Quiz questions (before midterm)

Question 1

A practice to support health literacy would be best demonstrated by:

a: Ensuring the client can locate health resources and ask pertinent questions
b: Offering home programs in written and recorded media
c: Discussing treatment options with the client and care partners
d: Providing written instructions in the client’s first language

Answer 1

A

Question 2

An older adult lives in a suburban area outside a large metropolitan city. What would be the occupational therapist’s first concern about the older adult’s ability to independently access health care and basic needs?

a. Family social supports
b. Access to community senior center programming
c. Neighborhood social supports
d. Access to transportation

Answer 2

D

Question 3

When considering aging-in-place supports for their older adult clients, in addition to home modifications, what would an occupational therapist consider addressing with their client as part of therapy intervention?

a. Community mobility
b. Internet and virtual technology access
c. Roles the older adult can play in civic leadership
d. Employment options

Answer 3

A

Question 4

When considering intervention supports for an older adult client who is homeless, the therapist’s first priority would be to:

a. Assess basic ADLs, including grooming
b. Develop an intervention on basic food preparation
c. Recommend institutionalization, e.g., a nursing home
d. Consult with social services on basic shelter needs

Answer 4

D

Question 5

What government action has helped lift people out of poverty in the United States?

a. Public health measures
b. Socialized medicine
c. Social Security Act
d.Americans With Disabilities Act

Answer 5

C

Question 6

An occupational therapist is working with an older male client in rehabilitation following a hip replacement. Motivation to participate has been a challenge in therapy, and the occupational therapist discovers that the client’s partner of 61 years recently died. What would be the first action taken by the therapist?

a. Refer the client to a chaplaincy

b. Ensure the client’s guns are removed from his home

c. Elicit the client’s perception of his needs

d. Explore the client’s social support system

Answer 6

C

Question 7

An occupational therapist assesses an older adult client’s sensory abilities. They are assessing which domain of the ICF

a. Body functions and structure

b. Social participation

c. Activity limitation

d. Personal factors

Answer 7

A

Question 8

According to George and Park (2016), meaning in life comprises which of the following?

a. Community engagement, political action, and family solidarity

b. Resources, health, and social connections

c. Comprehension, purpose, and mattering

d. Prestige, recognition, and social media presence

Answer 8

C

Question 9

An older woman lives with her husband and recently took over managing the household budget for the first time. She is pleased to be doing this to support the couple’s well-being. This would be an example of which kind of occupational meaning?

a. Evaluative

b. Identity

c. Existential

d. Instrumental

Answer 9

D

Question 10

Spiritual occupations address which of the following themes of meaning?

a. Evaluative

b. Existential

c. Identity

d. Instrumental

Answer 10

B

Question 11

Reginald Hill is a 65-year-old man who is recently widowed. He and his wife had no children and he himself was an only child. His only remaining family are a few distant cousins from his wife’s family. He reports missing family events and feeling lonely around the holidays. How might an occupational therapist help him find ways to fulfill his wish for family co-occupations?

a. Give him a list of movies and books that involve family interactions to substitute for his loss

b. Discuss what in particular he valued about his family occupations and help him explore alternatives to address those values

c. Encourage him to take up a hobby like hunting or fishing that he can do with a group of other men

d. Suggest that he volunteer to read to children in a homeless shelter

Answer 11

B

Question 12

Occupational therapists can use surrounding factors and elements to influence the functional performance of older adults. Which theories support this approach?

a. Social

b. Environmental

c. Cognitive

d. Psychological

Answer 12

B

Question 13

During a session with an occupational therapist providing caregiver support in a skilled nursing facility, the adult child caregiver for a 92-year-old man in the facility reports feeling extremely tired. The caregiver then states, “I’ll rest later. My father took care of me for fifty years. Being here for him now is the least I can do.” This is an example of:

a. Political economy of aging

b. The life course perspective

c. Social exchange theory

d. Social constructionist perspective

Answer 13

C

Question 14

Which environmental theory incorporates concepts of care provision and care partners?

a. Ecological Model of Aging

b. Place Integration

c. Situational Model of Care

d. Ecological Systems Theory

Answer 14

C

Question 15

Which cognitive domain does the MoCA primarily assess?

a. Motor skills

b. Auditory processing

c. Visual acuity

d. Executive functions

Answer 15

D

Question 16

Before beginning therapy with a patient at an inpatient rehabilitation setting, you check your patient’s blood pressure. The patient’s blood pressure is 190/130 mm Hg. As an occupational therapist, what do you do?

a. Educate the patient on their high blood pressure and need to consult with their primary care physician on best approaches for hypertension management

b. Continue with therapy as usual

c. Contact nursing immediately, as this is a hypertensive emergency

d. Have the patient sit and relax and recheck in 30 minutes

Answer 16

C

Question 17

If a client has engaged in a lifestyle behavior change for 5 months, they are in what stage, according to the transtheoretical model of behavior change?

a. Precontemplation

b. Maintenance

c. Contemplation

d. Action

Answer 17

D

Question 18

Which is the most important cognitive skill to address when delivering self-management interventions?

a. Problem solving

b. Divided attention

c. Working memory

d. Decision making

Answer 18

A

Question 19

A client who has interstitial lung disease and has been referred to occupational therapy services would like to be able to participate in meaningful occupations within the MET level of 5.0. She enjoys outdoor activities. Which would be the most appropriate activity for her to perform within this MET level?

a. Planting shrubs

b. Weeding or cultivating

c. Mowing the yard on a riding mower

d. Raking the lawn

Answer 19

B

Question 20

An individual with heart failure has been admitted to acute care following an exacerbation and with fluid overload. He has been placed on 2 L of supplemental oxygen and provided with diuretics for fluid overload. Prior to admission, he was independent with all of his ADLs and IADLs. You have received an order from the physician for occupational therapy evaluation and treatment. What is the most important aspect of your evaluation of this patient to complete initially?

a. Complete an analysis of occupational performance

b. Assess his vital signs

c. Complete an occupational profile

d. Provide education on pursed-lip breathing

Answer 20

B

Question 21

An occupational therapist is working with a client with severe COPD and their caregiver in the home health setting. The client just came home from the hospital and is now on 1 L of continuous oxygen at all times. Which of the following education would be the most appropriate and relevant for the occupational therapist to provide to their caregiver?

a. Education on energy conservation and work simplification techniques during performance of ADLs

b. Education on psychosocial implications related to chronic disease management

c. Education on compliance regarding medication regimen to minimize exacerbations and hospitalizations

d. Education on the importance of recognizing and receiving intervention for burnout associated with providing care to an individual with a chronic disease

Answer 21

D

Question 22

Eddie and his wife Cheryl used to love meeting up with friends at their local social club to play cards. However, Cheryl is starting to notice that Eddie has become more withdrawn when they are out with friends and often takes increased time when responding to questions, if he responds at all. He often leaves these get-togethers feeling irritated, and it is taking a toll on their social life. When Eddie and Cheryl are at home, these changes are not as pronounced. From an interdisciplinary standpoint, to whom should you refer Eddie for services?

a. His primary care physician

b. An audiologist

c. A neurologist

d. A social worker

Answer 22

B

Question 23

You are planning your interventions for your client who has a low vision diagnosis affecting acuity and contrast sensitivity. Which of the following interventions would be the best choice as an intervention?

a. Obtaining a new prescription for glasses

b. Restorative training to improve the person’s ability to see the environment

c. Training to rely on the tactile sense

d. Environmental modification

Answer 23

D

Question 24

Your client has had multiple falls within the past year before being admitted to your skilled nursing facility. She is being treated by occupational therapy and physical therapy. She lives alone and has one daughter who lives over 3 hours away. When working with the client, you begin to recognize that she makes impulsive decisions during your sessions. She also forgets your instructions frequently. You are concerned about her discharging home alone. What should you do first?

a. Report your observations to the care team and attending doctor, including recommendation for a cognitive assessment

b. Call the daughter and suggest that she hire a paid caregiver to provide the client with 24-hour supervision at home

c. Do a home evaluation to assess if the client’s home is safe for discharge

d. Make an Adult Protective Services report for possible elder neglect

Answer 24

A

Question 25

Edmondo arrives at the outpatient rehabilitation center where you work. As he sits in the waiting room, you observe that both his hands and head are shaking. The only referral information you have is that his function has been declining over the last year. However, with these two pieces of information, you predict that he has:

a. Parkinson’s disease
b. Aging-related decline in function
c. Brain injury
d. Stroke

Answer 25

A

Question 26

In your assessment of Rhiannon, which of these body structures or functions do you think is a result of typical aging rather than stroke?

a. Reduced tactile sensory discrimination
b. Reduced tone of the left upper extremity
c. Weak left upper extremity
d. Slowed fine motor dexterity

Answer 26

D

Question 27

You are working with Oscar in the outpatient rehabilitation department. He likes to bake and used to bake cookies once a week for his family to enjoy all week. So, for therapy, you have him make cookies, stirring the batter by hand rather than using a machine mixer. He holds the bowl with his nonaffected arm and stirs with his affected limb. Last week, the batter was thin; this week, you made it a bit thicker. At the end of the session, you remind Oscar to do stirring activities in the kitchen as much as possible until your next session. Which neurological motor theory are you using with Oscar?

a. Neurodevelopmental theory (NDT)
b. Adaptation approach
c. Proprioceptive neuromotor facilitation (PNF)
d. Task-oriented approach

Answer 27

D

Question 28

What is the primary purpose of the Chedoke-McMaster Stroke Assessment (CMSA)?

a. To measure blood pressure in stroke patients
b. To assess functional mobility and physical impairment in clients with stroke and other neurological impairments
c. To diagnose neurological disorders
d. To evaluate cognitive function in elderly patients

Answer 28

B

Question 29

Which of the following is NOT an area of assessment in the Wolf Motor Function Test (WMFT)?

a. Strength
b. Visual acuity
c. Upper Extremity Function
d. Dexterity

Answer 29

B

Question 30

Performance of daily activities requires the incorporation of multiple levels of cognitive processing. The performance of real-world tasks requires a specific type of cognitive skill. What is this type of cognition?

a. Wisdom
b. Executive functioning
c. Cognitive processing
d. Functional cognition

Answer 30

D