Occupational Therapist Test Assistive Technology 2 — Questions and Answers
Question 1: An OT is recommending a AAC device for a client with ALS. Which feature is MOST critical to prioritize given the progressive nature of the disease?
- High-quality speaker volume
- Multiple access method options as motor function declines (Correct answer)
- Colorful symbol-based display
- Bluetooth connectivity to a smartphone
Correct answer: Multiple access method options as motor function declines
AAC devices for progressive conditions like ALS must support multiple access methods (eye gaze, switches, direct touch) to accommodate changing motor abilities over time.
Question 2: Which assistive technology would BEST help a client with low vision who needs to read printed mail independently?
- Screen reader software
- Handheld video magnifier (CCTV) (Correct answer)
- Braille embosser
- Large-button telephone
Correct answer: Handheld video magnifier (CCTV)
A handheld video magnifier allows a person with low vision to enlarge printed material in real time, supporting independent reading of physical documents.
Question 3: A client with C5 spinal cord injury wants to use a computer. Which access method is MOST appropriate given their typical motor function?
- Standard keyboard and mouse
- Mouth stick with standard keyboard
- Head mouse with on-screen keyboard (Correct answer)
- Eye-gaze system
Correct answer: Head mouse with on-screen keyboard
C5 SCI typically allows shoulder and partial elbow movement but not reliable hand function, making a head mouse with on-screen keyboard a practical access solution.
Question 4: When completing an AT assessment, which framework is MOST widely used to match a client with the appropriate technology?
- Model of Human Occupation (MOHO)
- Human Activity Assistive Technology (HAAT) model (Correct answer)
- Occupational Adaptation model
- Ecology of Human Performance model
Correct answer: Human Activity Assistive Technology (HAAT) model
The HAAT model specifically addresses the interaction among the human, activity, assistive technology, and context to guide AT selection.
Question 5: A child with cerebral palsy is trialing a powered wheelchair. Which assessment tool is MOST appropriate to evaluate driving skills and safety?
- Functional Independence Measure (FIM)
- Power Mobility Road Test (PMRT) (Correct answer)
- Assessment of Motor and Process Skills (AMPS)
- WeeFIM
Correct answer: Power Mobility Road Test (PMRT)
The Power Mobility Road Test (PMRT) is a standardized tool designed to assess the functional driving skills and safety of powered wheelchair users.
Question 6: Which seating system component MOST directly prevents posterior pelvic tilt in a wheelchair user?
- Headrest
- Solid seat insert (Correct answer)
- Anti-tip wheels
- Lateral trunk supports
Correct answer: Solid seat insert
A solid seat insert (firm seat base) prevents hammocking of the sling seat, which is a primary cause of posterior pelvic tilt in wheelchair users.
Question 7: An OT is training a client to use a reacher to retrieve items from a high shelf. This intervention primarily addresses which AT goal?
- Restoring lost function
- Compensating for functional limitation (Correct answer)
- Preventing secondary disability
- Enhancing caregiver ease
Correct answer: Compensating for functional limitation
Using a reacher is a compensatory strategy that substitutes for lost upper extremity reach, allowing participation in ADLs despite functional limitation.
An OT is recommending a AAC device for a client with ALS.
Which feature is MOST critical to prioritize given the progressive nature of the disease?