Test Bank For Physical Dysfunction Practice
Skills for the Occupational Therapy Assistant
3rd Edition -Author: Mary Beth Early
@2024
,Chapter 1. Occupational Therapy and Physical Disabilities
1. A client with a spinal cord injury is receiving occupational therapy
services. Which of the following is the best role of the Occupational
Therapy Assistant (OTA) in this scenario?
A. Developing the treatment plan
B. Administering evaluations
C. Carrying out interventions based on the OT’s plan
D. Prescribing medications
Answer: C
Rationale: The OTA’s primary role is to implement interventions developed
by the occupational therapist (OT). Developing treatment plans and
administering evaluations are roles of the OT, while prescribing medications
is outside the scope of OT practice.
NCLEX preference: Collaborative practice in patient care.
2. An OTA is working with a client who has had a stroke. The client shows
difficulty in dressing due to hemiparesis. Which intervention would be
most appropriate?
A. Encouraging use of the unaffected hand for dressing
B. Providing dressing aides for both hands
C. Avoiding dressing tasks until full recovery
D. Allowing family members to assist in dressing
Answer: A
Rationale: Encouraging use of the unaffected hand promotes independence
and self-care. Dressing aids can be helpful, but should be targeted toward the
affected side for rehabilitation.
NCLEX preference: Promoting functional independence in rehabilitation.
3. Which principle is most important when the OTA is implementing
interventions for a patient with a degenerative physical condition?
A. Focusing on short-term goals
B. Maintaining the patient's current level of function
C. Prioritizing rest over physical activity
D. Discontinuing treatment if the client becomes frustrated
Answer: B
Rationale: In degenerative conditions, maintaining function is key to
prolonging independence. Short-term goals and activity can still be useful
, but must focus on sustaining function.
NCLEX preference: Long-term care planning and preservation of function.
4. An OTA is assigned to work with a client who has a lower extremity
amputation. What is the best initial intervention to promote mobility?
A. Strength training exercises
B. Practicing transfers with the use of assistive devices
C. Fitting the client for a prosthetic limb
D. Providing wheelchair mobility training
Answer: B
Rationale: Practicing transfers and mobility with assistive devices is the
most practical intervention to enhance the client’s independence after
amputation. Prosthetic fitting happens later in rehabilitation.
NCLEX preference: Promoting client mobility and safety.
5. The nurse is assessing a client with multiple sclerosis (MS). What role
does the OTA play in the patient’s care?
A. Conducting the full neurological evaluation
B. Teaching the client energy conservation techniques
C. Diagnosing the stage of multiple sclerosis
D. Prescribing assistive technology
Answer: B
Rationale: The OTA’s role is to teach clients strategies like energy
conservation to manage symptoms. The OT conducts evaluations, and
diagnosis and prescription are outside the OTA's scope.
NCLEX preference: Health education and promotion.
6. An OTA working in an acute care setting is treating a patient post-hip
replacement. What would be the most important initial consideration?
A. Assessing the client’s pain level
B. Educating the client about hip precautions
C. Evaluating the range of motion
D. Instructing the client on transferring in and out of bed
Answer: B
Rationale: Educating the client on hip precautions is critical to prevent
dislocation post-surgery. Other interventions, like transfer training, can
follow after ensuring the client knows how to protect the hip joint.
NCLEX preference: Safety measures in postoperative care.
7. A client with rheumatoid arthritis is experiencing increased joint pain
and swelling. What should the OTA focus on during intervention?
A. Performing high-intensity resistance exercises
B. Providing joint protection techniques and adaptive equipment
C. Encouraging the client to push through the pain
, D. Avoiding any physical activity
Answer: B
Rationale: Joint protection and the use of adaptive equipment can reduce
strain on the joints, which is essential in managing rheumatoid arthritis.
High-intensity exercises could worsen symptoms.
NCLEX preference: Pain management and functional rehabilitation.
8. In a physical rehabilitation setting, what is the primary focus of
occupational therapy for clients with physical disabilities?
A. Diagnosing the cause of the disability
B. Rehabilitating and maximizing functional independence
C. Prescribing medications to manage symptoms
D. Correcting all physical impairments
Answer: B
Rationale: The goal of occupational therapy is to rehabilitate and maximize
the client’s functional independence, not necessarily to correct all
impairments.
NCLEX preference: Supporting functional independence in care.
9. What is the most effective way for an OTA to promote participation in
daily living tasks for a client with Parkinson's disease?
A. Encouraging fast-paced movement during tasks
B. Teaching compensatory strategies to manage tremors
C. Requiring the client to perform tasks independently without assistance
D. Focusing only on upper extremity exercises
Answer: B
Rationale: Teaching compensatory strategies, such as using adaptive
devices, helps clients manage tremors and maintain independence in daily
activities.
NCLEX preference: Promoting patient-centered care and independence.
10.Which of the following is an appropriate OTA intervention for a client
with a traumatic brain injury (TBI) who has cognitive impairments?
A. Administering cognitive assessments
B. Implementing cognitive rehabilitation strategies to improve memory
C. Discontinuing therapy when cognitive deficits are evident
D. Allowing the client to rest indefinitely until cognitive function returns
Answer: B
Rationale: The OTA can implement cognitive rehabilitation strategies, such
as memory aids, under the guidance of an OT to help improve the client’s
cognitive function.
NCLEX preference: Cognitive and neurological rehabilitation techniques.
