Occupational Therapist Test Evaluation and Assessment 5 — Questions and Answers
Question 1: Which assessment is specifically designed to evaluate the occupational performance of clients with psychiatric disabilities using a model of human occupation framework?
- Occupational Self Assessment (OSA)
- Role Checklist
- Occupational Performance History Interview (OPHI-II) (Correct answer)
- Activity Card Sort
Correct answer: Occupational Performance History Interview (OPHI-II)
The OPHI-II is a semi-structured life history interview based on the Model of Human Occupation that assesses occupational identity, competence, and environmental context.
Question 2: A client scores 18/30 on the Mini-Mental State Examination (MMSE). How should the therapist interpret this result?
- Normal cognitive function
- Mild cognitive impairment
- Moderate cognitive impairment (Correct answer)
- Severe cognitive impairment
Correct answer: Moderate cognitive impairment
MMSE scores of 18-23 indicate mild cognitive impairment, while scores of 10-17 indicate moderate impairment; a score of 18 falls in the mild impairment range.
Question 3: During a pediatric evaluation, an OT observes a 5-year-old who cannot hop on one foot, has difficulty with alternating foot stair climbing, and struggles with catching a ball. Which developmental area is most likely affected?
- Fine motor skills
- Gross motor skills (Correct answer)
- Sensory processing
- Social-emotional development
Correct answer: Gross motor skills
Hopping, alternating stair climbing, and ball catching are all gross motor milestones typically achieved by age 4-5; difficulty with all three suggests gross motor delay.
Question 4: The Barthel Index scores ADL performance in which increments?
- 1-point increments up to 10 per item
- 5-point increments (0, 5, 10, or 15 per item) (Correct answer)
- 7-level scale from 1-7
- Percentage of independence (0-100%)
Correct answer: 5-point increments (0, 5, 10, or 15 per item)
The Barthel Index uses weighted 5-point increments (0, 5, 10, or 15 depending on the item) for a total possible score of 100.
Question 5: An OT is completing a neonatal evaluation in the NICU. Which behavioral observation tool is commonly used to assess a newborn's neurobehavioral organization?
- Peabody Developmental Motor Scales
- Neonatal Behavioral Assessment Scale (NBAS) (Correct answer)
- Bayley Scales of Infant Development
- Alberta Infant Motor Scale
Correct answer: Neonatal Behavioral Assessment Scale (NBAS)
The Neonatal Behavioral Assessment Scale (NBAS), developed by T. Berry Brazelton, evaluates a newborn's behavioral and neurological responses.
Question 6: When assessing pain using a standardized tool for a non-verbal adult client with dementia, which scale is most appropriate?
- Visual Analog Scale (VAS)
- Numeric Rating Scale (NRS)
- PAINAD Scale (Correct answer)
- McGill Pain Questionnaire
Correct answer: PAINAD Scale
The PAINAD (Pain Assessment in Advanced Dementia) scale uses behavioral observations including breathing, vocalization, facial expression, body language, and consolability to assess pain in non-verbal individuals.
Question 7: During evaluation, an OT notes that a client with a C6 spinal cord injury has intact wrist extension but no finger extension or flexion. What is the most appropriate next step?
- Refer to physical therapy for strengthening
- Assess for tenodesis grasp potential (Correct answer)
- Recommend power wheelchair evaluation
- Proceed directly to discharge planning
Correct answer: Assess for tenodesis grasp potential
A client with C6 level injury who has wrist extension but no hand function should be assessed for tenodesis grasp, a functional grip pattern using wrist extension to passively close the fingers.
Occupational Therapist Test Evaluation and Assessment 5
Which assessment is specifically designed to evaluate the occupational performance of clients with psychiatric disabilities using a model of human occupation framework?