OTR Client Evaluation 2 — Questions and Answers
Question 1: During an occupational profile, the OTR asks a client what a typical day looks like. This question is MOST useful for identifying:
- Muscle strength deficits
- Occupational roles and routines (Correct answer)
- Cognitive processing speed
- Reflex integrity
Correct answer: Occupational roles and routines
The occupational profile explores daily routines, roles, and meaningful activities to guide client-centered intervention planning.
Question 2: The Functional Independence Measure (FIM) rates a patient's performance across 18 items. A score of 5 on any item indicates:
- Total assistance needed
- Supervision or setup only
- Minimal contact assistance
- Modified independence (Correct answer)
Correct answer: Modified independence
A FIM score of 5 denotes modified independence, meaning the person performs the task independently but uses an assistive device or takes extra time.
Question 3: An OTR is evaluating a child's handwriting using the Evaluation Tool of Children's Handwriting (ETCH). This assessment is most appropriate for children aged:
- 2–4 years
- 5–11 years (Correct answer)
- 12–15 years
- 16–18 years
Correct answer: 5–11 years
The ETCH was designed and normed for children in grades 1–6, approximately ages 5–11.
Question 4: Which standardized tool uses direct observation of task performance to assess instrumental activities of daily living (IADLs) in older adults with cognitive impairment?
- Mini-Mental State Examination (MMSE)
- Executive Function Performance Test (EFPT) (Correct answer)
- Berg Balance Scale
- Rivermead Behavioral Memory Test
Correct answer: Executive Function Performance Test (EFPT)
The EFPT directly observes four IADL tasks to measure executive function deficits that affect daily living performance.
Question 5: When evaluating sensory processing in a school-age child, the Sensory Profile 2 is completed by:
- The occupational therapist through direct observation only
- The child independently
- A caregiver or teacher through questionnaire (Correct answer)
- A physician through chart review
Correct answer: A caregiver or teacher through questionnaire
The Sensory Profile 2 is a caregiver/teacher-completed questionnaire that captures the child's sensory processing patterns across contexts.
Question 6: A client with TBI is assessed using the Rancho Los Amigos Levels of Cognitive Functioning (LOCF). A rating of Level IV indicates:
- No response to stimuli
- Generalized response to pain only
- Confused and agitated behavior (Correct answer)
- Confused but appropriate responses
Correct answer: Confused and agitated behavior
Rancho Level IV is characterized by confused-agitated behavior, with the client being alert but unable to process environmental information appropriately.
Question 7: An OTR assessing upper extremity function after stroke uses the Fugl-Meyer Assessment. This tool primarily measures:
- Pain intensity
- Sensorimotor impairment and joint range of motion (Correct answer)
- Activities of daily living independence
- Cognitive-perceptual function
Correct answer: Sensorimotor impairment and joint range of motion
The Fugl-Meyer Assessment quantifies sensorimotor impairment, passive joint motion, pain, and sensation in stroke survivors.
OTR Client Evaluation 2
During an occupational profile, the OTR asks a client what a typical day looks like.
This question is MOST useful for identifying: