OTA Geriatric OT 5

Question 1

A 72-year-old client with congestive heart failure (CHF) becomes short of breath while dressing. The OTA should FIRST:

Accepted Answer

Have the client rest and monitor vital signs

Answer

Continue the activity to build endurance

Answer

Immediately call emergency services

Answer

Ask the client to breathe faster

Question 2

Which approach BEST supports occupational engagement for an older adult newly admitted to a long-term care facility?

Accepted Answer

Conducting an occupational profile interview to identify meaningful roles and interests

Answer

Limiting activities to prevent overstimulation

Answer

Assigning the client to group activities based on age

Answer

Focusing exclusively on physical rehabilitation

Question 3

A client with moderate Alzheimer's disease becomes agitated during bathing. Which sensory strategy is MOST likely to reduce agitation?

Accepted Answer

Playing familiar, calming music during the bathing routine

Answer

Increasing the pace of the bath to finish quickly

Answer

Bathing in bright fluorescent lighting

Answer

Having multiple staff members present

Question 4

What is the PRIMARY role of the OTA in the discharge planning process for a geriatric inpatient?

Accepted Answer

Contribute functional performance observations to the team's discharge planning discussion

Answer

Independently determine the discharge destination

Answer

Write the physician's discharge orders

Answer

Override the OT's discharge recommendations based on direct client contact

Question 5

Which condition MOST commonly causes peripheral neuropathy in the geriatric population, affecting sensory awareness of the feet?

Accepted Answer

Diabetes mellitus

Answer

Rheumatoid arthritis

Answer

Osteoarthritis

Answer

Macular degeneration

Question 6

An OTA is grading a fine motor dressing task for a client with decreased hand coordination. The BEST way to increase task difficulty progressively is to:

Accepted Answer

Move from Velcro fasteners to buttons and then to small snaps

Answer

Begin with small buttons and progress to Velcro closures

Answer

Eliminate all fasteners from clothing

Answer

Perform all fastening for the client

Question 7

A client recovering from a hip replacement asks the OTA how to put on shoes while following posterior hip precautions. The OTA should instruct the client to:

Accepted Answer

Use a long-handled shoehorn and elastic laces while keeping the hip above 90°

Answer

Cross the surgical leg over the other knee to reach the foot

Answer

Bend forward at the waist to reach the feet while seated

Answer

Ask a caregiver to put shoes on for the rest of the client's life