OTR Client Evaluation 4 — Questions and Answers
Question 1: An OTR uses the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2) with a 9-year-old. This test assesses:
- Sensory processing and integration
- Fine and gross motor skills across multiple subtests (Correct answer)
- Social-emotional development
- Handwriting legibility only
Correct answer: Fine and gross motor skills across multiple subtests
The BOT-2 evaluates fine and gross motor skills including strength, coordination, balance, speed, and dexterity in children and young adults.
Question 2: When establishing inter-rater reliability for a new clinical assessment tool, the OTR is ensuring that:
- The tool measures what it is intended to measure
- Different evaluators produce consistent scores on the same client (Correct answer)
- Scores remain stable over repeated testing in stable clients
- The tool produces results related to a gold-standard measure
Correct answer: Different evaluators produce consistent scores on the same client
Inter-rater reliability confirms that two or more raters produce consistent scores when evaluating the same client at the same time.
Question 3: A client with rheumatoid arthritis is being evaluated. Which assessment would BEST measure the client's perceived impact of arthritis on occupational performance?
- Grip dynamometry
- Canadian Occupational Performance Measure (COPM) (Correct answer)
- Manual Muscle Testing (MMT)
- Pinch dynamometry
Correct answer: Canadian Occupational Performance Measure (COPM)
The COPM captures the client's self-rated performance and satisfaction with occupations they identify as problematic, making it ideal for client-centered arthritis evaluation.
Question 4: During evaluation, an OTR notes that a patient with Parkinson's disease pauses and freezes when initiating gait. Documenting this as a performance skill deficit, the OTR would categorize it under:
- Emotional regulation skills
- Motor and praxis skills (Correct answer)
- Cognitive skills
- Communication and interaction skills
Correct answer: Motor and praxis skills
Initiation of movement and sequencing of motor actions are classified as motor and praxis skills within the OTPF.
Question 5: The OTR is evaluating a client with autism spectrum disorder using the Sensory Integration and Praxis Tests (SIPT). What does the SIPT assess?
- Adaptive behavior in social contexts
- Sensory processing and praxis abilities in children (Correct answer)
- Visual acuity and oculomotor control
- Communication and language milestones
Correct answer: Sensory processing and praxis abilities in children
The SIPT measures sensory integration and praxis in children aged 4–8, providing diagnosis-relevant data for SI dysfunction.
Question 6: An OTR is conducting a driving evaluation. Which of the following is a clinical off-road assessment tool commonly used to screen cognitive-perceptual fitness to drive?
- Moberg Pick-Up Test
- Dynavision D2
- Driver's Mob Battery
- Useful Field of View (UFOV) (Correct answer)
Correct answer: Useful Field of View (UFOV)
The Useful Field of View (UFOV) is a validated computerized assessment of visual attention used to screen older drivers' cognitive-perceptual fitness.
Question 7: When evaluating a hospitalized older adult, an OTR screens for delirium using the Confusion Assessment Method (CAM). A positive CAM finding requires the presence of:
- Memory impairment alone
- Acute onset with fluctuating course AND inattention, plus disorganized thinking or altered level of consciousness (Correct answer)
- Depression and agitation together
- Hallucinations and paranoia
Correct answer: Acute onset with fluctuating course AND inattention, plus disorganized thinking or altered level of consciousness
The CAM algorithm diagnoses delirium when there is acute onset with fluctuating course, inattention, and either disorganized thinking or altered consciousness.
OTR Client Evaluation 4
An OTR uses the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2) with a 9-year-old.
This test assesses: