Final Study Guide PDF

**An occupational therapist is working with a child who is 2 years old and has developmental delays. Under which part of the Individuals with Disabilities Education Act (IDEA) would this child be eligible for services?** A. Part A B. Part B C. Part C D. Part D 2. **When should splinting be...

**An occupational therapist is working with a child who is 2 years old and has developmental delays. Under which part of the Individuals with Disabilities Education Act (IDEA) would this child be eligible for services?** A. Part A B. Part B C. Part C D. Part D 2. **When should splinting be initiated for a patient who has sustained a burn injury?** A. During the acute rehabilitation phase to support functional recovery. B. Immediately after the injury to stabilize the affected area C. In the emergent phase, 24--48 hours after the injury, to prevent contractures D. After the wound has completely healed to support scar management 3. **An occupational therapist is working with a cardiac rehabilitation patient and is explaining activities based on their metabolic equivalent (MET) levels. Which activity corresponds to approximately 3 METs?** A. Resting in bed. B. Taking a warm shower. C. Shoveling snow. D. Sexual intercourse 4. **A 45-year-old patient with a diagnosis of Thoracic Outlet Syndrome (TOS) presents with pain, numbness, and tingling in the arm and hand. The symptoms are exacerbated when the patient assumes certain positions, such as extending their arm or tilting their head back. What anatomical structure is most likely contributing to the compression in the costoclavicular space, which is worsening the patient\'s symptoms?** A. Median nerve B. Subclavian artery C. Brachial plexus D. Radial nerve 5. **An adult patient reports difficulty seeing clearly when reading or focusing on near objects, often experiencing double vision. The occupational therapist suspects a convergence issue. Which of the following is the most likely cause of the patient\'s diplopia?** A. Ocular misalignment B. Macular degeneration C. Glaucoma D. Retinal detachment 6. **How might recent social and political shifts most directly affect access to behavioral health services for adults in underserved populations?** A. Increased availability of mental health professionals B. Changes in insurance coverage and eligibility requirements C. Expansion of community support services D. Reduction in social stigma surrounding mental illness 7. **An OTR is doing an evaluation on a 6-year-old male diagnosed with ASD at a pediatric clinic. During the evaluation, the OTR notices the child climbing on objects, running to parent with force and trying to squeeze into small spaces. The OTR decides to use an assessment tool to analyze how the child process sensory information. Which assessment tool is BEST to utilize with this child?** E. Peabody Developmental Motor Scales F. Infant and Toddler Sensory Profile G. Beery VMI H. The Short Sensory Profile 8. **An OTR is evaluating a client post a right transhumeral amputation. While interviewing the client, the OTR notices the client appearing disinterested in pursuing the conversation. When asked about how the client feels about losing the limb, the client responds, "my life is over, I am an artist, how am I supposed to paint without my right hand?" What is the BEST thing the OTR should do in response to the client's concerns?** I. Tell the client it is ok and that this feeling will pass soon. J. Continue with assessing the client's physical limitation. K. Acknowledge the client's feeling, empathize with the client, allow the client to express himself and collaborate with client to come up with goals to help him cope with this loss. L. Tell the client to be more positive as the situation could have been worse. 9. **An OTR is writing up a care plan for a client who underwent a left carpal tunnel release after 10 years of suffering with CTS. The OTR wants to include low-level laser and light therapy in the care plan to promote wound healing and decrease scar tissue. What indication/contraindications should the OTR be mindful of when adding this form of therapy to the client's care plan?** M. This therapy cannot be used over Vagus nerve, clients with cancer or infection. N. This therapy is not effective to decrease pain. O. This therapy should not be used with clients who had surgeries or scars. P. This therapy can be effective to use over carotid sinus and endocrine glands. 10. **As an OT working with a patient diagnosed with Huntington\'s Disease, your treatment approach should be:** Q. *Compensatory, including adaptations for participation in meaningful tasks* R. *Developmental, focusing on skills to meet developmental milestones* S. *Sensorimotor, enhancing sensory processing and motor skills* T. *Rehabilitative, helping them to return to prior level of function after illness. * 11. **To ensure a client-centered approach for a client with severe speech impairments, a special consideration for AAC systems across OT practice areas should be:** U. *Visibility* V. *Sensibility* W. *Portability* X. *Immobility * 12. **As an OT, you are treating a patient who suffered second and third degree burns on their face, chest, and UEs. During this emergent phase, treatment intervention should focus on:** Y. *Splinting, edema mangement, and muscle strength* Z. *Wound dressing, controlling infections, and managing pain* A. *Skin conditioning, scar management, and ADLs* B. *Relaxation techniques, community reentry, and scare management* 13. **A client receiving OT services via telehealth is denied reimbursement by their insurance company. What action should the OT take to address this issue?** C. Explain to the client that telehealth is not covered under any insurance plans. D. Confirm payer policies and ensure accurate documentation and coding. E. Recommend that the client switch insurance providers. F. Discontinue telehealth services and provide only in-person care. 14. **Which intervention is most effective in reducing hypertrophic scars following a burn injury?** G. Passive stretching exercises. H. Use of compression garments and silicone sheets. I. Moisturizing the scar area twice daily. J. Regular application of antibacterial ointments. 15. **A client with COPD reports fatigue during daily tasks. Which strategy should the OT recommend to help reduce fatigue?** K. Completing all tasks in the morning when energy levels are highest. L. Pacing activities, prioritizing tasks, and simplifying movements. M. Avoiding physical activity to conserve energy. N. Increasing the frequency of activities to build stamina. 16. **A client who is recovering from a distal radius fracture presents with limited wrist motion and difficulties when performing everyday activities such as meal preparation and grooming. Which of the following interventions is best suited for the subacute stage of recovery?** E. Immobilizing the wrist with a static wrist orthosis  F. Restoring wrist extension using passive stretching activities G. Introducing resistance strengthening activities gradually H. Exercises involving active range of motion to improve functional mobility 17. **During school hours, a 7-year-old child with sensory processing disorder spins and climbs to get too much vestibular input, which interferes with class activities. Which occupational therapy intervention is best suited?** I. Give the child regular access to a sensory diet through activities like jumping or swinging  J. Employ calming techniques like weighted blankets during class activities  K. Teach the teacher to limit the child\'s movement during class  L. Advise the child to refrain from vestibular activities to prevent overstimulation 18. **A client with age-related macular degeneration (AMD) who is 75 years old says that she has trouble with fine motor skills and reading small print. To promote the client\'s independence, which intervention should the occupational therapist focus on first?** M. Instruct the client in eccentric viewing methods N. Suggest a magnifying glass with built-in lighting  O. Teach the client to read and write in Braille  P. Suggest that the customer wear sunglasses to cut down on glare 19. **An OT practitioner is planning a treatment session for a patient with a VAD. Which of the following best describes a VAD?** O. A mechanical pump that helps the heart circulate blood to the body P. An external device used to measure blood oxygen levels Q. A device designed to deliver medication to the heart R. An implanted device that helps regulate irregular heart rhythms. 20. **An OT is working with a client who has a diagnosis of Complex Regional Pain Syndrome (CPRS) following a wrist fracture. Which of the following best describes the symptoms associated with CPRS?** S. pale skin with poor blood flow T. Intermittent pain and loss of sensation U. Flaccidity and irritation V. Persistent pain, edema, and bluish-red skin 21. **An OT is educating a patient and their family on the progressive stages of ALS. The patient is currently experiencing stage 2 of ALS, which best describes the patient's current abilities?** W. The patient is totally dependent on others for all ADLs and transfers X. The patient is still ambulating and completing ADLs, with moderate weakness Y. The patient is wheelchair bound, however can still assist with upper body ADLs Z. The patient is ambulating, however requires assistance with ADLs and has severe weakness 22. **What is the primary focus of occupational therapy intervention during the emergent phase of burn rehabilitation?** A. *Fabricating custom orthoses for contracture prevention\ B. Promoting wound healing and infection control\ C. Addressing psychosocial concerns\ D. Initiating scar management techniques* 23. **Which intervention is most appropriate for a client with ALS who is having trouble communicating verbally?** B. *Cognitive-behavioral therapy\ B. Use of a speech-generating AAC device\ C. Strengthening exercises for facial muscles\ D. Oral motor exercises* 24. **When assessing a client for an appropriate wheelchair seating system, what should the occupational therapist prioritize first?** C. *The client\'s postural stability and comfort\ B. The wheelchair\'s design and cost\ C. Aesthetics of the seating system\ D. Recommendations from the caregiver* 25. **An occupational therapist is educating a client in a skilled nursing facility about Medicare Part D. Which statement accurately describes the coverage provided by Medicare Part D?** D. Medicare Part D covers inpatient hospital stays, including occupational therapy services.\ B. Medicare Part D provides coverage for prescription medications.\ C. Medicare Part D covers outpatient therapy services such as physical and occupational therapy.\ D. Medicare Part D provides coverage for durable medical equipment, such as wheelchairs and walkers. 26. **An occupational therapist is working with a client recovering from a distal radius fracture who reports increasing pain despite medication, numbness in their fingers, and difficulty moving their hand. The therapist suspects compartment syndrome. What is the most appropriate initial action for the therapist to take?** E. Perform manual therapy to relieve pressure in the affected area.\ B. Elevate the client\'s arm above heart level to reduce swelling.\ C. Immediately notify the physician about the client\'s symptoms.\ D. Apply a compression bandage to decrease swelling in the arm. 27. **An occupational therapist is evaluating a client with Skier's Thumb. What functional activity is the client most likely having difficulty performing?** F. Grasping and lifting a cup to drink from it. G. Typing on a keyboard. H. Pushing a door open. I. Reaching overhead to touch an object. 28. **An occupational therapy practitioner is determining if a specific intervention is within their scope of practice. Which resource should the practitioner consult FIRST?** J. The AOTA Code of Ethics\ B. The state licensure law for occupational therapy\ C. Federal regulations on healthcare practice\ D. The AOTA Occupational Therapy Practice Framework 29. **During the acute phase of burn rehabilitation, which type of graft uses skin harvested from the patient's own body?** K. Xenograft\ B. Allograft\ C. Autograft\ D. Synthetic graft 30. **Which of the following is the MOST appropriate strategy for managing exercise tolerance in a client recovering from a myocardial infarction?** L. Initiating high-intensity aerobic exercise within the first week post-MI\ B. Using the Borg Rating of Perceived Exertion (RPE) scale during activity\ C. Encouraging the client to self-determine their exercise intensity\ D. Avoiding physical activity for 6 weeks post-MI 31. **A 28-year-old patient with a complete C6 spinal cord injury is working on improving functional independence during therapy. Which activity would be MOST appropriate to address in therapy?** M. Independent transfers using a sliding board\ B. Ambulating with a walker and lower extremity orthotics\ C. Using a manual wheelchair independently on all terrains\ D. Independent bowel and bladder management without assistance **\ ** 32. **A patient with early-stage ALS reports difficulty with fatigue during activities of daily living (ADLs). As the OT, which intervention is MOST appropriate?** N. Recommend frequent use of high-intensity exercises\ B. Educate on energy conservation techniques\ C. Suggest complete reliance on caregivers to avoid fatigue\ D. Encourage only passive range of motion exercises 33. **A 42-year-old patient with fibromyalgia reports widespread pain and difficulty engaging in daily routines. What should be the OT\'s primary focus during initial intervention?** O. Prescribe strengthening exercises to address pain\ B. Develop a graded activity program to build tolerance\ C. Recommend complete rest to minimize pain flare-ups\ D. Encourage pain medication compliance without therapy 34. **A 45-year-old carpenter presents a chief complaint of pain along the radial side of his dominant wrist. The doctor diagnosed him with De Quervain's tenosynovitis. Which of the following is most appropriate during the initial phase of intervention?**  P. Provide an AROM HEP program Q. Provide a thumb spica splint R. Initiate a strengthening program for wrist and forearm muscles. S. Provide paraffin at beginning of sessions 35. **A 10-year boy was recently diagnosed with oppositional defiant disorder (ODD). He was referred to OT services to work on emotional regulation and social skills. Which of the following is the most important strategy to implement during sessions?** T. Create a positive-reinforcement reward system for sessions U. Create a negative-reinforcement reward system for sessions V. Sessions should focus only on sensory integration W. Sessions should always be unstructured, and child led 36. **What is the most appropriate intervention work on with a client who is in Stage 2 of ALS?** X. Recommend a power wheelchair as a primary mode of mobility. Y. Work on energy conservation techniques and joint protection techniques during meal prep. Z. Work on sliding board transfers with caregivers A. D.Provide positioning strategies and end of life resources to caregivers. 37. **A client is referred to occupational therapy in an acute care setting following a deep partial thickness burn over their left hand and wrist. Which of the following is the BEST choice for a safe splint position for the client:** B. Wrist in 30 degrees extension, MCP joints in 20 degrees flexion, IP joints in full extension, thumb in radial abduction C. Wrist in 90 degrees flexion, MCP joints in full extension, IP joints in extension, thumb in radial abduction D. Wrist in 20 degrees extension, MCP joints at 70 degrees flexion, IP joints at full extension, and thumb in palmar abduction E. Wrist in neutral with MCP joints at 90 degrees flexion, IP joints in full extension with thumb in radial abduction 38. **A client is being seen for occupational therapy in a hospital following a myocardial infarction and is in phase 1 of rehabilitation. As an OT, you decide that the FIRST intervention to implement will involve:** F. Training the client in a home exercise program G. Encouraging the client to take a hot shower H. Educating the client in work simplification and energy conservation techniques with ADLs I. Beginning work hardening program for the patient to return to their job right after discharge from hospital 39. **A 22-year-old college athlete was a passenger in a motor vehicle accident, resulting in a below elbow amputation. The OT has begun working on preprosthetic training with the client. Which of the following interventions demonstrates the BEST plan of care during this phase of treatment?** J. Encouraging the client to return to their sport by using non-affected side K. Training the client in use of a myoelectric prosthesis for self-feeding tasks L. Instructing the client in compensatory techniques using prosthesis during ADLs M. Preparing the residual limb for prosthesis with desensitization techniques and edema control 40. **A 68-year-old client with glaucoma reports tripping over items in the home and feeling unsafe navigating stairs. The client also describes difficulty noticing objects approaching from the side. What intervention should the occupational therapist prioritize?** N. Provide training in scanning techniques to address peripheral vision loss. O. Recommend brighter lighting to enhance contrast in the environment. P. Introduce a magnifier to assist with near-vision tasks. Q. Suggest large-print materials for reading. 41. **An OT is treating a client with Parkinson\'s disease who demonstrates small, rapid steps and difficulty stopping once started. Which term BEST describes this gait pattern?** R. Bradykinesia S. Dysmetria T. Festinating gait U. Rigidity 42. **A 40-year-old factory worker with a transradial amputation has been referred for occupational therapy to prepare for prosthetic training. During the initial session, the client expresses frustration about being unable to complete tasks that require two-handed coordination, such as tying shoes or preparing meals. What prosthetic option is MOST appropriate for this client?** V. Syme's prosthesis W. Below-elbow prosthesis X. Above-elbow prosthesis Y. Partial hand prosthesis 43. **A client recovering from a traumatic brain injury demonstrates goal-directed behavior but requires external cues and assistance to carry out routine tasks. The client appears confused at times but can follow simple commands and engage in structured tasks with assistance. Which Rancho Los Amigos level does this best describe?** Q. Level III - Localized Response R. Level V - Confused, Inappropriate, Non-Agitated S. Level VI - Confused, Appropriate T. Level VIII - Purposeful, Appropriate 44. **An occupational therapist is facilitating a work readiness program for clients recovering from various injuries. One client expresses interest in returning to work but is unsure of their current capabilities. Which intervention is MOST appropriate for the therapist to implement first?** U. Administer a standardized work capacity evaluation to assess the client's physical and cognitive abilities. V. Arrange a simulated work environment to observe the client's work-related behaviors and skills. W. Collaborate with the employer to modify the client's job tasks and environment. X. Educate the client on stress management techniques to improve workplace performance. 45. **An occupational therapist is working with a client who wants to resume driving after a stroke. The therapist is evaluating the client\'s visual skills. Which of the following visual skills is MOST essential for safe driving?** Y. Depth perception Z. Oculomotor control A. Visual acuity B. Peripheral vision 46. **As an OTR, you are working with a patient that has recently sustained a burn injury in the hand and you are working to prevent contractures during healing. What is the correct position to splint the hand:** Z. *Place the wrist in neutral or extension, the MPs in flexion, the IPs in extension, and the thumb in abduction.* A. *Place the wrist in flexion, the MPs in flexion, the IPs in flexion, and the thumb in extension.* B. *Place the wrist in neutral, the MPs in flexion, the Ips in extension, and the thumb in adduction.* C. *Place the wrist in extension, the MPs in extension, the IPs in extension, and the thumb in abduction.* 47. **As an OTR, you are working with a patient experiencing symptoms of borderline personality disorder. The patient has difficulty managing emotional outbursts and you are teaching them mindfulness skills to promote emotional regulation during a mindfulness group. This type of therapeutic intervention orginates from:*** * D. *Cognitive Behavior Therapy* E. *Acceptance and Commitment Therapy* F. *Psychoanalysis* G. *Dialectical Behavior Therapy* 48. **As an OTR, you are working with a 68-year-old older adult displaying deficits in visual perception leading to difficulties in grooming and adhering to medication schedule. What assessment would be MOST appropriate to use with the patient:*** * H. *Functional Independence Measure* I. *Canadian Occupational Performance Measure* J. *The Melbourne Low Vision ADL Index* K. *Skilled observation and caregiver report* 49. **A 72-year-old patient with glaucoma exhibits challenges in navigating inadequately illuminated settings due to peripheral vision deterioration. What is the most effective intervention the occupational therapist may suggest, increasing the patient\'s independence and safety?** L. Training the patient to use auditory navigation aids exclusively.\ B) Suggesting the use of mobility training in well-lit areas only.\ C) Recommending the installation of motion-sensor lighting in hallways and stairways.\ D) Advising the patient to memorize the layout of frequently used spaces. 50. **A 55-year-old patient with chronic bronchitis and moderate COPD reports breathlessness during household tasks. What strategy should the occupational therapist instruct to enhance activity tolerance?** C. Using pursed-lip breathing during exertion. D. Completing all household tasks in one continuous session. E. Holding their breath while performing heavy lifting. F. Resting only after all tasks are completed. 51. **A 4-year-old child with spastic cerebral palsy demonstrates difficulties in sustaining sitting balance during play activities. What is the most effective technique to enhance postural stability?** A. Encouraging static weight-bearing through the arms while sitting on a stable surface. B. Introducing weight-shifting activities while sitting on a therapy ball. C. Using a reclining chair to prevent fatigue and support prolonged sitting. D. Providing external trunk **support during all play activities to stabilize posture** 52. ***As an OT, you are evaluating a pt who is post humeral fracture and presents with the absence of wrist and digital extensors. What type of orthotic would best be used for this pt?*** M. *Long thumb spica* N. *Dynamic wrist cock-up splint* O. *Radial gutter splint* P. *Oval 8 splint* 53. ***A patient with Guillain-Barré Syndrome (GBS) is currently in the rehab setting, experiencing significant weakness. The patient was a carpenter before the onset of the disorder and expresses a concern about being able to return to work. An OT is completing an initial assessment. What type of assessment would be most appropriate to use to evaluate the patient\'s functional abilities and support their goal of returning to work?*** Q. *Functional independence measure (FIM)* R. *Canadian occupational measure performance measure (COPM)* S. *Manual Ability Classification System (MACS)* T. *The Barthel Index* 54. ***As an OT, you just received orders to assess a pt who has just been in a motor vehicle accident with injuries to their head. What assessment will be best to use with this patient?*** U. *Ranchos Los Amigos Scale* V. *Canadian Occupational Performance Measure* W. *Assessment of Motor and Process skills* X. *Mini Mental State Exam* 55. **A 65-year-old male, was admitted to acute inpatient unit, due to Left Sided CVA. What is he FIRST step the Occupational Therapist should take prior to beginning the evaluation?** Y. Review patient symptoms  Z. Confirm patient OT referral   A. Complete chart review  B. Check overnight nurse notes.    56. **A patient is being seen in an inpatient rehab facility post TBI 6 weeks ago. In their initial evaluation, the patient was at a Ranchos Los Amigos Level 6, inconsistently oriented to place, time and date. The patient is now able to participate in therapy session with awareness of consequences to her actions and is aware of her disability. During the re-evaluation, at what level would the patient be expected to be? ** C. Level 8 D. Level 7 E. Level 10 F. Level 12 57. **A patient suffered a burn in the wrist and hand volar area, he is pending discharge from hospital to inpatient rehab. What would be the most beneficial way to educate the patient and caregiver prior to discharge?** a. Provide hand out or video b. Provide opportunities for participation and practice wound care, splint placement and garment changes with direct supervision from therapist. c. Provide education on benefits of PROM d. Educate the patient and family in importance of emotional support. 58. **A client is recovering from a burn on the dorsal surface of their hand and is at risk for developing a contracture. Which of the following is the most appropriate splinting strategy to prevent the contracture and** improve comfort? G. A volar surface hand splint to position the hand for comfort\ B) A dynamic splint to reverse an existing contracture\ C) A wrist extension splint at 45° to support the wrist in a neutral position\ D) A serial cast to maintain an anti-contracture position 59. **A client with radial tunnel syndrome presents with pain in the forearm and wrist. Which of the following splinting positions would be most appropriate to manage this condition?** H. Wrist in neutral to 10° extension, forearm pronated, elbow in 90° flexion I. Wrist in 30° extension, forearm supinated, elbow in 90° flexion J. Wrist in 45° flexion, forearm neutral, elbow extended K. Wrist in neutral, elbow in 90° flexion, forearm pronated 60. **During the acute phase of traumatic brain injury (TBI), which of the following interventions would be most appropriate to support the client's recovery?** L. Wheelchair positioning, passive range of motion, and sensory stimulation\ B) Use of high-strength lightweight wheelchairs for mobility\ C) Focus on intensive vocational rehabilitation and work hardening\ D) Advanced cognitive rehabilitation and return-to-work planning 61. **A client with stage two ALS is living independently and has difficulty with meal\ preparation due to decreased hand strength and bilateral hand coordination. Which of\ the following interventions should the occupational therapist prioritize to promote the\ client\'s independence in meal preparation?** G. Teaching the client to use adaptive utensils and kitchen tools\ B. Encouraging the client to perform high-intensity hand strengthening exercises\ C. Instructing the client on advanced cooking techniques\ D. Recommending the client to hire a full-time caregiver for meal preparation 62. **A 7-year-old child displays fine motor difficulties and was referred to occupational\ therapy services to improve handwriting skills. The occupational therapist is\ collaborating with the child\'s IEP team to set appropriate goals. Which of the following\ goals should the occupational therapist prioritize for the initial IEP?** H. The child will write a full paragraph independently without any errors within 2 weeks. I. B. The child will improve hand strength through daily exercises, as reported by parents\ at home. J. The child will form all uppercase and lowercase letters legibly and consistently with\ 75% accuracy within 3 months. K. D. The child will use a computer for all writing tasks to bypass handwriting difficulties. 63. **A client is participating in a cardiac rehabilitation program after heart attack (MI).\ Which of the following goals should the occupational therapist prioritize to support the\ client\'s recovery and facilitate independence in daily activities?** L. The client will walk 5 miles daily without assistance within 1 week.\ B. The client will demonstrate the ability to use energy conservation techniques during\ daily activities with minimal fatigue within 4 weeks.\ C. The client will perform high-intensity aerobic exercises for 30 minutes, three times a\ week, within 2 weeks.\ D. The client will eliminate all physical activity until fully recovered