Question 1

Which pencil grip is considered the most mature?&#10;A) Crossed-thumb grasp&#10;B) Dynamic tripod&#10;C) Palmar grasp&#10;D) Static tripod

Accepted Answer

The most mature grasps are the dynamic tripod and lateral tripod grasps.

Question 2

Brigit is an 8-year-old girl who presses hard on the paper and frequently smears her letters and rips the paper.What do you expect to observe with her grasp pattern?&#10;A) Dynamic tripod grasp&#10;B) Grasp by the eraser&#10;C) Loose grasp&#10;D) Tight grasp

Accepted Answer

Tight grasps may limit the variety of movements and make smooth, fluid motions difficult.Writers using tight grasps often press hard on the paper, which results in the formation of dark, sometimes smeared, letters.

Question 3

Tiffany is a 10-year-old girl who got in trouble in class for talking during free writing time.When confronted, she told the teacher that she did not intentionally speak out loud, but it made the writing easier.What kind of learner is Tiffany?

A) Auditory
B) Visual
C) Kinesthetic or tactile
D) Perceptual

Auditory

Accepted Answer

Children who learn through auditory means write better if they hear or verbalize the letters or words while putting them on paper.These children may talk to themselves while writing, saying the letters and verbally describing the letter formation as they write.Using fun "sayings" for letter formations are also helpful in learning how to stroke a letter.For example, when writing the capital letter "B," the OT practitioner would say: "Big line down.Frog jump up.Now, little curve, and another little curve."

Question 4

How does using raised-lined paper help children in their handwriting?&#10;A) Provides visual cue to stay within the lines.&#10;B) Provides tactile sensation cue to stop.&#10;C) Allows child to write larger.&#10;D) Keeps child's hand stabilized.

Accepted Answer

The tactile system plays a key role in writing.This important skill requires the ability to feel the pencil and manipulate it without the aid of vision.

Question 5

Which statement is true of repetitive rote writing of spelling words for children with handwriting difficulties?&#10;A) This will help the child learn the words.&#10;B) This does not improve the child's knowledge.&#10;C) This will help the child's handwriting.&#10;D) This is an excellent OT intervention.

Accepted Answer

Children who have handwriting difficulties benefit from practice and hand strengthening games.

Question 6

The COTA, Marvin, is working with 3-year-old Harvey on his prewriting skills.Which skill would be the easiest for Harvey to accomplish?&#10;A) Copy a square.&#10;B) Imitate a straight line.&#10;C) Spontaneously scribble.&#10;D) Draw a face.

Accepted Answer

12 months: Stirring spoon.14 months: Scribbling-1 scribble 1 inch long.23-24 months: Imitating vertical line 2 inches long.27-28 months: Imitating horizontal line 2 inches long.33-34 months: Copying circle-end points within half inch of each other.39-40 months: Copying cross-intersecting lines within 20 degrees of perpendicular.41-42 months: Tracing line-deviates 2 times.

Question 7

What are the benefits of keyboarding?&#10;A) It improves legibility and reduces spelling errors.&#10;B) It requires less memorization and little bilateral coordination.&#10;C) It strengthens upper extremity strength and timing.&#10;D) It reduces eye strain and improves visual skills.

Accepted Answer

The keyboard would improve legibility and reduce spelling errors in written assignments.Most school districts have computer keyboarding skills included in their curriculum; OT practitioners should review what is recommended.

Question 8

Kayla, a 7-year-old first grader, is having trouble in school because her teacher says she does not try to write well.The Certified Occupational Therapy Assistant (COTA) observed that Kayla had trouble with letter identification, especially when the letters were smaller than those on her desk.What type of visual perceptual skill does this describe?

A) Figure ground
B) Form constancy
C) Visual closure
D) Visual memory

Accepted Answer

Form constancy: The ability to realize and recognize that forms, letters, and numbers are the same or are constant whether they are moved, turned, or changed to a different size.This means that a square is always a square no matter what size or color.

Question 9

Which classroom strategy is most helpful to a child with handwriting difficulties?&#10;A) Allow the child to spend recess time writing homework assignments.&#10;B) Do not require the child to write at all.&#10;C) Provide a written list of homework assignments.&#10;D) Require the child to write in neat, full paragraphs.

Accepted Answer

Providing written list of homework assignments allows the child to get the classroom work done at home and does not penalize him/her for writing.Other strategies include:
.A written list of homework assignments and a checklist of each book or folder that needs to go home can be provided to the child.
.Delegate a packing buddy to help the child pack up at the end of the day to make sure that all of the necessary papers and books are put in the bag.
.Allow the child more time to complete written assignments, or use an outline format for him or her.
.Grade and emphasize the content of assignments of written expression with a grade for the mechanics of writing.

Question 10

Which sitting position is most helpful for writing?&#10;A) Feet on floor, desk resting on lap&#10;B) Feet off floor, desk under armpits&#10;C) Feet on floor, desk slightly above elbow&#10;D) Feet off floor, desk slightly above elbow

Accepted Answer

The best sitting position for a child is sitting with the hips and knees at 90 degrees, feet flat on the floor, and the ankles at 90 degrees.The desk should be at a height of two inches above the flexed elbow.

Question 11

The occupational therapy (OT) practitioner provided Trey with a variety of drawing activities that were fun and promoted hand skill.These activities were slightly challenging for Trey, based on his current level of functioning.What frame of reference was the practitioner using?

A) Biomechanical
B) Developmental
C) Educational
D) Sensory

Accepted Answer

The answer of The occupational therapy (OT) practitioner provided Trey...

Question 12

The OT practitioner provided John with a variety of drawing activities that were fun and promoted hand skill, especially hand strengthening.These activities required that John manipulate a variety of materials (e.g., Play-Doh, clay, and sand sculptures).What frame of reference was the practitioner using?

A) Biomechanical
B) Developmental
C) Educational
D) Sensory

Accepted Answer

The answer of The OT practitioner provided John with a...

Question 13

Which frame of reference is the COTA using by engaging the child in a variety of motor activities to improve postural control, strength, and processing (e.g., obstacle course, rope swing, and net swing), followed by finding objects hidden in rice or sand?

A) Biomechanical
B) Developmental
C) Educational
D) Sensory integration

Accepted Answer

The answer of Which frame of reference is the COTA...

Question 14

Raysor has difficulty writing.He hesitates when trying to continuously form letters.He does not understand where to begin writing on his paper.He sometimes begins at the bottom of the letter and sometimes at the top, despite frequent repetitions of the letter.What type of problem does Raysor show?

A) Poor midline crossing
B) Poor motor planning
C) Poor visual acuity
D) Tactile defensiveness

Accepted Answer

The answer of Raysor has difficulty writing.He hesitates when trying...

Question 15

What type of learner benefits from role playing and feeling the letters?&#10;A) Auditory&#10;B) Visual&#10;C) Kinesthetic or tactile&#10;D) Perceptual

Accepted Answer

The answer of What type of learner benefits from role...

Deck 22: Functional Task at School: Handwriting