Occupational Therapist Test Adult Rehabilitation 3

Question 1

A client with Parkinson's disease freezes of gait in doorways. Which cueing strategy has the strongest evidence for this specific problem?

Accepted Answer

Visual transverse line cues on the floor

Answer

Transverse visual cues (lines on the floor) provide external spatial targets that bypass the defective internal rhythm generation causing freezing in narrow spaces.

Question 2

An OT evaluates a client 3 days post-hip arthroplasty (posterior approach). Which transfer technique is contraindicated?

Accepted Answer

Stand-pivot transfer toward the surgical side

Answer

Pivoting toward the surgical side causes hip internal rotation and adduction, violating posterior hip precautions and risking dislocation.

Question 3

A client with ALS at the early stage reports hand weakness affecting grip. Which is the MOST appropriate OT intervention at this stage?

Accepted Answer

Introduce lightweight adaptive equipment and energy conservation

Answer

Early ALS management focuses on adaptive equipment and energy conservation to maintain function while avoiding overexertion of weakening muscles.

Question 4

Which pain assessment tool is MOST appropriate for a client with moderate cognitive impairment who cannot reliably self-report pain?

Accepted Answer

Pain Assessment in Advanced Dementia (PAINAD)

Answer

PAINAD assesses behavioral indicators of pain (breathing, vocalization, facial expression, body language, consolability) for those unable to self-report.

Question 5

A right-handed client with right hemiplegia needs to write. The OT's FIRST intervention should be:

Accepted Answer

Assess residual right hand function before recommending alternatives

Answer

Before recommending compensation or device training, the OT must assess residual motor function to determine the best rehabilitation approach.

Occupational Therapist Test Practice Test

Occupational Therapist Test Practice Test

Occupational Therapist Test Adult Rehabilitation 3