OTR Client Evaluation 5 — Questions and Answers
Question 1: An OTR is evaluating a burn patient's hand function. Which tool specifically assesses the ability to perform fine motor tasks after hand injury or surgery?
- Disabilities of the Arm, Shoulder and Hand (DASH)
- Purdue Pegboard Test
- Jebsen-Taylor Hand Function Test (Correct answer)
- Fugl-Meyer Upper Extremity
Correct answer: Jebsen-Taylor Hand Function Test
The Jebsen-Taylor Hand Function Test evaluates functional hand tasks including writing, card turning, and object manipulation relevant to hand rehabilitation.
Question 2: During a school-based evaluation, an OTR uses the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI). This test assesses:
- Reading comprehension speed
- The integration of visual perception with finger-hand movements to copy geometric forms (Correct answer)
- Auditory processing and phonological awareness
- Bilateral motor coordination during sports
Correct answer: The integration of visual perception with finger-hand movements to copy geometric forms
The Beery VMI measures the degree to which visual perception and motor behavior are integrated through a copying task using geometric designs.
Question 3: An OTR evaluating a client with multiple sclerosis uses the Fatigue Severity Scale (FSS). What is the FSS designed to measure?
- Cardiovascular endurance capacity
- The impact of fatigue on daily functioning (Correct answer)
- Sleep quality and duration
- Depression symptoms related to fatigue
Correct answer: The impact of fatigue on daily functioning
The FSS is a nine-item self-report scale that measures how fatigue interferes with certain activities and rates its severity.
Question 4: A pediatric OTR uses criterion-referenced assessment rather than norm-referenced assessment. The PRIMARY advantage of criterion-referenced tools is that they:
- Compare the child's performance to same-age peers
- Determine if specific skills are mastered regardless of peer comparison (Correct answer)
- Yield standard scores and percentile ranks
- Are always more reliable than norm-referenced tests
Correct answer: Determine if specific skills are mastered regardless of peer comparison
Criterion-referenced assessments determine mastery of specific skills against predetermined criteria, not relative to peer performance.
Question 5: When evaluating a client's performance context, the OTR notes that the client lives alone in a two-story home with no elevator. According to the OTPF, this is classified as a(n):
- Personal factor
- Occupational demand
- Physical environment context (Correct answer)
- Social environment context
Correct answer: Physical environment context
The physical environment includes the natural and built surroundings in which the client lives and performs occupations, such as home layout and architecture.
Question 6: An OTR is evaluating hand sensation using Semmes-Weinstein Monofilaments. The finding 'diminished light touch' corresponds to which monofilament value range?
- 1.65–2.83
- 3.22–3.61 (Correct answer)
- 4.31–4.56
- 6.65
Correct answer: 3.22–3.61
Monofilament values of 3.22–3.61 correspond to diminished light touch, indicating early sensory loss in the hand.
Question 7: An OTR evaluates a client with a spinal cord injury using the SCIM III (Spinal Cord Independence Measure). What is the SCIM III designed to assess?
- Neurological level and completeness of injury
- Functional independence in self-care, respiration, and mobility (Correct answer)
- Spasticity severity and distribution
- Chronic pain intensity and location
Correct answer: Functional independence in self-care, respiration, and mobility
The SCIM III measures functional independence across self-care, respiration/sphincter management, and mobility domains specific to SCI populations.
OTR Client Evaluation 5
An OTR is evaluating a burn patient's hand function.
Which tool specifically assesses the ability to perform fine motor tasks after hand injury or surgery?