Occupational Therapist Test Assistive Technology 5 — Questions and Answers
Question 1: Which funding source is MOST likely to cover AT for a client who is a veteran with a service-connected disability?
- Medicaid waiver
- Department of Veterans Affairs (VA) (Correct answer)
- State vocational rehabilitation
- Private disability insurance
Correct answer: Department of Veterans Affairs (VA)
The VA provides comprehensive AT benefits to eligible veterans with service-connected disabilities, including evaluations, devices, and training.
Question 2: An OT notices a client is abandoning their prescribed AT device after one week. Which factor is MOST commonly associated with AT abandonment?
- Device cost
- Poor match between device and user's priorities/context (Correct answer)
- Lack of insurance coverage
- Device weight
Correct answer: Poor match between device and user's priorities/context
Research consistently shows that inadequate consideration of user priorities, preferences, and environmental context is the leading cause of AT abandonment.
Question 3: Which assistive technology is MOST appropriate for a client with severe spastic quadriplegia who has consistent, reliable eye movement?
- Single switch scanning
- Eye-gaze communication system (Correct answer)
- Head mouse
- Sip-and-puff system
Correct answer: Eye-gaze communication system
Eye-gaze systems use cameras to track deliberate eye movements, making them ideal for individuals with severe motor impairment who retain consistent eye control.
Question 4: A client with bilateral lower extremity amputation is evaluated for a prosthesis. Which factor would make the client LEAST suitable for a dynamic response (energy-storing) prosthetic foot?
- Advanced age
- Sedentary lifestyle with low community ambulation goals (Correct answer)
- History of falls
- Presence of phantom limb pain
Correct answer: Sedentary lifestyle with low community ambulation goals
Dynamic response feet are designed for active users who require energy return for higher-level activities; a sedentary client with low activity goals gains little benefit.
Question 5: A client with MS reports worsening fatigue when using a manual wheelchair for community distances. The MOST appropriate AT intervention is:
- Adding push mitts to improve grip
- Transitioning to a power-assist wheelchair (Correct answer)
- Recommending a lighter titanium manual wheelchair
- Prescribing a scooter for all indoor use
Correct answer: Transitioning to a power-assist wheelchair
Power-assist wheelchairs reduce the physical effort required for propulsion, conserving energy and reducing fatigue while preserving some active user participation.
Question 6: During a home visit, an OT observes that a client's stair lift is installed but unused due to fear. The MOST appropriate next step is:
- Recommend removal of the stair lift
- Provide graded practice and education on safe stair lift use (Correct answer)
- Refer directly to physical therapy
- Document that the client refuses AT
Correct answer: Provide graded practice and education on safe stair lift use
Graded practice with education addresses the client's fear through desensitization and skill-building, supporting successful AT adoption.
Question 7: Which standard governs the accessibility of electronic and information technology for individuals with disabilities in federal agencies?
- ADA Title III
- Section 508 of the Rehabilitation Act (Correct answer)
- IDEA Part B
- Section 504 of the Rehabilitation Act
Correct answer: Section 508 of the Rehabilitation Act
Section 508 requires federal agencies to make their electronic and information technology accessible to people with disabilities, including AT-compatible design.
Occupational Therapist Test Assistive Technology 5
Which funding source is MOST likely to cover AT for a client who is a veteran with a service-connected disability?