SIMULATION 3 EXAM QUESTIONS WITH
100% CORRECT ANSWERS
An individual with a history of anger self-control issues has met the goals of
independently identifying anger-provoking stressors in his home and work life and
identifying his typical behaviors in anger-provoking situations. What action should the
OT take NEXT?
A. Initiate training in conflict resolution strategies.
B. Utilize creative media to explore situations that trigger anger.
C. Implement use of journaling to identify stressors and responses.
D. Recommend discontinuation of occupational therapy services. - Answer- A. Initiate
training in conflict resolution strategies.
A child who has had a traumatic brain injury (TBI) demonstrates tongue thrust. What
should the OT do FIRST, prior to feeding?
A. Position the child's trunk, head, neck, and shoulders in proper alignment.
B. Recline the child's seat backward and position neck in slight extension.
C. Place the OT's digits directly under the child's chin, facilitating tongue retraction.
D. Provide upward pressure under the child's lower jaw prior to chewing. - Answer- A.
Position the child's trunk, head, neck, and shoulders in proper alignment.
The OT is working individually with a client who has demonstrated anger and
aggression on several occasions. When the OT observes the client becoming
increasingly restless, then yelling, what is the FIRST action the OT should take?
A. Remove himself/herself from physical proximity of the client altogether.
B. Provide the client with the choice to talk about it or end the session.
C. Call for help to escort the client to the emergency room.
D. Leave the door to the treatment room open. - Answer- B. Provide the client with the
choice to talk about it or end the session.
An individual reports that back pain during sexual activity is so severe that it prevents
any enjoyment. The BEST strategy to recommend is to:
A. use a side-lying position.
B. time sexual activity for periods of high energy.
C. avoid discussing pain with the sexual partner because it may be a "turn off."
,D. encourage client to identify alternative methods with the partner for meeting sexual
needs that do not cause pain. - Answer- D. encourage client to identify alternative
methods with the partner for meeting sexual needs that do not cause pain.
An OT consults with the parents of a child with anxiety disorder and challenging
behavior that interfere with homework completion. They consider modifications to the
child's bedroom and homework routine. What recommendation would BEST help the
child with self-organization skills?
A. Providing open storage space for clothing and school supplies for easy access
B. Painting walls and furniture in bright colors to create a cheerful environment and
hanging-a-picture schedule.
C. Adding cabinets with labeled compartments to store items out of sight and creating a
consistent nightly routine.
D. Giving the child a choice about when he wants to complete homework - Answer- C.
Adding cabinets with labeled compartments to store items out of sight and creating a
consistent nightly routine.
An OT making a bedside visit finds the patient poorly positioned with an edematous
upper extremity caught between the mattress and the bed rail. The MOST appropriate
intervention to address the edema in the upper extremity is to:
A. elevate the arm on pillows so it rests higher than the heart.
B. massage the arm gently, stroking toward the fingers.
C. instruct the patient to avoid active range of motion.
D. suggest the patient avoid passive range of motion. - Answer- A. elevate the arm on
pillows so it rests higher than the heart.
An OT is working with the family of a 3-year-old child who lacks sitting balance in the
bathtub. The family's insurance does not cover durable medical equipment costs. What
should the OT recommended for this child who loves bath time?
A. Place a foam-lined plastic laundry basket in the tub for use with direct adult
supervision at all times.
B. Wrap a horseshoe-shaped inflatable bath collar around the child's neck while bathing
C. Utilize a bath hammock in the tub while bathing.
D. Suggest that the child shower in a standing position instead of bathing in the tub. -
Answer- A. Place a foam-lined plastic laundry basket in the tub for use with direct adult
supervision at all times.
An OT is advising the parents of a 5-year-old child with athetoid cerebral palsy about
the type of toy they might buy to facilitate their child's construction play. What is the
BEST type of toy to recommend for this child?
A. Large magnetized shapes and blocks.
B. Blocks that are small and have a firm surface.
,C. Soft, non hardening modeling clay in a variety of colors.
D. Colorful books with heavy paper or laminated pages. - Answer- A. Large magnetized
shapes and blocks.
An individual with Parkinson's disease has particular difficulty with both starting and
stopping movements. What is the BEST strategy for the OT to teach the individual and
their caregivers?
A. Perform a deep-breathing exercise when movement is
"frozen."
B. Practice the starting phase of the movement repeatedly.
C. Encourage the client to mentally identify the series of steps needed to initiate the
movement.
D. Avoid crowds and potential distractions, and perform tasks slowly while walking. -
Answer- D. Avoid crowds and potential distractions, and perform tasks slowly while
walking.
An individual who is functioning at Allen's Cognitive Level 4 has difficulty remembering
to take his medication twice daily. Which of the following is the MOST appropriate
recommendation?
A. Instruct the client to take medication at 9 a.m. and 9 p.m.
B. Place a card near the refrigerator showing the blue pill with a picture of breakfast and
a white pill with a picture of lunch.
C. Teach the caregiver to remind the client to take medication twice daily.
D. Teach the caregiver to place pills into client's hands at the designated times. -
Answer- B. Place a card near the refrigerator showing the blue pill with a picture of
breakfast and a white pill with a picture of lunch.
A sixth grader with poor upper extremity control due to fluctuating muscle tone needs an
adapted computer for communication. What is the BEST adaptation to allow for
computer use?
A. Single pressure switch, firmly mounted within easy reach.
B. Lightweight keyboard placed at midline.
C. Low-resistance mouse and pad.
D. Mercury switch headband set to respond to minimal movement. - Answer- A. Single
pressure switch, firmly mounted within easy reach.
An OT working with adults with serious persistent mental illness is planning a weight
management program. Based on a lifestyle re-designed model, the OT will begin with a
didactic component. Which of the following is most appropriate for the first session?
A. Participants share stories about past experiences, challenges, and successes when
trying to lose weight.
, B. Participants identify one meal that has personal meaning to them and list substitutes
for the least healthy ingredients.
C. Participants form a cooking group in which they make low-calorie snacks.
D. The OT presents information on nutrition, diet, and their impact on health and
occupations. - Answer- D. The OT presents information on nutrition, diet, and their
impact on health and occupations.
Following the use of a hand-over-hand approach with accompanying verbal cues to help
a child practice bringing the spoon with food to her mouth, the OT is ready to reduce
cuing. Which is the BEST method that represents the next step in cue reduction?
A. Using an index finger on the child's wrist, OT guides the hand with a spoon to child's
mouth.
B. OT cuts child's food into pieces for easier spearing
C. As child brings spoon to her mouth, OT reinforces by saying "spoon in."
D. OT implements a sticker chart to reinforce a child's successful eating. - Answer- A.
Using an index finger on the child's wrist, OT guides the hand with a spoon to child's
mouth.
An individual who previously worked as a cashier in a clothing store has been referred
to a work-hardening program following knee surgery. Limitations are present in standing
tolerance and balance. The simulated activity that BEST prepares this individual to
return to work is:
A. moving piles of clothing from one end of the clinic to the other.
B. folding clothing and putting it in a basket while standing.
C. washing dishes while standing.
D. putting price tags on clothing while seated. - Answer- B. folding clothing and putting it
in a basket while standing.
An individual has a history of substance abuse and poor social skills and is cognitively
intact. She has enrolled in a program with an emphasis on developing skills to live
independently in the community. The philosophy of the facility is guided by the recovery
model. Which assessment should be part of the initial evaluation?
A. Functional Independence Measure (FIM).
B. Assessment of Motor and Process Skills (AMPS).
C. Canadian Occupational Performance Measure (COPM).
D. Allen Diagnostic Module (ADM). - Answer- C. Canadian Occupational Performance
Measure (COPM).
An individual requires 40% to 50% assistance from the OT to transfer from a
wheelchair to a sliding board and to lIft his legs from the wheelchair into and out of a
bathtub. According to Functional Independence Measure (FIM) Levels, the individual
will require which level of assistance to complete the transfer?
100% CORRECT ANSWERS
An individual with a history of anger self-control issues has met the goals of
independently identifying anger-provoking stressors in his home and work life and
identifying his typical behaviors in anger-provoking situations. What action should the
OT take NEXT?
A. Initiate training in conflict resolution strategies.
B. Utilize creative media to explore situations that trigger anger.
C. Implement use of journaling to identify stressors and responses.
D. Recommend discontinuation of occupational therapy services. - Answer- A. Initiate
training in conflict resolution strategies.
A child who has had a traumatic brain injury (TBI) demonstrates tongue thrust. What
should the OT do FIRST, prior to feeding?
A. Position the child's trunk, head, neck, and shoulders in proper alignment.
B. Recline the child's seat backward and position neck in slight extension.
C. Place the OT's digits directly under the child's chin, facilitating tongue retraction.
D. Provide upward pressure under the child's lower jaw prior to chewing. - Answer- A.
Position the child's trunk, head, neck, and shoulders in proper alignment.
The OT is working individually with a client who has demonstrated anger and
aggression on several occasions. When the OT observes the client becoming
increasingly restless, then yelling, what is the FIRST action the OT should take?
A. Remove himself/herself from physical proximity of the client altogether.
B. Provide the client with the choice to talk about it or end the session.
C. Call for help to escort the client to the emergency room.
D. Leave the door to the treatment room open. - Answer- B. Provide the client with the
choice to talk about it or end the session.
An individual reports that back pain during sexual activity is so severe that it prevents
any enjoyment. The BEST strategy to recommend is to:
A. use a side-lying position.
B. time sexual activity for periods of high energy.
C. avoid discussing pain with the sexual partner because it may be a "turn off."
,D. encourage client to identify alternative methods with the partner for meeting sexual
needs that do not cause pain. - Answer- D. encourage client to identify alternative
methods with the partner for meeting sexual needs that do not cause pain.
An OT consults with the parents of a child with anxiety disorder and challenging
behavior that interfere with homework completion. They consider modifications to the
child's bedroom and homework routine. What recommendation would BEST help the
child with self-organization skills?
A. Providing open storage space for clothing and school supplies for easy access
B. Painting walls and furniture in bright colors to create a cheerful environment and
hanging-a-picture schedule.
C. Adding cabinets with labeled compartments to store items out of sight and creating a
consistent nightly routine.
D. Giving the child a choice about when he wants to complete homework - Answer- C.
Adding cabinets with labeled compartments to store items out of sight and creating a
consistent nightly routine.
An OT making a bedside visit finds the patient poorly positioned with an edematous
upper extremity caught between the mattress and the bed rail. The MOST appropriate
intervention to address the edema in the upper extremity is to:
A. elevate the arm on pillows so it rests higher than the heart.
B. massage the arm gently, stroking toward the fingers.
C. instruct the patient to avoid active range of motion.
D. suggest the patient avoid passive range of motion. - Answer- A. elevate the arm on
pillows so it rests higher than the heart.
An OT is working with the family of a 3-year-old child who lacks sitting balance in the
bathtub. The family's insurance does not cover durable medical equipment costs. What
should the OT recommended for this child who loves bath time?
A. Place a foam-lined plastic laundry basket in the tub for use with direct adult
supervision at all times.
B. Wrap a horseshoe-shaped inflatable bath collar around the child's neck while bathing
C. Utilize a bath hammock in the tub while bathing.
D. Suggest that the child shower in a standing position instead of bathing in the tub. -
Answer- A. Place a foam-lined plastic laundry basket in the tub for use with direct adult
supervision at all times.
An OT is advising the parents of a 5-year-old child with athetoid cerebral palsy about
the type of toy they might buy to facilitate their child's construction play. What is the
BEST type of toy to recommend for this child?
A. Large magnetized shapes and blocks.
B. Blocks that are small and have a firm surface.
,C. Soft, non hardening modeling clay in a variety of colors.
D. Colorful books with heavy paper or laminated pages. - Answer- A. Large magnetized
shapes and blocks.
An individual with Parkinson's disease has particular difficulty with both starting and
stopping movements. What is the BEST strategy for the OT to teach the individual and
their caregivers?
A. Perform a deep-breathing exercise when movement is
"frozen."
B. Practice the starting phase of the movement repeatedly.
C. Encourage the client to mentally identify the series of steps needed to initiate the
movement.
D. Avoid crowds and potential distractions, and perform tasks slowly while walking. -
Answer- D. Avoid crowds and potential distractions, and perform tasks slowly while
walking.
An individual who is functioning at Allen's Cognitive Level 4 has difficulty remembering
to take his medication twice daily. Which of the following is the MOST appropriate
recommendation?
A. Instruct the client to take medication at 9 a.m. and 9 p.m.
B. Place a card near the refrigerator showing the blue pill with a picture of breakfast and
a white pill with a picture of lunch.
C. Teach the caregiver to remind the client to take medication twice daily.
D. Teach the caregiver to place pills into client's hands at the designated times. -
Answer- B. Place a card near the refrigerator showing the blue pill with a picture of
breakfast and a white pill with a picture of lunch.
A sixth grader with poor upper extremity control due to fluctuating muscle tone needs an
adapted computer for communication. What is the BEST adaptation to allow for
computer use?
A. Single pressure switch, firmly mounted within easy reach.
B. Lightweight keyboard placed at midline.
C. Low-resistance mouse and pad.
D. Mercury switch headband set to respond to minimal movement. - Answer- A. Single
pressure switch, firmly mounted within easy reach.
An OT working with adults with serious persistent mental illness is planning a weight
management program. Based on a lifestyle re-designed model, the OT will begin with a
didactic component. Which of the following is most appropriate for the first session?
A. Participants share stories about past experiences, challenges, and successes when
trying to lose weight.
, B. Participants identify one meal that has personal meaning to them and list substitutes
for the least healthy ingredients.
C. Participants form a cooking group in which they make low-calorie snacks.
D. The OT presents information on nutrition, diet, and their impact on health and
occupations. - Answer- D. The OT presents information on nutrition, diet, and their
impact on health and occupations.
Following the use of a hand-over-hand approach with accompanying verbal cues to help
a child practice bringing the spoon with food to her mouth, the OT is ready to reduce
cuing. Which is the BEST method that represents the next step in cue reduction?
A. Using an index finger on the child's wrist, OT guides the hand with a spoon to child's
mouth.
B. OT cuts child's food into pieces for easier spearing
C. As child brings spoon to her mouth, OT reinforces by saying "spoon in."
D. OT implements a sticker chart to reinforce a child's successful eating. - Answer- A.
Using an index finger on the child's wrist, OT guides the hand with a spoon to child's
mouth.
An individual who previously worked as a cashier in a clothing store has been referred
to a work-hardening program following knee surgery. Limitations are present in standing
tolerance and balance. The simulated activity that BEST prepares this individual to
return to work is:
A. moving piles of clothing from one end of the clinic to the other.
B. folding clothing and putting it in a basket while standing.
C. washing dishes while standing.
D. putting price tags on clothing while seated. - Answer- B. folding clothing and putting it
in a basket while standing.
An individual has a history of substance abuse and poor social skills and is cognitively
intact. She has enrolled in a program with an emphasis on developing skills to live
independently in the community. The philosophy of the facility is guided by the recovery
model. Which assessment should be part of the initial evaluation?
A. Functional Independence Measure (FIM).
B. Assessment of Motor and Process Skills (AMPS).
C. Canadian Occupational Performance Measure (COPM).
D. Allen Diagnostic Module (ADM). - Answer- C. Canadian Occupational Performance
Measure (COPM).
An individual requires 40% to 50% assistance from the OT to transfer from a
wheelchair to a sliding board and to lIft his legs from the wheelchair into and out of a
bathtub. According to Functional Independence Measure (FIM) Levels, the individual
will require which level of assistance to complete the transfer?
