Occupational Therapist Test Geriatric Care 2

Question 1

An OT is evaluating a 78-year-old with moderate dementia for fall risk. Which assessment tool is MOST appropriate?

Accepted Answer

Tinetti Performance-Oriented Mobility Assessment

Answer

The Tinetti POMA assesses both gait and balance, making it well-suited for older adults with cognitive impairment who may struggle with more complex balance tasks.

Question 2

Which intervention is BEST for an older adult experiencing 'sundowning' symptoms in a skilled nursing facility?

Accepted Answer

Provide bright light therapy in the morning

Answer

Morning bright light therapy helps regulate circadian rhythms, reducing the late-day confusion and agitation associated with sundowning.

Question 3

A 72-year-old post-hip replacement is fearful of bending. Which adaptive equipment is ESSENTIAL during self-care?

Accepted Answer

Long-handled sponge and reacher

Answer

A long-handled sponge and reacher allow the patient to perform lower-body hygiene without violating hip precautions (typically no flexion beyond 90°).

Question 4

Which sensory change is MOST likely to affect medication management in older adults?

Accepted Answer

Diminished vision

Answer

Diminished vision makes it difficult for older adults to read pill labels and distinguish between similarly appearing medications, posing a significant safety risk.

Question 5

An OT is using a life review approach with a 85-year-old in hospice care. This aligns with which Erikson psychosocial stage?

Accepted Answer

Ego integrity vs. despair

Answer

Erikson's final stage, ego integrity vs. despair, involves reflecting on one's life, making life review a developmentally appropriate therapeutic strategy for older adults.

Occupational Therapist Test Practice Test

Occupational Therapist Test Practice Test

Occupational Therapist Test Geriatric Care 2