OT Master of Occupational Therapy 3 — Questions and Answers
Question 1: Which sensory system does Ayres Sensory Integration (ASI) theory consider MOST foundational for higher-level skill development?
- Auditory and visual systems
- Tactile, vestibular, and proprioceptive systems (Correct answer)
- Olfactory and gustatory systems
- Visual and proprioceptive systems only
Correct answer: Tactile, vestibular, and proprioceptive systems
ASI theory identifies the tactile, vestibular, and proprioceptive systems as the foundational triad for building adaptive responses and higher skills.
Question 2: An OT working in a skilled nursing facility wants to promote aging-in-place after discharge. Which approach aligns BEST with this goal?
- Recommending permanent institutional care
- Conducting a home safety evaluation and recommending modifications (Correct answer)
- Focusing solely on ROM exercises
- Limiting ADL training to the facility
Correct answer: Conducting a home safety evaluation and recommending modifications
A home safety evaluation identifies environmental barriers and recommends modifications to enable safe independent living.
Question 3: A therapist documents that a client achieved 'active range of motion within functional limits.' This means the client can:
- Move through full anatomical range without assistance
- Move enough to perform daily occupations safely (Correct answer)
- Achieve 180° of shoulder flexion
- Demonstrate passive range equal to the unaffected side
Correct answer: Move enough to perform daily occupations safely
Functional limits refer to the range needed for occupational performance, not necessarily full anatomical range.
Question 4: Which ethical principle is MOST at issue when a client refuses a recommended OT intervention?
- Beneficence
- Justice
- Autonomy (Correct answer)
- Nonmaleficence
Correct answer: Autonomy
Autonomy is the client's right to self-determination and to refuse treatment, even against professional recommendations.
Question 5: The 'just-right challenge' in occupational therapy intervention refers to:
- Providing tasks that are just barely within the client's legal abilities
- Matching task difficulty to slightly exceed the client's current skill level (Correct answer)
- Giving the client the easiest task to ensure success
- Letting the client choose any task they prefer
Correct answer: Matching task difficulty to slightly exceed the client's current skill level
The just-right challenge optimizes therapeutic gain by presenting tasks slightly beyond current ability to promote skill development.
Question 6: A client with rheumatoid arthritis is taught joint protection principles. Which strategy is MOST appropriate?
- Using small joints to carry heavy loads
- Turning door knobs with a closed fist
- Using a larger, stronger joint to substitute for a weaker one (Correct answer)
- Gripping objects tightly for prolonged periods
Correct answer: Using a larger, stronger joint to substitute for a weaker one
Joint protection principles direct clients to use stronger, larger joints to reduce stress on inflamed smaller joints.
Question 7: Which burn classification requires skin grafting and results in minimal pain due to nerve destruction?
- Superficial (first-degree) burn
- Superficial partial-thickness burn
- Deep partial-thickness burn
- Full-thickness (third-degree) burn (Correct answer)
Correct answer: Full-thickness (third-degree) burn
Full-thickness burns destroy all skin layers including nerves, causing minimal pain but requiring skin grafting for wound closure.
OT Master of Occupational Therapy 3
Which sensory system does Ayres Sensory Integration (ASI) theory consider MOST foundational for higher-level skill development?