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An OT is preparing to evaluate a toddler who has upper extremity
orthopedic concerns. How will the OT MOST likely obtain the majority
of initial assessment data?
A. Measurement tools that assess visual-motor skills
B. Dynamometer and pinch meter readings.
C. Observation of child during activities in the child-care center.
D. Functional independence measures. - Precise Answer ✔✔C.
Observation of child during activities in the child-care center.
Through observation of the child during child-care center activities, the
OT can collect information about the child's motor performance skills
and participation in activities that require upper extremity/hand skill.
Naturalistic observation is a method of ecological assessment, which is
"a primary mechanism for obtaining data relevant to the child's
performance context..... Skilled observation of child performing a
functional task offers..... important information about the child's
performance". Answers A, B, ad D are all appropriate choices after the
child is old enough for these assessments.
During an initial evaluation, the OT suspects that a child has
somatodyspraxia. In what area should the OT focus the evaluation?
,A. Ability to print or write.
B. Reading competency.
C. Math calculations.
D. New motor task planning. - Precise Answer ✔✔D. New motor task
planning.
"Somatodyspraxia is described as a deficit in learning new motor skills,
planning new motor actions, and generalizing motor plans." Inability to
print or write (answer A) is termed "dysgraphia." The term "dyslexia"
(answer B) means dysfunction in reading. Inability to perform
mathematics (answer C) is known as "dyscalculia"
An OT working in a long-term care facility needs to evaluate the long-
term memory of a resident. Which of the following methods is BEST for
evaluating memory or personally experienced events (declarative
memory)?
A. Show the person a series of objects and ask him to recall the objects
within 60 seconds.
B. Ask the individual how he spent New Year's/
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to the next
therapy session - Precise Answer ✔✔B Ask the individual how he spent
New Year's
"Declarative memory is one aspect of long term memory and includes
conscious memory for events, knowledge or facts". It is commonly
,assessed through verbal interviews and informal testing such as asking a
question about an individual's recall of personal events (answer B).
Working memory refers to "the temporary storage of inforamtion while
one is working with it or attending to it" (answer A). "Prospective
memory involves the ability to remember intentions or activities that
will be required in the future" (answer D). Knowing the date, place, and
time is indicative of orientation (answer C).
A child avoids playground equipment that requires her feet to be off the
ground. What does this behavior MOST likely indicate?
A. Difficulty modulating proprioception.
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficit. - Precise Answer ✔✔C.
Gravitational insecurity.
Gravitational insecurity is described as "fear response to movement".
The child easily experiences a fear of falling and prefers to keep her feet
firmly on the ground. Tactile defensiveness (answer A) is a term used to
describe discomfort with various textures and with unexpected touch.
Somatodyspraxia (answer B) has is "foundation in somatosensory (e.g.
primarily tactile but also proprioceptive) discrimination deficits, which
interfere with the development of body scheme and awareness".
Bilateral integration and sequencing deficits are related to "poor
vestibular-propioceptive discrimination, which interferes with the ability
to coordinate, sequence, and execute motor actions quickly and
efficiently".
, When the OT suspects tactile defensiveness as a rationale for a child's
challenges, in what area of participation should the OT focus on FIRST?
A. Play behavior
B. Dressing habits
C. Social skills
D. Leisure interests - Precise Answer ✔✔B. Dressing habits
Children with tactile defensiveness are "bothered by tactile aspects of
daily living activities.... specific types of clothing.... specific textures
materials". The child may be bothered by certain textures or avoid
wearing turtlenecks, socks, or shoes. Conversely, some children may
never take off their shoes to avoid tactile stimulation. Play behavior
(answer A), social skills (answer C), and the choice of hobbies (answer
D) could be affected secondarily, as a result of intolerance to certain
textures or human touch. Knowledge of the child's dressing habits will
give the OT key information at the start of the evaluation process.
An OT is working with an individual with schizophrenia who is in the
process of preparing to move from a state hospital to a group home.
During a baking group, the client becomes agitated and leaves the room
when another client uses the electric hand mixer to mix the cake batter,
and again when two clients begin to argue loudly about which type of
icing to use. How would the OT BEST describe the behavior?
A. Low registration
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