Purple Book Boards: EXAM 2 ORANGE
Questions and Answers
An individual with depression refuses to participate in an initial evaluation
process. He sits away from the other clients, does not make eye contact with
anyone, and states he just doesn't "feel like doing anything right now."
Which of the following actions is the MOST appropriate for the COTA to take?
A. Leave the client alone until he begins to make eye contact, indicating his
readiness to participate.
B. Approach the client briefly several times throughout the session without
making any demands on him.
C. Inform the client that his doctor will need to be notified of his refusal to
participate.
D. Explain to the client that once he lets you evaluate him, you'll be able to
help him more effectively. CORRECT ANS - B. Approach the client
briefly several times throughout the session without making any demands on
him.
A young child with a diagnosis of spina bifida has been referred for an
assessment. When collecting the initial data by interviewing the child's
mother, the OT practitioner should focus PRIMARILY on:
A. The mother's concerns and goals for her child.
B. Medical management.
C. Equipment needs.
D. The physical layout of the home. CORRECT ANS - A. The mother's
concerns and goals for her child.
While observing a child for the first time, the COTA notes that the child
responds to a loud noise by abducting and extending the arms. The reflex, or
reaction, observed in this child is documented by the COTA as a:
A. Rooting reflex.
B. Moro reflex.
C. Flexor withdrawal reflex.
D. Neck righting reaction. CORRECT ANS - B. Moro reflex.
Which of the following activities would MOST effectively evaluate group
interaction skills during a 45-minute OT session?
A. The Clients make individual collages, sharing a set of magazines to
complete the activity.
, B. All group members construct one tower that incorporates all of the
process provided in a set of constructional materials (e.g. Legos, Tinker toys,
or Erector set).
C. All group members work together to make pizza and salad for their lunch
that day.
D. Each client selects a short-term craft activity from four available samples.
CORRECT ANS - B. All group members construct one tower that
incorporates all of the process provided in a set of constructional materials
(e.g. Legos, Tinker toys, or Erector set).
An OT practitioner is evaluating two-point discrimination in an individual with
a median nerve injury. The MOST appropriate procedures is to:
A. Apply the stimuli beginning at the little finger and progress toward the
thumb.
B. Test the thumb area first, then progress toward the little finger.
C. Present test stimuli in an organized pattern to improve reliability during
retesting.
D. Allow the individual unlimited time to respond. CORRECT ANS - A.
Apply the stimuli beginning at the little finger and progress toward the
thumb.
An OT practitioner is working on morning activities of daily living with a
young adult who recently sustained a TBI. The client requires prompting to
apply shaving cream to his face and to pick up his razor. After these cues,
the client is then able to complete the shaving activity. This MOST likely
indicates a deficit in which of the following performance components.
A. Impulsivity.
B. Initiation.
C. Memory.
D. Attention. CORRECT ANS - B. Initiation.
A homemaker recently diagnosed with early stage Alzheimer's disease lives
with her husband who is a high school teacher. Which of the following is
MOST important to address in the initial evaluation?
A. Ability to chew and swallow.
B. Kitchen safety.
C. Anger management.
D. Recognition of family members. CORRECT ANS - B. Kitchen safety.
The MOST appropriate assessment instrument for the OT practitioner to use
for measuring ROM of the hand is a(n):
A. Goniometer.
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