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When the OT suspects tactile defensiveness as a rationale for a child's
challenges, in what area of participation should the OT focus on FIRST?
A. Play behavior
B. Dressing habits
C. Social skills
D. Leisure interests
B. Dressing habits
Children with tactile defensiveness are "bothered by tactile aspects of
daily living activities.... specific types of clothing. specific textures
materials". The child may be
bothered by certain textures or avoid wearing turtlenecks, socks, or shoes.
Conversely, some children may never take off their shoes to avoid tactile
stimulation. Play behavior (answer A), social skills (answer C), and the choice
of hobbies (answer D) could be
affected secondarily, as a result of intolerance to certain textures or human
touch. Knowledge of the child's dressing habits will give the OT key information
at the start of the evaluation process.
,An OT is working with an individual with schizophrenia who is in the process of
preparing to move from a state hospital to a group home. During a baking
group, the client becomes agitated and leaves the room when another client
uses the electric hand mixer to mix the cake batter, and again when two
clients begin to argue loudly about which type of icing to use. How would the
OT BEST describe the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior,
characterized by a low threshold to stimuli perceived as noxious, followed by
an active response such as leaving the room. Individuals with sensory
avoiding behavior may "become distressed in situations in which they cannot
control the environment" and "do well in low stimulus
situation or settings that others find dull". An individual with low registration
(answer A), sensory seeking behavior (answer C), or a hearing impairment
(answer D) would not
have difficult with the auditory stimulation caused by the roar of the mixer
or loud voices.
,During a self-care evaluation of an individual who recently sustained a brain
injury, the OT instructs the individual to comb his hair immediately after he
washes his face. The
individual washes his face quickly, but then the therapist must give him several
reminders to comb his hair. The OT is MOST likely to identify this as a deficit in
what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
A. Working memory
"Working memory is the temporary storage of information while one is working
with it or attending to it. It includes the ability to recall information immediately
after exposure. It allows one to focus conscious attention and keeps track of
information as one is
performing an activity". This individual's inability to comb is hair without
reminders suggests a deficit in working memory (answer A). Judgment (answer
B), the ability to make realistic and safe decisions based on available
environmental information, would not be needed for this task. Because the
person performed the first request, hearing (answer C) would seem to be
intact. Abstraction (answer D) is the ability to extrapolate information from an
idea to generalize to another situation and would not be needed to follow this
direction.
, A supermarket employee with obsessive-compulsive disorder takes an hour to
stock 24 soup cans on the shelf because once he has placed the cans on the
shelf, he removes them and starts over, stating that "all labels were not lines up
exactly in the same
direction." Which of the following methods would MOST effectively
evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on the requirements of the job
D. Task evaluation using a "clean" medium such as a
puzzle that is right
A. On-site observation of performance skills
An OT has been working with an individual who is recovering from a TBI. A
standard pivot transfer has been successfully demonstrated in the gym. The
MOST appropriate way to assess generalization of this new learning would be
to have the patient perform which activity?
A. Identify potential hazards in the patient's bathrooms that could make transfers
unsafe
B. Select an appropriate tub bench and nonskid mat for the patient's bathroom at
home
C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
hospital room
D. Attempt a sliding board transfer from wheelchair to tub
C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
hospital room