OTR Therapeutic Interventions & Techniques 4

Question 1

Which splinting position is recommended for a patient at risk for intrinsic-minus deformity of the hand?

Accepted Answer

Wrist extension, MCP flexion, IP extension (intrinsic-plus position)

Answer

The intrinsic-plus (safe) position maintains MCP flexion and IP extension to preserve collateral ligament length and prevent deformity.

Question 2

An OTR is implementing cognitive rehabilitation with a TBI patient using errorless learning. What is the core feature of this technique?

Accepted Answer

Structuring the environment so the patient succeeds without making errors during acquisition

Answer

Errorless learning prevents incorrect responses during skill acquisition because people with memory impairments cannot easily suppress erroneous responses they have practiced.

Question 3

When fabricating a dorsal blocking splint after flexor tendon repair (Zone II), what position should be maintained?

Accepted Answer

Wrist flexion 20-30°, MCPs flexion 60-70°, IPs in full extension

Answer

A dorsal blocking splint for Zone II flexor tendon repairs maintains wrist and MCP flexion while allowing IP extension to protect the repair under reduced tension.

Question 4

Which intervention strategy is BEST aligned with the Recovery Model for a patient with serious mental illness?

Accepted Answer

Supporting the client's self-determined goals and meaningful roles despite ongoing symptoms

Answer

The Recovery Model emphasizes hope, self-determination, and meaningful community participation regardless of symptom status.

Question 5

A patient with Parkinson's disease is having difficulty initiating gait. Which cueing strategy is MOST evidence-based?

Accepted Answer

Rhythmic auditory stimulation (e.g., metronome or music) to initiate and regulate gait

Answer

Rhythmic auditory stimulation bypasses defective basal ganglia timing circuits and has strong evidence for improving gait initiation in Parkinson's disease.

(OTR) Certified Occupational Therapist Registered Practice Test

(OTR) Certified Occupational Therapist Registered Practice Test

OTR Therapeutic Interventions & Techniques 4