Weeks 4-6 Questions

Question 1

Billy is an 85-year-old man who lives with his wife. As a result of covid, he attends his doctor appointments online to avoid exposure. Under which context would this be described as?

a. Virtual Context
b. Personal Context
c. Cultural Context
d. Temporal Context

Answer 1

a. Virtual Context

Question 2

Mary is a 30-year-old mother to her son John who is 4 years old. Every weekday Mary prepares a meal and places it in John’s lunch box for school. Which performance pattern would this be described as?

a. Routine
b. Ritual
c. Habit
d. Role

Answer 2

d. Role

Question 3

Janet is a 70-year-old retired widow, mother and grandmother. She lives alone in a residential home in the suburbs. Due to the pandemic, Janet has been feeling depressed and lonely since she is following social distancing and she can no longer make her regular visits to the senior center or go on lunch dates with her friends. Janet discovered a new hobby and skill set of watercolor painting from Youtube. She has made it a part of her daily routine and created a special studio in her house. Janet takes great pride in her work and she makes several paintings and shares them with her friend. She now has control of her situation and is feeling more positive during this pandemic. Janet feels joyful, motivated, creative and intensely focused. What construct does Janet’s situation exemplify?

a. Flow
b. Boredom
c. Anxiety
d. Apathy

Answer 3

a. Flow

Question 4

Upon delivering her baby, Gia fell ill, and her newborn was placed in the NICU for testing. Gia was very upset for being unable to hold her newborn baby. Once Gia was stable, hospital provided her with services. Early Intervention begins as early as infancy or birth to 3 years of age. The clinician instructs Gia to place the baby to rest on her abdomen. What is the term called for a natural environment of a new mother to bond and soothe an infant?

A. Kangaroo care
B. Transdisciplinary care
C. Developmental
D. Head start program care

Answer 4

A. Kangaroo care

Question 5

Teng enjoys playing video games as a leisure activity, specifically fortnite. Each game only takes him about 10 minutes to play until Teng wins. Which condition of flow does Teng experience when he wins in 10 minutes when compared to a game like monopoly that may take him 2 days to win?

a. His skills match the challenge of the activity
b. He has clear short-term goals
c. He feels like he is in control
d. His activity is providing immediate feedback

Answer 5

d. His activity is providing immediate feedback

Question 6

In the United States, the average working person gets a few weeks maximum to take off work for vacation and personal days and may often be expected to not take all of those days. In many countries in Europe, those who work often take over a month off which is considered normal and expected. These differences in working culture are part of which level of cultural influence?

a. Personal influences
b. Professional influences
c. Societal influences
d. Global influences

Answer 6

c. Societal influences

Question 7

Charlie wakes up every morning at 7:30 am. He makes his bed, brushes his teeth, washes his face, and goes downstairs to make breakfast before school. He recently got hurt during a football game with his friends. Since getting a concussion, Charlie experiences irritability, nausea, and sleep disturbances through the night resulting in excessive fatigue. Instead of waking up at 7:30am, Charlie now gets up a whole hour later. He expresses that he feels very rushed in the morning now and fails to complete some of his morning activities. He notices that because of this, the rest of his day is thrown off. What area of performance patterns have been affected?

a. Habits
b. Rituals
c. Routines
d. Roles

Answer 7

c. Routines

Question 8

Sophia is an 18 year old female diagnosed with autism. She lives with her mother and father in a single family home in the suburbs. She is currently still in high school and works a per diem job approximately 15 minutes from where she lives. Which of the following is a part of her temporal context?

a. She is 18 years old
b. She is a female
c. She lives in a single family home with her mother and father
d. She is a high school student

Answer 8

d. She is a high school student

Question 9

Around the holidays Rich travels from his home in California to spend Christmas with his daughter Hannah in New York City. Each year he arranges all his plans so that he can arrive the first week of December in order to keep their tradition of going to Rockefeller center to see the Christmas tree lighting and ice skating at the rink. What performance pattern best describes tradition held between Rich and Hannah each Christmas season?

