Occupational Therapist Test Adult Rehabilitation 4 — Questions and Answers
Question 1: A client with multiple sclerosis reports significant fatigue limiting her ability to prepare meals. The OT's BEST recommendation is to:
- Recommend complete bed rest on high-fatigue days
- Schedule meal prep during the client's highest energy period with rest breaks (Correct answer)
- Refer to a dietitian to simplify diet
- Discontinue cooking and use meal delivery services
Correct answer: Schedule meal prep during the client's highest energy period with rest breaks
Scheduling energy-demanding tasks during peak energy times and building in rest breaks is a core fatigue management strategy for MS.
Question 2: Which seating intervention is FIRST priority for a client with bilateral lower extremity amputations who is at high risk for pressure injuries?
- Prescribe a reclining wheelchair to offload the ischials
- Provide a pressure-relieving cushion matched to interface pressure mapping (Correct answer)
- Elevate lower extremity stumps on standard wheelchair footrests
- Recommend a standard foam cushion to reduce cost
Correct answer: Provide a pressure-relieving cushion matched to interface pressure mapping
Pressure mapping identifies individualized high-risk areas, and a matched pressure-relieving cushion provides evidence-based prevention of pressure injuries.
Question 3: A client with a C5 SCI (ASIA A) wants to operate a power wheelchair independently. Which control site is MOST appropriate?
- Hand-operated joystick
- Head array or chin control (Correct answer)
- Sip-and-puff control
- Foot control
Correct answer: Head array or chin control
C5 ASIA A results in absent hand function; head array or chin control leverages the preserved neck and head musculature for wheelchair driving.
Question 4: An OT is conducting a home safety evaluation for a client with moderate Alzheimer's disease living alone. Which hazard poses the GREATEST immediate risk?
- Throw rugs on hardwood floors
- An unlocked gas stove (Correct answer)
- Low lighting in hallways
- Lack of grab bars in the bathroom
Correct answer: An unlocked gas stove
An unlocked gas stove poses the highest immediate risk because cognitive impairment significantly increases the likelihood of leaving burners on, leading to fire or gas poisoning.
Question 5: A client with right UE lymphedema following mastectomy should be instructed to AVOID which activity?
- Gentle progressive resistance exercise of the affected arm
- Wearing a compression garment during air travel
- Having blood pressure taken on the affected arm (Correct answer)
- Performing manual lymphatic drainage self-massage
Correct answer: Having blood pressure taken on the affected arm
Blood pressure cuffs compress lymphatic vessels and impede drainage, exacerbating lymphedema in the affected arm.
Question 6: Which frame of reference guides the OT who is grading activities from simple to complex to restore a client's cognitive processing skills after a stroke?
- Biomechanical frame of reference
- Cognitive rehabilitation frame of reference (Correct answer)
- Neurodevelopmental treatment (NDT) approach
- Model of Human Occupation (MOHO)
Correct answer: Cognitive rehabilitation frame of reference
The cognitive rehabilitation frame of reference uses hierarchical task grading to remediate and compensate for cognitive deficits following acquired brain injury.
Question 7: A client with chronic low back pain is returning to sedentary work. Which body mechanics principle is MOST important to reinforce?
- Maintaining lumbar lordosis while seated (Correct answer)
- Sitting with hips below 90° flexion
- Using the neck to support a phone during calls
- Leaning forward with a rounded back to reach the keyboard
Correct answer: Maintaining lumbar lordosis while seated
Maintaining lumbar lordosis (neutral spine) while seated reduces compressive forces on the lumbar discs and is foundational for back pain prevention in sedentary workers.
Occupational Therapist Test Adult Rehabilitation 4
A client with multiple sclerosis reports significant fatigue limiting her ability to prepare meals.
The OT's BEST recommendation is to: