OTR Occupational Therapy Foundations 5 — Questions and Answers
Question 1: Which term describes the phenomenon where a person's access to occupations is restricted by circumstances beyond their control, such as imprisonment or hospitalization?
- Occupational alienation
- Occupational imbalance
- Occupational deprivation (Correct answer)
- Role loss
Correct answer: Occupational deprivation
Occupational deprivation occurs when external circumstances (illness, incarceration, poverty, geography) prevent a person from accessing and participating in meaningful occupations.
Question 2: In MOHO, 'volition' refers to which concept?
- The automatic behavioral patterns that structure daily routines
- The motivation to engage in occupations, including values, interests, and personal causation (Correct answer)
- The objective performance skills required to execute a task
- The social and physical contexts that support occupation
Correct answer: The motivation to engage in occupations, including values, interests, and personal causation
Volition in MOHO is the motivational subsystem encompassing a person's values, interests, and personal causation (belief in one's ability to make a difference).
Question 3: When grading an activity to INCREASE challenge for a client in OT, the therapist might:
- Reduce the number of steps required to complete the task
- Add cognitive demands such as problem-solving or sequencing (Correct answer)
- Provide more physical assistance during task performance
- Shorten the duration of the activity session
Correct answer: Add cognitive demands such as problem-solving or sequencing
Grading up to increase challenge can involve adding cognitive, physical, temporal, or social demands to the activity to promote skill development.
Question 4: The term 'scope of practice' in OT refers to:
- The geographic area in which a therapist is licensed to practice
- The range of services, interventions, and populations OTs are qualified and legally authorized to serve (Correct answer)
- The number of clients an OT can treat simultaneously
- The settings where OT services can be reimbursed by insurance
Correct answer: The range of services, interventions, and populations OTs are qualified and legally authorized to serve
Scope of practice defines the breadth of services, populations, and interventions that OTs are educationally prepared, competent, and legally authorized to provide.
Question 5: Which of the following best illustrates 'occupational imbalance'?
- A client who cannot afford adaptive equipment needed for home management
- A new parent who spends all waking hours in childcare with no time for self-care or leisure (Correct answer)
- A hospitalized patient who is unable to return to their job
- A client who feels that their work is meaningless and unfulfilling
Correct answer: A new parent who spends all waking hours in childcare with no time for self-care or leisure
Occupational imbalance occurs when the distribution of time and energy across occupational categories is disproportionate, undermining overall health and well-being.
Question 6: Which foundational document, adopted by AOTA in 2014 and updated in 2020, describes OT's domain and process?
- The OT Uniform Terminology (3rd ed.)
- The Occupational Therapy Practice Framework (OTPF) (Correct answer)
- The Guide to Occupational Therapy Practice
- The Philosophical Base of Occupational Therapy
Correct answer: The Occupational Therapy Practice Framework (OTPF)
The Occupational Therapy Practice Framework (OTPF), currently in its 4th edition, is AOTA's primary document describing OT's domain (what we address) and process (how we practice).
Question 7: A client with hemiplegia after stroke struggles with dressing. The OT teaches one-handed dressing techniques. This intervention approach is BEST described as:
- Restorative/remediation
- Education and training
- Compensation/adaptation (Correct answer)
- Health promotion
Correct answer: Compensation/adaptation
Teaching one-handed dressing techniques is a compensatory/adaptive approach that works around the motor deficit to restore occupational performance without remediating the underlying impairment.
OTR Occupational Therapy Foundations 5
Which term describes the phenomenon where a person's access to occupations is restricted by circumstances beyond their control, such as imprisonment or hospitalization?