A. Habits
B. Rituals
C. Routines
D. Roles

Answer 9

B. Rituals

Question 10

Jamilah takes pride in being active in her community. She attends meetings to discuss her ideas and hear those of the other leaders in attempts to provide aid and shelter to the community’s homeless population. However due to COVID-19 she was forced to attend meetings via zoom conference calls. Jamilah expresses that many of the members seem to be uninterested during zoom sessions when she brings up important ideas. What is the context in which Jamilah now carries out her duties as a community board member? And does this context hinder or facilitate her performance?

A. Virtual Context & Hinders performance
B. Personal Context & Hinders performance
C. Virtual Context & Facilitates performance
D. Cultural Context & Hinders performance

Answer 10

A. Virtual Context & Hinders performance

Question 11

Every game day, George puts on the same New York Rangers jersey and sits in the same seat to watch the game. He eats the same foods and drinks the same drinks. What performance pattern is he exhibiting?

A. Role
B. Ritual
C. Habit
D. Routine

Answer 11

B. Ritual

Question 12

Katherine is a 25 year old female who lives in a three story walk up in the city. She is currently recovering from a major MVA but suffered severe injuries to her lower extremities and is in a wheelchair for the time being. In what context does her apartment fit best?

A. Social Context
B. Physical Context
C. Personal Context
D. Cultural Context

Answer 12

B. Physical Context

Question 13

Christina is a new client that is starting occupational therapy treatment. She is always ten minutes early for her appointments, and always makes it a point to tell the therapist when the session is almost over. Christina also always confirms the next appointment she has with the OT, as her day-to-day activities are scheduled. What should the therapist NOT do in their session with Christina?

a. Expect the client to not be interested in a holistic approach.
b. Schedule time during the session for a short break, as the client may be stressed.
c. Expect and plan for family and friends to be present during the session
d. Follow the schedule of the session closely with the client.

Answer 13

c. Expect and plan for family and friends to be present during the session

Question 14

Anita is 18 years old and has just moved into her residence hall at the University of Delaware. The room is small, but Anita is extremely organized. Her roommate brought a mini fridge, microwave, a shoe rack, and a lot of clothes, leaving Anita with little space to put her things. When her roommate is gone, Anita video chats with her Mom to talk about how frustrated she is feeling with her new roommate. What is an example of temporal context in this situation?

a. Anita moving into college
b. Anita video chatting her Mom
c. Anita is 18 years old
d. Anita’s roommate brought too many things into their small dorm room.

Answer 14

a. Anita moving into college

Question 15

Rachel is a 65 year old female who is seeing an occupational therapist for the first time. When the occupational therapist is collecting information, she is able to learn a variety of things about Rachel’s physical context. Which piece of information that Rachel tells the occupational therapist is not considered a part of her physical context?

A. The lighting in her house is not bright enough, making it harder for her to see
B. Her bedroom is very warm, often making it harder for her to sleep
C. Her house is very big and her furniture is arranged to leave her with a lot of open space
D. She lives with her husband, daughter, and granddaughter

Answer 15

D. She lives with her husband, daughter, and granddaughter

Question 16

Emily is a 27 year old female who wakes up everyday at 7:00am. She makes her bed, gets into the shower, applies her makeup, and eats breakfast. She then drives to work, parks in her assigned parking space, and heads into her office. This series of events makes Emily less stressed and makes her day go significantly smoother, as she feels less rushed and overwhelmed. Which term best describes Emily’s behaviors?

a. Habits
b. Routines
c. Rituals
d. Roles

Answer 16

b. Routines

Question 17

Stephanie teaches her associates that it is crucial to gather sufficient knowledge about a clients culture, maintain awareness of cultural differences to avoid biases, and to remain culturally sensitive. Collectively, these points encompass:

a. Cultural self awareness
b. Cultural competence
c. Cultural knowledge
d. Cross cultural skills

Answer 17

b. Cultural competence

Question 18

What we choose to belong in (such as a church vs. temple or which college you attend) refers to a:

a. Culture
b. Collectivism
c. Subculture
d. Cultural knowledge

Answer 18

c. Subculture

Question 19

Due to Covi-19 Andreas had to communicate with his family through Zoom for his birthday. Everyone sang happy birthday to Andreas through Zoom. What type of context is Andreas situation an example of?

a. temporal
b. virtual
c. personal
d. cultural

Answer 19

b. virtual

Question 20

Andreas is 17 year old brother, son, and grandson. What type of performance pattern is being described about Andreas?

a. habits
b. routines
c. roles
d. rituals

Answer 20

c. roles

Question 21

Marie is a 61-year-old woman who lives with her husband of 44 years in a small ranch-style home in Florida. Marie has two married daughters and two grandchildren, all living nearby. Marie’s favorite leisure activity is planting her vegetable garden. Marie likes to share and plant her vegetables with her friends. What context or environment is this an example of?

A. Personal
B. Cultural
C. Social Environment
D. Physical Environment

Answer 21

C. Social Environment

Question 22

Andy is a 24-year-old man who enjoys going into work every day. Every day Andy goes into work, he unlocks his office and file cabinets, turns on the copy machine, drops off his coat, and pulls his files and case load for the day. What is Andy’s performance pattern?

A. Ritual
B. Routine
C. Habit
D. Role

Answer 22

B. Routine

Question 23

Anna is a 65-year-old female who has recently been unable to go grocery shopping due to COVID-19. She is an older female with diabetes, so she is at high risk for COVID-19. COVID-19 has prevented Anna from going grocery shopping. What context would COVID-19 fall under?

a. Virtual
b. Personal
c. Temporal
d. Cultural

Answer 23

c. Temporal

Question 24

Payton wakes up every morning at 7am to workout. After she works out, she showers, washes her face, brushes her teeth and then gets dressed. Then, she makes a cup of coffee and attends school. Payton does the same thing every morning during the week. Which type of performance pattern would this be considered?

a. Ritual
b. Routine
c. Habit
d. Role

Answer 24

b. Routine

Question 25

A client named “Pizza” is a 90 year old individual who has a pet dog. The client has expressed that his goal is to feed his dog without the help of anyone else. The client lives at a state funded nursing home with having an assigned guardian. What is the best answer at which describes his personal context and physical environment to engage in this goal?

a. Physical environment should note the number of times he would like to feed his dog. Personal context should note the “presences, relationships with and expectations of persons, groups or populations with whom the client has contact”
b. Personal context should note the “all nonhuman objects and space.” Including terrain, temperature, size, noise, level, and lighting but must be client centered to client “pizza”
c. Physical environment should note “all nonhuman objects and space.” Including terrain, temperature, size, noise, level, and lighting. Personal context should include aspects of the person that are not health related but are personal identifiers such as age, gender, education level, SES, and how the client copes with his health-related illness.
d. All of the above

Answer 25

c. Physical environment should note “all nonhuman objects and space.” Including terrain, temperature, size, noise, level, and lighting. Personal context should include aspects of the person that are not health related but are personal identifiers such as age, gender, education level, SES, and how the client copes with his health-related illness.

Question 26

You just got a new case from a doctor with the client as a 5-year-old client. In the notes the doctor has written a list of bullet points “greet with a bow to the parents, bow on your departure, take off shoes when entering the house and wear slippers, and please do not arrive late arrive at least 5 minutes early. All these notes seem like a joke at first but a couple of minutes later you realize it’s important because it’s a what context?

a. Virtual context
b. Temporal context
c. Cultural context
d. All of the above

Answer 26

c. Cultural context

Question 27

Berta is an 86-year-old female of Latvian descent who recently suffered a fracture to her right humerus. When asked about the details of her daily activities, Berta seemed very hesitant to talk about them. She said she doesn’t really do much besides play cards with her friends sometimes. After the therapist asks her to describe her daily routine, Berta opens up more and describes how she likes to bake cookies for her friends when they gather. What is a way in which the therapist can organize this information and help Berta accomplish her goals?

A. The therapist can jot it down on a piece of paper and refer to it when necessary
B. The therapist can use an Occupational Profile to gather the necessary information
C. The therapist can ask Berta’s friends what she likes to do
D. The therapist can ask Berta to write a diary

Answer 27

B. The therapist can use an Occupational Profile to gather the necessary information

Question 28

Michael is a 40-year-old male who suffered an injury that paralyzed him from the waist-down. He is now in a wheelchair. Michael lives with his wife and two small children in a house with two flights of stairs. Due to the pile-up of medical bills and regular expenses, the family has not been able to afford a stair lift yet. Therefore, Michael now sleeps in the family living room on the first floor. He grieves not being able to play soccer and run around with his children like before. Which of the following is the best term describing Michael’s new changes in his environment as a result of his injury?

a. Physical environment
b. Social environment
c. Virtual environment
d. A and B

Answer 28

d. A and B

Question 29

Billy is an eight-year-old boy who has apraxia. The occupational therapy decides to work on completing motor task skills in sequential order with Billy, who is at first eager to participate in the activity. Billy is found to complete the task at ease, and after a short period of time becomes rather distracted wanting to do something else. What challenge and skills context is the therapist observing with Billy?

A. Apathy
B. Flow
C. Anxiety
D. Boredom

Answer 29

D. Boredom

Question 30

Michelle is an OT that largely focuses on team dynamics. Julie is a new patient at Michelle’s practice who recently obtained a spinal cord injury in C5 and C6, resulting in paralysis in her lower extremities. Julie came with her parents during her first consultation because she wants her parents to be active during her intervention process. Michelle was eager to provide answers to any questions during their time together and emphasized the importance of group effectiveness in Julie’s treatment to assure Julie that she is not alone through this entire process. What is Michelle emphasizing during Julies intervention?

A. Collectivism
B. High Powered Distance Cultures
C. Individualism
D. Low Powered Distance Cultures

Answer 30

A. Collectivism

Question 31

Samantha is a 18 year old girl who just graduated from high school and will be attending college in two months. This transition in her lifetime is an example of which type of context?

a. Cultural context
b. Temporal Context
c. Virtual context
d. Personal context

Answer 31

b. Temporal Context

Question 32

John is a 25 year old athlete who had surgery for his torn right anterior cruciate ligament (ACL) about six- nine month ago. Within the near future John would like to seek help from an Occupational Therapist to help him safely start training for an upcoming marathon in NYC. Assuming all settings are safe environments, which setting is ideal for the Occupational Therapist to help John best prepare for his marathon?

a. At home
b. At his local gym
c. The same area as the marathon will take place
d. Virtually

Answer 32

c. The same area as the marathon will take place

Question 33

Monica is a 73-year-old female with a diagnosis of osteoarthritis. She lives in a large home in an upper-class neighborhood with her husband. Which of the following is NOT a component of Monica’s personal context?

A) Monica is 73 years old
B) Monica identifies as female
C) Monica has osteoarthritis
D) Monica lives in a large home in an upper-class neighborhood.

Answer 33

C) Monica has osteoarthritis

Question 34

Mark is seeking occupational therapy in an inpatient rehabilitation setting. In Mark’s culture, inequality is accepted and superiors/subordinates do not mix socially. Mark is conscious of hierarchy in the health care system feels it is essential for the therapist’s credentials to be shared to establish authority. The occupational therapist working with Mark has experienced some difficulty empowering him as well as providing a client-centered approach. What perception of power and authority is demonstrated by this scenario?

A) Medical Model
B) High Power Distance Culture
C) Religious Model
D) Low Power Distance Culture

Answer 34

B) High Power Distance Culture

Question 35

Madison started working in a new real-estate law firm in which she is expected to arrive on time, carry out her tasks in a timely manner, and interact with her clients professionally. She takes her dog out every morning before leaving for work, always stops to get a cup of coffee on her way to work, places her bag in the same location every day, and checks her email. All of these responsibilities help her be the best attorney she can be. Which performance pattern is NOT mentioned in this example?

a. Routines
b. Roles
c. Rituals
d. Habits

Answer 35

c. Rituals

Question 36

John is a 50-year-old male that is seeing an occupational therapist after his cardiovascular accident (CVA). He has expressed to his occupational therapist that he loves to work in his garage on motorcycles. In the hospital’s rehabilitation gym, the occupational therapist creates an environment with some of the tools John may see in his garage. John is feeling “back to normal” with his ability to plan and carry out his tasks. Which of the following is the appropriate contexts of challenge and skills for John’s scenario?

a. Anxiety
b. Flow
c. Boredom
d. Apathy

Answer 36

b. Flow

Question 37

Danielle is a 25-year-old female who attends NYIT Occupational Therapy graduate school full time and also works part time at Orlin and Cohen Orthopedic Group. Which context does this example demonstrate?

a. Personal Context
b. Social Context
c. Physical Context
d. Cultural Context

Answer 37

a. Personal Context

Question 38

Joy is a 65-year-old female who lives alone. Every night she checks to make sure the oven is turned off and all her doors are locked. Recently with COVID-19, Joy makes sure to wash her hands before she leaves her home, and again as soon as she gets home. Which performance pattern is Joy exhibiting?

a. Routine
b. Ritual
c. Habit
d. Roles

Answer 38

c. Habit

Question 39

Thomas lives in a one story house in Florida. He lives 5 minutes from the beach, and enjoys the consistent 85 degree weather by spending tons of time outside. He is close to the pool, and he enjoys the peace and quiet when he sits on the patio outside his front yard. On cooler days, he spends time watching tv in his screened-in outdoor room, where he relaxes on his favorite recliner, whee he can see the sunset. Which of the following is being described abpve?

A. Physical Environment
B. Social Environment
C. Personal context
D. Virtual context

Answer 39

A. Physical Environment

Question 40

Michelle starts to wind down for the night after dinner. She takes a shower, and will exfoliate and moisturize. She puts on comfy, fluffy pajamas. Then, she does a face mask and lays on her bed while listening to a calming music. She lights her favorite candle, and then does her skin care and hair care. Next, she does light yoga flow and finishes with meditation. Lastly, she brushes her teeth and packs her bag and picks out her clothes for the next day. When asked why she does these tasks before bed, she says it is because they provide a satisfying and calming effect on her before bed. Which of the following performance patterns is being described above?

A. Routines
B. Habits
C. Rituals
D. Roles

Answer 40

A. Routines

Question 41

Michael schedules an appointment with an occupational therapist to help him reduce the pain associated with Carpal Tunnel Syndrome in his dominant hand. The occupational therapist starts by conducting in evaluation in which she asks Michael a number of questions to get a better idea about the use of his hand in his day-to-day life. Some of the questions she addresses are about his customs, his traditions with his family, his dress, if he uses his hand when greeting people, and what his day-to-day activities are. Which of the following contexts is the occupational therapist asking Michael about?

A) Personal Context
B) Cultural Context
C) Temporal Context
D) Virtual Context

Answer 41

B) Cultural Context

Question 42

Maria is a 60-year-old woman with a spinal injury. One of Maria’s main goals when working with her occupational therapist is to be able to return to her beloved occupation of cooking for her family. Maria’s occupational therapist has set up some simulation activities for Maria to participate in, in the clinic’s kitchen therapy room. Maria reported that she was very satisfied with the activities and felt like her skills matched the challenge level that was presented. Which of the following challenge and skill contexts best matches Maria’s experience:

A) Apathy
B) Anxiety
C) Flow
D) Boredom

Answer 42

C) Flow

Question 43

Judy is a 77-year-old woman who loves talking to her family, but due to covid can only speak to them over zoom or the telephone. What type of context is being involved when Judy speaks to her children?

a. Virtual
b. Temporal
c. Cultural
d. Personal

Answer 43

a. Virtual

Question 44

Bryan is a 35-year-old man who enjoys being active in his community and values his family greatly. Bryan’s family is fairly religious, and every Christmas Eve Bryan and his family attend church together for midnight mass. This is an example of:

a. A habit
b. A role
c. A Routine
d. A ritual

Answer 44

d. A ritual

Question 45

Cristina is a 9-month-old child of Mary, a 22-year-old single mother who spends her time staying home with her child. Cristina is a child who is developmentally delayed and has just began sitting up and rolling over. The most natural environment to facilitate occupational therapy-based intervention for Cristina would be:

a. In an OT clinic
b. Going to grandma & grandpa’s house
c. Her own home
d. At a park

Answer 45

c. Her own home

Question 46

Carl is 7 years-old and has difficult engaging in social participation & play. He often plays by himself during class time while other children are playing together in groups. During gym class, Carl is found playing on his own as well. In the cafeteria Carl often sits alone, and if in proximity to other classmate, doesn’t engage in conversation. Which setting would be best for OT intervention to occur?

a. Playground
b. Classroom
c. The gym
d. Cafeteria
e. All of the above

Answer 46

e. All of the above

Question 47

Mary is a 79-year-old who is no longer able to walk without the assistance of a walker. She lives alone in a small tight apartment in NYC. The hallways are very narrow, and she has difficulty maneuvering her walker to get from her bedroom to the bathroom. Given the situation, which of the following should we address in order to help Mary?

a. The Social Environment
b. The Physical Environment
c. The Cultural Context
d. The Virtual Context

Answer 47

b. The Physical Environment

Question 48

Susan is a 57-year-old white non-Hispanic female who works for a marketing firm with many Hispanic coworkers. She values being on time for meetings and does not like to keep others waiting. Many of her Hispanic coworkers believe being 5-10 minutes late to meetings is normal and acceptable. This is very frustrating for Susan. What difference should she take into consideration?

a. Cultural
b. Temporal
c. Virtual
d. Physical Environment

Answer 48

a. Cultural

Question 49

Robert is a police officer, and was called to report to the scene of an accident from his dispatcher through his radio. What is the context of the radio communication between Robert and the dispatcher?

a. Personal
b. Cultural
c. Temporal
d. Virtual

Answer 49

d. Virtual

Question 50

Erica has a part time job at Michael’s craft store. She can organize items while also answering customer phone calls. Her boss noticed that she has trouble sticking to a strict schedule but always finishes her tasks no matter how long they take. Erica would be described a _______ person.

a. Monochronic
b. Polychronic
c. Both a&b
d. None of the above

Answer 50

b. Polychronic

Question 51

On the weekends, Jenna, a 32-year small business owner, wakes up around 8 AM each morning. As soon as she wakes up, she instinctually checks her phone to see if she has any missed calls or new emails. She’ll often remain in bed and browse her social media apps for quite some time before getting her day started. By 8:30 AM, she makes her way to the bathroom to get ready for the day. After brushing her teeth, she takes a quick, warm shower. At the end of her shower, she always splashes her face with cold water to help energize herself for the day ahead and then follows up with a face moisturizer and sunscreen. Once dressed and out of the shower, she prepares herself breakfast. While eating her breakfast, she will either watch the news or call her best friend to catch up and see how she’s doing. Which of the following is a habit Jenna has?

a. Calling her best friend to catch up while eating breakfast
b. Splashing her face with cold water at the end of her shower and then applying moisturizer and sunscreen
c. Checking her texts and emails when first waking up
d. Taking a warm shower after brushing her teeth

Answer 51

c. Checking her texts and emails when first waking up

Question 52

Ryan, an 18-year-old student-athlete, has been receiving OT services following a broken ankle. He has been expressing his frustration that he now needs to wake up 30 minutes earlier than usual because it’s been taking him longer to get dressed in the morning. In addition, Ryan needs to arrive to school earlier so he is able to walk to class on his crutches while the hallways are still empty. Ryan is frustrated with the disruption in his ______________.

A. Role
B. Routine
C. Physical Environment
D. Social Environment

Answer 52

B. Routine

Question 53

Emily was born in Long Island and was raised to believe in hard work, the importance of education, the importance of helping others, and the love of family and nature. All of these values influence what she chose to do today, which is going to graduate school to become an occupational therapist.Which of the following are describing the above statement?

A. Personal influences
B. Ritual
C. Habits
D. Routines

Answer 53

A. Personal influences

Question 54

Which of the following is NOT part of body function and structure?

A. Visual functions
B. Smell functions
C. Structure of the nervous system
D. Obtaining and holding objects

Answer 54

D. Obtaining and holding objects