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An .OTR®; .is .developing .a .professional .development .plan. .The .OTR .has .identified .personal .needs .for .growth .after .completing .a .self-assessment. .What .step .should .the .OTR .take .NEXT .in .developing .the .professional .development .plan? A. Review .progress .toward .current .professional .development .goals .and .objectives. B. Determine .available .resources .for .meeting .goals .and .objectives. C. Determine .what .learning .needs .to .occur.
D. Set .new .goals .for .professional .development. .✔✔C: .The .steps .in .developing .a .professional
.development .plan .are .to .(1) .reflect .on .current .performance .to .date .and .determine .learning .needs .on .the .basis .of .the .self-assessment .results; .(2) .review .progress .toward .previous .professional .development .goals; .(3) .ascertain .what .resources .exist .to .meet .identified .professional .development .goals; .(4) .modify .previous .professional .development .goals .and .set .new .ones; .(5) .take .action .to .meet .professional .development .goals; .and .(6) .document .completed .professional .development .activities. .Thus, .after .identifying .personal .needs .for .growth .by .means .of .a .self-assessment, .the .next .step .an .OTR .would .take .would .be .to .determine .what .learning .needs .to .occur.
A: .Step. 2 .in .creating .a .professional .development .plan .is .to .review .progress .toward .current .professional .development .goals. .Progress .toward .current .professional .development .goals .and .objectives .cannot .be .assessed .before .learning .needs .have .been .identified.
B: .Step. 3 .in .creating .a .professional .development .plan .is .to .ascertain .what .resources .exist .to .meet .identified .professional .development .goals. .Learning .needs .must .be .determined .before .appropriate .learning .resources .can .be .identified.
D: .Step. 4 .in .creating .a .professional .development .plan .is .to .modify .previous .professional .development .goals .and .set .new .ones. .Goal .setting .cannot .occur .before .professional .learning .needs .have .been .determined.
NBCOT Exam 3 Questions and
Answers Already Passed
Which .tool .should .the .OTR® .use .to .assess .peripheral .visual .fields? A. Interview B. Amsler .grid C. Snellen .chart
D. Confrontation .testing .✔✔D: .Confrontation .testing .provides .a .gross .assessment .of .how
.much .peripheral .vision .the .client .has.
A: .Although .interview .might .be .helpful .in .identifying .the .client's .problems, .it .is .not .adequate .to .assess .peripheral .visual .fields.
B: .The .Amsler .grid .is .used .to .assess .central .visual .fields.
.C: .The .Snellen .chart .is .used .to .assess .visual .acuity.
An .OTR® .in .an .outpatient .setting .is .treating .a .client .who .underwent .repair .of .multiple .flexor .tendons .in .Zones. 2 .and. 3 .approximately. 6 .weeks .ago. .The .dorsal .blocking .splint .has .been .removed, .and .the .client .is .beginning .to .actively .move .the .digits. .The .client .is .eager .to .return .to .work .as .a .carpenter, .and .the .OTR .is .revising .the .goals .with .the .client. .Which .goal .for .this .time .period .is .MOST .appropriate? A. Increase .passive .wrist .and .digit .composite .extension .to .improve .flexor .tendon .length B. Increase .digital .active .range .of .motion .to .facilitate .holding .a .washcloth .during .bathing C. Increase .grip .strength .to .maintain .grasp .on .woodworking .tools
D. String. 25 .beads .of .various .sizes .and .shapes .to .improve .fine .motor .coordination .✔✔B:
.Setting .realistic, .meaningful .goals .and .revising .them .as .the .client .progresses .is .a .critical .component .in .treating .traumatic .injuries. .At. 6 .weeks .after .operative .tendon .repair, .the .client .may .be .ready .for .light, .nonresistive .functional .activities .that .promote .active .flexion.
A: .Adding .too .much .force .at .this .stage .may .result .in .rupture .of .the
.repairs.. C: .At. 6 .weeks .after .repair .of .flexor .tendons, .strengthening .is
.contraindicated.
C. Obtain .a .prescription .to .increase .the .medication .used .in .the .electrodes.
D. Increase .the .intensity .of .the .electrical .current .used .with .the .iontophoresis. .✔✔A:
.Iontophoresis .treatment .should .be .discontinued .if .the .client .has .not .reported .at .least .50% .relief .of .symptoms.
B: .Iontophoresis .treatment .should .be .discontinued .after .four .to .six .sessions .if .the .client .has .not .reported .at .least .50% .relief .of .symptoms.
C: .Doubling .the .medication .will .have .no .effect .on .the .impact .of .the .iontophoresis .treatment.
D: .Increasing .the .current .may .cause .discomfort .or .a .galvanic .rash .(an .allergic .reaction .to .the .current); .current .should .be .set .at .a .client's .level .of .comfort .to .prevent .skin .irritation .and .burning.
An .outpatient .has .a .medical .history .of .having .multiple .transient .ischemic .attacks .and .is .in .the .early .stages .of .Alzheimer's .disease. .During .an .initial .ADL .assessment, .the .OTR® .observes .that .the .patient .puts .on .eyeglasses .upside .down, .attempts .to .stir .before .coffee .is .poured .in .a .cup, .and .uses .a .spoon .to .cut .meat. .Based .on .these .observations, .which .performance .skill .is .MOST .IMPORTANT .to .address .as .part .of .the .intervention .plan? A. Spatial .relations B. Sequencing .abilities C. Ideational .praxis
D. Body .scheme .awareness .✔✔C: .Ideational .praxis .involves .knowing .which .objects .are .used
.and .how .to .use .them .to .complete .tasks. .The .observations .in .this .scenario .indicate .the .client .has .ideational .apraxia.
A: .Spatial .relations .involves .the .ability .to .locate .objects .in .relation .to .each .other, .and .the .client .in .this .scenario .is .able .to .locate .objects .but .misuses .the .objects .for .the .intended .purpose.
B: .Sequencing .involves .completing .the .steps .of .a .task .in .the .correct .order, .and .the .client .does .not .consistently .demonstrate .a .sequencing .problem .on .the .basis .of .the .scenario.
D: .Body .scheme .awareness .is .the .ability .to .locate .parts .of .the .body .on .self .or .others, .and .the .client .in .this .scenario .is .having .difficulty .interacting .with .objects .to .complete .tasks.
An .OTR .is .working .with .a .child .who .has .an .epiphyseal .fracture .of .the .proximal .interphalangeal .bone .with .slight .malalignment. .Which .intervention .is .MOST .appropriate .for .a .child .with .this .condition? A. Do .nothing; .the .child's .fracture .will .heal .and .no .occupational .therapy .is .required B. Fabricate .a .serial .cast .for .the .child's .finger C. Fabricate .a .dynamic .splint .for .the .child's .finger
D. Buddy .tape .the .finger .to .an .adjacent .finger .✔✔D: .The .least .invasive .and .most .effective
.treatment .for .a .slight .malalignment .is .buddy .taping, .and .this .is .the .intervention .the .child .would .be .most .likely .to .tolerate.
A: .Because .it .is .an .epiphyseal .fracture, .it .is .important .to .realign .the .bone .for .future .growth.
B, .C: .A .serial .cast .or .dynamic .splint .is .generally .unnecessary .for .slight .malalignment .secondary .to .fracture .and .may .not .be .well .tolerated .by .children.
OTR®s .have .an .ethical .responsibility, .through .the .evaluation .process, .to .identify .impairments .in .occupational .performance .that .may .correlate .with .driving .risks .and .to .inform .clients .of .them .even .if .they .do .not .have .a .legal .responsibility .to .report .them .to .the .state. .This .obligation .is .consistent .with .which .principle .articulated .in .the .Occupational .Therapy .Code .of .Ethics .and .Ethics .Standards? A. Principle .1: .Beneficence B. Principle .3: .Autonomy .and .confidentiality C. Principle .4: .Social .justice
D. Principle .6: .Veracity .✔✔A: .Principle. 1 .states .that .occupational .therapy .personnel .shall
.demonstrate .a .concern .for .the .well-being .and .safety .of .the .recipients .of .their .services .(AOTA, .2010, .p. .S18).
D. Slouching .forward .while .avoiding .maximum .forward .trunk .bending .✔✔D: .To .ease
.breathing, .lean .partially .forward, .propping .the .forearms .on .the .upper .thighs.
A, .B, .C: .Other .supine .and .standing .positions .can .improve .dyspnea, .but .these .three .alternative .sitting .positions .would .not .ease .respiration .more .adequately .than .slouching .partially .forward.
An .adolescent .hospitalized .for .suicidal .ideation .and .depression .is .meeting .with .an .OTR® .for .discharge .planning. .What .aspect .of .the .discharge .plan .is .MOST .urgent? A. Provide .client .education .on .the .effects .of .prescription .medication B. Review .the .contract .for .safety .procedures .the .client .will .follow .when .thoughts .of .suicide .commence C. Contact .the .client's .school .system .to .see .if .a .suicide .prevention .program .is .in .place
D. Reinforce .the .need .for .follow-up .occupational .therapy .treatments .to .monitor .progress .✔✔B:
.A .contract .for .safety .is .the .client's .written .agreement .that .he .or .she .will .tell .an .appropriate .person .if .he .or .she .is .having .thoughts .of .suicide. .Preventive .measures .are .the .MOST .urgent .and .important .part .of .the .discharge .plan .for .clients .with .suicidal .tendencies.
A, .C, .D: .These .options .are .important .parts .of .discharge .planning, .but .suicide .prevention .is .the .most .urgent .concern .for .this .client.
A .client .who .has .undergone .electroconvulsive .therapy .(ECT) .in .the .early .morning .arrives .for .an .evening .occupational .therapy .task .group .in .an .inpatient .psychiatric .unit. .What .is .the .OTR®'s .BEST .choice .for .working .with .the .client .at .this .time? A. Contact .the .nursing .staff .to .escort .the .client .back .to .the .client's .room. B. Remind .the .client .of .the .need .for. 24 .hours .of .bed .rest .after .ECT. C. Invite .the .client .to .participate .in .a .different .group .that .focuses .on .reminiscence. D. Encourage .the .client .to .choose .one .of .the .available .tasks .to .work .on .during .the .group.
.✔✔D: .ECT .is .immediately .followed .by .a .short, .required .bed .rest, .especially .if .residual
.symptoms .include .headache, .nausea, .and .dizziness; .regular .activities .can .then .be .resumed.
A:. Alerting. nurses. to. remove. the. client. from. the. group. is. unnecessary. and. could. cause
. undue .disruption.
B: .Clients .rest .immediately .after .ECT .and .can .then .resume .regular .activities.
.C: .Brief .memory .loss .after .ECT .might .make .reminiscence .challenging.
An .OTR® .is .treating .a .client .who .had .a .split-thickness .skin .graft. 2 .days .ago .on .the .left .posterior .axillary .area. .What .postoperative .occupational .therapy .intervention .would .be .the .BEST .choice? A. Perform .gentle .passive .left .shoulder .ROM .to .pain .tolerance .twice .daily. B. Perform .active .left .shoulder .ROM .as .tolerated, .incorporated .into .daily .activities. C. Fabricate .an .axilla .splint .with .left .shoulder .in .120° .abduction .and .slight .external .rotation.
D. Occupational .therapy .is .not .indicated .in .the .postoperative .phase .of .care. .✔✔C: .The
.postoperative .phase .of .care .is .5-10 .days .post-skin .graft .operation. .During .this .phase, .it .is .important .not .to .disturb .the .grafted .area .so .that .graft .adherence .will .occur. .However, .to .prevent .deformity .from .scar .tightness .and .shrinkage, .it .is .important .to .position .the .arm .in .antideformity .position— .that .is, .120° .abduction .and .slight .external .rotation.
A, .B: .Even .though .ROM .exercise .and .activity .are .important .in .postburn .rehabilitation, .a .period .of .immobilization .is .enforced .immediately .after .grafting .to .allow .for .graft .adherence; .therefore, .no .PROM .or .AROM .is .allowed .during .the .postoperative .phase.
D: .Occupational .therapy .is .an .essential .intervention .in .order .to .prevent .postoperative .contracture.
An .OTR® .is .providing .training .in .cognitive .compensation .strategies .for .a .client .with .multiple
. sclerosis. .Which .of .the .following .modifications .would .facilitate .cognitive .function? A. Decrease .time .spent .on .an .activity .to .conserve .cognitive .focus. B. Use .an .adaptive .bath .bench .to .conserve .energy .during .bathing. C. Perform .cognitively .demanding .tasks .in .a .setting .with .minimal .distractions.
An .OTR® .is .evaluating .a .patient .who .underwent .an .open .reduction .and .internal .fixation .(ORIF) .of .the .hip .and .is .non-weight .bearing. .The .patient .wants .to .return .home .but .will .require .a .temporary .wheelchair .to .do .so. .What .would .be .the .MOST .important .concern .for .this .patient .in .relation .to .chosing .a .wheelchair? A. Overall .cost-effectiveness B. Durability .of .the .product C. Individualism .of .the .parts
D. Adjustability .of .the .wheelchair .✔✔A: .Whether .a .medical .condition .is .temporary, .stable, .or
.progressive .will .influence .a .client's .wheelchair .selection. .Someone .with .a .temporary .condition .will .most .likely .be .more .concerned .with .the .cost .of .a .temporary .wheelchair .than .with .individualism .of .the .parts, .the .product's .durability, .or .adjustability.
B: .Durability .is .of .greater .importance .if .a .client's .condition .is .chronic .and .stable .and .necessitates .a .full-time .wheelchair.
C: .Individualism .of .the .parts .is .also .of .greater .importance .if .a .client's .condition .is .chronic .and .stable .and .necessitates .a .full-time .wheelchair.
D: .A .wheelchair .that .permits .a .range .of .adjustments .would .more .likely .be .indicated .if .the .client's .condition .is .progressive.
An .OTR® .is .speaking .to .a .group .of .nurse .aides .employed .in .a .skilled .nursing .facility .regarding .dressing .of .residents .who .have .Stage .III .Alzheimer's .disease. .What .should .the .OTR® .tell .the .aides .about .the .expected .level .of .dressing .performance .for .these .residents? A. Environmental .aids .should .be .used .to .assist .the .residents .with .completing .dressing .tasks. B. One-step .commands .are .needed .to .start .dressing .and .every .few .minutes .thereafter .until .the .task .is .complete. C. Total .assistance .is .required .for .the .residents .to .complete .all .dressing .activities.
D. Verbal .cueing .and .physical .assistance .are .needed .throughout .the .dressing .task. .✔✔D: .In .Stage III. of. Alzheimer's. disease,. an. individual. requires. frequent. physical. and. verbal
. assistance .throughout .ADLs .as .memory .and .physical .status .continue .to .decline.
A: .Environmental .aids .at .Stage .III .are .used .to .compensate .for .deficits .in .perception .related .to .safety .with .mobility. .An .individual .with .Stage .III .Alzheimer's .disease .would .require .the .physical .and .verbal .assistance .of .another .person .to .complete .ADLs.
B: .One-step .commands .are .not .needed .until .Stage .IV .of .Alzheimer's .disease.
C: .Total .assistance .is .not .needed .generally .until .the .end .of .Stage .IV .of .Alzheimer's .disease.
A .client .in .the .acute .burn .unit .sustained .full-thickness .chemical .burns .to .the .bilateral .anterior .and .inner .thighs. .The .client .underwent .grafting .operations. 2 .weeks .ago, .and .the .surgeon .has .confirmed .graft .adherence. .What .would .be .the .OTR®'s .BEST .choice .to .initiate .compression .therapy? A. Custom-made .Jobst .garment B. Spandex .bicycle .pants C. Coban™ .self-adherent .wrap
D. Thigh-high .thromboembolism-deterrent .(TED) .stocking .✔✔B: .Spandex .bicycle .pants .are
.sufficient .to .apply .gentle .pressure .on .the .anterior .and .inner-thigh .areas .without .causing .excessive .shear .or .pressure .on .the .newly .adhered .graft.
A: .Although .a .tailor-made .Jobst .garment .is .a .good .choice .for .compression .therapy .in .the .later .stage, .it .is .important .to .initiate .compression .therapy .with .lighter .pressure .for .desensitization .in .the .early .stage .when .the .wound .is .still .fresh.
C: .Coban™ .self-adherent .wrap .will .be .difficult .to .manage .in .a .large .area .such .as .the .thighs. .It .is .more .commonly .used .in .small .areas .such .as .the .fingers.
D: .Thigh-high .TED .stockings .would .be .contraindicated .because .the .top .end .of .the .TED .hose .will .likely .create .shear .on .the .anterior .and .inner .thighs, .where .new .skin .grafts .are .still .at .risk .of .breaking .open.
A: .A .resistive .exercise .program .is .contraindicated .because .it .would .compromise .the .involved .joints.
C: .A .taping .program .would .not .be .recommended, .unless .the .child .with .JRA .had .a .comorbid .condition.
D: .A .pacing .program .would .not .be .recommended, .unless .the .child .with .JRA .had .a .comorbid .condition
An .OTR® .is .measuring .a .client .for .a .new .wheelchair. .The .client's .hip .width .is. 18 .inches. .The .client .does .not .use .any .lateral .trunk .supports .but .lives .in .a .cold .climate .and .frequently .wears .bulky .clothing. .What .seat .width .should .the .OTR® .recommend? A. 16 .inches B. 18 .inches C. 20 .inches
D. 22 .inches .✔✔C: .A .clearance .of .1-2 .inches .bilaterally .between .the .hips .and .the .side .of .the
.wheelchair .is .recommended. .Two .inches .will .more .easily .accommodate .bulky .clothing.
A .client .with .spinal .cord .injury .has .been .on .bedrest .for .several .days. .The .OTR®; .is .preparing .to .begin .mobility .activities .with .the .client. .Which .device .is .BEST .to .use .for .mobilizing .the .client? A. Stander .or .standing .table B. Standard .wheelchair C. Tilt-in-space .wheelchair
D. Mat .table .for .sitting .✔✔C: .Orthostatic .hypotension .often .occurs .with .deconditioning .from
.bed .rest, .and .a .tilt-in-space .wheelchair .allows .the .client .to .be .reclined .quickly .if .the .client's .blood .pressure .drops .too .low .in .sitting.
A: .When .first. getting .a .client .upright .after .a .traumatic .injury, .a .standing .table .may .present .too
. great .a .challenge.
B: .A .standard .wheelchair .does .not .allow .the .client .to .be .reclined .quickly .if .he .or .she .experiences .a .change .in .blood .pressure.
D: .Sitting .upright .on .a .mat .table .may .present .too .great .a .challenge .immediately .after .a .prolonged .period .of .bed .rest.
An .OTR® .is .working .at .an .after-school .program .connected .to .a .women's .homeless .shelter. .The .OTR® .is .engaged .in .a .conversation .with .the .mother .of .a .10-year-old .boy; .she .says .that .the .child .has .recently .loss .quite .a .bit .of .weight .and .is .excessively .thirsty. .To .which .specialist .should .the .child .be .referred? A. Pediatrician B. Endocrinologist C. Neurologist
D. Audiologist .✔✔B: .These .factors, .along .with .polyuria .and .dehydration, .are .common .signs
.of .Type. 1 .diabetes. .Onset .is .usually .around .age .10. .The .appropriate .referral .would .be .to .an .endocrinologist.
A: .A .pediatrician .would .refer .the .child .to .an .endocrinologist.
C: .A .neurologist .would .be .the .appropriate .referral .if .the .OTR® .had .neurological .concerns .(e.g., .cognitive, .learning, .or .motor .concerns .stemming .from .an .upper .motor .neuron .or .lower .motor .neuron .incident).
D: .An .audiologist .would .be .the .appropriate .referral .if .the .OTR® .had .concerns .regarding .the .child's .hearing.
A .client .with .developmental .coordination .disorder .is .referred .for .evaluation .by .the .transition .services .team .at .a .high .school. .Which .assessment .is .the .MOST .appropriate .for .the .OTR® .to .complete .first .with .the .client? A. Self-Directed .Search B. Cognitive .Status .Examination
D. Controlled .early .active .mobilization .approach .✔✔B: .Children .younger .than .age. 12 .are
.usually .placed .on .an .immobilization .protocol .because .of .their .low .maturity .level .and .low .ability .to .comply .with .the .exercises .and .precautions .of .other .protocols.
A, .C, .D: .Immediate .or .early .mobilization .protocols .involve .glide .of .the .tendon .in .the .early .phases .of .postoperative .healing. .Children .under .age. 12 .may .not .have .the .maturity .level .or .ability .to .understand .precautions .and .adhere .to .exercise .guidelines.
A .resident .in .a .long .term .care .facility .has .a .severe .elbow .contracture. .The .OTR® .has .just .finished .applying .a .bivalved .splint .to .provide .low .load .prolonged .stress .to .the .affected .elbow. .What .MUST .the .OTR® .do .as .part .of .the .care .plan .for .maximizing .the .effectiveness .of .this .splinting .intervention? A. Supplement .the .splint .wear .schedule .with .high .brief-load .stretches .for .1-2 .minutes .at .least
. 3 .times .per .day. B. Advise .the .resident .that .the .stretch .will .be .uncomfortable .but .needs .to .be .tolerated .for .at .least .several .hours .at .a .time. C. Provide .nursing .staff .with .specific .instructions .for .a .graded .daily .splint-wearing .schedule. D. Ensure .the .evening .nursing .shift .has .documented .orders .to .apply .the .splint .just .before .the
.resident .goes .to .sleep. .✔✔C: .An .extremely .tight .elbow .will .require .a .graded .splint .wear
.schedule .for .maximum .comfort, .and .staff .education .is .essential .to .ensure .compliance .with .a .proper .wear .schedule.
A: .High .brief-load .stretches .throughout .the .day .do .not .achieve .elongation .of .tissues .over .time .and .are .not .beneficial .in .this .situation.
B: .The .resident .should .not .be .uncomfortable .while .wearing .the .splint .because .the .splint .should .place .a .slight .stress .that .is .tolerable .for .the .resident .over .a .significant .amount .of .time.
D: .Low-load .stress .needs .to .be .applied .for .a .duration .of .6-8 .hours .frequently .so .applying .the .splint .just .before .sleep .will .not .be .the .optimal .wear .schedule. .Initially, .the .resident .will .likely .only .tolerate .3-4 .hours .of .splint .wear, .so .use .during .the .daytime .will .be .necessary .for .optimum .progress.
A .client .with .oculomotor .dysfunction .and .double .vision .is .referred .for .occupational .therapy .evaluation. .What .is .the .MOST .appropriate .way .for .the .OTR® .to .begin .this .evaluation? A. Determine .possible .limitations .in .daily .occupations .secondary .to .double .vision B. Determine .the .etiology .of .the .oculomotor .dysfunction .that .is .causing .double .vision C. Provide .occlusion .for .the .client .to .reduce .the .visual .stress .caused .by .double .vision D. Provide .eye .exercises .for .the .client .to .reduce .the .visual .stress .caused .by .double .vision
.✔✔A: .The .purpose .of .an .occupational .therapy .evaluation .is .to .determine .whether .the .client .is
.experiencing .limitations .in .daily .occupations .because .of .dysfunction, .in .this .case .in .the .client's .oculomotor .system.
B: .Determining .the .etiology .of .the .double .vision .is .the .role .of .the .optometrist .or .ophthalmologist.
C, .D: .Occlusion .and .eye .exercises .are .intervention .approaches .for .double .vision; .however, .neither .would .be .appropriate .for .an .OTR .to .prescribe .without .supervision .by .an .optometrist .or .ophthalmologist.
A .client .who .had .a .total .hip .replacement. 2 .days .ago .with .severe .kyphosis .as .a .result .of .osteoporosis .is .referred .to .occupational .therapy. .The .chart .notes .that .the .client .has .been .demonstrating .signs .of .malnutrition .for .the .past. 4 .months. .What .is .the .FIRST .evaluation .the .OTR® .should .complete? A. Evaluation .of .eating B. Evaluation .of .meal .preparation C. Evaluation .of .knowledge .of .nutrition
D. Evaluation .of .feeding .✔✔A: .Kyphosis .often .leads .to .deficits .in .eating .skills .(e.g., .the .ability
.to .keep .and .manipulate .food .or .fluid .in .the .mouth .and .swallow .it).
B: .The .hip .fracture .would .have .affected .the .client's .ability .to .complete .meal .preparations, .but .it .is .not .an .underlying .cause .of .the .malnutrition .because .the .hip .fracture .is .recent .and .the .malnutrition .is .longstanding.
An .OTR® .is .evaluating .a .child .with .Level. 1 .autism .spectrum .disorder .without .intellectual .impairment .(Asperger .syndrome). .At .1:05 .p.m., .the .child .pulls .out .a .smartphone .and .says, ."It's .1:05. .I .have .to .check .the .weather." .What .response .to .this .behavior .would .be .MOST .effective? A. Redirect .the .behavior .to .a .more .appropriate .one B. Insist .that .the .child .put .the .cell .phone .away .during .the .evaluation C. Find .out .more .about .the .child's .insistence .on .checking .the .weather
D. Introduce .the .child .to .a .new .weather .app .for .the .smart .phone .✔✔C: .An .evaluation
.includes .identification .of .factors .that .affect .participation .in .occupation, .and .this .ritual .is .one .such .factor. .It .is .good .client-centered .practice .to .obtain .the .client's .perspective .on .what .the .weather .at .1:05 .means .to .this .person .and .to .gather .enough .information .about .it .to .determine .whether .this .factor .is .a .strength .or .a .weakness.
A, .C: .Interrupting .a .ritualistic .behavior .may .provoke .anxiety .or .a .meltdown, .which .would .render .the .remaining .data .the .OTR® .gathers .unreliable. .Keeping .the .client .functioning .at .his .or .her .optimal .level .by .reducing .and .minimizing .anxiety .is .essential .to .the .evaluation .process.
D: .Introducing .the .client .to .a .new .weather .app .is .more .appropriate .in .evaluating .the .ability .to .adapt .to .new .learning.
A .COTA® .in .a .short-term .acute .care .psychiatric .hospital .is .leading .a .psychodynamic .group. .Which .of .the .following .activities .would .be .the .MOST .appropriate .for .this .group? A. Paint .by .number B. Crossword .puzzles C. Free-form .clay .building
D. Decorating .gingerbread .cookies .✔✔C: .Free-form .clay .building .allows .for .the .least .amount
.of .structure. .Clients .are .free .to .form .the .clay .however .they .want, .so .the .piece .takes .on .a .symbolic .meaning .important .to .the .client.
A: .Painting .by .number .is .highly .structured, .with .minimal .opportunity .for .a .participant .to .express .subconscious .thoughts .and .feelings.
B: .Crossword .puzzles .provide .minimal .opportunity .for .self-expression .or .for .conflicts .in .the .psyche .to .emerge.
D: .Decorating .gingerbread .cookies .involves .some .choice .in .expression .and .the .potential .to .evoke .body-related .thoughts .and .feelings, .but .free-form .clay .building .has .less .structure .and .is .a .more .effective .activity .for .this .group.
An .OTR® .is .working .with .a .client .in .an .inpatient .psychiatric .facility .and .decides .to .use .the .Allen .Cognitive .Level .Screen .to .assess .cognitive .functioning. .Which .goals .would .be .appropriate .on .the .basis .of .the .Cognitive .Disabilities .Model? A. The .client .will .demonstrate .appropriate .coping .skills .in .identified .stressful .situations .with .100% .success. B. The .client .will .independently .apply .relaxation .techniques .and .report .relief .from .stress .at .0/10 .after .using .the .technique. C. The .client .will .apply .grounding .techniques .with .100% .accuracy .as .a .preventative .measure .to .reduce .over-stimulation. D. The .client .will .be .discharged .home .from .the .inpatient .psychiatric .unit .with .daily .checks
.from .caregiver .to .address .novel .safety .needs .in .the .home .environment. .✔✔D: .The .Cognitive
.Disabilities .Model .assesses .the .client's .current .cognitive .functioning .to .maximize .supports .in .the .environment .that .will .facilitate .maximal .occupational .performance. .This .goal .suggests .that .after .discharge, .the .client .will .be .placed .in .an .environment .that .will .successfully .manage .the .client's .current .cognitive .ability .through .appropriate .environmental .supports.
A: .This .goal .is .based .on .a .cognitive-behavioral .approach, .not .the .Cognitive .Disabilities
.Model. .B: .This .goal .is .based .on .the .behavioral .approach, .not .the .Cognitive .Disabilities
.Model.
C: .This .goal .is .based .on .a .sensorimotor .approach, .not .the .Cognitive .Disabilities .Model.
A .76-year-old .client .will .be .using .a .wheelchair .after .discharge .from .an .acute .rehabilitation .facility. .The .client .has .achieved .independence .in. wheelchair .mobility .on .level .surfaces .but .still .requires
