Chapter 01

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____	1.	An OTA is working with a client who previously sustained a spinal cord injury and is now utilizing a wheelchair. The client’s job is being modified because the client will be unable to resume full job responsibilities as a first-grade teacher. Under the International Classification of Functioning and Disability, how would this scenario be BEST categorized?
a.	Impairment	c.	Participation restriction	
b.	Activity limitation	d.	Disability	

____	2.	An OTA is working on a committee to help ensure that public transportation settings continue to offer accessibility for individuals with disabilities. What law is the OTA MOST LIKELY considering when making these recommendations?
a.	Americans with Disabilities Act (ADA)	
b.	Individuals with Disabilities Education Act (IDEA)	
c.	World Health Organization (WHO)	
d.	Health Insurance Portability and Accountability Act (HIPAA)	

____	3.	Initially, OT practitioners treated individuals with mental illness utilizing a variety of arts and crafts with an occupational focus as a diversion from their conditions. What would be the BEST term to describe this focus?
a.	Purposeful activity	c.	Physical rehabilitation	
b.	Moral treatment	d.	Mental rehabilitation	

____	4.	After World War II, the field of occupational therapy shifted focus to placing wounded veterans in job-related occupations as a part of the Rehabilitation Movement. How was this different from the way that OT practitioners previously treated their clients?
a.	The client’s specific illness would be treated	
b.	The client would be treated as a whole person	
c.	Client-centered goals would guide treatment	
d.	A moral treatment model would be used	

____	5.	What does the term “occupation” in occupational therapy BEST represent?
a.	Employment	c.	Livelihood	
b.	Purposeful activity	

____	6.	In relation to occupational therapy, how is the term “occupation” BEST described?
a.	Something a person wants to do	
b.	A chore that a person has to perform	
c.	A newly acquired skill a person wants to learn

	

____	7.	What occupational therapy model is BEST described as focusing on the understanding and development of a person’s occupational identity and occupational competence to facilitate adaptation to the dynamic demands of the life patterns and focuses intervention on a client’s volition and habituation to lead to improved competence, identity, and occupational adaptation?
a.	Model of human occupation (MOHO)	
b.	Canadian model of occupational performance and engagement (CMOP-E)	
c.	Person-environment-occupation-performance (PEOP)	

____	8.	What occupational therapy model is BEST described as using an array of interconnected and overlapping circles to explain the interactions between the person, the environment, the person’s occupations, and the performance of those occupations in five dimensions and centers on understanding how these dimensions interact with one another to promote well-being and quality of life?
a.	Model of human occupation (MOHO)	
b.	Canadian model of occupational performance and engagement (CMOP-E) model	
c.	Person-environment-occupation-performance (PEOP)	

____	9.	What occupational therapy model is BEST described as depicting the client at the center, with spirituality as the core motivating principle, which is foundational for the cognitive, affective, and physical aspects while being surrounded by the individual’s occupations, followed by the outermost layer, the environment?
a.	Model of human occupation (MOHO)	
b.	Canadian model of occupational performance and engagement (CMOP-E) model	
c.	Person-environment-occupation-performance (PEOP)	

____	10.	An OTA is working with a client who has diminished grip strength after coming out of a cast for a forearm fracture. The client is expected to regain full strength with therapy services. The client complains of difficulty holding a toothbrush. What is the BEST action for the OTA to allow the client to participate in the purposeful activity of morning ADLs?
a.	Suggest home modifications that could be made	
b.	Hire an in-home caretaker to assist the client	
c.	Ask family members to dress the client	
d.	Provide adaptive equipment and techniques	

____	11.	An OTA is working with a client who has experienced a spinal cord injury so that she can navigate the grocery store with more independence. The OTA suggests that the client should go to the grocery store during off-peak times to allow better maneuverability of her wheelchair. The client is pleased with her ability to grocery shop with more independence. What is this scenario MOST LIKELY an example of?
a.	Therapeutic use of self	c.	Occupation	
b.	Activity adaptation	

____	12.	The goals for what frame of reference are MOST closely associated with gaining strength, increasing ROM, reducing pain or swelling, maintaining joint ROM or strength, and preventing contractures?
a.	Rehabilitation	c.	Neurofunctional	
b.	Biomechanical	

____	13.	The goals for what frame of reference are MOST closely associated with adapting techniques or tools, making changes to the environment, or compensating for difficulties in performing occupations?
a.	Rehabilitation	c.	Neurofunctional	
b.	Biomechanical	

____	14.	An OTA is working with a college-aged student who sustained a spinal cord injury in a motor vehicle accident. The student wants to resume attending classes so he can finish his degree. What would be the BEST suggestion for the OTA to make for this student to begin reintegration into college life?
a.	Explore the accessibility options on campus	
b.	Inquire about online course options	
c.	Search for a smaller school in which to enroll	
d.	Register for classes for the next semester	

____	15.	After working with an elderly client who had a total hip replacement, the OTA overhears a conversation between the client and her caregiver about the client’s lack of independence. The caregiver states that he will do all of the required ADLs and that the client does not need any of the adaptive equipment shown. What is the BEST way for the OTA to respond?
a.	Provide education on the benefits of the adaptive equipment	
b.	Respect their wishes and focus treatment on other tasks	
c.	Tell them they are being a distraction and ask them to leave	
d.	Inquire about a funding source for the adaptive equipment	

____	16.	An OTA is working with a client who has just experienced a cerebrovascular accident (CVA). The client reports feeling depressed and frustrated with the drastic changes to her life and body and feels that no one else understands what she is going through. How can the OTA BEST help the client in this situation?
a.	Explain that she can still live her life with the skills that she learns in the therapy setting	
b.	Help her find a support group for individuals who have had a similar experience	
c.	Encourage family to take her to activities that she used to enjoy so she can enjoy them again	
d.	Discuss with the physiatrist about the need for a referral for a psychiatric evaluation	

____	17.	If an OTA were using people-first language, how would he MOST LIKELY describe his client?
a.	The traumatic brain injury (TBI) in room 220	
b.	Ms. X who had a TBI	
c.	Room 220 with a TBI	

____	18.	When working with clients OT practitioners are encouraged to use person-first language (PFL). What are the BEST examples of PFL? (Choose 3)
a.	She is paraplegic	
b.	He is mentally retarded	
c.	She had a stroke	
d.	He had a spinal cord injury	
e.	She is bed bound	
f.	He uses a power wheelchair	

____	19.	An OTA is working with a client who has recently sustained a spinal cord injury. While talking with the client and asking about what activities she enjoys doing, the client tends to state that everything is just a blur and that she cannot recall what she enjoyed doing. What might the client MOST LIKELY be experiencing?
a.	Shock	c.	Denial	
b.	Refusal	d.	Anger	

____	20.	An OTA is working in an acute rehabilitation facility with an elderly woman who has recently had a CVA resulting in left hemiparesis and minimal active range of motion in her shoulder. While talking about goals, the client states that she cannot wait to pick up her grandchildren when they visit tonight. What might the client MOST LIKELY be experiencing?
a.	Shock	c.	Denial	
b.	Refusal	d.	Anger	

____	21.	When a client is preparing for discharge from an outpatient setting, which of the following tasks would MOST LIKELY be delegated to the OTA?
a.	Creating a discharge summary	c.	Performing a final evaluation	
b.	Creating a home exercise program	

____	22.	Throughout the OT process, an OTA is collaborating with an occupational therapist as the evaluation and treatment process is carried out. The OTA has demonstrated competence with several assessment tools and has a good rapport with the clients on her caseload. During the assessment phase, what is the role of the PRIMARY OTA?
a.	Administer and interpret assessment scores for treatment planning	
b.	Delegate components of the assessment to the occupational therapist	
c.	Report scores on the standardized assessment and client progress	
d.	Select the standardized assessments to perform	

____	23.	An entry-level OTA is beginning a new job in a rehabilitation facility and will be a part of a team of OTAs who are supervised by an occupational therapist. Where would the OTA MOST LIKELY look to find regulatory information about supervision guidelines?
a.	The state regulatory body	
b.	The healthcare facility’s policies and procedures manual	
c.	The National Board for Certification in Occupational Therapy	
d.	The American Occupational Therapy Association	

____	24.	What type of team is MOST closely characterized by a group of various professionals from different disciplines that provide their own care to the client by performing their own evaluations, have separate treatment goals, and are responsible for their individual scope of practice as they work independently of each other?
a.	Multidisciplinary	c.	Transdisciplinary	
b.	Interdisciplinary	

____	25.	What type of team is MOST closely characterized by a group of various professionals from different disciplines that work in the same setting, share information formally and informally, and use team meetings to systematically coordinate efforts and solve problems as they relate to each discipline?
a.	Multidisciplinary	c.	Transdisciplinary	
b.	Interdisciplinary	

____	26.	An occupational therapist and OTA team are working together and with a client on a sensory stimulation program. The OTA notices that the client’s feet tend to point downward, and it causes distress when the feet are moved. After this is discussed during a team conference, the physical therapist instructs the team how to stretch the heel cords. What model of intervention is this team MOST LIKELY functioning under?
a.	Multidisciplinary	c.	Transdisciplinary	
b.	Interdisciplinary	

____	27.	A multidisciplinary team is meeting to discuss the progress of a young adult who has been hospitalized after a motor vehicle accident. What is the MOST LIKELY role of the OTA for participating in the planning process for this team?
a.	Report client and family concerns during team conference	
b.	Interpret evaluation results and update the client’s plan of care	
c.	Take notes during the meeting and report the results to the client	
d.	Provide updates on client progress and report back to the occupational therapist	

____	28.	An OTA is treating a client who is about to be discharged to home from inpatient rehabilitation. Which of the following will the OTA MOST LIKELY do as a part of the discharge planning?
a.	Write goals to be sent to the home health therapist	
b.	Collaborate with the occupational therapist to update the discharge plan	
c.	Evaluate the client to determine if continued services are needed	

Chapter 01
Answer Section

MULTIPLE CHOICE

	1.	ANS:	C	PTS:	1	OBJ:	1.1

	2.	ANS:	A	PTS:	1	OBJ:	1.1

	3.	ANS:	B	PTS:	1	OBJ:	1.2

	4.	ANS:	A	PTS:	1	OBJ:	1.2

	5.	ANS:	B	PTS:	1	OBJ:	1.2

	6.	ANS:	A	PTS:	1	OBJ:	1.3

	7.	ANS:	A	PTS:	1	OBJ:	1.3

	8.	ANS:	C	PTS:	1	OBJ:	1.3

	9.	ANS:	B	PTS:	1	OBJ:	1.3

	10.	ANS:	D	PTS:	1	OBJ:	1.3

	11.	ANS:	B	PTS:	1	OBJ:	1.3

	12.	ANS:	B	PTS:	1	OBJ:	1.4

	13.	ANS:	A	PTS:	1	OBJ:	1.4

	14.	ANS:	A	PTS:	1	OBJ:	1.4

	15.	ANS:	A	PTS:	1	OBJ:	1.4

	16.	ANS:	B	PTS:	1	OBJ:	1.5

	17.	ANS:	B	PTS:	1	OBJ:	1.5

	18.	ANS:	C, D, F        PTS:	1	OBJ:	1.5

	19.	ANS:	A	PTS:	1	OBJ:	1.5

	20.	ANS:	C	PTS:	1	OBJ:	1.5

	21.	ANS:	B	PTS:	1	OBJ:	1.6

	22.	ANS:	C	PTS:	1	OBJ:	1.6

	23.	ANS:	A	PTS:	1	OBJ:	1.6

	24.	ANS:	A	PTS:	1	OBJ:	1.7

	25.	ANS:	B	PTS:	1	OBJ:	1.7

	26.	ANS:	C	PTS:	1	OBJ:	1.7

	27.	ANS:	D	PTS:	1	OBJ:	1.7

	28.	ANS:	B	PTS:	1	OBJ:	1.7