Occupational Therapist Test Occupational Therapist Analysis 3 — Questions and Answers
Question 1: A child with sensory processing disorder avoids touching textured materials. Using Ayres Sensory Integration theory, the OT would FIRST:
- Force exposure through desensitization
- Identify the child's sensory threshold and modulation patterns (Correct answer)
- Recommend a weighted vest immediately
- Restrict all tactile stimulation
Correct answer: Identify the child's sensory threshold and modulation patterns
Ayres SI theory requires understanding the child's specific sensory threshold and modulation profile before selecting therapeutic activities.
Question 2: An OT analyzes a workplace for ergonomic risk factors. Which OSHA-identified factor is MOST associated with musculoskeletal disorder risk?
- Adequate lighting
- Repetitive forceful exertions (Correct answer)
- Varied task rotation
- Ergonomic seating
Correct answer: Repetitive forceful exertions
Repetitive forceful exertions are a primary OSHA-recognized risk factor for work-related musculoskeletal disorders.
Question 3: A client with TBI demonstrates impaired safety awareness during cooking. The OT's MOST appropriate analytical approach is to:
- Discontinue cooking interventions
- Perform a dynamic functional performance assessment in a kitchen setting (Correct answer)
- Administer only paper-and-pencil cognitive tests
- Refer solely to neuropsychology
Correct answer: Perform a dynamic functional performance assessment in a kitchen setting
Dynamic functional performance assessment in the actual context provides the most ecologically valid data about safety during real task performance.
Question 4: During task analysis of handwriting for a 7-year-old, an OT identifies grip force issues. Which assessment tool is MOST specific to handwriting performance?
- Bruininks-Oseretsky Test of Motor Proficiency
- Evaluation Tool of Children's Handwriting (ETCH) (Correct answer)
- Sensory Profile
- Peabody Developmental Motor Scales
Correct answer: Evaluation Tool of Children's Handwriting (ETCH)
The ETCH is specifically designed to evaluate manuscript and cursive handwriting performance in school-age children.
Question 5: When analyzing the environment for a client with low vision, the OT PRIMARILY considers which environmental modification?
- Reducing ambient noise
- Enhancing contrast and lighting (Correct answer)
- Installing grab bars
- Widening doorways
Correct answer: Enhancing contrast and lighting
Enhanced contrast and adequate lighting directly compensate for reduced visual acuity and contrast sensitivity in low vision.
Question 6: An OT is analyzing leisure occupations for a client with major depression. According to MOHO, meaningful occupation addresses which human system?
- Habituation only
- Volition, habituation, and performance capacity (Correct answer)
- Performance capacity only
- Environmental context only
Correct answer: Volition, habituation, and performance capacity
MOHO's model encompasses volition (motivation), habituation (roles/routines), and performance capacity as interconnected systems influencing occupation.
Question 7: A client recovering from a hip replacement must follow posterior hip precautions. Activity analysis of toilet transfers identifies that the client must NOT:
- Use a raised toilet seat
- Flex the hip beyond 90 degrees (Correct answer)
- Abduct the hip slightly
- Weight bear on the surgical side
Correct answer: Flex the hip beyond 90 degrees
Posterior hip precautions prohibit flexion beyond 90 degrees to prevent posterior dislocation of the prosthetic hip joint.
A child with sensory processing disorder avoids touching textured materials.
Using Ayres Sensory Integration theory, the OT would FIRST: