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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