OT General 3 — Questions and Answers
Question 1: An OT is working with a child with autism spectrum disorder who has difficulty tolerating clothing textures. This is BEST addressed using:
- Neurodevelopmental Treatment (NDT)
- Sensory Integration (SI) intervention (Correct answer)
- Constraint-Induced Movement Therapy
- Cognitive Behavioral Therapy
Correct answer: Sensory Integration (SI) intervention
Sensory Integration intervention, developed by Jean Ayres, directly addresses atypical sensory processing including tactile hypersensitivity that affects clothing tolerance.
Question 2: A therapist is documenting in SOAP note format. A statement about the client's subjective complaint of pain with writing belongs in which section?
- O (Objective)
- A (Assessment)
- P (Plan)
- S (Subjective) (Correct answer)
Correct answer: S (Subjective)
The S (Subjective) section of a SOAP note contains the client's own reported experiences, complaints, and perceptions, such as self-reported pain.
Question 3: Which reflex, when retained past 6 months of age, can interfere with a child's ability to develop independent hand use and rolling?
- Moro reflex
- Asymmetrical Tonic Neck Reflex (ATNR) (Correct answer)
- Plantar grasp reflex
- Rooting reflex
Correct answer: Asymmetrical Tonic Neck Reflex (ATNR)
A retained ATNR causes the arm to extend when the head turns to that side, disrupting midline hand use, rolling, and bilateral coordination.
Question 4: When performing a functional capacity evaluation (FCE), the OT is PRIMARILY determining:
- A client's eligibility for Social Security Disability
- The client's ability to perform work-related tasks safely (Correct answer)
- The diagnosis causing functional limitations
- Medication adjustments needed for pain management
Correct answer: The client's ability to perform work-related tasks safely
An FCE objectively measures a client's safe physical work capacity, informing return-to-work decisions and matching abilities to job demands.
Question 5: An elderly client with low vision wants to continue cooking independently. The BEST OT approach is to:
- Discourage cooking for safety reasons
- Recommend meal delivery services only
- Modify the environment with high-contrast markings and adaptive techniques (Correct answer)
- Refer exclusively to a vision specialist
Correct answer: Modify the environment with high-contrast markings and adaptive techniques
OT promotes occupational engagement through environmental modification and adaptive techniques; high-contrast markings and adapted methods support safe cooking with low vision.
Question 6: Which precaution is MOST important for an OT to follow when applying a physical agent modality (PAM)?
- Ensure the client is fully awake and can report sensations (Correct answer)
- Apply PAMs without prior frame of reference training
- Use PAMs as a standalone intervention without activity
- Avoid documenting PAM use in the medical record
Correct answer: Ensure the client is fully awake and can report sensations
The client must be alert and able to report sensations (e.g., burning, discomfort) to prevent tissue damage during PAM application.
Question 7: A therapist practicing from the Model of Human Occupation (MOHO) completes a Worker Role Interview. This assessment primarily addresses:
- Upper extremity strength and grip
- Psychosocial factors influencing the worker role (Correct answer)
- Cognitive screening and memory
- Vestibular and proprioceptive processing
Correct answer: Psychosocial factors influencing the worker role
The Worker Role Interview (WRI) is a MOHO-based semi-structured interview that examines psychosocial and environmental factors affecting a client's return to work.
OT General 3
An OT is working with a child with autism spectrum disorder who has difficulty tolerating clothing textures.
This is BEST addressed using: