OT Master of Occupational Therapy 2 — Questions and Answers
Question 1: Which frame of reference is BEST suited for a client with schizophrenia who needs to develop community living skills?
- Psychodynamic
- Model of Human Occupation (MOHO) (Correct answer)
- Biomechanical
- Neurodevelopmental Treatment (NDT)
Correct answer: Model of Human Occupation (MOHO)
MOHO emphasizes occupational adaptation and volition, making it ideal for community reintegration in psychiatric populations.
Question 2: An OT is evaluating a child's handwriting difficulties. Which standardized assessment would be MOST appropriate?
- Peabody Developmental Motor Scales (PDMS-2)
- Bruininks-Oseretsky Test (BOT-2)
- Evaluation Tool of Children's Handwriting (ETCH) (Correct answer)
- Sensory Profile 2
Correct answer: Evaluation Tool of Children's Handwriting (ETCH)
The ETCH is specifically designed to evaluate handwriting legibility and speed in school-age children.
Question 3: Under IDEA 2004, OT services in schools must be provided in the:
- Most restrictive environment available
- Least restrictive environment (LRE) (Correct answer)
- Clinic-based setting only
- One-on-one therapy room exclusively
Correct answer: Least restrictive environment (LRE)
IDEA mandates services in the least restrictive environment, promoting inclusion alongside peers without disabilities.
Question 4: A patient with C5 spinal cord injury wants to feed themselves independently. Which adaptive equipment would be MOST beneficial?
- Universal cuff with utensil slot (Correct answer)
- Rocker knife
- Built-up handle spoon
- Plate guard only
Correct answer: Universal cuff with utensil slot
A universal cuff compensates for the absent hand grip at C5 level, allowing utensil use without active finger flexion.
Question 5: Which standardized assessment measures a client's ability to perform instrumental activities of daily living in real-world contexts?
- Functional Independence Measure (FIM)
- Performance Assessment of Self-Care Skills (PASS) (Correct answer)
- Canadian Occupational Performance Measure (COPM)
- Barthel Index
Correct answer: Performance Assessment of Self-Care Skills (PASS)
The PASS assesses IADL performance directly in the client's natural environment using observation-based scoring.
Question 6: A therapist uses occupation-as-means in treatment. This BEST describes:
- Using client goals to guide assessment
- Using meaningful activities as the therapeutic agent (Correct answer)
- Analyzing the steps of an occupation
- Adapting the environment to support function
Correct answer: Using meaningful activities as the therapeutic agent
Occupation-as-means uses the activity itself as the therapeutic modality to achieve rehabilitation goals.
Question 7: When grading an activity for a client with low endurance, an OT would MOST likely:
- Increase task complexity
- Shorten the duration of the activity (Correct answer)
- Remove all adaptive equipment
- Use heavy resistance
Correct answer: Shorten the duration of the activity
Shortening task duration reduces metabolic demand and allows gradual building of endurance over time.
OT Master of Occupational Therapy 2
Which frame of reference is BEST suited for a client with schizophrenia who needs to develop community living skills?