Occupational Therapist Test Occupational Therapist 4 — Questions and Answers
Question 1: A client with a C6 spinal cord injury wants to feed themselves. Which adaptive equipment would be most appropriate?
- Universal cuff with utensil slot (Correct answer)
- Built-up handle utensils
- Rocker knife
- Plate guard only
Correct answer: Universal cuff with utensil slot
A universal cuff allows a client with C6 SCI, who lacks finger flexion, to hold utensils by strapping them to the palm using wrist extension.
Question 2: Which assessment tool uses direct observation of functional tasks to measure cognitive performance in adults with brain injuries?
- Cognitive Performance Test (CPT) (Correct answer)
- Trail Making Test
- Mini-Mental State Examination
- Rivermead Behavioural Memory Test
Correct answer: Cognitive Performance Test (CPT)
The Cognitive Performance Test assesses functional cognition by observing clients performing standardized ADL tasks such as shopping and medication management.
Question 3: An OT working in a mental health setting is using the Model of Human Occupation (MOHO). Which component does MOHO identify as fundamental to occupational engagement?
- Volition (Correct answer)
- Muscle strength
- Sensory processing
- Cognitive reserve
Correct answer: Volition
MOHO identifies volition — the motivation to engage in occupation — as the foundational component that drives occupational choice and participation.
Question 4: A client recovering from a total hip replacement (posterior approach) asks about safe dressing techniques. Which precaution is most critical?
- Avoid hip flexion beyond 90 degrees when putting on pants or shoes (Correct answer)
- Never use a reacher tool during dressing
- Keep the legs crossed at the ankles while dressing in bed
- Bend forward from the waist to put on socks
Correct answer: Avoid hip flexion beyond 90 degrees when putting on pants or shoes
Posterior total hip precautions prohibit hip flexion beyond 90 degrees to prevent dislocation of the prosthesis during recovery.
Question 5: Which outcome measure assesses a person's perceived ability to perform daily life tasks — not actual performance — in clients with physical disabilities?
- Canadian Occupational Performance Measure (COPM) (Correct answer)
- Functional Independence Measure (FIM)
- Barthel Index
- Performance Assessment of Self-Care Skills (PASS)
Correct answer: Canadian Occupational Performance Measure (COPM)
The COPM is a client-centered interview tool that captures the client's own perception of performance and satisfaction in self-identified occupational performance problems.
Question 6: When writing SMART goals for occupational therapy, what does the 'T' specifically require?
- A defined timeframe by which the goal will be achieved (Correct answer)
- That the goal is technically challenging
- That a therapist validates the goal
- That the goal targets a specific body part
Correct answer: A defined timeframe by which the goal will be achieved
In SMART goals, 'Time-bound' means the goal includes a specific deadline or timeframe, which allows progress to be measured and reimbursement to be justified.
Question 7: A school-based OT is working with a child who has difficulty with handwriting legibility. Which evaluation would BEST identify the underlying performance skill deficits?
- Evaluation of Children's Handwriting (ETCH) combined with observation of pencil grasp and in-hand manipulation (Correct answer)
- Wechsler Intelligence Scale for Children
- Sensory Profile 2 alone
- Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) gross motor subtests
Correct answer: Evaluation of Children's Handwriting (ETCH) combined with observation of pencil grasp and in-hand manipulation
The ETCH assesses handwriting legibility directly while observation of grasp and in-hand manipulation identifies the fine motor skill deficits contributing to poor legibility.
Occupational Therapist Test Occupational Therapist 4
A client with a C6 spinal cord injury wants to feed themselves.
Which adaptive equipment would be most appropriate?