Occupational Therapist Test Intervention Planning 4 — Questions and Answers
Question 1: A client with a below-elbow amputation is being fitted for a prosthesis. The OT's PRIMARY role in intervention planning is:
- Selecting the prosthesis type and fabricating the device
- Training in prosthetic use and reintegration into functional activities (Correct answer)
- Performing the surgical planning for limb revision
- Managing the client's phantom limb pain pharmacologically
Correct answer: Training in prosthetic use and reintegration into functional activities
OT's primary role with prosthetic users is training in prosthetic operation, control, and integration into meaningful daily activities.
Question 2: Which of the following BEST describes the role of occupation in the Model of Human Occupation (MOHO)?
- Occupation is a secondary outcome achieved after restoring underlying impairments
- Occupation is both the means and the end of occupational therapy intervention (Correct answer)
- Occupation serves as a reward for completing therapeutic exercises
- Occupation is relevant only in community-based, non-medical settings
Correct answer: Occupation is both the means and the end of occupational therapy intervention
In MOHO, occupation is central to identity, adaptation, and health, serving as both the therapeutic medium and the desired outcome.
Question 3: An OT working with a client who has Parkinson's disease should plan interventions that address which MOST common occupational performance challenge?
- Spasticity management and tone normalization
- Tremor, rigidity, and bradykinesia affecting ADL performance (Correct answer)
- Sensory processing deficits and tactile hypersensitivity
- Cognitive decline as the primary presenting impairment
Correct answer: Tremor, rigidity, and bradykinesia affecting ADL performance
Parkinson's disease primarily causes motor symptoms—tremor, rigidity, and bradykinesia—that significantly impact ADL performance and require direct intervention.
Question 4: A therapist wants to use a constraint-induced movement therapy (CIMT) approach with a client post-stroke. The PRIMARY criterion for CIMT candidacy is:
- Complete paralysis of the affected upper extremity
- Presence of at least minimal active movement in the affected wrist and fingers (Correct answer)
- Good cognitive status with no aphasia
- At least 2 years post-stroke with plateau in recovery
Correct answer: Presence of at least minimal active movement in the affected wrist and fingers
CIMT requires at least minimal voluntary movement (typically 10° wrist extension, 10° finger extension) in the affected extremity to be an appropriate candidate.
Question 5: When planning group intervention in a psychiatric setting, which factor is MOST important to consider?
- Ensuring all group members have identical diagnoses
- Matching the group's structure and demands to members' functional levels (Correct answer)
- Using only individual assessment tools to evaluate group performance
- Limiting group size to no more than two participants
Correct answer: Matching the group's structure and demands to members' functional levels
Group structure, activity demands, and interaction level must be calibrated to participants' functional and psychosocial abilities for therapeutic benefit.
Question 6: A home health OT evaluates a client who falls frequently. Which intervention is MOST evidence-based for fall prevention in older adults?
- Bed rest and activity restriction to minimize fall risk
- Multifactorial intervention including home modification, strength training, and medication review (Correct answer)
- Installation of a medical alert device as the sole intervention
- Referral to a neurologist before any OT intervention
Correct answer: Multifactorial intervention including home modification, strength training, and medication review
Evidence-based fall prevention for older adults uses a multifactorial approach addressing environmental, physical, and medication factors simultaneously.
Question 7: An OT is planning intervention for a client with traumatic brain injury who demonstrates impulsivity. Which intervention strategy is MOST appropriate?
- Increasing the pace of activities to improve processing speed
- Using external cues and structured routines to support self-regulation (Correct answer)
- Reducing all environmental stimulation permanently
- Withholding therapy until impulsivity resolves spontaneously
Correct answer: Using external cues and structured routines to support self-regulation
External cues and structured routines provide environmental scaffolding that supports self-regulation in clients with impulsivity following TBI.
Occupational Therapist Test Intervention Planning 4
A client with a below-elbow amputation is being fitted for a prosthesis.
The OT's PRIMARY role in intervention planning is: