Occupational Therapist Test Occupational Therapist Analysis 5 — Questions and Answers
Question 1: An OT is analyzing barriers to occupational participation using the ICF model. 'Activity limitations' refers to:
- Problems with body structure or function
- Difficulties an individual has executing activities (Correct answer)
- Restrictions in involvement in life situations
- Environmental factors impeding performance
Correct answer: Difficulties an individual has executing activities
In the ICF model, activity limitations are difficulties an individual has in executing activities, distinct from participation restrictions or body function impairments.
Question 2: A client with anxiety disorder avoids community outings. The OT applies a graduated exposure approach. This is grounded in which theoretical framework?
- Sensory Integration Theory
- Cognitive-Behavioral Theory (Correct answer)
- Model of Human Occupation
- Developmental Theory
Correct answer: Cognitive-Behavioral Theory
Graduated exposure (systematic desensitization) is a core cognitive-behavioral technique targeting avoidance behaviors and anxiety responses.
Question 3: When analyzing the cultural context for an occupational therapy intervention, the OT should PRIMARILY consider:
- The OT's own cultural values and practices
- The client's cultural norms, values, and meanings attributed to occupations (Correct answer)
- Standard American occupational norms
- Insurance-approved occupational categories
Correct answer: The client's cultural norms, values, and meanings attributed to occupations
Client-centered practice requires understanding the client's own cultural context, as culture shapes the meaning and value of occupations.
Question 4: An OT analyzes hand function and finds a client has intrinsic minus hand positioning. This deformity is characterized by:
- MCP hyperextension and IP flexion (Correct answer)
- MCP flexion and IP extension
- Full finger flexion
- Wrist drop with finger extension
Correct answer: MCP hyperextension and IP flexion
Intrinsic minus (claw hand) presents with MCP hyperextension and IP flexion due to loss of intrinsic muscle function with intact extrinsics.
Question 5: An OT performs a standardized assessment and obtains a standard score of 85. This score falls within which classification range?
- Average (85-115) (Correct answer)
- Below average (70-84)
- Well below average (below 70)
- Above average (116-130)
Correct answer: Average (85-115)
A standard score of 85 falls at the low end of the average range (mean=100, SD=15), which spans approximately 85-115.
Question 6: During occupational analysis of bathing for a client with unilateral neglect post-stroke, the OT MOST importantly addresses:
- Grip strength of the affected arm
- Scanning strategies to attend to the neglected side (Correct answer)
- Balance during standing
- Water temperature sensitivity
Correct answer: Scanning strategies to attend to the neglected side
Teaching scanning strategies directly compensates for the attentional deficit causing neglect of one side during ADL performance.
Question 7: An OT is analyzing a client's occupational performance using a top-down approach. This means the OT FIRST examines:
- Underlying body structures and impairments
- The client's occupational roles and meaningful participation (Correct answer)
- Specific muscle strength and range of motion
- Neurological reflex integrity
Correct answer: The client's occupational roles and meaningful participation
A top-down approach starts with occupational roles and participation before examining underlying performance components.
Occupational Therapist Test Occupational Therapist Analysis 5
An OT is analyzing barriers to occupational participation using the ICF model. 'Activity limitations' refers to: