FB Questions Flashcards
An OTR is selecting a cognitive strategy for a client who has mild Alzheimer’s disease and has difficulty sorting laundry into dark- and light-colored clothing piles. One of the client’s goals is to independently complete laundry. Which intervention strategy would be MOST BENEFICIAL for the OTR to teach the client to support progress toward this goal?
A. Collaborate with the client to create an easy-to-remember mnemonic.
B. Modify the activity and teach the client how to divide the task into several steps.
C. Post a color-coded sheet with picture examples for each category.
C
A student in the first grade has attention deficit hyperactivity disorder. Symptoms interfere with the student’s ability to attend to verbal instructions and to finish assignments during a 30-minute class. One of the intervention goals is to help the student complete a drawing activity in art class. What classroom strategies should the COTA recommend to the teacher for supporting this goal?
Select the 3 BEST choices.
A. Provide an example of what the finished art project should look like.
B. Offer the student options for completing an alternative one-step creative project.
C. Allow the student to take mini breaks at predetermined intervals during art class.
D. Divide the activity into concrete steps that can be completed one at a time.
E. Provide the student with wide barrel drawing utensils to use for the project.
F. Reward the student with a sticker for every 5 minutes the student attends to the art task.
CDF
ACD
An OTR is evaluating an adult client who has schizophrenia, depression, and generalized anxiety disorder. The client lives with parents and several members of the extended family who assist the client with decision-making due to the client’s impulsive behavior and poor insight. Which assessment method is MOST EFFECTIVE for the OTR to initially include in the information gathering process when completing a comprehensive evaluation with this client?
A. Facilitate a conversation with the client in a quiet therapy space to ensure the client feels secure and comfortable.
B. Conduct a structured interview to understand the client’s participation in household and community activities.
C. Use a proxy strategy to determine the client’s current level of function and limitations throughout a typical day.
Variety
An inpatient had open heart surgery 5 days ago and has just been transferred from the intensive care unit to the cardiac care unit. Medical records indicate it is safe for the patient to participate in activities requiring a maximum of 2 metabolic equivalents (METs). Which BADL activity is within the prescribed MET-level limitations?
A. Independent sponge-bathing of the face, bilateral upper extremities, and torso while semi-reclined in bed
B. Personal hygiene and grooming activities with minimal assistance while standing at the bathroom sink
C. Upper and lower body dressing while seated on the edge of the bed with standby assistance for balance
A or C
An OTR plans to collect data from an initial evaluation to measure the progress of an inpatient who recently had a severe traumatic brain injury. The patient is disoriented, has poor metacognition, frequently yells obscenities, and is focused on basic bodily needs. Which of the following options contain the BEST set of assessments the OTR should administer to the patient at this stage of recovery?
A. Routine Task Inventory (RTI) and the Executive Function Performance Test (EFPT)
B. Rancho Los Amigos Scale of Cognitive Functioning and the Agitated Behavior Scale (ABS)
C. Canadian Occupational Performance Measure (COPM) and Beck Anxiety Index (BAI)
B
A COTA is writing a weekly SOAP note about an inpatient who has obsessive-compulsive behaviors secondary to an anxiety disorder. Which of the following statements would be located in the “A” section of the note?
A. The client’s hesitation to participate in a project was evident to group members.
B. The client’s need to repeatedly handwash interferes with task completion.
C. The client typically washes the table four or more times during the group.
B
Which symptoms associated with a diagnosis of histrionic personality disorder would typically have the MOST influence on a client’s functional performance?
A. Unusual behaviors and indifference to social interaction
B. Fluctuating moods and persistent fear of rejection
C. Overly dramatic reactions and attention-seeking behavior
D. Ideas of grandiosity and preoccupation with a need for success
C
A client who has an intellectual disability has been participating in OT for the past several weeks. During a grooming session, the client asks to stop the activity and reports back pain when standing at the sink despite having no previous medical history with back pain. The client tells the COTA that over the past few days, the pain in the lower back has become a problem and rates the pain as 4/10 on the Visual Analog Scale. What action should the COTA take NEXT based on this information?
A. Reassure the client and continue with the current intervention plan until the next OTR supervisory visit to adjust goals.
B. Inform the OTR and ask for a reassessment of the client to update the intervention goals as needed.
C. Modify the task and teach the client how to complete grooming activities while seated in a chair.
D. Ensure the client is using effective body mechanics during standing and when carrying heavy objects.
C
A patient had a myocardial infarction 2 days ago and is participating in Phase I of cardiac rehabilitation. Which of the following activities is CONTRAINDICATED for a patient to do during this phase of rehabilitation?
A. Ambulate from the bed to the bathroom for BADL
B. Measure perceived exertion during personal hygiene activities
C. Complete isometrics and stretching prior to lower body dressing
C
A student in the fourth grade has a sensory modulation deficit. The student has behavioral outbursts when noise levels in the classroom are too loud or when the student becomes distracted by typical environmental sounds in the classroom and in the hallway. When implementing a sensory diet for this student, which strategies would be beneficial for the teacher to implement for supporting this program?
Select the 3 BEST choices.
A. Have the student rock in a rocking chair during peak transition times.
B. Allow the student to wear earplugs as needed throughout the day.
C. Provide a soft silk fabric for the student to use as a calming cloth
D. Have the student wear a weighted vest during in-seat tasks.
E. Keep extraneous vocalization among peers to a minimum.
F. Play recordings of soothing nature sounds in the background.
A, B, F?
A client had a median nerve repair at the distal forearm level one month ago. The COTA is fabricating a hand-based static thumb orthosis for this client. What is the PRIMARY purpose of this orthosis?
A. Immobilize the thumb joints
B. Prevent web-space contractures
C. Protect the nerve during healing
D. Preserve palmar arches
C
An OTR working in an outpatient clinic is using a 360° goniometer to measure a client’s active shoulder internal rotation. The client is sitting upright with the shoulder abducted to 90° and the elbow flexed to 90°. At the start position, the OTR places the axis of the goniometer on the olecranon process of the ulna. Where should the OTR position the moveable arm of the goniometer?
A. Parallel to the longitudinal axis of the ulna
B. Perpendicular to the floor of the clinic
C. Along the midline of the client’s torso
A
A COTA working in an outpatient mental health program is planning stress management classes for young adult clients. The COTA is using a cognitive behavioral approach as the basis for the classes. What should be included as part of the group process when using this approach?
A. Activities that encourage the clients to use self-expression
B. Opportunities for using positive feedback to reinforce learning
C. Exploration of how negative symptoms are linked to upbringing
B
An inpatient in an acute care hospital had a small bowel resection 4 days ago. The patient has an in-dwelling catheter, several intravenous lines, and a nasogastric tube. During an ADL session, the patient washes the upper body in a sitting position on the edge of the bed. The OTR measures the patient’s vital signs and notes the oxygen saturation level is 89%, blood pressure is 86/55 mmHg, and heart rate is 90 bpm. Based on this information, what is the NEXT action the OTR should take?
A. Proceed with the intervention activity and plan to measure the patient’s vital signs at the end of the session.
B. Have the patient take 2-3 deep breaths and assist the patient to return to a supine position with the head of the bed raised to 45°.
C. Advise the patient to put on a nasal cannula and elevate the lower extremity on a chair for the duration of the session.
D. Activate the emergency response team and plan to document the details of the situation in the medical record.
B
An inpatient has a right transtibial amputation secondary to complications associated with type II diabetes mellitus. The patient uses a wheelchair for mobility and will be discharged to live at home with family. What education is MOST IMPORTANT to include as part of the patient’s predischarge sessions from acute care?
A. Skin and foot care of the residual lower limb and left lower extremity
B. Community transportation options for wheelchair users
C. Importance of engaging in preferred activities to reduce risk of depression
D. Mattress options for minimizing back pain associated with prolonged bedrest
A
