Occupational Therapist Test Occupational Therapist Evaluation 2 — Questions and Answers
Question 1: Which standardized assessment is most appropriate for evaluating functional independence in activities of daily living for an adult with stroke?
- Functional Independence Measure (FIM) (Correct answer)
- Peabody Developmental Motor Scales
- Bruininks-Oseretsky Test
- Sensory Profile
Correct answer: Functional Independence Measure (FIM)
The FIM measures functional independence across self-care, mobility, and cognition domains, making it ideal for adult stroke rehabilitation.
Question 2: When evaluating a client's home environment for safety, which factor is MOST critical to assess first?
- Aesthetic preferences of the client
- Fall hazards such as loose rugs and poor lighting (Correct answer)
- Proximity to public transportation
- Color scheme of the living space
Correct answer: Fall hazards such as loose rugs and poor lighting
Fall hazards represent the most immediate safety risk in home environments and must be identified before addressing other modifications.
Question 3: An OT is evaluating grip strength. Which tool is considered the gold standard for this measurement?
- Pinch gauge
- Jamar dynamometer (Correct answer)
- Volumetric displacement
- Goniometer
Correct answer: Jamar dynamometer
The Jamar dynamometer is the most widely validated and recommended tool for measuring grip strength in clinical practice.
Question 4: Which evaluation approach focuses on identifying a client's roles, routines, and occupational performance within their natural context?
- Biomechanical frame of reference
- Top-down evaluation approach (Correct answer)
- Bottom-up evaluation approach
- Sensory integration assessment
Correct answer: Top-down evaluation approach
A top-down evaluation begins with occupational roles and performance before examining underlying component deficits.
Question 5: During a cognitive evaluation, a client is unable to recall three words after a five-minute delay. This finding most likely indicates impairment in which cognitive domain?
- Attention
- Short-term/working memory (Correct answer)
- Executive function
- Language processing
Correct answer: Short-term/working memory
Failure to recall words after a delay is a classic indicator of short-term memory impairment.
Question 6: An OT evaluates a child's ability to button a shirt. This task primarily assesses which performance skill area?
- Praxis and fine motor coordination (Correct answer)
- Gross motor strength
- Sensory modulation
- Visual perceptual skills only
Correct answer: Praxis and fine motor coordination
Buttoning requires the planning and execution of precise finger movements, reflecting praxis and fine motor coordination.
Question 7: When using the Canadian Occupational Performance Measure (COPM), what is the primary purpose of the initial interview?
- To administer standardized cognitive tests
- To identify occupational performance issues as perceived by the client (Correct answer)
- To measure range of motion
- To screen for psychiatric diagnoses
Correct answer: To identify occupational performance issues as perceived by the client
The COPM uses a semi-structured interview to elicit the client's own perception of occupational performance problems in self-care, productivity, and leisure.
Occupational Therapist Test Occupational Therapist Evaluation 2
Which standardized assessment is most appropriate for evaluating functional independence in activities of daily living for an adult with stroke?