Occupational Therapist Test Occupational Therapist 5 — Questions and Answers
Question 1: Which principle of the Americans with Disabilities Act (ADA) is most relevant when an OT recommends workplace accommodations for a client with a physical disability?
- Reasonable accommodation without undue hardship to the employer (Correct answer)
- Mandatory full physical accessibility of all areas
- Employer must fund all recommended adaptive equipment
- Client must return to their exact pre-injury job duties
Correct answer: Reasonable accommodation without undue hardship to the employer
The ADA requires employers to provide reasonable accommodations unless doing so would impose an undue hardship, balancing the client's needs with the employer's capacity.
Question 2: A client with Parkinson's disease has difficulty with 'freezing of gait.' Which OT strategy has evidence for reducing freezing episodes?
- Visual and auditory rhythmic cueing (e.g., floor strips, metronome) (Correct answer)
- Progressive resistance training of hip flexors
- Gait belt use during all ambulation
- Teaching the client to walk faster to break through freezing
Correct answer: Visual and auditory rhythmic cueing (e.g., floor strips, metronome)
External rhythmic cues — visual lines on the floor or auditory beats — provide an alternative motor pathway that bypasses the basal ganglia dysfunction causing freezing in Parkinson's.
Question 3: An OT providing telehealth services must primarily ensure which of the following to maintain ethical practice?
- Client privacy, informed consent, and licensure compliance in the client's state (Correct answer)
- Use of high-definition video equipment at all times
- Conducting only assessments and not interventions via telehealth
- Receiving written physician approval before each session
Correct answer: Client privacy, informed consent, and licensure compliance in the client's state
Ethical telehealth OT practice requires protecting client privacy (HIPAA), obtaining informed consent for the telehealth format, and verifying that the OT is licensed in the state where the client is located.
Question 4: A neonatal intensive care unit (NICU) OT is using the Newborn Individualized Developmental Care and Assessment Program (NIDCAP). What is the primary goal of this approach?
- Support the infant's neurobehavioral development by reading and responding to stress and stability cues (Correct answer)
- Stimulate the infant with structured sensory activities to accelerate development
- Minimize all caregiver interaction to allow uninterrupted rest
- Focus exclusively on feeding skill development
Correct answer: Support the infant's neurobehavioral development by reading and responding to stress and stability cues
NIDCAP is a family-centered approach that guides caregivers to observe the infant's behavioral cues and modify caregiving to support neurodevelopmental stability and reduce stress.
Question 5: Which transfers technique is safest when moving a patient who has left-sided neglect from a wheelchair to a bed?
- Position the bed on the patient's right (unaffected) side so the patient leads with the stronger side (Correct answer)
- Always transfer toward the neglected left side to provide sensory stimulation
- Use a mechanical lift regardless of the patient's transfer ability
- Have the patient lean left during the transfer to counteract the neglect
Correct answer: Position the bed on the patient's right (unaffected) side so the patient leads with the stronger side
Positioning the destination surface on the patient's intact right side allows them to lead with their stronger side and reduces risk of injury from the neglected left side.
Question 6: An OT evaluating upper extremity function uses the Fugl-Meyer Assessment (FMA). What does this tool specifically measure?
- Sensorimotor impairment including motor recovery stages, reflexes, and sensation after stroke (Correct answer)
- Functional independence in activities of daily living
- Grip strength and pinch force in Newtons
- Range of motion in degrees for each joint
Correct answer: Sensorimotor impairment including motor recovery stages, reflexes, and sensation after stroke
The Fugl-Meyer Assessment quantifies the degree of sensorimotor impairment post-stroke by scoring movement patterns, reflex activity, and sensation across Brunnstrom recovery stages.
Question 7: A client with low vision is having difficulty reading printed materials. Which intervention addresses this at the environmental level rather than the client level?
- Increasing lighting and using high-contrast, large-print materials (Correct answer)
- Prescribing magnifying glasses or optical devices
- Training eccentric viewing techniques
- Recommending vision restoration therapy
Correct answer: Increasing lighting and using high-contrast, large-print materials
Environmental modifications such as improved lighting and high-contrast materials alter the context to reduce the demand on the client's visual system, requiring no change from the client.
Occupational Therapist Test Occupational Therapist 5
Which principle of the Americans with Disabilities Act (ADA) is most relevant when an OT recommends workplace accommodations for a client with a physical disability?