Question 1

Which strategy to help with dressing is not appropriate for a child with sensory processing issues?&#10;A) Allow the child to pick his clothing.&#10;B) Cut out tags completely.&#10;C) Use detergent with a strong fragrance.&#10;D) Wash new clothing before the child wears it.

Accepted Answer

Wash new clothes in familiar detergent before having the child wear them.Use detergent with mild or no fragrance.

Question 2

What technique is the OT using by providing the child with a shower chair, nonslip map, and safety bars when showering?&#10;A) Remediation&#10;B) Adaption&#10;C) Compensatory&#10;D) Grading

Accepted Answer

Compensatory strategies that may be beneficial to children include assistive devices and adaptive equipment such as pediatric-sized reachers, button hooks, leg raisers, sock-aids, loops for clothing, shirts and pants without tags, socks without seams, and Velcro fasteners.

Question 3

Suck-swallow-breathe synchrony is not necessary for which of the following?&#10;A) Eating without gasping&#10;B) Smiling and frowning&#10;C) Sleeping without drooling&#10;D) Talking and singing

Accepted Answer

Suck-swallow-breathe synchrony typically emerges as the first self-regulatory activity during the prenatal period.Infants work on further developing the suck-swallow-breathe synchrony, often finding pleasure in drinking from a bottle and/or breast-feeding.

Question 4

What can an OT practitioner do to encourage sleep and rest patterns in children?&#10;A) Design a sensory diet.&#10;B) Dictate a sleep schedule.&#10;C) Nothing can be done; this is not an OT issue.&#10;D) Prescribe herbal supplements.

Accepted Answer

Sensory diets may be helpful in regulating a child's sleep-wake cycle.

Question 5

What technique is used when the caregiver takes the child's clothes off, washes the child in a tub, and dries the child off, but the child dresses self and empties the tub water?&#10;A) Adapting the activity&#10;B) Backward chaining&#10;C) Forward chaining&#10;D) Grading the activity

Accepted Answer

Backward chaining involves teaching the last step of a task first, then working backwards. In this scenario, the child learns the final steps of the task (dressing self and emptying the tub) after the caregiver has completed the initial steps.

Question 6

The occupational therapy (OT) practitioner decides to help Molly feed herself by working on strengthening Molly's upper extremity functioning.What type of approach is this?&#10;A) Remediation&#10;B) Adaptation&#10;C) Compensatory&#10;D) Strength based

Accepted Answer

Remediation techniques include upper extremity therapeutic exercises (range of motion and strengthening) and therapeutic activities to increase active participation and independence.

Question 7

What is the practitioner doing by moving the objects higher so that the child has to reach above his head to get them?&#10;A) Remediating&#10;B) Adapting&#10;C) Compensating&#10;D) Grading

Accepted Answer

Grading the location of bath supplies on shelves by altering the shelf height or the placement of supplies on the shelves will provide the child with reaching opportunities prior to entering the bath tub or shower area.

Question 8

An adolescent with limited judgment and cognitive skills makes a sexual comment to the Certified Occupational Therapy Assistant (COTA).The proper responses do not include which of the following?&#10;A) Asking the adolescent about sexual activity.&#10;B) Asking the adolescent to use words that are more polite.&#10;C) Reporting the incident to the registered OT.&#10;D) Reporting the incident to the adolescent's counselor.

Accepted Answer

In some cases, the role of the COTA may be to work with the adolescent to establish and encourage the appropriate context for sexual activity.

Question 9

The activities of obtaining and using supplies and washing, drying, combing, and trimming one's hair fall in what category?&#10;A) Grooming&#10;B) Personal device care&#10;C) Personal hygiene or grooming&#10;D) Toileting hygiene

Accepted Answer

Personal hygiene and grooming is defined as "obtaining and using supplies; removing body hair (e.g., using razor, tweezers, lotion); applying and removing cosmetics; washing, drying, combing, styling, brushing, and trimming hair; caring for nails (hands and feet); caring for skin, ears, eyes, and nose; applying deodorant; cleaning mouth; brushing and flossing teeth; and removing, cleaning, and reinserting dental orthotics and prosthetics."

Question 10

Which of the following is a remediation strategy that would help a child with motor planning deficit dress?&#10;A) Let the child make mistakes and figure it out for herself.&#10;B) Use a strategy of practice, repetition, and simple directions.&#10;C) Provide the child with clothes that require no buttons, zipper, or snaps.&#10;D) Talk to the child and remind her how to dress.

Accepted Answer

Remediation strategies include helping children who exhibit motor and praxis skill deficits through practice with repetition and variation, as described in the section on motor control/motor learning.

Question 11

What is required for a successful bowel and bladder management program?&#10;A) Volition, intention, and intake neurologic system&#10;B) Scheduling, planning, and follow through&#10;C) Consistency, timing, and luck&#10;D) Cognitive ability, visual-perceptual skills, and sensory awareness

Accepted Answer

The answer of What is required for a successful bowel...

Question 12

Which technique is not used to promote swallowing in children?&#10;A) Position the child in a semi-reclined position.&#10;B) Provide a calm setting.&#10;C) Use vibration and quick stroking about lip.&#10;D) Work quickly with the child.

Accepted Answer

The answer of Which technique is not used to promote...

Question 13

What term is used to describe a parent calming his or her child or two siblings working to clean their room?&#10;A) Family-centered care&#10;B) Co-occupation&#10;C) Multidisciplinary&#10;D) Behavior modification

Accepted Answer

The answer of What term is used to describe a...

Question 14

Useful techniques to help special children develop sleep patterns do not include which one of the following?&#10;A) Allowing children to go to bed when they wish.&#10;B) Establishing a sleep routine with family.&#10;C) Having family ignoring the behaviors.&#10;D) This is not the domain of OT.

Accepted Answer

The answer of Useful techniques to help special children develop...

Question 15

The occupational therapy assistant suggests that the school install a gate at the top of the stairs so the child can be safe.What type of effort is this?&#10;A) Reasonable accommodation&#10;B) Least restrictive learning environment&#10;C) Prevention&#10;D) Compensation

Accepted Answer

The answer of The occupational therapy assistant suggests that the...

Deck 19: Activities of Daily Living and Sleeprest