OTA Geriatric OT 4

Question 1

An OTA is implementing a reminiscence therapy group with older adults with mild dementia. The PRIMARY therapeutic goal is to:

Accepted Answer

Enhance social participation and sense of identity

Answer

Improve short-term memory retention

Answer

Teach new cognitive strategies

Answer

Reduce medication side effects

Question 2

Which seating modification BEST reduces the risk of posterior pelvic tilt (sacral sitting) in a frail elderly wheelchair user?

Accepted Answer

Adding a solid seat insert with appropriate cushioning

Answer

Using a sling seat without cushion

Answer

Elevating the leg rests to 90°

Answer

Placing a rolled towel behind the knees

Question 3

A geriatric client is prescribed a wheeled walker (rollator). Which client behavior indicates a need for further gait training?

Accepted Answer

Leaning heavily on the walker with arms extended far forward

Answer

Keeping the walker slightly ahead while walking

Answer

Locking the brakes before sitting

Answer

Using the basket to carry light items

Question 4

When addressing IADLs with a cognitively impaired elder who lives alone, the OTA's MOST important safety concern is:

Accepted Answer

Whether the client can safely manage stove use and medication administration

Answer

Whether the client can operate a smartphone

Answer

Whether the client attends social events

Answer

Whether the client can drive a car

Question 5

An OTA working in a skilled nursing facility should document progress in SOAP note format. In which section does the OTA record objective functional findings such as balance scores?

Accepted Answer

O (Objective)

Answer

S (Subjective)

Answer

A (Assessment)

Answer

P (Plan)

Question 6

Which physiological change of normal aging MOST directly affects an older adult's ability to regulate body temperature during activity?

Accepted Answer

Reduced sweating efficiency and diminished thirst perception

Answer

Decreased bone density

Answer

Decreased muscle mass

Answer

Reduced skin elasticity

Question 7

An OTA is leading a fall prevention group at a senior center. Which activity BEST addresses intrinsic fall risk factors?

Accepted Answer

Balance and strength exercises such as Tai Chi

Answer

Removing throw rugs from participants' homes

Answer

Installing grab bars in bathrooms

Answer

Improving lighting in hallways