Question 1

A client is very reluctant to participate in occupational therapy. When questioned about his lack of motivation, the client states that "it's not worth it," and "I won't be any good at doing what I used to do, and I can't make anything better!" What would best fit the description of the client's perceptions?

A) Learned helplessness
B) Perceived barriers
C) Low self-efficacy
D) Lack of self-advocacy

Low self-efficacy

Accepted Answer

The client's statements suggest a low confidence in their ability to perform tasks and make improvements, indicating a lack of self-efficacy. Learned helplessness involves feeling powerless in situations and giving up without trying, while perceived barriers are external obstacles that may prevent someone from participating in occupational therapy. Lack of self-advocacy refers to a person's ability to speak up for themselves and their needs, which is not directly related to the client's lack of motivation in this scenario.

Question 2

An OT practitioner would like to give a written home program to a client to help with carryover of treatment. Each time, the client refuses the program, stating that he cannot read the program due to "forgetting his glasses." What is the best way for the OT practitioner to proceed?

A) Make a referral to an eye doctor to have the client's vision checked.
B) Provide a handout with pictures, and demonstrate the program components to the client.
C) Inform the client that he will not make progress in therapy if he refuses the program.
D) Provide the client inexpensive reading glasses.

Accepted Answer

Providing a handout with pictures and demonstrating the program components to the client accommodates the client's reported difficulty with reading and ensures understanding through visual and practical demonstration.

Question 3

During a treatment session, an OT practitioner is listening to a client's story. The OT practitioner leans forward slightly, nods, and presents with neutral body language along with using narrative and clinical reasoning. What is the OT practitioner utilizing as she communicates with this client?

A) Therapeutic mimicking
B) Empathy
C) Open communication
D) Therapeutic use of self

Therapeutic use of self

Accepted Answer

The OT practitioner is utilizing therapeutic use of self, which involves using one's own personality, insights, perceptions, and judgments to connect with and help clients. The therapist is communicating empathically and utilizing active listening skills, which are part of therapeutic use of self. Choice A (therapeutic mimicking) is not a recognized term in occupational therapy practice. Choice B (empathy) is part of therapeutic use of self, but does not encompass all of the components being utilized by the therapist in this scenario. Choice C (open communication) is important in therapy, but does not fully capture the specific skills and techniques being utilized by the therapist in this scenario.

Question 4

An OTA is teaching a client to use a dressing stick. How can the OTA ensure that the client's learning will be carried over into daily activities?&#10;A) Give the client a handout with clear pictures.&#10;B) Instruct the client using a multisensory method, and use the teach-back method.&#10;C) Provide the client many opportunities to practice.&#10;D) Using the client's phone, make a video recording of the client performing the task.

Accepted Answer

Using a multisensory method and the teach-back method ensures that the client understands and retains the information, facilitating carryover into daily activities.

Question 5

During fieldwork, an OTA student would like to provide a client with images and information obtained from a medical website as a part of his home program. What should the OTA student do first before printing off this program?

A) Evaluate the website and photos for accuracy.
B) Obtain copyright information from the website.
C) Make sure the client is comfortable with technology.
D) Select the large-font option.

Accepted Answer

The OTA student should evaluate the website and photos for accuracy before providing them to a client. It is important to ensure that the information being used is reliable and appropriate for the client's needs.

Question 6

An OTA is working with a client who demonstrates right-side weakness after experiencing a CVA. The client's first language is not English, and he is very resistant toward participating in therapy with the OTA. What would be the initial step for the OTA to increase client engagement?

A) Research the client's culture and learn acceptable customs.
B) Refer the client to another OT practitioner who has worked with his culture.
C) Speak louder as you encourage the client to do the activities on his plan of care.
D) Ask a family member of the client for assistance.

Accepted Answer

The initial step for the OTA to increase client engagement would be to research the client's culture and learn acceptable customs. By understanding the client's culture, the OTA can modify their approach to therapy and create a comfortable and respectful environment for the client. This can ultimately lead to increased engagement and participation in therapy. Referring the client to another OT practitioner who has worked with their culture may also be an option in the future, but the OTA should first try to understand the client's background and preferences. Speaking louder or asking a family member for assistance may be ineffective or disrespectful without first understanding the client's culture.

