OTA Geriatric OT 2

Question 1

An OTA is working with an 80-year-old with moderate dementia who resists morning ADL care. Which approach is MOST appropriate?

Accepted Answer

Break tasks into single steps with simple verbal cues

Answer

Use physical guidance to complete the task quickly

Answer

Postpone ADLs until the client is more cooperative

Answer

Ask family members to perform all ADL care

Question 2

Which standardized assessment is commonly used by OTAs to screen for cognitive impairment in older adults?

Accepted Answer

Mini-Mental State Examination (MMSE)

Answer

Berg Balance Scale

Answer

Functional Independence Measure (FIM)

Answer

Tinetti Performance-Oriented Mobility Assessment

Question 3

A geriatric client has difficulty gripping utensils due to rheumatoid arthritis. The BEST adaptive equipment recommendation is:

Accepted Answer

Built-up handled utensils

Answer

Standard metal fork and spoon

Answer

Finger foods only at mealtimes

Answer

Weighted utensils to improve tremor control

Question 4

When educating a caregiver about preventing pressure injuries in a bedbound elderly client, the OTA should recommend repositioning at least every:

Accepted Answer

2 hours

Answer

30 minutes

Answer

1 hour

Answer

4 hours

Question 5

A 75-year-old client with Parkinson's disease has a festinating gait. Which strategy BEST addresses this during functional mobility?

Accepted Answer

Encourage the client to take larger, deliberate steps

Answer

Advise the client to walk faster to gain momentum

Answer

Recommend bed rest to prevent falls

Answer

Use a wheelchair for all mobility

Question 6

Which environmental modification MOST directly reduces fall risk for an older adult with low vision living at home?

Accepted Answer

Adding high-contrast tape to step edges

Answer

Installing carpet throughout all flooring

Answer

Removing all rugs and furniture

Answer

Keeping lights dim to avoid glare

Question 7

An OTA notices a cognitively intact elderly client appears withdrawn, loses interest in activities, and reports sleep disturbance. The OTA should FIRST:

Accepted Answer

Document observations and report to the supervising OT

Answer

Immediately increase the client's activity schedule

Answer

Reassure the client that sadness is normal with aging

Answer

Recommend the client request antidepressants