Occupational Therapist Test Evaluation and Assessment 3 — Questions and Answers
Question 1: Which assessment tool uses a 7-level rating scale to measure a person's functional independence in self-care, sphincter control, transfers, locomotion, communication, and social cognition?
- Barthel Index
- Functional Independence Measure (FIM) (Correct answer)
- Katz Index
- Modified Rankin Scale
Correct answer: Functional Independence Measure (FIM)
The Functional Independence Measure (FIM) uses a 7-level rating scale across 18 items in motor and cognitive domains to measure the burden of care.
Question 2: An OT administers the Cognitive Assessment of Minnesota (CAM) to a post-stroke client. What does this assessment primarily measure?
- Memory and recall only
- Attention, memory, visual perception, and reasoning (Correct answer)
- Executive function exclusively
- Language and communication skills
Correct answer: Attention, memory, visual perception, and reasoning
The CAM assesses multiple cognitive domains including attention, memory, visual perception, reasoning, and conceptual thinking following acquired brain injury.
Question 3: What is the primary purpose of a task analysis in occupational therapy evaluation?
- To time how long a client takes to complete an activity
- To break down an activity into component steps to identify performance breakdowns (Correct answer)
- To compare client performance to normative data
- To determine if an activity is appropriate for the client's age
Correct answer: To break down an activity into component steps to identify performance breakdowns
Task analysis in OT evaluation involves breaking down an activity into its component steps to identify exactly where and why performance breaks down.
Question 4: The Sensory Profile 2 is used to assess which population?
- Adults with traumatic brain injury
- Infants to adults across the lifespan (Correct answer)
- Children with cerebral palsy only
- Elderly adults with dementia
Correct answer: Infants to adults across the lifespan
The Sensory Profile 2 is a standardized assessment tool designed to evaluate sensory processing patterns in infants through adults across the lifespan.
Question 5: During a driving evaluation, an OT identifies that a client frequently misses stop signs and traffic lights. Which cognitive domain should be further assessed?
- Memory
- Visual scanning and attention (Correct answer)
- Executive function
- Spatial orientation
Correct answer: Visual scanning and attention
Missing stop signs and traffic lights is a key indicator of impaired visual scanning and attention, which are critical cognitive-perceptual skills for safe driving.
Question 6: An occupational therapist uses the Jamar dynamometer during an upper extremity evaluation. What is the standard wrist position for grip strength testing?
- Full wrist extension at 90 degrees
- Wrist neutral, elbow at 90 degrees, shoulder adducted (Correct answer)
- Wrist in 30-degree flexion
- Elbow fully extended
Correct answer: Wrist neutral, elbow at 90 degrees, shoulder adducted
The standardized position for grip strength testing with the Jamar dynamometer is wrist neutral, elbow flexed at 90 degrees, and shoulder adducted and neutrally rotated.
Question 7: Which assessment is considered the gold standard for evaluating unilateral spatial neglect following a stroke?
- Mini-Mental State Examination
- Letter Cancellation Test (Correct answer)
- Montreal Cognitive Assessment
- Cognistat
Correct answer: Letter Cancellation Test
The Letter Cancellation Test is widely considered the gold standard for detecting and quantifying unilateral spatial neglect after stroke.
Occupational Therapist Test Evaluation and Assessment 3
Which assessment tool uses a 7-level rating scale to measure a person's functional independence in self-care, sphincter control, transfers, locomotion, communication, and social cognition?