Therapeutic Use of Occupations and Activities Flashcards

A therapist is working with a client with ALS who can no longer prepare meals. Which approach best reflects occupational adaptation?

Answer: Teach compensatory strategies using adaptive equipment to maintain meal prep roles

Occupational adaptation supports role continuity by modifying how the occupation is performed rather than abandoning it.

During a leisure activity group, a client with schizophrenia suddenly becomes disruptive. The therapist's FIRST response should be to:

Answer: Calmly redirect the client to a quieter, less stimulating activity

Graded environmental modification and calm redirection are first-line responses to decompensation during activity groups.

Which principle of activity analysis is MOST important when selecting a therapeutic activity for a child with sensory processing disorder?

Answer: The activity's sensory demands must match the child's regulatory needs and tolerance

Matching sensory demands to the child's regulatory threshold is foundational in sensory integration-informed OT practice.

A client recovering from a right CVA has left neglect and is learning to dress independently. The therapist should FIRST address:

Answer: Scanning the left side of the body and environment before and during dressing

Training systematic leftward scanning is the foundational compensatory strategy for unilateral neglect during ADLs.

According to the MOHO, which factor would BEST explain why a retired firefighter refuses to engage in craft activities during inpatient rehabilitation?

Answer: Volition mismatch — crafts conflict with the client's occupational identity and values

MOHO's volition component encompasses values and occupational identity, which may be incompatible with craft-based activities for this client.

A therapist grades a leather-lacing craft from simple whip stitch to a more complex braiding pattern. This grading addresses which therapeutic goal?

Answer: Progressive challenge to increase fine motor coordination and sustained attention

Grading an activity upward in complexity is used to progressively challenge motor and cognitive skills as the client improves.

Which statement BEST describes the difference between purposeful activity and occupation in OT practice?

Answer: Occupation is personally meaningful and embedded in the client's daily life, while purposeful activity is goal-directed but may lack personal context

The OTPF distinguishes occupation as client-centered and life-embedded, while purposeful activity is goal-directed but may be context-neutral.