FREE Master of Occupational Therapy Analysis & Practice Management Questions and Answers
An occupational therapist formulates goals for a young softball pitcher who has a possible overuse injury. Which objective is the most suitable?
This objective is activity-based and measurable. The other choices might be valid aims, but they aren't within the purview of occupational therapy.
After being transferred to her hospital bed, a patient in an acute care setting loses consciousness. What should the occupational therapist carry out first?
The medical staff must act right away if a patient suffers a cardiac or neurological incident that renders them unresponsive. It is preferable to call for assistance first, then perform CPR by performing compressions, opening the airway, and finally supplying air.
A collaborative leader must carry out these two tasks to ensure that the team can effectively collaborate on care and generate synergy:
To accomplish effective collaborative care, a collaborative leader must focus on both relationships and tasks. To achieve safe client care results, such as upholding the integrity of the team's governance and operational procedures, the collaborative leader assists others in the team in staying on task. In the relationship orientation role, the team leader helps the group function more productively by offering assistance, handling disagreements, and fostering positive working relationships.
Working on a cardiopulmonary rehabilitation unit is a level II fieldwork student. When reading a patient's chart, the student discovers that the patient is capable of engaging in MET level 2 activities. Which treatment approach should the student choose?
Only exercises that are at the patient's MET level or lower should be chosen by the student. Standing to brush one's teeth is regarded as a level 2 MET. The other activities demand more energy and are inappropriate at this point in the healing process.
Two isolated C. diff sufferers are placed in a unit with an occupational therapist. Which safety measure must the OT take before entering the infected patient's room to prevent spreading the illness to others as well as themselves?
Since HIV spreads by contact, a gown and gloves are needed. To avoid spread, everyone entering the isolation room must put on gloves and a gown and should remove any used PPE from the area. The patient's room should only be disinfected using certified anti-microbial cleaners.
Jane is five years old and attends a preschool. She just underwent an occupational therapy evaluation and received a score on a standardized test assessing visual-motor skills that was two deviations under the mean. Given this knowledge, what would be a suitable objective?
A visual motor ability that is a prerequisite for writing and suitable for a five-year-old is drawing realistic pictures. Holding a pencil requires only your grasp; moving pegs is activity-based and too specialized to apply to other situations; and finding pictures requires your visual sense.
Following a sensory evaluation of Ryan, a 6-year-old pupil, an occupational therapist is making recommendations to the school team. The pupil craves proprioceptive input and is too sensitive to auditory and tactile stimuli. Which modification would be suitable to support Ryan's involvement in the classroom?
The proprioceptive system is stimulated by heavy effort, and scheduled chances can assist Ryan increase his classroom participation. Children who are overly sensitive to visual input can benefit from the removal of visual clutter. Physical stimuli should be avoided because Ryan has excessive tactile sensitivity. With Ryan's sensory profile, unstructured music time could seem unsettling.
A rehabilitation manager is checking the unit's clinical documentation requirements to make sure they adhere to all criteria. Which of the following does not meet the requirements for reimbursement?
Since a COTA works under an OT's supervision, every COTA paperwork requires the OT's cosignature. All of the other things are necessary in a medical model.
A 28-year-old man who recently had an above-the-elbow amputation is ready to start driving again. He does not wear a prosthetic on the side that is affected and can fully use his non-dominant upper extremity. Which adaptive equipment should be recommended?
For people who can effectively utilize one arm, the round spinning knob is suitable. The wheel cuff is a safety feature for drivers with weaker grips. A prosthesis is used in conjunction with a wheel ring. Reduced effort steering is suitable for anyone who lack the muscle or stamina to turn a steering wheel's standard resistance.
An occupational therapist takes part in a study to find out how noise level affects the capacity to do a physical skill. Noise is the:
An independent variable in a study does not depend on the change in another variable. Only the researcher has control over or can alter the independent variable. The research question or hypothesis that underlies the experiment's findings is frequently this one.
Mr. Perez, an elderly man with age-related musculoskeletal degeneration, was recently assessed by an occupational therapist. He lately utilized a wheeled walker, but he can no longer stand up without help. Regarding Mr. Perez's cognition, the occupational therapist seems unconcerned. Which wheelchair would be best suited in light of this information?
Since Mr. Perez most recently utilized a rolling walker, a manual lightweight wheelchair would be manageable for him. His ability to go forward will help him keep his upper body strength. Power wheelchairs and tilt-in-space wheelchairs are not advised since they could accelerate the deterioration of muscles.
An adolescent with an intellectual handicap is undergoing treatment under the direction of an occupational therapist. The client mentioned that he would prefer to do grocery shopping alone and use public transit. Which of the following interventions is NOT appropriate for this client?
This person needs to adapt their safety knowledge to various settings. The first three selections concentrate on developing skills that may be applied in a variety of contexts. Making a comprehensive list is overly restrictive and useless when a change takes place.
An occupational therapist (OT) checks a goal regarding an elderly client with a recent fall and a hip fracture while she peers reviews a coworker's documentation. "Lucy will transfer to and from her toilet, provided a walker and grasp bars, with minimal assistance in 4/4 trials within three days," the statement reads. Which SMART goal requirement does this goal not meet?
This objective might not be reachable in the time allotted for her because of her advanced age and recent fall. The specific activity of using the restroom serves as a suitable backdrop for the objective. Since using the restroom is an ADL, even in the absence of Lucy's full vocational profile, the aim is pertinent to addressing Lucy's fundamental needs. The objective gauges the level of support Lucy will require to reach there as well as the predicted precision.
An occupational therapist in a developing field decides to do a level II empirical investigation. Which of the following is NOT necessary for the therapist to continue?
An IRB must approve the research, identify any potential dangers, and obtain informed permission from participants. Participation must be voluntary, the study's goal must be fully disclosed, and confidentiality must be maintained.
A teacher and a school-based occupational therapist speak about an eight-year-old who has recently been diagnosed with autism spectrum disorder and is enrolled in the school's RTI (response to intervention) program. His short-term attention span, lack of constructive peer interaction, and sensory-seeking conduct worry the teacher, who explains this. Which Tier 2 location would be best for the therapist to conduct an intervention?
Small groups are used in Tier 2 interventions to better tailor support for at-risk youngsters. A Tier 3 (universal) intervention is one that is conducted at recess with all of the students in the grade level.
A long-term care facility's occupational therapist meets with the medical staff to discuss Mrs. Smith, a new admission who suffered a stroke three weeks earlier. Due to the risk of aspiration in her previous environment, she was on a level two dysphagia diet. Which of the following should the team flag as risky for Mrs. Smith?
Since bread requires more chewing than other soft foods, it is regarded as an advanced food. For a level two dysphagia diet, the remaining meal combinations are acceptable.