the child has been struggling academically and failing to turn in homework assignments. The child reports to the OT that she has a difficult time noticing the homework assignments written on the board and when the teacher states the homework assignments. Based on administration of the Sensory Profile School Companion, the child presents with a low registration sensory processing pattern. Which of the following is MOST appropriate to recommend to the child’s teacher to address this deficit area?

An OT is working with a client with dementia identified to be functioning between an Allen Cognitive Level (ACL) 1-2. The OT is making recommendations to nursing staff regarding appropriate instructions to provide when working with the client. Which of the following recommendations is MOST appropriate for the OT to make to the nursing staff?

A 20 year-old male client with a generalized anxiety disorder is being seen for OT services in a homeless shelter. The client functions at a project group level, with impairments in sustained attention to task. The client states that his goals are to manage his money, learn basic home living skills, re-engage spiritually, and find employment. The OT is framing the intervention process using the Model of Human Occupation. As it relates to the intervention process, which of the following is appropriate to complete?

A 20 year-old male client with a generalized anxiety disorder is being seen for OT services in a homeless shelter. The client functions at a project group level, with impairments in sustained attention to task. The client states that his goals are to manage his money, learn basic home living skills, re-engage spiritually, and find employment. The OT is framing the intervention process using the Model of Human Occupation. The client clearly states his goals, though also appears ambivalent to changing his current habits and routine. As it relates to the intervention process, which of the following is appropriate to complete?

A 20 year-old male client with a generalized anxiety disorder who was recently evicted from his apartment secondary to being unable to pay his bills is being seen for OT services in a homeless shelter. The client was included in an evaluation group, and was determined to be functioning at a project group level, with impairments in sustained attention to task. The client states that his goals are to manage his money, learn basic home living skills, re-engage spiritually, and find employment. As it relates to the intervention planning process, which of the following goals is appropriate?

The client is a 25 year-old male with major depressive disorder presenting for intervention in a partial hospitalization program. The client is functioning at an ego-centric cooperative group level, and only demonstrates mild limitations in attention and concentration. The client’s occupational impairments appear to be related to anhedonia and decreased volition, rather than a lack of physical or cognitive capability.  The client perceives that he is not competent in IADL skills including home management, healthy meal preparation, and financial management. His goal is to obtain a stable job in the near future. The OT will be framing the intervention process using the Cognitive Behavioral frame of reference and the Model of Human Occupation (MOHO). As it relates to the intervention process in this setting, which of the following is appropriate to complete?

The client is a 25 year-old male with major depressive disorder who was recently hospitalized after an attempted suicide. The client received intervention and has now been discharged from the acute care hospital. His doctor has ordered that he receive services at a partial hospitalization program for 5 days a week, 5 hours per day, to address the residual symptoms of this episode. The OT at the partial hospitalization program is completing the evaluation process. The OT first completes the occupational profile, and notes that the client is alert and oriented to person, place, time, and situation. The client is able to be an active participant of the evaluation process.  As it relates to the evaluation process in this setting, which of the following is appropriate to complete?

A 66 year-old male client recently experienced a C8 ASIA A SCI. The client has been transferred to an inpatient rehabilitation unit to receive intensive OT and PT services. Per the chart review, the client must adhere to spinal precautions, though is not required to don a brace. As it relates to the OT evaluation and intervention planning process, which of the following is appropriate to perform?

• A client has experienced a diffuse traumatic brain injury as a result of a serious motor vehicle accident.
• The client is currently in the ICU of an acute care hospital. Based on the chart review, the client is currently functioning at a Ranchos Los Amigos Level III, and scored at a 4 on the motor subscale of the Glasgow Coma Scale.

• Case Scenario 1A: Which of the following represent appropriate components of the OT evaluation process at this stage? (choose the best three options)

• A client has experienced a diffuse traumatic brain injury as a result of a serious motor vehicle accident.
• Along with the noted impairments consistent with an RLA III, based on the evaluation process/observation and discussion with the SLP, the client demonstrates difficulty managing their secretions. The client is also beginning to demonstrate hypertonicity of the right upper extremity, with a score of 1+ on the Modified Ashworth Scale.
• The OT is initiating the intervention process with the client in the ICU.

• Case Scenario 1B: Which of the following represent appropriate components of the intervention process at this stage? (choose the best three options)

• A client has experienced a diffuse traumatic brain injury as a result of a serious motor vehicle accident.
• The client demonstrates progression, was discharged out of the ICU, and is now being discharged to an Inpatient Rehabilitation Facility for more intensive OT, PT, and ST services.
• The client is currently functioning at an RLA VI.