Question 7

An OTA is leading a yoga group at a senior center. During this activity, the clients are all engaged in the activity, but they engage in very little communication with one another. Which type of group would this most likely be demonstrating?

A) Mature
B) Project
C) Parallel
D) Cooperative

Accepted Answer

A parallel group is focused on individual activities that are carried out in close proximity to one another, but communication and interaction among group members is not as emphasized. In a yoga group, the participants are likely focused on their own movements and breathing rather than discussing or collaborating with one another.

Question 8

An OTA student is preparing a home program for a client. Which of the following would best increase the client's understanding of the instructions?&#10;A) Use bullet points rather than paragraphs or text.&#10;B) Use all-uppercase letters when communicating important information.&#10;C) Place words directly on photos to emphasize instructions.&#10;D) Increase the font size for easy reading.

Accepted Answer

Using bullet points rather than paragraphs or text makes the instructions easier to read and understand by breaking down the information into smaller, manageable points.

Question 9

A client presents with limited health literacy. Which of the following tasks would most likely be difficult for the client?&#10;A) Understanding precautions after a total hip replacement&#10;B) Discussing pain levels at the beginning and end of therapy&#10;C) Using a shower bench during her morning ADLs&#10;D) Explaining how she normally prepares a recipe

Accepted Answer

Understanding precautions after a total hip replacement would require an understanding of medical terminology and procedures, which may be difficult for someone with limited health literacy. The other tasks mentioned do not necessarily require medical knowledge or terminology.

Question 10

An OTA has just prepared a home program for the client, and she is currently instructing the client on each activity. How can the OTA ensure client understanding for carryover?&#10;A) Have the client practice each activity once.&#10;B) Use the &#34;show-me&#34; method.&#10;C) Provide all information during a therapy session.&#10;D) Use the &#34;Ask-Me-Three&#34; method.

Accepted Answer

The "show-me" method involves having the client demonstrate the activity back to the OTA, ensuring they understand how to perform it correctly for carryover.

Question 11

An OT practitioner is wrapping up a group for adults with developmental disabilities. What would be the best way to conclude this group?&#10;A) Give a summary of the group meeting, and remind the members of the next meeting.&#10;B) Praise all of the members for their work, and give an appropriate salutation.&#10;C) Allow all of the members to finish their projects and to leave when they feel ready.&#10;D) Ask group members to share how they felt about each other's projects.

Accepted Answer

The answer of An OT practitioner is wrapping up a...

Question 12

An OTA is working with a client who is communicating through an interpreter. Which statement in their conversation would best illustrate appropriate use of an interpreter?&#10;A) &#34;Please have her write her medical history, and then you can translate it for me.&#34;&#10;B) &#34;Please ask her to discuss her medical history.&#34;&#10;C) &#34;Do you know anything about her medical history?&#34;&#10;D) &#34;Can you tell me about some of your medical history?&#34;

Accepted Answer

The answer of An OTA is working with a client...

Question 13

While working with a client who has just experienced an exacerbation of multiple sclerosis, the OTA takes into consideration the client's past history as he prepares the client's treatment. Which component of adult learning theory would the OTA be utilizing?

A) Adult learner experience
B) Orientation to learning
C) Readiness to learn
D) Motor learning principles

Accepted Answer

The answer of While working with a client who has...

Question 14

During a treatment session in an outpatient therapy clinic, a client who has sustained a brain injury is demonstrating recall of the instructions and steps to order and purchase a cup of coffee. However, the client has difficulty knowing what to do when the OTA takes the client to the hospital cafeteria to do the same task. Which stage of client education is the client most likely engaging in?

A) Retention
B) Acquisition
C) Generalization
D) Initiation

Accepted Answer

The answer of During a treatment session in an outpatient...

Deck 5: Teaching and Learning With Clients and Community