Occupational Therapist Test Occupational Therapist Analysis 2 — Questions and Answers
Question 1: An OT is analyzing a client's ability to perform meal preparation. Which frame of reference would BEST guide intervention for a client with cognitive deficits affecting sequencing?
- Biomechanical
- Cognitive Disabilities (Allen) (Correct answer)
- Sensory Integration
- Psychodynamic
Correct answer: Cognitive Disabilities (Allen)
The Cognitive Disabilities frame of reference (Allen) directly addresses cognitive levels and their impact on functional task performance, including sequencing.
Question 2: When conducting an activity analysis of dressing for a client post-stroke, the OT identifies the task requires crossing midline. Which neurological concept is MOST relevant?
- Postural control
- Bilateral integration (Correct answer)
- Lateralization
- Motor planning
Correct answer: Bilateral integration
Bilateral integration involves coordinating both sides of the body, which is essential when crossing midline during dressing tasks.
Question 3: A client with rheumatoid arthritis reports difficulty opening jars. An OT analyzes the grip required. Which principle of joint protection is MOST applicable?
- Avoid sustained static positions
- Avoid positions of deformity
- Use larger joints for leverage (Correct answer)
- Maintain muscle strength
Correct answer: Use larger joints for leverage
Using larger, stronger joints (like the palm instead of fingers) distributes force and protects smaller inflamed joints from excessive stress.
Question 4: During occupational profile development, an OT discovers a client values gardening but has COPD limiting endurance. The FIRST analytical step is to:
- Teach pursed-lip breathing during gardening
- Analyze the activity demands of gardening (Correct answer)
- Recommend adaptive gardening tools
- Consult with pulmonology
Correct answer: Analyze the activity demands of gardening
Analyzing activity demands helps identify which specific components of gardening are problematic before selecting interventions.
Question 5: An OT analyzes that a client's work task requires sustained pinch for 6 hours daily. The OT is MOST concerned about risk of:
- de Quervain's tenosynovitis
- Lateral epicondylitis
- Carpal tunnel syndrome (Correct answer)
- Dupuytren's contracture
Correct answer: Carpal tunnel syndrome
Sustained pinch compresses the median nerve at the carpal tunnel, making carpal tunnel syndrome the primary ergonomic risk.
Question 6: When analyzing instrumental activities of daily living (IADLs), which task is classified as an IADL rather than a basic ADL?
- Bathing
- Dressing
- Financial management (Correct answer)
- Grooming
Correct answer: Financial management
Financial management is an IADL involving complex cognitive skills, while bathing, dressing, and grooming are basic ADLs.
Question 7: An OT uses the Occupational Performance History Interview (OPHI-II) during evaluation. This tool primarily captures:
- Current functional motor abilities
- Client's occupational history and life narrative (Correct answer)
- Standardized cognitive performance scores
- Environmental barrier assessments
Correct answer: Client's occupational history and life narrative
The OPHI-II is a semi-structured interview assessing occupational history, life roles, and the meaning of occupations over time.
Occupational Therapist Test Occupational Therapist Analysis 2
An OT is analyzing a client's ability to perform meal preparation.
Which frame of reference would BEST guide intervention for a client with cognitive deficits affecting sequencing?