Occupational Therapist Test Adult Rehabilitation 2 — Questions and Answers
Question 1: A client with a TBI demonstrates impulsivity and poor safety awareness during ADLs. Which compensatory strategy is MOST appropriate to implement first?
- Environmental modification to remove hazards (Correct answer)
- Verbal reminders before each task step
- Restraint during high-risk activities
- Cognitive retraining exercises only
Correct answer: Environmental modification to remove hazards
Environmental modification is the highest priority compensatory strategy because it reduces risk regardless of the client's insight or self-monitoring ability.
Question 2: When using the Functional Independence Measure (FIM), a score of 5 for transfers means the client:
- Requires maximal assistance
- Needs supervision or setup only
- Requires minimal contact assistance
- Performs independently with a device (Correct answer)
Correct answer: Performs independently with a device
A FIM score of 5 indicates modified independence, meaning the client completes the task independently but requires an assistive device or takes extra time.
Question 3: An OT is treating a client with left CVA who exhibits left neglect. Which intervention is evidence-based for neglect remediation?
- Prism adaptation training (Correct answer)
- Mirror therapy for the left arm
- Bilateral arm training
- Constraint-induced movement therapy
Correct answer: Prism adaptation training
Prism adaptation training has strong evidence for improving unilateral neglect by shifting the client's attentional bias toward the neglected side.
Question 4: A client with COPD is being discharged home. Which energy conservation technique is MOST important to teach for morning ADL routines?
- Complete all bathing tasks before dressing
- Perform tasks seated whenever possible (Correct answer)
- Use diaphragmatic breathing only during exercise
- Schedule ADLs immediately after waking
Correct answer: Perform tasks seated whenever possible
Performing tasks in a seated position reduces the overall metabolic demand and conserves energy for clients with COPD.
Question 5: Which assessment is MOST appropriate to measure upper extremity spasticity in an adult stroke survivor?
- Fugl-Meyer Assessment
- Modified Ashworth Scale (Correct answer)
- Box and Block Test
- Purdue Pegboard Test
Correct answer: Modified Ashworth Scale
The Modified Ashworth Scale is the standard clinical tool for grading muscle tone and spasticity through passive range of motion.
Question 6: A client with SCI at C6 ASIA A wishes to independently feed himself. Which adaptive device is MOST appropriate?
- Built-up handle utensils
- Universal cuff with utensil slot (Correct answer)
- Rocker knife with D-ring
- Plate guard and standard fork
Correct answer: Universal cuff with utensil slot
A universal cuff allows the C6 complete SCI client to hold utensils using wrist extension, compensating for absent hand grasp.
Question 7: During work hardening, a client lifts 20 lb repetitively without signs of fatigue. According to the DOT physical demand categories, this places the client at which level?
- Sedentary
- Light
- Medium (Correct answer)
- Heavy
Correct answer: Medium
The DOT medium work category requires lifting up to 50 lb occasionally and 20 lb frequently, matching this client's demonstrated capacity.
Occupational Therapist Test Adult Rehabilitation 2
A client with a TBI demonstrates impulsivity and poor safety awareness during ADLs.
Which compensatory strategy is MOST appropriate to implement first?