Occupational Therapist Test Evaluation and Assessment 4 — Questions and Answers
Question 1: A therapist is evaluating a client's Activities of Daily Living (ADL) using a top-down approach. What does this mean?
- Starting with the most difficult tasks first
- Beginning with occupation and identifying contributing performance deficits (Correct answer)
- Evaluating cognitive skills before physical skills
- Assessing the head and neck before the lower extremities
Correct answer: Beginning with occupation and identifying contributing performance deficits
A top-down evaluation approach begins with examining occupational performance and roles, then identifies underlying performance component deficits that may be contributing to dysfunction.
Question 2: The Allen Cognitive Level Screen (ACLS) uses which activity to assess cognitive functioning?
- Pegboard task
- Leather lacing task (Correct answer)
- Card sorting task
- Block design task
Correct answer: Leather lacing task
The ACLS uses a leather lacing task with three progressively complex stitches to assess cognitive level based on Allen's Cognitive Disabilities Model.
Question 3: During a work capacity evaluation, an OT documents that a client can lift 20 lbs occasionally and 10 lbs frequently. Which physical demand category does this represent?
- Sedentary work
- Light work (Correct answer)
- Medium work
- Heavy work
Correct answer: Light work
Light work per the US Department of Labor is defined as lifting up to 20 lbs maximum with frequent lifting/carrying of up to 10 lbs.
Question 4: When evaluating a child using the Sensory Integration and Praxis Tests (SIPT), what does poor performance on the Space Visualization test suggest?
- Tactile discrimination deficits
- Vestibular-proprioceptive processing difficulties
- Visual-spatial processing difficulties (Correct answer)
- Bilateral integration problems
Correct answer: Visual-spatial processing difficulties
The Space Visualization subtest of the SIPT measures visual-spatial processing, and poor performance suggests difficulties with form and space perception.
Question 5: A therapist uses the Assessment of Motor and Process Skills (AMPS). How is this assessment unique compared to other ADL assessments?
- It is the only assessment designed for children
- It evaluates the quality of motor and process skills during real-life task performance (Correct answer)
- It measures only instrumental activities of daily living
- It requires no specialized training to administer
Correct answer: It evaluates the quality of motor and process skills during real-life task performance
AMPS is unique because it evaluates the quality and effort of motor and process skill performance during actual ADL tasks, not just whether tasks are completed.
Question 6: An OT is assessing a client's visual acuity as part of a low vision evaluation. The client reads 20/80 on the Snellen chart. What does this mean?
- The client sees at 80 feet what a normal eye sees at 20 feet
- The client sees at 20 feet what a normal eye sees at 80 feet (Correct answer)
- The client has 80% visual field loss
- The client needs 80% magnification
Correct answer: The client sees at 20 feet what a normal eye sees at 80 feet
20/80 means the client must be at 20 feet to see what a person with normal vision can see from 80 feet away, indicating reduced visual acuity.
Question 7: When interpreting standardized assessment scores, a standard score of 85 falls within which range?
- Above average
- Average
- Below average (Correct answer)
- Severely impaired
Correct answer: Below average
A standard score of 85 falls one standard deviation below the mean (100), placing it in the below average range (typically 78-89).
Occupational Therapist Test Evaluation and Assessment 4
A therapist is evaluating a client's Activities of Daily Living (ADL) using a top-down approach.
What does this mean?