OT Master of Occupational Therapy 4 — Questions and Answers
Question 1: An OT is completing a cognitive assessment for a client post-TBI using the Allen Cognitive Level Screen (ACLS). A score of level 4.0 indicates the client:
- Is fully independent in all ADLs
- Can learn by rote repetition only and needs supervision (Correct answer)
- Cannot initiate any purposeful activity
- Functions at a normal cognitive level
Correct answer: Can learn by rote repetition only and needs supervision
Allen Cognitive Level 4 (Goal-Directed Activity) indicates the client can follow demonstrated steps but needs supervision for safety and problem-solving.
Question 2: Which muscle grade on the Manual Muscle Testing (MMT) scale indicates movement through full range against gravity with some resistance?
- Grade 2 (Poor)
- Grade 3 (Fair)
- Grade 4 (Good) (Correct answer)
- Grade 5 (Normal)
Correct answer: Grade 4 (Good)
Grade 4 (Good) on MMT indicates the muscle moves through full range against gravity and tolerates some but not full resistance.
Question 3: Which legislation requires employers to provide reasonable accommodations for employees with disabilities?
- Individuals with Disabilities Education Act (IDEA)
- Americans with Disabilities Act (ADA) (Correct answer)
- Rehabilitation Act Section 504
- Olmstead Act
Correct answer: Americans with Disabilities Act (ADA)
The ADA Title I requires covered employers to provide reasonable accommodations for qualified individuals with disabilities.
Question 4: During a home visit, an OT notices a client's caregiver appears exhausted and overwhelmed. The OT's PRIMARY responsibility is to:
- Ignore the caregiver and focus solely on the client
- Assess caregiver burden and connect them with support resources (Correct answer)
- Report the caregiver to adult protective services immediately
- Discharge the client to a facility
Correct answer: Assess caregiver burden and connect them with support resources
Assessing caregiver burden and facilitating access to respite or support services falls within OT's holistic, client-and-family-centered practice.
Question 5: A therapist is using constraint-induced movement therapy (CIMT) with a stroke patient. What is the PRIMARY rationale?
- Reduce spasticity in the affected limb
- Prevent learned non-use by forcing use of the affected limb (Correct answer)
- Improve bilateral coordination
- Reduce pain in the affected extremity
Correct answer: Prevent learned non-use by forcing use of the affected limb
CIMT constrains the unaffected limb to overcome learned non-use and drive neuroplastic reorganization in the affected limb.
Question 6: Which positioning is recommended to prevent pressure injuries in a client who is seated in a wheelchair?
- 90-90-90 position with a pressure-relief cushion (Correct answer)
- Reclined to 30° with legs fully extended
- Seated with hips at 120° flexion
- Leaning to one side with a rolled towel support
Correct answer: 90-90-90 position with a pressure-relief cushion
The 90-90-90 position (hips, knees, ankles at 90°) with a pressure-relief cushion distributes weight evenly and reduces ischial pressure.
Question 7: Which occupational therapy practice model views the client as an open system interacting with environment through input, throughput, and output?
- Model of Human Occupation (MOHO) (Correct answer)
- Person-Environment-Occupation (PEO) Model
- Ecology of Human Performance (EHP)
- Occupational Adaptation Model
Correct answer: Model of Human Occupation (MOHO)
MOHO conceptualizes the person as an open system with subsystems (volition, habituation, performance capacity) continuously interacting with the environment.
OT Master of Occupational Therapy 4
An OT is completing a cognitive assessment for a client post-TBI using the Allen Cognitive Level Screen (ACLS).
A score of level 4.0 indicates the client: