FREE Master of Occupational Therapy Analysis & Practice Management Questions and Answers

Question 1

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?

Accepted Answer

Jane will use shapes to draw representational pictures

Answer

Jane's visual-motor skills are significantly below age-level expectations, indicated by a score two deviations under the mean. Using shapes to draw representational pictures is a developmentally appropriate visual-motor task for a five-year-old that directly addresses this area of deficit. This objective targets the underlying skill of integrating visual perception with motor output, which is crucial for pre-writing and drawing.

Question 2

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?

Accepted Answer

Attainable

Answer

The goal states Lucy will achieve minimal assistance with toilet transfers in 4/4 trials within three days of a hip fracture. This timeframe is highly unrealistic and potentially unsafe for an elderly client recovering from a recent hip fracture, making the goal not attainable. Recovery from a hip fracture typically requires a longer period for bone healing, pain management, and strength regaining before achieving such independence.

Question 3

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?

Accepted Answer

Creating a detailed list of all the steps necessary to accomplish the task.

Answer

While task analysis is a valuable tool, simply creating a detailed list of steps is a passive intervention that doesn't actively engage the client in learning or practicing the skills. For an adolescent with an intellectual handicap aiming for independence in complex tasks like grocery shopping and public transit, hands-on practice, problem-solving, and role-playing are more appropriate and effective. The other options involve active learning and skill development.

Question 4

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?

Accepted Answer

A STEM-focused construction group with five children

Answer

A STEM-focused construction group with five children offers a Tier 2 intervention that addresses multiple concerns. The structured, engaging nature of construction can support attention span and provide sensory input. Working in a small group facilitates constructive peer interaction, which is a key area of concern for the child with ASD.

Question 5

An occupational therapist formulates goals for a young softball pitcher who has a possible overuse injury. Which objective is the most suitable?

Accepted Answer

Report no more than 3/10 on a pain scale when engaged in approved softball drill

Answer

For an overuse injury, managing pain during activity is a primary and functional goal for a pitcher. This objective is client-centered, measurable, and directly relates to the client's ability to participate in their desired occupation (softball) without excessive pain. While ROM and strength are important, pain management during functional activity is often the most immediate and relevant outcome for an overuse injury.

OT - Master of Occupational Therapy Practice Test

OT - Master of Occupational Therapy Practice Test

FREE Master of Occupational Therapy Analysis & Practice Management Questions and Answers