Skills for the Occupational Therapy Assistant
3rd Edition -Author: Mary Beth Early
@2024
,Chapter 1. Occupational Therapy and Physical Disabilities
1. A client with a spinal cord injury is receiving occupational therapy
services. Which of the following is the best role of the Occupational
Therapy Assistant (OTA) in this scenario?
A. Developing the treatment plan
B. Administering evaluations
C. Carrying out interventions based on the OT’s plan
D. Prescribing medications
Answer: C
Rationale: The OTA’s primary role is to implement interventions developed
by the occupational therapist (OT). Developing treatment plans and
administering evaluations are roles of the OT, while prescribing medications
is outside the scope of OT practice.
NCLEX preference: Collaborative practice in patient care.
2. An OTA is working with a client who has had a stroke. The client shows
difficulty in dressing due to hemiparesis. Which intervention would be
most appropriate?
A. Encouraging use of the unaffected hand for dressing
B. Providing dressing aides for both hands
C. Avoiding dressing tasks until full recovery
D. Allowing family members to assist in dressing
Answer: A
Rationale: Encouraging use of the unaffected hand promotes independence
and self-care. Dressing aids can be helpful, but should be targeted toward the
affected side for rehabilitation.
NCLEX preference: Promoting functional independence in rehabilitation.
3. Which principle is most important when the OTA is implementing
interventions for a patient with a degenerative physical condition?
A. Focusing on short-term goals
B. Maintaining the patient's current level of function
C. Prioritizing rest over physical activity
D. Discontinuing treatment if the client becomes frustrated
Answer: B
Rationale: In degenerative conditions, maintaining function is key to
prolonging independence. Short-term goals and activity can still be useful
, but must focus on sustaining function.
NCLEX preference: Long-term care planning and preservation of function.
4. An OTA is assigned to work with a client who has a lower extremity
amputation. What is the best initial intervention to promote mobility?
A. Strength training exercises
B. Practicing transfers with the use of assistive devices
C. Fitting the client for a prosthetic limb
D. Providing wheelchair mobility training
Answer: B
Rationale: Practicing transfers and mobility with assistive devices is the
most practical intervention to enhance the client’s independence after
amputation. Prosthetic fitting happens later in rehabilitation.
NCLEX preference: Promoting client mobility and safety.
5. The nurse is assessing a client with multiple sclerosis (MS). What role
does the OTA play in the patient’s care?
A. Conducting the full neurological evaluation
B. Teaching the client energy conservation techniques
C. Diagnosing the stage of multiple sclerosis
D. Prescribing assistive technology
Answer: B
Rationale: The OTA’s role is to teach clients strategies like energy
conservation to manage symptoms. The OT conducts evaluations, and
diagnosis and prescription are outside the OTA's scope.
NCLEX preference: Health education and promotion.
6. An OTA working in an acute care setting is treating a patient post-hip
replacement. What would be the most important initial consideration?
A. Assessing the client’s pain level
B. Educating the client about hip precautions
C. Evaluating the range of motion
D. Instructing the client on transferring in and out of bed
Answer: B
Rationale: Educating the client on hip precautions is critical to prevent
dislocation post-surgery. Other interventions, like transfer training, can
follow after ensuring the client knows how to protect the hip joint.
NCLEX preference: Safety measures in postoperative care.
7. A client with rheumatoid arthritis is experiencing increased joint pain
and swelling. What should the OTA focus on during intervention?
A. Performing high-intensity resistance exercises
B. Providing joint protection techniques and adaptive equipment
C. Encouraging the client to push through the pain
, D. Avoiding any physical activity
Answer: B
Rationale: Joint protection and the use of adaptive equipment can reduce
strain on the joints, which is essential in managing rheumatoid arthritis.
High-intensity exercises could worsen symptoms.
NCLEX preference: Pain management and functional rehabilitation.
8. In a physical rehabilitation setting, what is the primary focus of
occupational therapy for clients with physical disabilities?
A. Diagnosing the cause of the disability
B. Rehabilitating and maximizing functional independence
C. Prescribing medications to manage symptoms
D. Correcting all physical impairments
Answer: B
Rationale: The goal of occupational therapy is to rehabilitate and maximize
the client’s functional independence, not necessarily to correct all
impairments.
NCLEX preference: Supporting functional independence in care.
9. What is the most effective way for an OTA to promote participation in
daily living tasks for a client with Parkinson's disease?
A. Encouraging fast-paced movement during tasks
B. Teaching compensatory strategies to manage tremors
C. Requiring the client to perform tasks independently without assistance
D. Focusing only on upper extremity exercises
Answer: B
Rationale: Teaching compensatory strategies, such as using adaptive
devices, helps clients manage tremors and maintain independence in daily
activities.
NCLEX preference: Promoting patient-centered care and independence.
10.Which of the following is an appropriate OTA intervention for a client
with a traumatic brain injury (TBI) who has cognitive impairments?
A. Administering cognitive assessments
B. Implementing cognitive rehabilitation strategies to improve memory
C. Discontinuing therapy when cognitive deficits are evident
D. Allowing the client to rest indefinitely until cognitive function returns
Answer: B
Rationale: The OTA can implement cognitive rehabilitation strategies, such
as memory aids, under the guidance of an OT to help improve the client’s
cognitive function.
NCLEX preference: Cognitive and neurological rehabilitation techniques.
