Simulation Examination 1 Flashcards
In assessing the dressing skills of a 5 year old child, the COTA observes that the child is able to put on a jacket, zip the zipper, & tie a knot in the draw string, but needs verbal cueing to tie a bow. The COTA would MOST likely determine that the child’s dressing sills are:
A: age appropriate
B. delayed
C. advanced
D. limited
A. Age appropriate
In administering an assessment of fingertip pinch strength, the OT practitioner would instruct the individual being tested to place his or her fingers in which position?
A. Thumb against the tip of the index finger
B. Thumb against the side of the index finger
C. Thumb against the tips of the index & middle fingers
D. Thumb against the tips of all the fingers at once
A. Thumb against the tip of the index finger
The OT tx approach that will MOST likely meet the overall needs experienced by individuals w/ substance abuse problems is to:
A. assist w/ skill development in the areas of leisure, self expression, & ADLs
B. educate the family members about making safety modifications to the kitchen area.
C. encourage Alcoholics Anonymous involvment, address personal appearance, and issues of loss
D. make aftercare arrangements for vocational counseling and AA; provide time management education for self-care activities
A. Assist w/ skil development in the areas of leisure, self-expression, & ADLs
A COTA observes that a 10-month old child is able to sit alone by propping himself forward on his arms, but consistently loses balance when reaching for a toy. This behavior MOST likely indicates:
A. a developmental delay
B. unintegrated primitive reflexes
C. normal development
D. advanced development
A. a developemental delay
An individual demonstrates the ability to pick up a penny from a flat surface. This represents which of the following prehension patterns?
A. Lateral
B. Palmar
C. Tip
D. Three-jaw chuck
C. Tip
When conducting a structured interview, it is MOST important for the OT practitioner to:
A. rephrase the interview questions in his or her own words
B. ask questions that he or she thinks are pertinent to this patient
C. ask the questions as they are stated on the interview sheet
D. ask additional questions [other than those listed] to gain further insight into the patient
C. Ask the questions as they are stated on the interview sheet
A 3-year old child demonstrates the ability to use the toilet independently except for wiping and readjusting clothing afterward. This behavior indicates the child is performing at which of the following levels?
A. Signficantly below age level
B. Slightly below age level
C. At age level
D. Above age level
C. At age level
The COTA is observing dressing skills in an individual with COPD. While putting on his shirt, the individual becomes short of breath and stops to rest before finishing with the shirt and going on to his trousers. This behavior MOST likely indicates a deficit in:
A. Postural control
B. Muscle tone
C. Strength
D. Endurance
D. Endurance
An individual with the goal of increasing attention span is frequently observed watching the person next to her instead of performing her assigned task. This behavior MOST likely indicates a problem with:
A. Memory
B. Spatial operations
C. Generalization of learning
D. Distractibility
D. Distractibility
In screening a child who has been referred to OT, the PRIMARY goal of the OT practitioner is to:
A. Obtain necessary information for an occuaptional therapy consultation with teachers or parents
B. Test a wide variety of developmental behaviors
C. Establish an information base for the occuaptional therapy tx plan
D. Determine the need for further evaluation
D. Determine the need for further evaluation
A COTA is working with an individual who is unable to name or demonstrate the use of common household objects. This behavior MOST likely indicates:
A. Apraxia
B. Stereognosis
C. Visual agnosia
D. Alexia
C. Visual Agnosia
When reporting data collected to the OTR, it is MOST important for the COTA to:
A. observe everything the patient said and did during the interview and provide extensive notes for the OTR to read
B. provide the OTR with a comprehensive treatment plan based on the results of the evaluation.
C. provide a summary of observations of the patient’s behavior, including what the patient said and did during the interview.
D. provide an interpretation of how the patient behaved during the interview.
C. Provide a summary of observations of the patient’s behavior, including what the patient said and did during the interview
A child is observed grabbing toys from others, becoming easily frustrated, and is unable to sit still. This behavior MOST likely indicates:
A. ADHD
B. mood disorder, manic episode
C. conduct disorder
D. anxiety disorder
A. ADHD
An individual who had a stroke is copying a picture of a clock. The drawing appears as a lopsided circle with a flat side on the left. The numbers one through eight are written in numerical order around the right side of the clock. The hands are correctly drawn on the clock to represent three o’clock. The individual’s performance appears to demonstrate:
A. right hemianopsia
B. left unilateral neglect
C. cataracts in the left eye
D. bitemporal hemianopia
B. Left Unilateral Neglect
An individual alternately exhibits laughing and crying throughout a treatment session. This behavior should be documented as:
A. mania
B. emotional lability
C. paranoia
D. denial
B. Emotional Lability
Evaluation of a school-age child diagnosed with moderate mental retardation should generally focus on:
A. positioning and communication skills
B. communication, self-care, and social skills
C. ADL & IADL
D. feeding and personal hygiene
B. Communication, self-care, and social skills
An individual who uses a wheelchair is being discharged from a rehabilitation facility to home. In determining accessibility of the interior home environment, the area the COTA should be MOST concerned with is:
A. location of telephones and appliances
B. arrangement of furniture in bedrooms
C. steps, width of doorways, and threshold heights
D. presence of clutter in the environment
C. Steps, width of doorways, and threshold heights
A woman experienced repeated sexual abuse by her father as a child. She now describes her father’s abusive actions as being caused by his stress of being fired from a job because of new management. The defense mechanism she is MOST likely to be using is:
A. identification
B. projection
C. denial
D. rationalization
D. Rationalization
A child has considerable difficulty with problem solving when playing with Lego blocks and becomes frustrated and gives up easily. This MOST likely indicates a problem in which area of play?
A. sensorimotor
B. imaginary
C. constructional
D. game
C. constructional
An OT practitioner is making a home visit to an elderly client who lives alone. The client exhibits severe hand weakness. When addressing safety in the home, the MOST important area to assess is the individual’s ability to:
A. Work locks and latches on doors and windows
B. use built-up utensils while eating
C. use energy conservation techniques
D. manipulate fasteners on clothing
A. Work locks and latches on doors and windows
A supermarket employee with OCD takes an hour to stock 24 soup cans on the shelf. He reports that once he has placed all the cans on the shelf, he removes them all and starts over because “all the labels were not lined up exactly in the same direction.” Which of the following methods would MOST effectively evaluate this individual’s work performance?
A. Functional assessment of work-related skills, such as carrying and opening cartons and shelving items
B. Cognitive assessment using the ACL eval
C. Verbal interview focusing on the requirements of the individual’s job
D. Task eval using a “clean” medium like a puzzle
A. Functional assessment of work-related skills, such as carrying and opening cartons and shelving items
Which of the following assessment methods would an OT practitioner MOST likely choose in order to learn about a family’s values and priorities?
A. Interview
B. Skilled observation
C. Inventory
D. Standardized test
A. Interview
A person with functional limitations in shoulder abduction and external rotation is performing self-care activities. Which of the following is MOST essential for the COTA to assess?
A. Buttoning a shirt
B. Combing the hair
C. Tucking in a shirt in the back
D. Tying a shoe
B. Combing the hair
A COTA is scheduled to interview an individual with a head injury about her home environment, and family and child care responsibilities. Knowing the individual has an attention span of 10-15 minutes, which of the following should the COTA do FIRST?
A. Schedule a 30-minute tx session
B. Obtain as much info as possible from the chart
C. Interview the individual using appropriate verbal and nonverbal communication
D. Perform the interview in an environment where distractions can be minimized
B. Obtain as much information as possible from the chart
During the interview with the parents of a 3-year old child with mild CP, the OT practitioner learns that the child is regularly fed by his grandmother and does not have any independent feeding skills. The FIRST issue the OT practitioner needs to explore further is:
A. the degree of abnormal muscle tone in the UEs
B. the possibility of developmental delay
C. the cultural context and family interaction patterns
D. the need for adapted equipmenti
C. the cultural context and family interaction patterns
A method that an OT practitioner can use to document total finger flexion without recording the measurement in degrees would be to measure the:
A. passive flexion at each joint and total the numbers
B. distance from the fingertip to the distal palmar crease with the hand in a fist
C. active flexion at each joint and total the measurements
D. distance between the tip of the thumb and the tip of the fourth finger
B. distance from the fingertip to the distal palmar crease with the hand in a fist
A COTA needs to report the results of an ADL eval to the supervising OTR. The OTR, who is on her way to the cafeteria for lunch, states she has to leave immediately after lunch to go to another facility. Which is the BEST method for the COTA to use to communicate the eval results to the OTR?
A. With a phone call
B. in a written report
C. During discussion at lunch in the cafeteria
D. During discussion in the OT office
B. in a written report
When evaluating sensation of an individual with hemiplegia, the COTA should FIRST:
A. apply the stimuli distally to proximally
B. test the involved area then the uninvolved area
C. Present test stimuli in an organized pattern to improve reliability during retesting
D. apply the stimuli to the uninvolved area proximally to distally in a random pattern
D. apply the stimuli to the uninvolved area proximally to distally in a random pattern
When assessing the sense of proprioception at an individual’s joint, movement within the range would be BEST performed:
A. until pain is elicited
B. until the stretch reflex is elicited
C. at the end ranges of the joint
D. at the midrange of the joint
D. at the midrange of the joint
An individual who attends a day program for adults with developmental disabilities has difficulty participating in group activities because of extreme anxiety related to being around others. The BEST way to determine whether the individual is experiencing anxiety during group sessions would be to:
A. observe the individual’s body language during group sessions
B. ask the individual to complete a questionnaire rating her anxiety level after each session
C. have group members provide feedback to the individual and COTA about her anxiety level
D. allow the individual to select two other clients she feels she’d be comfortable with in a small group
A. Observe the individual’s body language during group sessions
Infants and preschool children with musculoskeletal disorders require ongoing examination of their upper extremity strength, coordination, and functional abilities. The OT practitioner will obtain the majority of assessment information during infancy and preschool through:
A. assessments related to the specific diagnosis that determine hand function
B. dynanometer and pinch meter function
C. observation of play and hand function
D. functional independence measures
C. Observation of play and hand function
An individual is able to complete full range of shoulder flexion while in a sidelying position during an eval. However, against gravity, the client is not quite able to achieve 50% of the range for shoulder flexion. This muscle should be graded as:
A. good (4)
B. fair (3)
C. fair minus (3-)
D. poor plus (2+)
C. Fair minus
The mother of a 3-month old infant recently returned to her job as a bookkeeper on a part-time basis. She reports that she has difficulty concentrating at work because she keeps thinking about the baby, and that when she’s at home, she is distracted because she feels she should be at work. This PRIMARILY indicates a problem in the area of:
A. parenting skills
B. attention span
C. assertiveness
D. role performance
D. Role performance
The treatment goal for a 4-year old child with hypotonia is to improve grasp. Which of the following activities would be BEST for preparing the child’s hand for grasp activities?
A. Dropping blocks into a pail
B. Placing pegs on a pegboard
C. Weight-bearing on hands
D. Holding and eating a cookie
C. Weight bearing on hands
An older adult with diabetes is working on a macrame project as a way of increasing standing tolerance. The MOST relevant safety factor for the COTA to take into consideration is the:
A. length of the cords she will start with
B. thickness of the cords she will be using
C. texture of the cords she will be using
D. type of surface she will be standing on
C. Texture of the cords she will be using
The tx goal that BEST addresses the psychosocial skill of self-expression is:
A. the client will identify and pursue activities that are pleasurable to the self
B. the client will use facial expressions and gestures that are consistent with stated emotions during assertive, passive, and aggressive role play situations
C. the client will recognize his or her own behavior and possible negative and positive consequences
D. the client will identify his or her own assets and limitations after an art or movement group
B. the client will use facial expressions and gestures that are consistent with stated emotions during assertive, passive, and aggressive role-play situations
