Question 1

What guidelines must an OT practitioner follow when securing a wheelchair to a vehicle (e.g., school bus)?&#10;A) National Highway Traffic Safety Administration&#10;B) AOTA&#10;C) Car seat manufacturers&#10;D) American National Standards Institute (ANSI)

Accepted Answer

The OT practitioner works with the educational team, including the transporter, to develop a safe plan for transportation and an evacuation plan in the event of an emergency.Since 2002, the American National Standards Institute/Rehabilitation Engineering and Assistive Technology Society of North America (ANSI/RESNA) requires wheelchairs to be dynamically crash tested and mandates specific requirements for wheelchair frames used as seating within a motor vehicle.

Question 2

Which statement best reflects the role of the OT when working with medication management and children?&#10;A) Children should never be in charge of their medications.&#10;B) Children should bring all medications to school so the OT can look at them.&#10;C) A team will decide if the child is able to manage the medications.&#10;D) The OT can decide on his or her own to help the child manage medications.

Accepted Answer

Success with medication management is increased through assistance with effective organization of medications.

Question 3

Marty is unable to distinguish a dime from a nickel.With what client factor is he most likely having difficulty?&#10;A) Figure ground&#10;B) Depth perception&#10;C) Mathematical computation&#10;D) Visual perception

Accepted Answer

Visual perception refers to identifying items and involves distinguishing shapes, sizes, and colors (making sense of what one sees).

Question 4

When discussing sexuality with an adolescent in a school setting, what must the OT practitioner first do?&#10;A) The OT should discuss the topic with the school principal and nurse.&#10;B) It is not appropriate for the OT to address sexuality.&#10;C) The OT should obtain consent from the adolescent's parent or guardian.&#10;D) The OT should get verbal consent from the adolescent.

Accepted Answer

It is imperative that the OT practitioner obtain consent from an individual's parent or guardian before discussing the topic of sexuality with a client who is a minor.

Question 5

How is a single walking device positioned?&#10;A) Placed on the strong hand.&#10;B) Placed on the weak hand.&#10;C) Placed on the preferred hand.&#10;D) Always placed on the right.

Accepted Answer

The single walking device such as a single crutch or cane is placed in the "strong" hand or on the opposite side of the weakened lower extremity to promote reciprocal stride gait when walking.

Question 6

Who provides the guidelines for safe transport of infants, toddlers, and young children who have special needs?&#10;A) National Highway Traffic Safety Administration&#10;B) AOTA&#10;C) Car seat manufacturers&#10;D) Health and Human Services

Accepted Answer

The National Highway Traffic Safety Administration provides clear guidelines for the safe transport of infants, toddlers, and young children.Car seat manufacturers provide detailed weight and age limits specific to each particular seat.Installation methods for car seats vary, and manufacturer instructions should be followed, without exception, when installing the seat in a vehicle.The role of the OT practitioner is to assess the child's physical needs and make recommendations as to the type of seat required.

Question 7

The occupational therapy (OT) practitioner works closely with a teen, and they set realistic goals for an upcoming project.The practitioner helps the teen manage her time and asks the teen to assess how she is progressing at each session.What intervention strategy is the practitioner using?

A) Deficit-specific training
B) Meta-cognitive training
C) Social skill training
D) Task-specific training

Accepted Answer

Meta-cognitive training works to improve the fundamentals needed to set realistic goals by enhancing self-awareness and skills such as time management, self-control, anticipation, and self-monitoring.

Question 8

When working on IADLs with a child who has physical limitations, which approach is not recommended?&#10;A) Adapt the environment to remove physical obstacles.&#10;B) Recommend home modifications when possible.&#10;C) Provide direct intervention in the state of the art kitchen at the clinic.&#10;D) Organize the home environment so that tools for particular jobs are located close to the job.

Accepted Answer

Provide direct intervention with regard to mobility through the home or other natural environment where the tasks will take place.
.Provide adaptive equipment such as reachers, long-handled tools, tools with built-up handles, tools that have straps to affix to the hand during chores and work, or tool belts for carrying cleaning products.
.Adapt the environment to remove physical obstacles: Remove throw rugs, move unnecessary furniture that may block a pathway, store cleaning products and tools in an accessible area, and remove doors from the door frame to improve accessibility.
.Organize the environment so that the products and tools used for particular jobs are located close to the area where the job is performed.
.Recommend products for ease of use, such as self-propelling vacuums, easy spray or aerosol cleaning products, dusting rags that require no dusting spray, front-loading washing machines and dryers, accessible shelves in lieu of cabinets, or deep closets for storage of linens and clothing.
.Recommend home modifications, when possible, to include accessible sink spaces, accessible home appliances, widened doorways, and lowered cabinets, counters, and shelf spaces.

Question 9

When working on IADLs with children who have cognitive limitations, the OT practitioner will not do which of the following?&#10;A) Divide tasks into smaller components.&#10;B) Provide visuals to communicate each step.&#10;C) Provide positive reinforcements.&#10;D) Provide thorough written directions outlining all steps.

Accepted Answer

Provide lists, charts, or check off sheets to indicate what tasks need to be done.
.Break tasks down into smaller components.
.Provide visuals to communicate each step.
.Provide pre-teaching for each step; it may be helpful to teach the motor plan, or physical process of getting the job done; for example, spray, wipe up and down, step to the right, and do it again.
.Provide gradated assistance to get the job done, but fade assistance to increase independence.Begin with hand-over-hand if needed, then gradate physical assistance; next, fade to verbal cues, then provide visuals or check lists.
.Provide positive reinforcements, as appropriate.

Question 10

When working on meal preparation, what should you begin with?&#10;A) Simple snacks that require no heating.&#10;B) Desserts that require minimal baking.&#10;C) Family favorites that require time in the kitchen.&#10;D) Comfort-type foods that require multiple steps.

Accepted Answer

When working with meal preparation, begin with simple snacks that require no heating.Increase the number of steps or ingredients that are needed to increase complexity.Move on to microwave preparation before asking the child to use the stovetop or oven.

Question 11

A child with autism uses a series of pictures to communicate with you.What type of system is this?&#10;A) Voice Output Communication Aids&#10;B) Picture Exchange Communication System (PECS)&#10;C) Assistive technology&#10;D) Point and speak

Accepted Answer

The answer of A child with autism uses a series...

Question 12

Terry is a 14-year-old girl who can never find her papers and does not know where to put her school supplies.She loses assignments in her backpack.With what executive function is she experiencing difficulty?

A) Emotional control
B) Organization of materials
C) Self-monitoring
D) Working memory

Accepted Answer

The answer of Terry is a 14-year-old girl who can...

Question 13

When working with picky eaters, how should the OT practitioner introduce new foods?&#10;A) Be firm and demand the child try something new each week.&#10;B) Keep the session enjoyable and playful and encourage the child.&#10;C) Provide only new items so the child has to eat them.&#10;D) Ensure the child is hungry and then introduce only new items.

Accepted Answer

The answer of When working with picky eaters, how should...

Question 14

Mary is a 12-year-old girl who is unable to begin her homework each evening.Her mother notices that once the child begins, she can continue.With what executive functioning is she experiencing difficulty?

A) Emotional control
B) Inhibition
C) Initiation
D) Shift

Accepted Answer

The answer of Mary is a 12-year-old girl who is...

Question 15

Which of the following is not considered an instrumental activity of daily living (IADL)?&#10;A) Care of pets&#10;B) Community mobility&#10;C) Eating and feeding&#10;D) Shopping

Accepted Answer

The answer of Which of the following is not considered...

Deck 20: Instrumental Activities of Daily Living