Occupational Therapist Test Activity Analysis 5 — Questions and Answers
Question 1: A client with hemiplegia wants to resume gardening. The OT performs an activity analysis specifically considering the client's residual function. This is termed:
- Generic activity analysis
- Client-centered or individualized activity analysis (Correct answer)
- Environmental analysis
- Occupational profile creation
Correct answer: Client-centered or individualized activity analysis
Client-centered (individualized) activity analysis evaluates activity demands in relation to a specific client's abilities, goals, and contexts.
Question 2: Which activity analysis step is most useful for identifying the 'just-right challenge' when designing a therapeutic activity?
- Listing all required objects
- Analyzing and grading task difficulty relative to client capacity (Correct answer)
- Documenting the cultural context
- Recording the activity's historical origins
Correct answer: Analyzing and grading task difficulty relative to client capacity
Grading activity difficulty relative to the client's current capacity allows the OT to find the optimal challenge level to promote skill development.
Question 3: In activity analysis, 'required body functions' for writing include all of the following EXCEPT:
- Fine motor coordination
- Visual acuity
- Literacy and language skills (Correct answer)
- Shoulder stabilization
Correct answer: Literacy and language skills
Literacy and language skills are client factors/mental functions, not body functions in the biomechanical sense assessed in this category.
Question 4: An OT determines that a leather stamping activity requires 20 pounds of force. This information is most relevant for a client with:
- Cognitive impairment
- Reduced grip and pinch strength (Correct answer)
- Anxiety disorder
- Low back pain from prolonged sitting
Correct answer: Reduced grip and pinch strength
Knowing the force required during activity analysis directly guides intervention for clients with strength deficits.
Question 5: Which activity analysis consideration is MOST important when selecting a therapeutic activity for a client in acute psychiatric care?
- The activity's biomechanical joint demands
- The activity's emotional and interpersonal safety demands (Correct answer)
- The caloric expenditure of the activity
- The activity's cardiopulmonary requirements
Correct answer: The activity's emotional and interpersonal safety demands
In psychiatric settings, the emotional and interpersonal safety demands of an activity are paramount to prevent overstimulation or distress.
Question 6: An OT increases the weight of a resistive band during a therapeutic exercise activity. This adjustment is an example of:
- Activity modification
- Activity grading — upgrading physical demand (Correct answer)
- Activity analysis — sensory component
- Environmental adaptation
Correct answer: Activity grading — upgrading physical demand
Upgrading physical demand by increasing resistance is a classic activity grading technique to progressively challenge the client.
Question 7: During activity analysis, the OT documents that a task requires the client to initiate action without external prompting. This is a demand on which body function?
- Praxis
- Executive function — specifically initiation (Correct answer)
- Sustained attention
- Proprioception
Correct answer: Executive function — specifically initiation
Initiation is an executive function that involves independently starting a task or action without cuing.
Occupational Therapist Test Activity Analysis 5
A client with hemiplegia wants to resume gardening.
The OT performs an activity analysis specifically considering the client's residual function.
This is termed: