Copy of Pre-Test

A client presents with self-feeding difficulties secondary to impairments in coordination, which has impacted her nightly mealtime routine with her family. The client requests recommendations for strategies and adaptive equipment to complete self-feeding, but reports that she feels embarrassed at the prospect of using most adaptive equipment items, as she feels they are too invasive and noticeable. Which of the following is the BEST option for the OT to recommend to facilitate increased independence and reduce food spillage during the client’s mealtime routines?

Which of the following is an example of a behavioral strategy associated with the cognitive behavioral therapy frame of reference?

An OT has been consulted by a corporate client to create an injury prevention program. What will be the most important aspect of sustaining success that the OT should take into consideration for this injury prevention program?

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?

An OT is leading a topical group with individuals diagnosed with Bipolar Disorder. The group consists of pregnant women who will soon be welcoming their first child. Which of the following examples below best represents the focus of this type of group?

An OT employed in a school system has been asked to create and implement an intervention based on the multi tiered systems of support to address mental health concerns relating to the school setting. Which of the following choices below represents an intervention that can be developed at the Tier 1 level to address these concerns?

A client with Bipolar Disorder I has recently begun to experience a manic episode. The client has been neglecting the completion of ADLs, and has a severely imbalanced routine with very little sleep. Which of the following is most important to FIRST include with the client during this stage as part of the intervention process?

A client with schizophrenia who is taking antipsychotics is being seen for an OT session in a community mental health setting. The client informs the OT that he will be going to the beach with his family the next day. Which of the following options is the MOST appropriate course of action to include as it relates specifically to engagement in this activity?

An OT is working with a 10 year-old child with ADHD. The OT hopes to capture the client’s self-perception of satisfaction with occupational performance. Which of the following assessments is BEST indicated for use in this scenario?

A client has been administered the Allen Cognitive Level Screen leather lacing tool, and has been determined to be at a level 5.0. Which of the following represents the highest potential level of function for this client?

A client has recently experienced a fracture of the olecranon process of the ulna. Which of the following splints is indicated for use with the client in this scenario?

A client with a diagnosis of chronic right lateral epicondylitis is being seen for OT services secondary to a mild decline in functional ability related to pain associated with the epicondylitis. The client is employed as an accountant, and he spends much of his day on the computer typing emails with his right dominant hand. Which of the following is indicated to decrease the client’s pain within the context of functional activities?

A client presents for a wheelchair evaluation. The evaluation determines that the client has impaired trunk control, and could benefit from a cushion that will provide optimal pressure relief, while also being low maintenance. What type of wheelchair seat cushion will best fit this client’s needs?

A client who presents with a fixed deformity of a right pelvic obliquity has been referred for OT services as it relates to seating and positioning needs. Which of the following is appropriate for the client’s seating surface secondary to the presence of the obliquity?

A client with frozen shoulder is being seen for outpatient OT services. The client’s chart review indicates he has a history of a right shoulder fracture with an open reduction internal fixation, and a pacemaker placement. Which of the following PAMs is indicated for use with this client to reduce pain in the right shoulder?

A client being seen in an outpatient facility secondary to a diagnosis of chronic active rheumatoid arthritis 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 Raynaud’s Syndrome. 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 experienced damage to the extensor tendons in zone V, after which the client underwent a repair of the extensor tendons. Which of the following splints is indicated for use with this client in the initial weeks following the repair?

A client has been diagnosed with a rupture of the UCL of the right thumb. The injury is being treated conservatively. Which of these is indicated as part of intervention with the client as it relates to splinting needs?

A client with a diagnosis of arthritis with an acute exacerbation is being seen in an outpatient therapy facility. The client presents with acute inflammation and pain, with hot and red joints and stiffness. Which of the following is contraindicated as part of the intervention process at this stage?

A client with Rheumatoid Arthritis is participating in an occupational therapy evaluation in a home health setting. The OT has brought a Jamar Dynamometer to measure the client’s grip strength. However, the client is in the chronic inactive stage of the disease, and presents with severe weakness and deformities of the hands. Which of the following is indicated to measure the client’s grip strength at this time?

A client has been diagnosed with stenosing tenosynovitis of the first extensor compartment. This has been confirmed as part of the OT’s initial evaluation process through provocative testing. Which of these is indicated as part of intervention with the client?

A client who has experienced a flexor tendon laceration is being seen post-operatively for OT services in an outpatient facility. The surgeon has specified that the OT use the Kleinert Protocol. The client is now entering the 4th week of services post-operatively. Which of the following is appropriate to complete during this stage of the process based on the protocol?

A client who is a basketball player has experienced an intra-articular fracture of the middle phalanx of the 2nd digit, with a volar-based fragment and dorsal dislocation. Which of the following is indicated in the initial weeks of this fracture?

A client has experienced a proximal humeral fracture and is receiving OT services in an outpatient facility, with the fracture being treated non-operatively. The client is in the sixth week status-post experiencing the fracture. Which of the following should typically be initiated at this stage of the client’s recovery?

A client presents with adhesive capsulitis. Based on the patterns of impairment associated with this diagnosis, which of the following components of functional activities would you expect the client to present with the MOST difficulties in?

A client who has recently underwent a total hip arthroplasty is being seen for home health OT services. The client’s chart indicates the client has a comorbidity of Diabetes Mellitus Type 2. Upon arriving at the treatment session, the client appears confused and disoriented. The client also presents with a rapid and weak pulse, and acetone breath. What should the OT’s first response be in this scenario?

An OT employed at an acute care hospital has taken on the role of creating a program for individuals who experience Kidney Disease. The program will be targeted towards those in the early stages of Kidney Disease, specifically stage I and II Kidney Disease. Which of the following represents an appropriate focus of this program?

A client who has experienced a trans-radial amputation of the LUE is being seen in a skilled nursing facility for OT services 10 days post-operatively. The client also recently experienced a left-hemispheric CVA, resulting in Broca’s aphasia and hemiparesis of the RUE, though the client is able to follow simple directions. The client appears to be experiencing phantom pain of the residual limb. What is the MOST appropriate intervention to address the client’s pain in this scenario?

An OT working in an outpatient facility is looking to choose a valid and reliable outcome measure to track a client’s progress with pain. The OT wants to take into account the client’s experiences with pain and how they relate to occupational performance in everyday life. Which of the following assessments is indicated to achieve this goal?

A client who has underwent open heart surgery is being seen 2 days post-operatively in an acute care setting. Which of the following is appropriate to complete as part of the evaluation process with this client?

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?

The final fitting has been completed for a myoelectric prosthesis with a client who has experienced a transhumeral amputation. The OT has initiated the upper extremity prosthetic training program with the client. Which of the following is NOT considered to be a crucial part to initiate during the prosthetic training program?

An OT and a prosthetist are working with a client who has experienced a right long trans-radial amputation. The client demonstrates limitations in completing abduction of the scapula and shoulder flexion secondary to a history of right frozen shoulder. The client has stated that she is interested in a prosthesis that will be functional, but she is concerned because of the limitations in motions of her shoulder. Which of the following types of prosthesis is most likely indicated for this client?

A client has experienced an injury to the radial nerve secondary to a humeral shaft fracture. During the evaluation process, the client presents with no AROM of wrist or finger extension, and completes most ADLs and IADLs with mod assist secondary to loss of ROM and pain, with the client reporting 7/10 on the NPRS. Which of the following is an appropriate goal to address impairments in client factors?

An 8 year-old client in an outpatient facility presents with a positive froment’s sign following damage to a peripheral nerve. Which of the following functional activities would you expect this client to demonstrate the MOST difficulties with?

During a session focused on ADLs, a client status-post a hip replacement with a posterolateral approach is completing anterior hygiene by wiping between the legs in a seated position on a raised toilet seat. In regards to adherence to the movement precautions associated with this approach, what should your response to this individual be?

A client is being seen in a skilled nursing facility 1 week post-operatively from undergoing a total hip arthroplasty. The OT is completing an evaluation of the client’s functional status. Which of the following is appropriate to complete first as part of the evaluation process?

A client in an acute care facility with a TBI is graded at a Level II on the Ranchos Los Amigos Scale. The client presents with decerebrate posturing. Which of the following techniques is appropriate to use with this client as part of the intervention process?

A client who presented with full thickness burns 3 days ago has just received split-thickness skin grafts to the dorsum of both hands. You are seeing the client 1 day post-operatively for an evaluation, and the client experiences significant edema. Which of the following is most appropriate to include as part of the evaluation process for this client?

An OT has been treating a client in an outpatient facility who presents for OT with a diagnosis of De Quervain’s tenosynovitis. The client has recently experienced a superficial sunburn following a day at the beach prior to arriving at the current OT session. What should the OT’s response be in handling the superficial burn?

A client has experienced full thickness burns to the dorsum of both hands. His hands are held by edema in an intrinsic minus position. Which of the following correctly describes the measurements of the intrinsic plus splint that should be fabricated for this client?

A client who presents with a history of vestibular over-responsiveness was also recently in a car accident, where he experienced an ASIA A C6 SCI. The OT is making recommendations for pressure-relief options and strategies to the client’s parents. Which of the following recommendations is most appropriate in this scenario?

An OT in a preschool is creating a sensory diet for a 3.5 year-old student with a sensory seeking processing pattern. The sensory diet will be provided to the child’s teacher and parents. Which of the following options on the sensory diet can be used to incorporate the strongest form of sensory input possible?

You have completed a comprehensive swallowing assessment with a client, and have made the recommendation that the client adhere to Level I of the Dysphagia Diet. Which of the following foods is contraindicated at this level of the Dysphagia Diet?

Which of the following options below may be most appropriate for ruling out the possibility of silent aspiration in those who experience swallowing deficits?

Which of the following rehabilitative techniques correctly describes the Mendelsohn maneuver that assists with improving swallowing function?

A client is being seen for occupational therapy services. The child is of average intelligence, but presents with dyscalculia. The child struggles with tests that require the students to complete math problems by hand. Which of the following represents a compensatory approach to implement with the client to address these deficits?

A non-ambulatory child with Spastic Cerebral Palsy and concomitant intellectual disability is receiving services in a school system setting. The child demonstrates severe tone of the antigravity muscles of the lower extremities affecting the client’s sitting posture, subsequently affecting engagement in classroom activities. Which of the following interventions is appropriate for use with this client to increase engagement in the school environment?

You are working in the school system with a student who has bipolar disorder. You are planning to use the CO-OP approach with the client as part of your intervention process. Which of the following choices describes this strategy?

You are researching various pediatric assessments prior to evaluating a child, and determining the pros and cons of each assessment. In your research you find that some of the assessments are norm-referenced and others are criterion-referenced. Which of the following statements is correct as it pertains to criterion-referenced assessments?

You are researching various assessments to use when evaluating a 3  year, 2 month old child. You have determined during the screen and development of the occupational profile that the client requires further assessment of fine motor skills.  Which of the following assessments would be appropriate to administer?

As it relates to the diagnosis of Rett Syndrome, all of the following statements are correct regarding associated symptoms/deficits of the disorder EXCEPT:

You are working with a 7 year-old child with a diagnosis of Arthrogryposis Multiplex Congenita. The child presents with a contracture of wrist flexion. Based on your knowledge of this diagnosis, it would be important to implement all of the following activities into your treatment sessions EXCEPT?

In regards to toileting, which of the following performance abilities would you expect to see in regards to a typically developing child who is 5 years old?

You are completing a feeding evaluation with a 24-month old child. During the evaluation, you are assessing the child’s ability to feed themselves pureed foods. You observe that they dip their spoon in the food and bring the spoon up to their mouth, but there is significant spillage of the food off the spoon. How will this observation impact your intervention plan?

A 2 year-old child is being seen by an occupational therapist to address fine motor development. As you observe the child eating a pack of goldfish, you note that she picks up the bag with her left hand, then brings her right hand to hold the bag, followed by the left hand releasing the bag. Which of the following statements is correct regarding the OT’s assessment of this release pattern?

You are assessing fine motor skills in a child who is 14 months old. In terms of manipulation skills, what skills would you expect to see emerging by this stage of development?

A lesion in the primary somatosensory cortex will cause which of the following deficits?

In this sensorimotor approach heavy joint compression, vestibular stimulation, resistance, and inversion play an important role in the treatment process?

You have received an order to evaluate and treat a 30 year-old female client in an outpatient therapy facility. You are completing a chart review of the client. The chart states that the client’s sensation is intact. However, the client presents with weakness of the pelvis and shoulder. Based on this information, it is possible that the client presents with which of the following diagnoses?

A client has been diagnosed with Erb-Duchenne syndrome. Which of the following options represents the position that the client’s upper extremity will likely present in?

You are working with a client who is in the final stage of Parkinson’s Disease, and the client is confined to their bed. Which type of environmental control unit would you recommend to the client in order to optimize their control over their home environment during this final stage of Parkinson’s Disease?

You are working with a client who has a diagnosis of Parkinson’s Disease in a skilled nursing facility, and you are engaging with the client in a light meal preparation task of making a microwave cake. You notice that during standing at the sink, the client has decreased balance, and you are concerned about their safety. After the client completes the activity and eats the cake, the client does not appear to have difficulty with chewing. What stage of Parkinson’s disease can you conclude that the client fits in?

You are working with a client who has experienced a C7 ASIA A SCI. During the session, the client begins to experience a headache, the skin becomes flushed, and bradycardia occurs. You check the client’s blood pressure and realize that it has become elevated. How should you proceed?

A client has experienced an ASIA A SCI at level C8. In regards to the client’s bladder function, what would you expect to see in the client as a result of the SCI?

You are working with a client who has experienced a C4 ASIA A SCI in an inpatient rehabilitation setting. Which of the following interventions might you integrate into a treatment session with the client?

You are working with a client who has experienced an incomplete SCI. As a result of the SCI, they are experiencing greater upper extremity weakness compared to lower extremity weakness. What syndrome can you determine that the client has likely experienced?

You are evaluating a client in an acute care hospital who has experienced a TBI. During the evaluation, the client moves his head towards the sound of your voice and responds to his wife in the room. He also is able to follow simple commands such as closing his eyes, though with a delayed response and inconsistently. After you pinch the client, he removes his arm from the pain. What level on the Rancho Los Amigos Scale can you determine your client is at?

You are evaluating an individual who experiences spasticity following a TBI. Which of the following assessments can be used to specifically assess an individual’s level of muscle tone as it relates to spasticity?

Which of the following positions is indicative of decorticate rigidity following a TBI?

Which of the following represents a typical impairment that you might observe in a client following a right-hemisphere CVA to the posterior cerebral artery?

Which of the following represents a primitive reflex that may return following an anterior cerebral artery CVA?

You are working with a child who experiences figure-ground difficulties. During completion of the occupational profile, you ask the client’s parents questions to determine the extent of the client’s deficits. Which of the following scenarios would you expect the child to have difficulties with secondary to deficits in figure-ground perception?

You are evaluating a client in an acute care setting, using the Barthel Index to assess the client’s performance of ADLs. During the assessment, you notice that the client is unable to name common items such as towels and toilet paper when prompted. When touching the items, the client is still unable to correctly name them. Which of the following deficits does the client likely present with?

An OT is working with a motivated and alert 55 year-old male with a recent CVA. The client has been involved in numerous sessions related to ADL training. However, he stills seems unaware of his limitations, and appears to be unsafe. He also exhibits issues with learning compensation techniques for neglect. This leads the OT to assess that the individual is MOST likely exhibiting which of the following?

An OT program director has been asked to evaluate the feasibility of expanding specific programs within the OT department. What are the steps that should occur in this process?

A school board has evaluated the need for a program that will address the needs of families that have children with a diagnosis of Asperger’s/Autism. They have determined that a program makes sense and should be initiated. The Board has asked an Occupational Therapist to supervise the development of the program. What comes next in the process?

A student begins a level I fieldwork at a SNF. The original assigned supervisor OT is unable to be present at the facility for the next week. The staff at the facility includes an entry level OT, a physical therapist with 5 years of experience, an entry level OTA, and an OTA with 3 years of experience. Which of the following is NOT allowable in regards to supervision guidelines for an OT student?

An OT is preparing for a Parkinson’s support group that will have over 20 clients in attendance. The OT has been working together with an OT aide for over 5 years and he has been assisting the OT in working with these types of clients during most of that time. The clients arrive and the OT instructs the OT aide to begin handing out supplies for what is designed as a project group. As the OT aide hands out the materials, a client stops the aide and begins to ask specific questions related to the steps involved in the task. How should the OT aide respond in this case?

The patient is a 66-year-old female who fell and broke her hip S/P ORIF. She was taken by ambulance to the hospital, received surgery and was discharged one week later.  Everything was going well for about 17 days and then she ended up getting an infection. She became weak and unable to get around the house. The Home health agency was contacted, and OT and PT were started. She is very concerned and is worried about coverage of OT services. Which of the following is paying the Home Health visits?

You are working in a long-term care facility with a client with a history of a CVA. During the session you performed 33 minutes of therapeutic exercises, and 20 minutes of therapeutic activities. How many units of service and minutes will you bill for in this scenario?

A 27 y/o female Diagnosis S/P TBI (5 weeks) is comatose and currently on a ventilator. The prognosis is uncertain based on the type of head injury. Which of the following settings would OT most likely see this client?

An OT is treating a toddler in an early intervention program that has been diagnosed with maternal substance abuse issues. The toddler has at least 30 percent delay in two areas of development.  As a result of meeting the early intervention criteria, the toddler will require which of the following?

An OT has completed a research study regarding the effectiveness of CIMT on upper extremity function with clients who have experienced a stroke. The OT used a true experimental design for the study. During the analysis of the results, 0.05 was set as the cut-off value for testing statistical significance. The OT concluded that the p-value of the study was .043. Which of the following statements is correct regarding the conclusions that can be drawn from this study?

The OT has developed a research Question: Is CIMT more effective than traditional rehab at improving UE function in clients who have experienced a CVA? Which of the following is the next step in the process?

A physician refers a CVA patient with Right hemiplegia to Out-patient OT.  He meets with the therapist and suggests that she consider using Constraint Induced Movement Treatment (CIMT) on his patient to see if it will impact the affected UE. Based on the EBP Process, which of the following should the OT be considering first?

A recent graduate has initiated working at an inpatient facility. After 60 days the new OT’s performance is evaluated. The department director informs the OT that her services are no longer required. She states that the OT has failed to consistently meet the standards of conduct (Beneficence) set forth by the AOTA. Which of the following has the new OT failed to do?

An OT is on vacation for a week. During the vacation, the OT is shopping on a weekday afternoon and notices a fellow employee shopping in mid-day (when they are supposed to be working). When back from vacation, the OT finds out that the therapist has a full billable hour sheet for the same day that she experienced seeing the therapist out shopping. What should the OT do in response to this situation?

The OT is treating a 26-year-old female, the history intake reveals a Diagnosis T-11 Complete SCI. Earlier that day, she met bedside with the client to introduce herself and do a quick interview. She told the patient that she would return later for the next step. Which of the following seems logical in terms of what the OT should be doing next?

A female, age 26 has sustained a T-11 complete spinal cord injury secondary to an accident. The OT receives an order to evaluate and treat. Which of the following makes the most sense for the OT to complete at this time?

A group of five OT students are working together on a project that is due in one week. The students have a preliminary meeting, and the task is divided among the group members. Three of the students who live together sit down and draft out their part of the project. The other two students live off campus and end up meeting and working on their part. The whole group meets on campus the day before the project is due and collaborates on the presentation. The presentation is successful.  Which of the following Tuckman stages of group development does this example represent?

Which of the following represents an example of facilitative leadership?

A 42 year-old female with a diagnosis of bipolar disorder is currently involved in a clubhouse setting. An OT has been asked to design a series of groups for this type of setting. Which of the following options best describes the type of groups that would be the most appropriate for this setting?

You are working with a client, and you have framed the intervention process using the Cognitive Disabilities Model. Which of the following options represents an example of an intervention tactic that is consistent with this approach?

You are using the Model of Human Occupation 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 who experiences Bipolar Disorder is involved in both group and individual OT treatment in a partial hospitalization program. You note that the client presents with immature defensive mechanisms during the intervention process. Which of the following examples represents a manifestation of these mechanisms?

Ellen is a 64 year-old female with a diagnosis of chronic (active stage) arthritis. She works as an administrative secretary. Most recently, her disease has become active and she is having a significant amount of pain at night in her thumbs. The doctor has ordered the OT to evaluate and treat with splinting as indicated. Which of the following is the best splinting approach to use at this stage?

Per the chart review of an individual with rheumatoid arthritis, the client presents with a swan neck deformity. Though you have not yet seen this client, what positions of the joint can you expect the client to present with based on this information?

You are working with a client who has experienced a Boutonniere deformity secondary to arthritis. Which of the following splinting positions below is indicated for this client?

You are working with a client who experiences pain over the dorsal aspect of the hand when the thumb is held in the palm and the wrist is ulnarly deviated. Which of the following extensor compartments is affected in this case?