• Case Scenario 1C: Which of the following are correct as it relates to a Rancho Los Amigos Level VI? (choose the best three options)

• A client has experienced a diffuse traumatic brain injury as a result of a serious motor vehicle accident.
• The evaluation completed with the client in the Inpatient Rehabilitation Facility, currently functioning at an RLA VI, indicates that the client experiences poor neuromuscular trunk and upper extremity control, upper extremity ataxia, apraxia, and diplopia, which impacts the client’s performance with BADLs.

• Case Scenario 1D: Which of the following represent appropriate components of the INITIAL intervention process at this stage? (choose the best three options)

A 66 year-old male client recently experienced a C8 ASIA A SCI. The client has been transferred to an inpatient rehabilitation unit to receive intensive OT and PT services. Per the chart review, the client must adhere to spinal precautions, though is not required to don a brace. The client is being treated by an entry level OT. As it relates to equipment recommendations in preparation for discharge, which of the following is appropriate and necessary?

A 66 year-old male client recently experienced a C8 ASIA A SCI. The client has been transferred to an inpatient rehabilitation unit to receive intensive OT and PT services. Per the chart review, the client must adhere to spinal precautions, though is not required to don a brace. As it relates to the OT intervention process at this setting, which of the following are appropriate to perform?

A 65 year-old with chronic schizophrenia has been hospitalized due to an acute onset of psychosis. The client finds auditory input overwhelming when in crowds or at her Adult Day Center, and also experiences frequent auditory hallucinations. When waking up from sleep at the hospital, the client has become disoriented and agitated with staff. Which of the following is MOST appropriate to consider to address these concerns in the hospital setting?

A 65 year-old with chronic schizophrenia has been hospitalized due to an acute onset of psychosis. The client resides with her niece who acts as the caregiver, and experiences frequent hospitalizations. The client finds auditory input overwhelming when in crowds or at her Adult Day Center, and also experiences frequent auditory hallucinations. When completing the evaluation process, which of the following is appropriate to administer with the client and her caregiver?

A 21 year-old a college student diagnosed with major depressive disorder presents for OT services in a community mental health setting. The OT is implementing the intervention process using a cognitive behavioral approach. Which of the following cognitive strategies is aligned with this approach?

A 21 year-old a college student diagnosed with major depressive disorder presents for OT services in a community mental health setting. The OT is initiating the evaluation process and working to identify an appropriate assessment to administer with the client. Based on the screen and occupational profile, the client appears to demonstrate deficits in attention, though is able to assist in the evaluation and goal-setting process. Which of the following assessments is MOST appropriate to administer to this client to gather his perceptions of occupational performance and priorities for treatment?

A 21 year-old a college student diagnosed with major depressive disorder presents for OT services in a community mental health setting. The client reports significant difficulties in occupational performance and participation during IADL and school-related tasks due to apparent deficits in attentional vigilance. Which of the following options would MOST align with this area of impairment?

An OT is working with an individual with a diagnosis of dementia. According to the client’s family, the client previously enjoyed activities such as cooking, crafting and painting. After completing the Allen Cognitive Level Screen, the client is determined to be at an Allen Cognitive Level 4.0. Based on this, which of the following recommendations is most appropriate to include for a client at this level?

A client who had previously experienced a CVA is being seen in an outpatient therapy facility by an entry-level OT. The OT has determined that the client would benefit from the administration of a driving safety screen, and the client’s family is concerned about his abilities to drive safely. Which of the following is the MOST appropriate course of action for the OT to take?

A client with right frozen shoulder is being seen for outpatient OT services. The client’s chart review indicates he has a history of a remote right shoulder fracture treated conservatively, and a history of diabetes mellitus with peripheral neuropathy. All of the following PAMs are indicated for use with this client as a preparatory method in the right shoulder EXCEPT?

A client is being seen following an upper extremity amputation for occupational therapy services, first as part of the pre-prosthetic training program, and currently as part of the prosthetic training program. Which of the following is considered an important component that will be initiated as part of the prosthetic training program?

A client who has experienced a left-hemispheric CVA is in the evaluation process in an inpatient rehab facility. During the context of the evaluation, the OT notices that the client is not able to visually or verbally identify objects such as an apple or a cup when prompted by the OT, even when using tactile cues to interact with the object. Which of the following diagnoses does this client likely present with?

A client being seen in an outpatient facility secondary to a diagnosis of an acute flare-up of rheumatoid arthritis affecting the hands recently fell in her home. This resulted in a fracture of the left humerus, which is being treated conservatively alongside the client’s arthritis diagnosis. The client also presents with a comorbidity of a recent pacemaker placement. It has been three weeks since the client’s fracture. Which of the following represents an appropriate use of a physical agent modality for the client in this scenario?

A client has experienced a left-hemispheric CVA with occlusion of the vertebral artery. The client is being evaluated for OT services in an inpatient rehabilitation setting. Which of the following would the OT likely expect to observe MOST impacting the client functionally during completion of the evaluation?

An OT is working with a client in the contemplation stage of change based on the transtheoretical model of change. Which of the following strategies will be MOST appropriate for the OT to initiate with the client at this stage?

A client who has experienced a TBI is functioning at an RLA Level II. The OT clinician treating the client in an acute care hospital is planning to implement sensory stimulation interventions with the client. Which of the following is NOT appropriate to complete as part of the intervention process with this client?

An OT employed in a school system is completing an evaluation with a 7-year old student. Though the student appears cognitively intact and demonstrates the ability to follow simple instructions, they appear to demonstrate significant delays in fine motor abilities which has affected performance in school occupations. The OT hopes to gather information from the evaluation process to compare the student’s performance in relation to a normative sample of peers. Which of the following is the MOST appropriate assessment for the OT clinician to administer as part of the evaluation process to gather more information regarding the child’s deficit areas?

An OT clinician is working in a home health setting with a client who has experienced an ASIA A T12 SCI. The client has a ramp at his home, although it does not meet ADA requirements, and has a steep grade. The client has asked the clinician to provide his wife with training on how to best maneuver his wheelchair on the ramp, and on the curbs outside his house adjoining the sidewalk. Which of the following is MOST appropriate for the clinician to recommend?

An OTA is working with a child who experiences Autism Spectrum Disorder (ASD). The OTA is initially addressing strategies to improve interaction and reduce fear and anxiety that the child experiences during the initial sessions. Which of the following strategies is MOST appropriate to utilize to achieve this goal?

An OTA in the school system is working with a non-verbal male child diagnosed with Autism Spectrum Disorder (ASD). The OTA is working with the SLP to determine an appropriate alternative and augmentative communication (AAC) device for the client to express their needs. The therapists have determined that the child appears to respond well to speech generated by a male voice and around the same age as the child. Based on this information, which of the following options is MOST appropriate to recommend for this child?

An OTA is working with a child who experienced a wrist fracture 10 weeks ago. Due to the prolonged period of immobilization, the client currently presents with weakness of the wrist extensor musculature and demonstrates compensatory movement patterns when extending the wrist. The OTA is applying neuromuscular electrical simulation with the goal to isolate the wrist extensor musculature. Which of the following is MOST appropriate in regards to the application of this physical agent modality?

A client who presents with a peripheral nerve injury is being treated through a sensory re-education process, through graded discrimination training. Through the use of the tactile sense with vision occluded, the client is able to differentiate between a nut and a bolt, and is able to describe the physical details distinguishing the two objects. Which of the following represents the next step of progression in this training process?

A client has recently underwent open-heart surgery to perform a CABG. The client is status-post 4 weeks from the surgery, and is continuing to follow sternal precautions. Which of the following options is MOST likely to cause the client to break his sternal precautions?

An OTA is working with a client who has recently underwent bilateral lower extremity amputations 1 week prior. The OTA is working with the client in a rehabilitation facility to promote safety and independence during functional mobility and ADLs. Which of the following would be MOST appropriate to implement to address safety concerns as it relates to this client’s diagnosis and functional mobility/ADLs?

A 21 year-old student has experienced a C4 ASIA A SCI. The OTA in an outpatient facility is working with the client to promote the highest level of function and independence with IADLs while using compensation and adaptation strategies as needed. Which of the following represents the MOST appropriate strategy to optimize the highest level of function with IADL tasks?

An OTA in the school system is working with a child who presents with impairments in visual processing. This has resulted in difficulty with typing tasks, including difficulty locating the correct key on the keyboard. Which of the following options represents an appropriate recommendation to FIRST make to address this area of difficulty?

A child being seen for OT services presents with hypotonia and no sitting balance. The child also presents with poor head control, and his parents report he frequently demonstrates loss of sitting balance during the bathing routine if not fully supported by the parents while sitting in the bathtub, and demonstrates difficulties maintaining an upright head posture during bathing tasks. The child’s parents are requesting recommendations from the OTA to maximize safety during bathing. Based on this information, which of the following is MOST appropriate to utilize to address the parent’s concerns and optimize safety during the bathing routine, while allowing the child to complete the task in at least a semi-seated position?

A client presents status-post experiencing a proximal humeral fracture weeks prior that was managed conservatively. The client is in the sixth week of recovery. Which of the following is appropriate to now initiate as it relates to this phase of recovery?

A 6 year-old client with a diagnosis of Fragile X Syndrome is being seen for OT services in a school setting. The client demonstrates deficits in executive functioning including sequencing, and exhibits deficits in regulating his responses to stimuli, demonstrating hyperresponsivity. The client also presents with poor postural control. All of the following are appropriate strategies to use with this client in the initial intervention process and when making recommendations to the child’s teacher, EXCEPT?

You are working with a client who has recently experienced a motor vehicle crash. As a result, the client sustained a C8 SCI. The client has progressed past the initial stages of the intervention process and demonstrates improved sitting balance. Which of the following interventions would be appropriate to include during an ADL treatment session with this client?

A individual who has experienced a TBI is being seen for OT services. The evaluation indicated that the client is at Stage VIII of the Rancho Los Amigos Scale. The client scored a 2+/5 on the manual muscle test of the right upper extremity, with the left upper extremity scoring within functional limits based on observations. The client also demonstrates a 1 on the Modified Ashworth Scale of the right upper extremity. The PT treating the client asks for your thoughts regarding the appropriateness of implementing a CIMT approach. What is your response in this scenario?

An individual with Bipolar Disorder is being seen in a community mental health setting. The client has resided with friends in a dorm apartment for the prior 2 years, but perceives that he lacks the basic IADL living skills such as cooking and financial management to optimally perform in his environment. Based on this information, which of the following frames of reference is MOST appropriate to use with the client in this scenario?

• An OT has been asked to head a research study regarding social isolation in skilled nursing facilities as a result of the Covid-19 Pandemic and its effect on residents.
• The OT assembles a research team consisting of occupational therapists and occupational therapy assistants. The team determines that a qualitative design would best fit the nature of the study.

• Case Scenario 1A: The OT is initiating the Research Process: What should occur in the initial steps of the process?

• An OT has been asked to head a research study regarding social isolation in skilled nursing facilities as a result of the Covid-19 Pandemic and its effect on residents.
• The OT continues in the research process.

• Case Scenario 1B: The research process continues: What occurs in the next steps of the research process?

• An OT has been asked to head a research study regarding social isolation in skilled nursing facilities as a result of the Covid-19 Pandemic and its effect on residents.
• Consent forms have been established, and an IRB committee has approved the research study.
• The research team has prepared to enter the environments and immerse themselves in the culture of the skilled nursing facility environments, and data collection for the study is ready to begin.

• Case Scenario 1C: The research team has begun to collect data for the study. Which of the following are appropriate?

• An OT has been asked to head a research study regarding social isolation in skilled nursing facilities as a result of the Covid-19 Pandemic and its effect on residents.
• The data collection has been completed, and the researchers will be analyzing the data through the use of a low-technology approach.

• Case Scenario 1D: The research team has begun to analyze data from the study. Which of the following are appropriate?

You are using the Ecology of Human Performance (EHP) model to guide the intervention process when working with a client experiencing Major Depressive Disorder. Which of the following is an example of an assessment or intervention that most clearly aligns with this frame of reference?

A client presents with an acute flare up of rheumatoid arthritis, with tenderness, pain, and inflammation. The client also presents with significant deformities of the hands. The client will be provided with a resting hand splint for use during the flare-up, and she states that she is fine with either a custom fabricated splint, or a prefabricated splint. Which of the following is appropriate as it relates to this client and her splinting needs?

A client who has experienced a Colles’ fracture has achieved full AROM at the wrist, has been completing static strengthening exercises for the wrist, and is now appropriate and medically cleared to progress to the next step of treatment based on the biomechanical frame of reference. Which of the following is MOST appropriate for the OTA to now initiate with the client during OT sessions?

An OTA is working with a client with a past medical history of diabetes mellitus type II, peripheral neuropathy resulting in diminished protective sensation of the hands, and pacemaker placement, who is in the sub-acute inflammatory stage of arthritis in an outpatient facility. Inflammation in the hands is subsiding and the joints of the wrist, and MCP are slightly warm. Which of the following is MOST appropriate for the OTA to complete with the client at this stage?

You are working with an individual who experiences major depressive disorder. The client demonstrates an acceptable level of insight and is a good candidate for use of the psychodynamic frame of reference to guide the intervention process. Which of the following interventions is MOST appropriate to use based on this frame of reference?