OTA Treatment Planning 4

Question 1

An OTA is treating a client with a spinal cord injury (C6 complete). Which ADL goal is MOST realistic for this level of injury?

Accepted Answer

Independent feeding using adaptive equipment

Answer

Independent ambulation with a walker

Answer

Independent fine motor manipulation without aids

Answer

Independent transfer without any equipment

Question 2

Which of the following BEST describes the OTA's role in the treatment planning process?

Accepted Answer

Implementing the plan developed by the OT and contributing observations to plan modifications

Answer

Independently developing and modifying the treatment plan

Answer

Approving all treatment plan changes before OT review

Answer

Documenting goals without contributing clinical observations

Question 3

A client with a traumatic brain injury demonstrates impulsivity during ADLs. Which treatment planning strategy addresses this safety concern?

Accepted Answer

Incorporating structured cuing systems and environmental modifications to slow task initiation

Answer

Removing all structured support to encourage independent problem-solving

Answer

Practicing only seated low-risk activities indefinitely

Answer

Referring immediately to behavioral psychology before any OT intervention

Question 4

When treating a client with low vision, which modification should be prioritized in the treatment plan to improve ADL safety?

Accepted Answer

Improving contrast in the environment and adding task lighting

Answer

Restricting the client to one room to minimize navigation hazards

Answer

Eliminating all self-care independence to prevent injury

Answer

Referring to surgery before initiating OT

Question 5

A client with diabetes is referred to OT for lower extremity care training. Which topic is MOST critical to include in the treatment plan?

Accepted Answer

Daily foot inspection and proper nail and skin care technique

Answer

Strengthening exercises for lower extremity muscles only

Answer

Electrical stimulation to improve peripheral sensation

Answer

Orthotics prescription management

Question 6

Which principle guides activity grading in an OTA's treatment plan?

Accepted Answer

Systematically increasing or decreasing task demands to match the client's progress

Answer

Keeping all tasks at the same difficulty level throughout treatment

Answer

Always starting with the most complex tasks to motivate the client

Answer

Basing task difficulty solely on the client's expressed preference

Question 7

An OTA working in a skilled nursing facility is developing a treatment plan for a resident with dysphagia. Which component falls within OT's scope of practice?

Accepted Answer

Adaptive positioning and adaptive feeding equipment recommendations during meals

Answer

Prescribing thickening agents and dietary texture levels independently

Answer

Performing modified barium swallow studies independently

Answer

Initiating nasogastric tube feedings