Occupational Therapist Test Occupational Therapist Analysis 4 — Questions and Answers
Question 1: An OT analyzes a client's functional mobility and determines the client is at a modified independence level. This means the client:
- Requires physical assistance from another person
- Completes the task independently using an assistive device or extra time (Correct answer)
- Needs verbal cues only
- Cannot perform the task safely
Correct answer: Completes the task independently using an assistive device or extra time
Modified independence means the client performs the task without human assistance but requires an adaptive device, extra time, or safety considerations.
Question 2: An OT evaluates a client using the FIM (Functional Independence Measure). A score of 5 on a FIM item indicates the client:
- Requires maximal assistance
- Requires supervision or setup only (Correct answer)
- Is completely independent
- Requires moderate assistance
Correct answer: Requires supervision or setup only
A FIM score of 5 (Supervision) means the client requires no physical help but needs standby assistance, cueing, or setup.
Question 3: When analyzing the occupational role of a parent with multiple sclerosis experiencing fatigue, the OT should FIRST assess:
- The client's insurance coverage
- Energy expenditure patterns and activity pacing habits (Correct answer)
- Whether the client can afford adaptive equipment
- The client's willingness to use a wheelchair
Correct answer: Energy expenditure patterns and activity pacing habits
Understanding current energy expenditure and pacing habits identifies where fatigue management strategies can have the greatest impact on parenting roles.
Question 4: A client with C6 spinal cord injury wants to return to work as a graphic designer. The OT's activity analysis would focus on which preserved upper extremity function?
- Active finger flexion and extension
- Wrist extension with tenodesis grasp (Correct answer)
- Intrinsic hand muscle function
- Full elbow flexion and extension
Correct answer: Wrist extension with tenodesis grasp
C6 injury preserves wrist extension, enabling tenodesis grasp where passive finger flexion occurs when the wrist extends.
Question 5: During an occupational analysis session, an OT identifies that a client with Parkinson's disease has difficulty initiating movement. This is BEST described as:
- Dysmetria
- Akinesia (Correct answer)
- Athetosis
- Clonus
Correct answer: Akinesia
Akinesia refers to difficulty initiating or absence of voluntary movement, a hallmark motor symptom of Parkinson's disease.
Question 6: An OT conducts a home assessment for a client with dementia. Which environmental modification BEST supports occupational safety and independence?
- Installing complex electronic locks
- Using consistent visual cues and simplified environment layout (Correct answer)
- Rearranging furniture frequently to stimulate cognition
- Removing all familiar objects
Correct answer: Using consistent visual cues and simplified environment layout
Consistent visual cues and simplified environments support residual memory and reduce confusion in clients with dementia.
Question 7: An OT analyzes a client's ability to return to driving after a CVA. Which assessment area is MOST critical for the initial clinical screening?
- Grip strength
- Visual perception and reaction time (Correct answer)
- Lower extremity strength only
- Verbal communication skills
Correct answer: Visual perception and reaction time
Visual perception and reaction time are primary safety prerequisites for driving and are commonly impaired after CVA.
Occupational Therapist Test Occupational Therapist Analysis 4
An OT analyzes a client's functional mobility and determines the client is at a modified independence level.
This means the client: