Test
Practice Test D1
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Preguntas del test (50)
1A client in an outpatient setting has early relapsing-remitting multiple sclerosis. The client lives at home with a spouse and two adolescent children. The client wants to remain independent with homemaking tasks, but finds these daily routines are physically exhausting. What INITIAL action should the OTR take to acquire more information related to the client’s priorities?
- ACollaborate with the family regarding typical occupational roles.
- BComplete a client-centered occupational profile.
- CAdminister standardized assessments of client factors.
2Which option represents the MOST EFFECTIVE method to screen an 8-month-old infant for neck-on-body automatic righting reaction?
- APlace the child in a supine position and observe body movements while rotating the child’s head to one side and then to the other.
- BHold the child in vertical suspension and observe head position while gently tilting the child from side to side then from front to back.
- CPlace the child in a sitting position and observe for arm extension while gently pushing the child off balance to the front, back, and each side.
3For a typically developing child, which postural reflex becomes evident between 6-9 months of age and continues throughout life?
- AForward protective extension
- BHead righting
- CAsymmetrical tonic neck
- DTonic labyrinthine
4An inpatient in a rehabilitation facility has a C6 tetraplegia with a rating of “A” on the ASIA impairment scale. The patient has achieved BADL goals and now wants to be as independent as possible with homemaking tasks. Which intervention approach would be effective to use as the PRIMARY strategy for promoting progress toward the patient’s goal?
- ACompensatory
- BBiomechanica
- CRemedial
- DBehavioral
5A client sustained a closed fracture of the humeral shaft 6 weeks ago. The physician refers the client to OT with a consult that reads: “Begin elbow and shoulder ROM”. An initial screening of the affected upper extremity indicates the client has elbow and shoulder stiffness and mild swelling of the hand. The client has full active flexion and full passive extension and flexion of the wrist and digits. Active extension of the wrist and digits is absent. What INITIAL action should the OTR take based on these findings?
- AFabricate a dynamic orthotic to compensate for loss of finger extension.
- BComplete a comprehensive manual muscle test of the affected upper extremity.
- CConfirm whether the client has a secondary radial nerve injury.
6
During the administration of a standardized assessment, a client demonstrates difficulty initiating a motor task. What action MUST the OTR take to obtain accurate results from this assessment tool?- AProvide prompts and tactile cues, as needed
- BModify the instructions to enhance clarity
- CFollow the test protocol for giving additional directions
7An OTR, who works in the home health setting, is evaluating a client with pneumonia who was recently discharged home from the hospital. The OTR plans to interview the client and administer a standardized assessment to gather information about the client and the home environment. Which additional evaluation method is MOST BENEFICIAL for the OTR to include in the information-gathering process to understand the client’s priorities?
- AComplete a comprehensive social participation inventory.
- BConduct skilled observations while in the client’s home.
- CMeasure spaces and features in the natural environment
8An inpatient in a rehabilitation setting sustained a C7 spinal cord injury 2 months ago. One of the patient’s goals is to be able to prepare family meals when discharged home. What INITIAL action should the OTR complete to support the patient’s success with this goal?
- AIdentify the patient’s typical mealtime routines and habits.
- BProvide the patient with assistive devices to use in the kitchen.
- CObserve current physical skills and abilities during a typical kitchen task.
9A 5-year-old child has mild developmental delay. Motor and praxis skills are intact. Which action would be BEST to observe when screening emotional regulation skills?
- ATaking turns while playing a board game
- BResponding to the feelings of others
- CSharing toys during unstructured play
10An OTR is administering the Functional Independence Measure (FIM™) as part of the initial evaluation of an inpatient who had a left CVA with aphasia 5 days ago. The patient has right hemiparesis and requires moderate assistance to maintain balance while standing. What action should the OTR take when completing this assessment?
- AIntroduce a reacher and other adaptive equipment to maximize patient’s level of performance
- BObserve as the patient performs ADL routines with the typical methods used prior to admission.
- CProvide the patient with visual and tactile cues to sequence each step of the task.
11A client who has schizophrenia is participating in OT to improve functional living skills. The client’s goal is to be able to independently prepare family meals. The client has successfully used a checklist strategy to gather and keep track of items while preparing a simple cold snack. Which of the following tasks would present a "just right" challenge when using the checklist strategy to progress towards the client’s goal?
- APurchasing groceries for a pre-set weekly menu
- BSetting the dining table for a group meal
- CCooking a three-course meal for the family
12An OTR is using a top-down approach to select interventions for a client who has unilateral neglect secondary to a CVA. Which intervention would be MOST BENEFICIAL to include as part of the client’s intervention when using this approach?
- APlace commonly used toiletry items to the client’s affected side during self-care tasks.
- BUse tactile-kinesthetic guiding to the client’s involved extremity during a dressing task.
- CTeach drills for practicing head turning to find an object placed near the affected side.
- DDetermine compensatory options the client can use in the home environment
13A student in the second grade has autism spectrum disorder and is scheduled to begin school-based OT. The teacher reports the student has difficulty attending to academic tasks and typically has outbursts when in close proximity to other people. In which environment should the majority of the student’s intervention sessions take place?
- ASelf-contained occupational therapy treatment room
- BClassroom during routine curriculum-based activities
- CPlayground in an area apart from other students
14An OTR is evaluating an inpatient diagnosed with a glioblastoma multiform in the right frontal lobe. The patient has an extensive fund of knowledge and intact long-term memory, but does not understand the meaning of a joke when engaged in social conversation with family members. Which option BEST describes this behavior?
- AConfabulation
- BFlight of ideas
- CConcrete thinking
15An OTR is evaluating an inpatient who recently had a severe TBI and is emerging from coma. The patient is functioning at a Level III (Localized response) on the Rancho Los Amigos scale. Which is the FIRST cognitive function the OTR should assess?
- ALevel of arousal
- BAbility to learn new information
- COrientation to place and time
16An inpatient in a rehabilitation facility has hemiplegia secondary to a CVA. The patient is independent with BADL. The OTR, who uses the ecology of human performance model, is preparing the patient’s discharge summary. What information reflects this approach and should be included as part of this report?
- ASupport groups for promoting the patient’s acceptance of the physical impairments
- BRecommendations for home modifications to maximize accessibility and task performance
- CExercise protocols for maintaining physical strength and cardiovascular endurance
- DCurrent functional status and anticipated occupational performance upon return home
17A student who is 8-years-old has severe diplegia and is non-ambulatory. The student is referred to OT after the family relocates to a new school district. Which area of occupation should be a priority for the school-based OTR to assess during the INITIAL evaluation?
- APerceptual abilities for copying from the classroom lesson board
- BPrehensile skills for manipulating eating utensils during lunchtime
- CMotor skills for managing clothing during toilet transfers
18A client has a peripheral neuropathy of the dominant hand. A screening indicates thenar muscle atrophy with loss of thumb opposition and palmar abduction, inability to pick up a key or coin from a table top, and decreased grip and pinch strength compared to the non-affected hand. Based on these findings, where on the client’s hand would an OTR expect to find sensory disturbances during a Semmes-Weinstein monofilament assessment?
- AVolar surface of the thumb, index, long, and radial half of the ring fingers
- BEntire palm and tips of the index, long, ring, and small fingers
- CVolar and dorsal surfaces of the small finger and radial half of the ring finger
19
A high-school student with autism spectrum disorder excels academically but has difficulty organizing assignments and homework. The OTR plans to evaluate the student’s relative strengths and weaknesses to guide intervention planning. One of the student’s goals is to learn an organization system. Which of the following is the BEST assessment for this purpose?- AExecutive Function Performance Test (EFPT)
- BBehavior Rating Inventory of Executive Function (BRIEF)
- CCanadian Occupational Performance Measure (COPM)
20A client in an outpatient setting sustained an acquired brain injury 2 months ago. Evaluation results indicate the client has functional ROM and strength, but continues to require assistance with ADL due to moderate visual and vestibular processing deficits. Which intervention represents an adaptive approach for improving the client’s performance in areas of occupation?
- AProviding the client with an exercise program for improving gaze stabilization
- BTeaching the client to use proprioceptive cues during functional activities
- CIncorporating progressively more challenging tasks into a functional activity
- DEngaging the client in valued activities that promote postural stability and balance
21An OTR is evaluating a client who has an ulnar nerve injury at the wrist level of the right dominant extremity. During which task would this injury be MOST evident?
- ATurning a key in the car ignition
- BOperating a desktop calculator
- CHolding coins in the palm of the hand
- DCarrying a briefcase
22Which dressing task requires the MOST challenging integration of performance skills and patterns for a typically developing 3-year-old child?
- AFinding armholes in a pull-over shirt
- BPulling down a pair of elastic waist pants
- CTaking off a pair of ankle-high socks
- DUnfastening the zipper of a front-opening jacket
23An older adult in an inpatient setting has moderate-severe debilitation from prolonged bed rest secondary to general medical-surgical post-operative complications. The patient’s primary goal is to be as independent as possible with BADL prior to discharge home. The patient has full passive ROM and Fair minus (3-/5) functional muscle strength of the upper extremities. The patient can ambulate for several feet using a walker and contact guard assistance, but uses a wheelchair in the hospital room and depends on caregivers for wheelchair transport to various areas of the hospital. Based on the patient’s current status, which dressing activity would be MOST difficult for this patient to complete while seated in the wheelchair?
- AWashing hands at a sink and drying the hands using a towel placed next to the sink
- BGetting a pair of pants hanging in the closet and putting them on
- CCrossing one leg over the other and putting on loose-fitting slip-on shoes
- DPutting on a front-opening shirt after reaching for the shirt off a bedside stand
24
A client has constructional disorder secondary to an excision of a brain tumor. One of the client’s goals is to resume work in a garden center. During which of the following gardening activities would this deficit be MOST evident?- ADetermining how much water to use when watering plants
- BDistinguishing between weeds and flowers in a garden bed
- CDuplicating garden designs based on a magazine picture
- DPlacing seeds in small containers filled with potting soil
25An OTR working in an inpatient rehabilitation facility is scheduled to complete an initial grooming and hygiene assessment with a patient. The patient has mild hemiplegia and neurobehavioral deficits secondary to a CVA one week ago. Which area of the facility should the assessment take place in order to obtain the MOST BENEFICIAL information about the impact of these symptoms on the patient’s occupational performance?
- ABathroom in the patient’s hospital room
- BBedside in the patient’s hospital room
- CSimulated environment in the OT clinic
26An OTR working in an inpatient mental health setting is using a cognitive behavioral approach to select an intervention activity for a young adult undergoing treatment for symptoms associated with body dysmorphic disorder. The patient is employed in a successful career and enjoys outdoor activities such as jogging and hiking, but has difficulty forming and maintaining interpersonal relationships. One of the patient’s goals is to improve self-image and the ability to express feelings. Which activity would be MOST BENEFICIAL to include as part of the intervention for supporting this goal when using this approach?
- AGuiding the patient through avocational exploration of activities that provide opportunities for social interaction
- BEngaging the patient in an art project using a variety of media during which the patient is encouraged to release emotions
- CTeaching the patient to use a dysfunctional thought record for describing distressing situations and emotional responses
27A 2-year-old child has developmental delay due to mild spastic cerebral palsy. The child has mastered four-point positioning. Which movement component should the OTR plan to facilitate NEXT?
- ACreeping on hands and knees
- BRocking on hands and knees
- CUnsupported upright sitting
- DScooting on the belly
28Which of the following options represent a condition that requires close monitoring of a client’s wound due to having the GREATEST risk for infection?
- ATraumatic laceration immediately closed with clips for healing
- BAbdominal surgical wound left open to heal
- CVascular ulcer left uncovered during healing
29An OTR who works in a community mental health program is preparing to evaluate a 15-year-old client who has bulimia nervosa and frequently engages in self-injurious behaviors by superficially cutting the skin. Which standardized assessments would be MOST EFFECTIVE for the OTR to include as part of the evaluation process?
- ANumeric Pain Rating Scale and Sensory Integration and Praxis Test
- BSensory Profile and Ranchos Los Amigos Levels of Cognitive Function-Revised™
- CPiers Harris Children’s Self Concept Scale and Adolescent Role Assessment
30An OTR working in an outpatient setting is completing an initial interview with an older adult client who has recently been diagnosed with a progressive neurological disease. What method should the OTR use during the course of the interview to communicate effective listening and client-centered understanding?
- AProvide examples of how other clients have overcome similar adversity.
- BUse head gestures to indicate empathy and understandin
- COffer suggestions as the client discloses concerns and problems.
- DShare examples of adaptations that help to overcome adversity.
31An inpatient had a myocardial infarction 2 days ago and is beginning phase I cardiac rehabilitation. Which activity is an ESSENTIAL component of the initial assessment with this patient?
- AMeasuring the patient’s upper extremity grip and pinch strength
- BDetermining the patient’s typical daily energy expenditure
- CMonitoring the patient’s orthostatic tolerance during movement
32An OTR is assessing the reflexes of a 4-month-old infant. The OTR places the infant in a sitting position and encourages the infant to actively flex the neck forward to look at an object held near the infant’s chest. Which of the following responses to this movement indicates the presence of the symmetrical tonic neck reflex?
- AFlexion of the upper extremities and extension of the lower extremities
- BFlexion in both the upper and lower extremities
- CFlexion of the lower extremities and extension of the upper extremities
33Which of the following symptoms TYPICALLY indicates that a client who has been on prolonged bed rest is experiencing orthostatic hypotension?
- ADiaphoresis when turning over from supine to side-lying position
- BShortness of breath when sitting up from a supine position
- CPounding headache upon moving into a semi-reclined position
- DLightheadedness upon moving from a supine to seated position
34A 2-year-old toddler, who has a developmental delay, recently learned to release a 2-inch (5.08 cm) ball into a large toy box. What fine motor skill should the OTR work on NEXT?
- AColor within the lines on a page.
- BComplete a 3- to 4-piece puzzle.
- CTransfer toys from hand to hand.
35What critical functional advantage is TYPICALLY observed in a client who has a complete C6 spinal cord injury compared to a client who has a complete C5 spinal cord injury?
- AImproved trunk control to bend side to side without falling
- BAbility to use the radial wrist extensors to supplement grasp
- CAbility to use triceps strength during transfers
- DImproved gross grasp from innervation of the extrinsic flexors
36An OTR has completed an initial neuromotor assessment of a 4-year-old child who has moderate athetoid cerebral palsy. Results indicate persistent primitive reflexes and decreased oral motor control interfere with feeding and functional communication. The parents want the child to be able to self-feed, eat family meals and communicate with others. What additional information is MOST IMPORTANT for the OTR to collect prior to developing the intervention plan?
- AEarly intervention programs available for supporting the child’s academic readiness
- BMedical reports that include the child’s past medical history and developmental prognosis
- CContextual features that support the child’s typical participation in occupation
37A client has persistent pitting edema of the hand secondary to mild hemiplegia. Which method would be MOST RELIABLE for monitoring the client’s edema over time?
- AUse a volumeter to measure water displacemen
- BMeasure the hand circumference at the MCP joint level.
- CTrace an outline of the hand and fingers placed flat on a tabletop.
38An OTR is developing an intervention plan for an inpatient who has severe post-traumatic stress disorder (PTSD). Symptoms of PTSD started several weeks after the patient was robbed in a convenience store where the patient was working. The patient’s goal is to resume work at the store, but extreme fear and distrust interfere with the ability to interact with customers. Which environment is MOST conducive for promoting initial progress toward a return-to-work goal with this patient?
- ADuring a role-play session in the therapy room
- BOne-on-one in the patient’s hospital room
- CDiscussion group with several other patients
39A client in an outpatient setting sustained a frontal lobe TBI 2 months ago. The client has good motor control but has residual problems with executive functioning. One of the client’s goals is to be independent with homemaking tasks. During a meal preparation session, the client cooks a meal, but makes no attempt to clean the cooking utensils and dishes or put the food items away after completing the cooking task. Which area of executive function appears to be MOST affected by the TBI as evidenced by this behavior?
- AEmergent awareness
- BEpisodic memory
- CSelective attention
- DEnvironmental gnosia
40An OTR completed an initial assessment of a student in the second grade. Results indicate the student has age-appropriate comprehension, visual object gnosia, and visual acuity, but standardized test scores on figure-ground subtests are well below the norm. Which of the following school art class activities would present the MOST challenge to this student based on the outcomes of this evaluation?
- APlacing tiles of the same color and shape in a straight line when making a trivet
- BPainting a free form design on a clay pot using a variety of paint colors
- CUsing plastic templates to trace basic geometric shapes on colored paper
- DSelecting a round bead from a bag of multi-shaped beads to complete a necklace
41A young adult client sustained transfemoral amputations to both legs after a recent accident. The OTR is gathering information to identify the client’s priorities and personal goals regarding engagement in daily activities. Which standardized assessment tool would be MOST BENEFICIAL to use for obtaining this information?
- AKohlman Evaluation of Living Skills (KELS)
- BCanadian Occupational Performance Measure (COPM)
- CFunctional Independence Measure (FIM™)
42An OTR is providing consultative services at an assisted living facility. Facility administrators are concerned that some residents may be at risk for falls. Using a primary prevention model, what INITIAL recommendation should the OTR make to the management of the facility?
- AScreening of all residents prior to determining needs of the facility
- BAnalysis of resident injuries that have occurred at the facility over the past 5 years
- COngoing monitoring and observation of the residents to decrease liability
43A patient in a skilled nursing facility had a CVA one week ago. An initial screening indicates the patient has hemiplegia, ambulates using a quad cane and has good memory. Nursing staff report the patient consistently has difficulty finding the way from the dayroom to the dining room. What type of assessment should be included as part of the initial evaluation to determine the underlying neurobehavioral problem associated with this difficulty?
- AFunctional assessment of topographical orientation and visual perception
- BAttention and depth perception subtests from a standardized cognitive assessment
- CCognitive-behavioral assessment of executive function during a familiar ADL task
44An OTR is a contributing investigator for a unit-wide research project. The focus of the project is to determine if participation in rehabilitation is beneficial to a client’s health, well-being, and general quality of life. Which standardized assessment should the OTR use for gathering the MOST RELIABLE evidence for this study?
- ABarthel Index of ADL (BI)
- BKohlman Evaluation of Living Skills (KELS)
- CShort Form-36 Health Survey (SF-36)
45An OTR and a vocational rehabilitation team are using the Individual Placement and Support (IPS) model to support a client, who has schizophrenia and anxiety, in gaining employment. One of the intervention goals is for the client to achieve competitive employment. When using the IPS model, which approach should be included in the vocational intervention to support this goal?
- AComplete a detailed resume of job skills, then teach the client effective work behaviors.
- BSecure a job placement site, then teach the client the specific job skills for that workplace.
- CProvide education in general work behaviors, then conduct an extensive job search.
46An OTR who works in an elementary school is preparing to evaluate a student in fifth grade who has a learning disability and ADHD. Which standardized assessments would be MOST EFFECTIVE for the OTR to include as part of the evaluation process?
- AHawaii Early Learning Profile (HELP) and Barthel Index of ADL
- BWee-FIM™ and Ranchos Los Amigos Levels of Cognitive Function-Revised™
- CBruininks-Oseretsky Test of Motor Proficiency (BOT) and Evaluation Tool of Children's Handwriting (ETCH)
47An OTR is developing an intervention plan using a bottom-up approach for clients who have hemiplegia and hemi-neglect secondary to having a CVA more than one year ago. Which of the following intervention techniques has evidence supporting its efficacy for reducing the effects of “learned non-use” through cortical reorganization?
- AOccupational adaptation (OA)
- BConstraint-induced movement therapy (CIMT)
- CProprioceptive neuromuscular facilitation (PNF)
48An OTR is working with a 5-year-old child who has severe spastic diplegic cerebral palsy and will soon be attending kindergarten. The child has been approved for a power wheelchair. Before beginning training in the use of the chair in a school setting, which client factor is MOST IMPORTANT for the OTR to re-evaluate?
- AVisual perceptual skills
- BUpper extremity range of motion
- CObject permanence
49An OTR is evaluating the visual function of a patient who is emerging from coma. The patient opens eyes spontaneously and in response to auditory stimulation. What visual function is MOST IMPORTANT for the OTR to observe in a patient at this level of function?
- APattern recognition
- BScanning
- COculomotor control
50Which activity involves the use of a closed kinetic chain movement of the upper extremity?
- APulling up on an overhead trapeze during bed mobility
- BLifting a suitcase off the floor to carry by the handle
- CHand-to-mouth patterns used for self-feeding
Información
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- Test sobre Practice Test D1, creado por ACAPUN INSTITUTE el 31/10/2023.
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