Question 1

Which objective addresses playfulness as the intended outcome?&#10;A) The child will share toys with another child at least twice during a 15-minute play session.&#10;B) The child will put on and button a shirt independently.&#10;C) The child will ride a bike at least 20 yards in a straight line without falling.&#10;D) The child will reach above his head five times during play.

Accepted Answer

Sharing is an aspect of playfulness as it refers to one's approach or attitude toward play.The other objectives emphasize motor outcomes.

Question 2

Which trait is not a characteristic of play?&#10;A) Active involvement of the player&#10;B) Child-centered activity&#10;C) Extrinsically motivated&#10;D) Spontaneous

Accepted Answer

The characteristics of play (i.e., intrinsic motivation, internal control, and suspension of reality) need to be present when play is used as a tool to improve a child's skills.These characteristics occur within the framework of a play setting.The occupational therapy (OT) practitioner arranges the environment so that children can choose activities that help meet their goals while having fun.The OT practitioner allows the child to tease, engage in mischief, and face challenges.It allows for the child to participate and engage in the give and take of a social exchange.

Question 3

Which activity is most suitable to use in OT intervention to help 3-year-olds share?&#10;A) Lecture on sharing.&#10;B) Have only one toy available.&#10;C) Take toys away from the children.&#10;D) Play catch in a small group.

Accepted Answer

Sharing is naturally encouraged by playing catch (as children share the ball).

Question 4

You are treating a 12-month-old girl for delayed fine motor skills.During the treatment session, you pick out toys that encourage hand use.Your goal is for her to use a neat pincer grasp to pick up the small toys.Which statement best describes the role of play in the treatment of this child?

A) Play is the goal of the session.
B) Play is the method of intervention to work on gross motor skills.
C) Play is the method of intervention to work on hand skills.
D) Play is being used to divert the child's attention.

Accepted Answer

Play is often used as a tool to increase skill development.OT is designed around play activities that will increase skills such as strength, motor planning, problem solving, grasping, and handwriting, which are necessary for the child to function.Using play as a tool to improve a child's ability to function has many advantages.Children typically cooperate and readily engage in play.Most goals can be addressed during a play session because play encompasses a variety of activities.

Question 5

Terry, the Certified Occupational Therapy Assistant (COTA), plays &#34;Simon Says&#34; with Julie and asks her to raise her hands high above her head and to the sides.On which motor goal is she working?&#10;A) Increasing endurance.&#10;B) Increasing upper extremity strength.&#10;C) Increasing range of motion in the upper extremities.&#10;D) Increasing fine motor skills.

Accepted Answer

The COTA is asking the child to move her arms throughout the range.

Question 6

Which rule is the most important to ensure safety in a therapy session?&#10;A) Cover electrical outlets.&#10;B) Cut all hanging cords.&#10;C) Inspect toys and equipment regularly.&#10;D) Watch children at all times.

Accepted Answer

OT practitioners should provide enough rules for children to feel secure and safe without imposing so many that they do not feel free to play.

Question 7

Which statement reflects the description of play as the occupation of the child?&#10;A) OT practitioners examine the role of play and expectations of the child.&#10;B) OT practitioners are interested in the individual abilities and disabilities with regard to particular tasks.&#10;C) OT practitioners are interested in the psychological, not physical, aspects of play.&#10;D) OT practitioners are interested in improving motor skills for the occupation of play.

Accepted Answer

When play is viewed as a goal of therapy rather than merely a tool of intervention, the OT practitioner notes the way Angie engages in play, not just her using her right hand to manipulate a toy.A short-term objective to increase Angie's play might be for her to spontaneously initiate play with a peer at least three times during an adult-supervised play session.Box 20-2 contains sample objectives when play is the goal of OT intervention.

Question 8

Mike and Scott are wrestling in the water.Mike flips Scott, who goes under water.Scott gets up laughing and pushes Mike.In which type of play are they engaged?&#10;A) Symbolic&#10;B) Games with rules&#10;C) Sensorimotor&#10;D) Rough and tumble&#10;E) Both B and C

Accepted Answer

Many children enjoy roughhousing.Children with special needs may also enjoy this.Gentle roughhousing can provide sensory input to them and is often therapeutic and fun.Children of all ages learn through physical contact, and therapy sessions can provide a safe environment for this type of contact.Children may push each other playfully, and adults do not always need to intervene.

Question 9

Which of the following best describes the role of the OT practitioner in promoting play in children with special needs?&#10;A) Boss and facilitator&#10;B) Coach and boss&#10;C) Model and boss&#10;D) Model and facilitator

Accepted Answer

OT practitioners acting as play facilitators pay careful attention to a child's interests, elaborate on his or her verbalizations, and model play behaviors.If an activity is not challenging to a child but he or she is enjoying it, the OT practitioner may decide to continue the activity before increasing the level of the skill required.OT practitioners must be careful to avoid "teaching" play.They model play, cultivate the skills needed for play, and set up the environment to facilitate play.OT practitioners must ensure that play is enjoyable.Increasing the skills required for play is important and beneficial to the child.

Question 10

Which characteristic of an OT practitioner promotes play in children?&#10;A) Be serious.&#10;B) Keep activities the same from session to session.&#10;C) Insist that children use toys only in standard ways.&#10;D) Try out silly things and have fun.

Accepted Answer

OT practitioners may have to act silly, make mistakes, and even act as a peer to encourage a child to play.

Question 11

Which objective best reflects playfulness as the goal of the therapy session?&#10;A) Sara will participate in a turn-taking game with playmate for 5 minutes within 4 weeks.&#10;B) Sara will demonstrate increased fine motor skills as evidenced by her ability to dress and undress a Barbie doll during play.&#10;C) Sara will follow one-step verbal direction during the play session.&#10;D) Sara will show pleasure in activity as evidenced by completing her homework without getting out of her seat.

Accepted Answer

The answer of Which objective best reflects playfulness as the...

Question 12

Which standardized assessment provides practitioners with an age-equivalent core of play skills?&#10;A) Knox Preschool Play Scale&#10;B) Test of Playfulness (ToP)&#10;C) Takata's Play History&#10;D) Transdisciplinary Play-Based Assessment

Accepted Answer

The answer of Which standardized assessment provides practitioners with an...

Question 13

Which statement is true about the role of spontaneity in OT sessions?&#10;A) OT practitioners should provide structure so that spontaneity is limited in a treatment session.&#10;B) Children do not want flexibility and spontaneity. They enjoy it when the therapist tells them what to do.&#10;C) Spontaneity indicates the OT practitioner has not planned the session well.&#10;D) Spontaneity is an essential feature of play and should be fostered in the treatment session.

Accepted Answer

The answer of Which statement is true about the role...

Question 14

Which characteristic does not promote play and playfulness in children?&#10;A) Positive reinforcement&#10;B) Patience&#10;C) Rigidity with rules&#10;D) Sense of humor

Accepted Answer

The answer of Which characteristic does not promote play and...

Question 15

The OT practitioner played a dress-up game in therapy to work on the child's goal to put on a shirt independently.What does this session illustrate?&#10;A) Play as the goal&#10;B) Play as the tool&#10;C) Backward chaining&#10;D) Playfulness as the goal

Accepted Answer

The answer of The OT practitioner played a dress-up game...

Deck 21: Play and Playfulness