TEST BANK
Early’s Physical Dysfunction Practice Skills for the
Occupational Therapy Assistant
Mary Elizabeth Patnaude
4th Edition
,Table of Contents
Chapter 01 Occupational Therapy and Physical Disabilities 1
Chapter 02 The Disability Experience and the Therapeutic Process 4
Chapter 03 Infection Control and Safety Issues in the Clinic 7
Chapter 04 Occupational Therapy Process-Evaluation and Intervention in Physical
Dysfunction 9
Chapter 05 Documentation of Occupational Therapy Services 13
Chapter 06 Assessment of Motor Control and Functional Movement 15
Chapter 07 Assessment of Joint Range of Motion 17
Chapter 08 Assessment of Muscle Strength 18
Chapter 09 Evaluation and Observation of Deficits in Sensation, Perception, and Cognition 20
Chapter 10 Teaching and Learning Motor Performance in Occupational Therapy 24
Chapter 11 Intervention Principles for Feeding and Eating 27
Chapter 12 Occupations, Purposeful Activities, and Preparatory Activities 30
Chapter 13 Activities of Daily Living 31
Chapter 14 Assistive Technology 36
Chapter 15 Moving in the Environment 39
Chapter 16 Work 43
Chapter 17 Promoting Engagement in Leisure and Social Participation 46
Chapter 18 The Older Adult 49
Chapter 19 Principles of Orthotic Intervention 52
Chapter 20 Neurotherapeutic Approaches to Treatment 54
Chapter 21 Interventions for Visual and Other Sensory Dysfunction 57
Chapter 22 Interventions for People with Cognitive and Perceptual Deficits 59
Chapter 23 Cerebrovascular Accident 62
Chapter 24 Traumatic Brain Injury 67
Chapter 25 Degenerative Diseases of the Central Nervous System 71
Chapter 26 Spinal Cord Injury 76
Chapter 27 Neurogenic and Myopathic Dysfunction 78
Chapter 28 Arthritic Diseases 81
Chapter 29 Upper Extremity Rehabilitation 84
Chapter 30 Burns 89
Chapter 31 Amputation and Prosthetics 91
Chapter 32 Cardiac Dysfunction and Chronic Obstructive Pulmonary Disease 93
Chapter 33 Oncology 95
Chapter 34 HIV Infection and AIDS 98
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Test Bank - Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant, 4e (Patnaude, 2022)
Chapter 01: Occupational Therapy and Physical Disabilities
Patnaude: Early’s Physical Dysfunction Practice Skills for the Occupational Therapy
Assistant, 4th Edition
MULTIPLE CHOICE
1. A person who has multiple sclerosis and tires easily prefers to bake cookies with her
granddaughter rather than clean her house. This is an example of:
a. Habits that one has over a lifetime.
b. Interests that are enjoyable.
c. Values that motivate behavior.
d. Her former role that is important to her.
ANS: C PTS: 1
2. An OTA is working with a person who was recently admitted to a skilled nursing facility who
became upset when asked to prepare a microwave meal. This is an example of:
a. Personal beliefs.
b. Habits and internalized roles.
c. Occupations.
d. Personal motivation.
ANS: B PTS: 1
3. A person, who enjoys hand embroidery and fractures both wrists in a fall, is more likely to
experience a loss than a person who embroiders using a sewing machine. This is an example
of:
a. Habits performed by reflex.
b. Interests that are enjoyable.
c. Performance in the ability to do things.
d. Values that are meaningful.
ANS: C PTS: 1
4. An OTA is working with an individual who is a housekeeper at a large hotel and is using a
wheelchair for mobility after breaking a leg. The BEST therapeutic activity to help prepare for
returning to work would be:
a. Clean the hospital room, simulating all the tasks involved in the individual’s job.
b. Practice picking items off the floor using a reacher.
c. Clean the hospital room and focus on the tasks the individual can do with minimal
assistance from the OTA.
d. Practice dusting the furniture using adaptive equipment.
ANS: A PTS: 1
5. An OTA is working with an individual who is a volunteer at a pet shelter and has decreased
endurance after receiving chemotherapy. To help the individual accommodate to the change,
the OTA should:
a. Provide feedback, physical support and information on alternative methods, and
adaptation.
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Test Bank - Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant, 4e (Patnaude, 2022)
b. Model how to do activities and provide written handouts on energy conservation.
c. Ask the individual to observe others in similar situations.
d. Provide the individual with resources on other volunteer opportunities that may not
require as much energy.
ANS: A PTS: 1
6. An OTA is working with an individual who has low back pain and works as a taxi driver.
Using the biomedical approach the OTA should:
a. Assess the individual to determine other jobs that may be satisfying.
b. Suggest proper positioning for sitting while in the work environment.
c. Ask the occupational therapist to evaluate the person’s work tolerance skills.
d. Suggest that the person work part time until the pain subsides.
ANS: B PTS: 1
7. An OTA is treating an individual who has had a CVA using the biomechanical approach. The
person is placing cans in a high cupboard and wearing 5-lb weights on his wrists. The
individual is having problems with regulating movements. The OTA should:
a. Document the findings and consult with the occupational therapist.
b. Assess the amount of weight being used and make appropriate changes.
c. Consult with the physical therapist.
d. Reevaluate the treatment approach because it may not be appropriate for this
patient.
ANS: D PTS: 1
8. An entry level OTA who works in a skilled nursing facility is working with a patient who is
wearing splints that are worn and falling off when the patient transfers from her wheelchair.
The OTA should:
a. Remove the splints and use a different positioning device.
b. Fabricate new splints under the supervision of the occupational therapist.
c. Provide the patient with prefabricated splints.
d. Fabricate new splints using a textbook as a reference.
ANS: B PTS: 1
9. An OTA is working with a patient and is using a board with buttons and fasteners. The patient
asks, “Why am I buttoning a board?” The OTA should:
a. Explain that this is a preliminary activity and will follow with buttoning a sweater.
b. Grade the activity and have the patient use smaller buttons so that she feels
challenged.
c. Encourage the patient to participate and explain the benefits.
d. Explain that you need to observe the patient buttoning to report on coordination
skills to the occupational therapist.
ANS: A PTS: 1
10. An OTA who works in an outpatient setting is participating in an outcome study. The OTA
would most likely:
a. Provide information to the OT but would not actively be involved in the process.
b. Observe other OTAs in different settings and document their successful outcomes.
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Test Bank - Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant, 4e (Patnaude, 2022)
c. Research the topic, pose clinical questions, and reflect on what happens during
therapy.
d. Interview family members to determine their satisfaction with the team’s
interventions.
ANS: C PTS: 1
11. An OTA is working with an individual who shares that it is important to him to wake at the
same time every day, meet friends for coffee and doughnuts at 10 AM, and watch a favorite
TV show at 8 PM. This is an example of:
a. Habituation.
b. Purposeful activity.
c. Occupational performance.
d. Volition.
ANS: A PTS: 1
12. An OTA is working with an individual whose main goal is to increase muscle strength. The
treatment model that looks intensely at one part is an example of:
a. Reductionistic.
b. Holistic.
c. Motor.
d. Sensory.
ANS: A PTS: 1
13. An OTA is working with an individual who has had a CVA and is concerned with how the
individual will function in their environment and within their family. The treatment model
that focuses on this approach would be considered:
a. Reductionistic.
b. Holistic.
c. Occupation.
d. Therapeutic.
ANS: B PTS: 1
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Test Bank - Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant, 4e (Patnaude, 2022)
Chapter 02: The Disability Experience and the Therapeutic Process
Patnaude: Early’s Physical Dysfunction Practice Skills for the Occupational Therapy
Assistant, 4th Edition
MULTIPLE CHOICE
1. An OTA working in a physical rehabilitation setting should be aware that the focus of
occupational therapy should address:
a. Physical needs related to specific injuries.
b. Physical needs that relate directly to discharge planning.
c. Physical needs related to performing occupational roles.
d. Physical, psychological, social, and spiritual needs.
ANS: D PTS: 1
2. An OTA is working with a person who was training to compete in the Olympic games and has
a C7 spinal cord injury. The individual is refusing to participate in therapy. He is experiencing
a loss of:
a. Valued goals.
b. Independence in ADL.
c. Social support.
d. Physical stamina.
ANS: A PTS: 1
3. An OTA is working with a young male who lost his leg in a car accident. Despite his
limitations, he is a member of his high school snow boarding team and plans to resume
surfing. This individual would be described as having a:
a. Strong sense of being in control of his life.
b. Strong family support system.
c. Strong social support system.
d. Strong commitment to form habits.
ANS: A PTS: 1
4. An OTA is working with a person who has lost his ability to verbally communicate and is
refusing to use a communication system while attending college classes. This individual may
be experiencing:
a. A lack of psychological support from health care workers.
b. Feeling different compared with his premorbid self.
c. Feeling as though he has lost his personal identity.
d. A feeling of dependence on others.
ANS: B PTS: 1
5. An OTA is working with a person who became paralyzed after falling in a climbing
accident.Intervention that aids in psychosocial adjustment should be based on:
a. Characteristics of persons with the same disability.
b. The patient’s reactions to the circumstances.
c. Characteristics of persons who have the same severity of the same disability.
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Test Bank - Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant, 4e (Patnaude, 2022)
d. The patient’s reaction to the attitude of others toward disability.
ANS: B PTS: 1
6. An OTA is working in an assisted living facility and recently implemented a residents council
so that residents can provide input related to planning outings, visiting hours, and meals. This
council is best described as:
a. A way to equalize residents’ status at the facility and reduce prejudices.
b. A way for the OTA to take a leadership role with the residents.
c. A way for the residents to demonstrate their role at the facility to their families.
d. A way for the residents and the OTA to engage in a teacher-student relationship.
ANS: A PTS: 1
7. An OTA is working with a patient who is displaying anger about the cause of his disability
toward his family and members of the health care team. The OTA should:
a. Talk with the patient about the negative effects the behavior is having on others.
b. Ask another member of the health care team with psychiatric training to talk to the
patient.
c. Discuss the behavior with family members to find out why the patient is being
mean.
d. Ask another member of the health care team to talk to the family about the causes
of the behavior.
ANS: A PTS: 1
8. An OTA is working with a person who for several weeks has depended on the OTA to solve
problems and is dependent in ADL. The OTA should:
a. Ask the occupational therapist to work with this person.
b. Maintain a balance between assistance and control to facilitate self-help.
c. Teach the person’s caregiver how to assist the person and not push the person at
this time.
d. Allow the dependent behavior because the person may be depressed.
ANS: B PTS: 1
9. An OTA is working with a person who has been burned and is concerned about returning to
work as a tollbooth operator. The OTA should:
a. Suggest the person look for different employment.
b. Teach the person relaxation techniques.
c. Suggest that the person join a support group for persons who have been burned.
d. Use fantasy by role-playing the situation.
ANS: D PTS: 1
10. An OTA is working with a person who has been working hard to achieve her goals and now is
feeling as though she is ready to “give up the fight.” The OTA should:
a. Talk with the person about depression and make a referral to a psychologist.
b. Ask family members to talk to the person and provide encouragement.
c. Expose the person to situations in which she can observe persons with disabilities
who have been successful in overcoming limitations.
d. Point out the gains she has made and encourage her to continue therapy.
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Test Bank - Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant, 4e (Patnaude, 2022)
ANS: C PTS: 1
11. An OTA is working with a person who is experiencing stress related to adjusting to a physical
disability. The OTA should:
a. Refer the person to a relaxation group.
b. Find out how the person managed stress in the past and use those strategies.
c. Refer the person to a psychologist for appropriate medications.
d. Persuade the person to take on new roles.
ANS: B PTS: 1
12. An OTA is working with an individual who became disabled after being shot in a robbery
where a grocery clerk was shot and killed. The OTA frequently is late to treatment sessions
and asks others to provide treatment. The OTA should FIRST:
a. Discuss the situation at the next team meeting with the psychologist.
b. Transfer the individual to another therapist’s caseload.
c. Continue treating the individual as if there is no problem.
d. Admit adverse reactions and seek counseling with a peer or counselor.
ANS: D PTS: 1
13. An OTA is working with a person who expresses fear and a sense of loss and is worried about
returning home and not being able to prepare meals for her family. The OTA should:
a. Tell the person, “You do much better then you give yourself credit for.”
b. Be overly cheerful when working with the person.
c. Encourage the person to express her anger so that she realizes it is permissible and
acceptable.
d. Refer the person to outpatient group therapy.
ANS: C PTS: 1
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Test Bank - Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant, 4e (Patnaude, 2022)
Chapter 03: Infection Control and Safety Issues in the Clinic
Patnaude: Early’s Physical Dysfunction Practice Skills for the Occupational Therapy
Assistant, 4th Edition
MULTIPLE CHOICE
1. An OTA is working with a person who is in protective isolation. The OTA should:
a. Ask the occupational therapist to co-treat the person.
b. Wear protective clothing, such as gown, cap, gloves, and mask.
c. Wear a mask and gloves only.
d. Demonstrate the method to remove protective clothing.
ANS: B PTS: 1
2. An OTA is working in a home with a patient when a medical emergency occurs. The OTA
should FIRST:
a. Respond to the emergency immediately.
b. Follow the procedures set up by the occupational therapist.
c. Call for assistance before initiating emergency care.
d. Call the supervising occupational therapist and ask for direction.
ANS: C PTS: 1
3. An OTA is walking with an individual and the individual begins to fall forward. The OTA
should FIRST:
a. Hold the gait belt firmly, push forward on the individual’s pelvis, and pull back on
the person’s shoulder.
b. Hold the individual’s elbow to provide stabilization.
c. Let the individual fall away from you to minimize injury.
d. Rotate your body so that one side is turned toward the individual’s back.
ANS: A PTS: 1
4. An OTA should observe standard precautions and transmission-based precautions with:
a. Patients with HIV and AIDS.
b. All patients.
c. Patients with hepatitis B.
d. Patients with diabetes.
ANS: B PTS: 1
5. The BEST method to reduce pathogens would be to:
a. Wear gloves and practice handwashing techniques.
b. Wear a mask and gloves.
c. Wear gloves only.
d. Dispose of sharp instruments.
ANS: A PTS: 1
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Test Bank - Early’s Physical Dysfunction Practice Skills for the Occupational Therapy Assistant, 4e (Patnaude, 2022)
6. An OTA is working with a patient on bathroom transfers using a raised toilet seat. Before
using the equipment with a different patient, the OTA should:
a. Place it in a container and dispose of it properly.
b. Label the toilet seat “for practice only.”
c. Label it and return it to OT department for sterilization.
d. Wash it with soap and water and replace it in cupboard.
ANS: C PTS: 1
7. An OTA is working with a patient in the kitchen who burns his hand when removing cookies
from the oven. The OTA should:
a. Call for the nurse.
b. Apply ointment from a first-aid kit.
c. Have the patient soak his hand in cold water.
d. Immediately apply ice to the burn.
ANS: C PTS: 1
8. An OTA is working with a patient who experiences a slow pulse, is pale and sweating, and
falls to the floor. The OTA should FIRST:
a. Place the person in a safe location.
b. Attempt to restrict the convulsion.
c. Place a hard object between their teeth.
d. Lay the patient supine and elevate his head.
ANS: A PTS: 1
9. An OTA is working with a patient who becomes rigid and statuelike and experiences a whole
body jerking motion. The OTA should:
a. Attempt to restrain or restrict the movement.
b. Place a wood or metal object in the patient’s mouth.
c. Place the person in a safe location to prevent injury.
d. Apply a cool compress to the patient’s forehead.
ANS: C PTS: 1
10. An OTA is walking with a patient who has an intravenous (IV) line. The OTA should instruct
the patient to:
a. Grasp the IV pole so that the infusion site is at heart level.
b. Place her arm at her side.
c. Hold on to the IV pole for stability.
d. Bend her elbow and hold her arm close to her waist.
ANS: A PTS: 1
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