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INSTRUCTOR RESOURCES TESTBANK for Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Amy J. Mahle -TESTBANK

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INSTRUCTOR RESOURCES TESTBANK for Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Amy J. Mahle -TESTBANK

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, TESTBANK for Adult Physical Conditions
Intervention Strategies for Occupational Therapy
Assistants 2nd Edition Amy J. Mahle
Notes
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,Chapter 01

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. An OTA is working with a client who previously sustained a spinal cord injury and is now utilizing a
wheelchair. The client’s job is being modified because the client will be unable to resume full job
responsibilities as a first-grade teacher. Under the International Classification of Functioning and
Disability, how would this scenario be BEST categorized?
a. Impairment c. Participation restriction
b. Activity limitation d. Disability

____ 2. An OTA is working on a committee to help ensure that public transportation settings continue to
offer accessibility for individuals with disabilities. What law is the OTA MOST LIKELY
considering when making these recommendations?
a. Americans with Disabilities Act (ADA)
b. Individuals with Disabilities Education Act (IDEA)
c. World Health Organization (WHO)
d. Health Insurance Portability and Accountability Act (HIPAA)

____ 3. Initially, OT practitioners treated individuals with mental illness utilizing a variety of arts and crafts
with an occupational focus as a diversion from their conditions. What would be the BEST term to
describe this focus?
a. Purposeful activity c. Physical rehabilitation
b. Moral treatment d. Mental rehabilitation

____ 4. After World War II, the field of occupational therapy shifted focus to placing wounded veterans in
job-related occupations as a part of the Rehabilitation Movement. How was this different from the
way that OT practitioners previously treated their clients?
a. The client’s specific illness would be treated
b. The client would be treated as a whole person
c. Client-centered goals would guide treatment
d. A moral treatment model would be used

____ 5. What does the term “occupation” in occupational therapy BEST represent?
a. Employment c. Livelihood
b. Purposeful activity

____ 6. In relation to occupational therapy, how is the term “occupation” BEST described?
a. Something a person wants to do
b. A chore that a person has to perform
c. A newly acquired skill a person wants to learn

,____ 7. What occupational therapy model is BEST described as focusing on the understanding and
development of a person’s occupational identity and occupational competence to facilitate adaptation
to the dynamic demands of the life patterns and focuses intervention on a client’s volition and
habituation to lead to improved competence, identity, and occupational adaptation?
a. Model of human occupation (MOHO)
b. Canadian model of occupational performance and engagement (CMOP-E)
c. Person-environment-occupation-performance (PEOP)

____ 8. What occupational therapy model is BEST described as using an array of interconnected and
overlapping circles to explain the interactions between the person, the environment, the person’s
occupations, and the performance of those occupations in five dimensions and centers on
understanding how these dimensions interact with one another to promote well-being and quality of
life?
a. Model of human occupation (MOHO)
b. Canadian model of occupational performance and engagement (CMOP-E) model
c. Person-environment-occupation-performance (PEOP)

____ 9. What occupational therapy model is BEST described as depicting the client at the center, with
spirituality as the core motivating principle, which is foundational for the cognitive, affective, and
physical aspects while being surrounded by the individual’s occupations, followed by the outermost
layer, the environment?
a. Model of human occupation (MOHO)
b. Canadian model of occupational performance and engagement (CMOP-E) model
c. Person-environment-occupation-performance (PEOP)

____ 10. An OTA is working with a client who has diminished grip strength after coming out of a cast for a
forearm fracture. The client is expected to regain full strength with therapy services. The client
complains of difficulty holding a toothbrush. What is the BEST action for the OTA to allow the
client to participate in the purposeful activity of morning ADLs?
a. Suggest home modifications that could be made
b. Hire an in-home caretaker to assist the client
c. Ask family members to dress the client
d. Provide adaptive equipment and techniques

____ 11. An OTA is working with a client who has experienced a spinal cord injury so that she can navigate
the grocery store with more independence. The OTA suggests that the client should go to the grocery
store during off-peak times to allow better maneuverability of her wheelchair. The client is pleased
with her ability to grocery shop with more independence. What is this scenario MOST LIKELY an
example of?
a. Therapeutic use of self c. Occupation
b. Activity adaptation

____ 12. The goals for what frame of reference are MOST closely associated with gaining strength,
increasing ROM, reducing pain or swelling, maintaining joint ROM or strength, and preventing
contractures?

, a. Rehabilitation c. Neurofunctional
b. Biomechanical

____ 13. The goals for what frame of reference are MOST closely associated with adapting techniques or
tools, making changes to the environment, or compensating for difficulties in performing
occupations?
a. Rehabilitation c. Neurofunctional
b. Biomechanical

____ 14. An OTA is working with a college-aged student who sustained a spinal cord injury in a motor
vehicle accident. The student wants to resume attending classes so he can finish his degree. What
would be the BEST suggestion for the OTA to make for this student to begin reintegration into
college life?
a. Explore the accessibility options on campus
b. Inquire about online course options
c. Search for a smaller school in which to enroll
d. Register for classes for the next semester

____ 15. After working with an elderly client who had a total hip replacement, the OTA overhears a
conversation between the client and her caregiver about the client’s lack of independence. The
caregiver states that he will do all of the required ADLs and that the client does not need any of the
adaptive equipment shown. What is the BEST way for the OTA to respond?
a. Provide education on the benefits of the adaptive equipment
b. Respect their wishes and focus treatment on other tasks
c. Tell them they are being a distraction and ask them to leave
d. Inquire about a funding source for the adaptive equipment

____ 16. An OTA is working with a client who has just experienced a cerebrovascular accident (CVA). The
client reports feeling depressed and frustrated with the drastic changes to her life and body and feels
that no one else understands what she is going through. How can the OTA BEST help the client in
this situation?
a. Explain that she can still live her life with the skills that she learns in the therapy
setting
b. Help her find a support group for individuals who have had a similar experience
c. Encourage family to take her to activities that she used to enjoy so she can enjoy
them again
d. Discuss with the physiatrist about the need for a referral for a psychiatric
evaluation

____ 17. If an OTA were using people-first language, how would he MOST LIKELY describe his client?
a. The traumatic brain injury (TBI) in room 220
b. Ms. X who had a TBI
c. Room 220 with a TBI

,____ 18. When working with clients OT practitioners are encouraged to use person-first language (PFL).
What are the BEST examples of PFL? (Choose 3)
a. She is paraplegic
b. He is mentally retarded
c. She had a stroke
d. He had a spinal cord injury
e. She is bed bound
f. He uses a power wheelchair

____ 19. An OTA is working with a client who has recently sustained a spinal cord injury. While talking with
the client and asking about what activities she enjoys doing, the client tends to state that everything
is just a blur and that she cannot recall what she enjoyed doing. What might the client MOST
LIKELY be experiencing?
a. Shock c. Denial
b. Refusal d. Anger

____ 20. An OTA is working in an acute rehabilitation facility with an elderly woman who has recently had a
CVA resulting in left hemiparesis and minimal active range of motion in her shoulder. While talking
about goals, the client states that she cannot wait to pick up her grandchildren when they visit
tonight. What might the client MOST LIKELY be experiencing?
a. Shock c. Denial
b. Refusal d. Anger

____ 21. When a client is preparing for discharge from an outpatient setting, which of the following tasks
would MOST LIKELY be delegated to the OTA?
a. Creating a discharge summary c. Performing a final evaluation
b. Creating a home exercise program

____ 22. Throughout the OT process, an OTA is collaborating with an occupational therapist as the evaluation
and treatment process is carried out. The OTA has demonstrated competence with several assessment
tools and has a good rapport with the clients on her caseload. During the assessment phase, what is
the role of the PRIMARY OTA?
a. Administer and interpret assessment scores for treatment planning
b. Delegate components of the assessment to the occupational therapist
c. Report scores on the standardized assessment and client progress
d. Select the standardized assessments to perform

____ 23. An entry-level OTA is beginning a new job in a rehabilitation facility and will be a part of a team of
OTAs who are supervised by an occupational therapist. Where would the OTA MOST LIKELY
look to find regulatory information about supervision guidelines?
a. The state regulatory body

, b. The healthcare facility’s policies and procedures manual
c. The National Board for Certification in Occupational Therapy
d. The American Occupational Therapy Association

____ 24. What type of team is MOST closely characterized by a group of various professionals from different
disciplines that provide their own care to the client by performing their own evaluations, have
separate treatment goals, and are responsible for their individual scope of practice as they work
independently of each other?
a. Multidisciplinary c. Transdisciplinary
b. Interdisciplinary

____ 25. What type of team is MOST closely characterized by a group of various professionals from different
disciplines that work in the same setting, share information formally and informally, and use team
meetings to systematically coordinate efforts and solve problems as they relate to each discipline?
a. Multidisciplinary c. Transdisciplinary
b. Interdisciplinary

____ 26. An occupational therapist and OTA team are working together and with a client on a sensory
stimulation program. The OTA notices that the client’s feet tend to point downward, and it causes
distress when the feet are moved. After this is discussed during a team conference, the physical
therapist instructs the team how to stretch the heel cords. What model of intervention is this team
MOST LIKELY functioning under?
a. Multidisciplinary c. Transdisciplinary
b. Interdisciplinary

____ 27. A multidisciplinary team is meeting to discuss the progress of a young adult who has been
hospitalized after a motor vehicle accident. What is the MOST LIKELY role of the OTA for
participating in the planning process for this team?
a. Report client and family concerns during team conference
b. Interpret evaluation results and update the client’s plan of care
c. Take notes during the meeting and report the results to the client
d. Provide updates on client progress and report back to the occupational therapist

____ 28. An OTA is treating a client who is about to be discharged to home from inpatient rehabilitation.
Which of the following will the OTA MOST LIKELY do as a part of the discharge planning?
a. Write goals to be sent to the home health therapist
b. Collaborate with the occupational therapist to update the discharge plan
c. Evaluate the client to determine if continued services are needed

,Chapter 01
Answer Section

MULTIPLE CHOICE

1. ANS: C PTS: 1 OBJ: 1.1
2. ANS: A PTS: 1 OBJ: 1.1
3. ANS: B PTS: 1 OBJ: 1.2
4. ANS: A PTS: 1 OBJ: 1.2
5. ANS: B PTS: 1 OBJ: 1.2
6. ANS: A PTS: 1 OBJ: 1.3
7. ANS: A PTS: 1 OBJ: 1.3
8. ANS: C PTS: 1 OBJ: 1.3
9. ANS: B PTS: 1 OBJ: 1.3
10. ANS: D PTS: 1 OBJ: 1.3
11. ANS: B PTS: 1 OBJ: 1.3
12. ANS: B PTS: 1 OBJ: 1.4
13. ANS: A PTS: 1 OBJ: 1.4
14. ANS: A PTS: 1 OBJ: 1.4
15. ANS: A PTS: 1 OBJ: 1.4
16. ANS: B PTS: 1 OBJ: 1.5
17. ANS: B PTS: 1 OBJ: 1.5
18. ANS: C, D, F PTS: 1 OBJ: 1.5
19. ANS: A PTS: 1 OBJ: 1.5
20. ANS: C PTS: 1 OBJ: 1.5
21. ANS: B PTS: 1 OBJ: 1.6
22. ANS: C PTS: 1 OBJ: 1.6
23. ANS: A PTS: 1 OBJ: 1.6
24. ANS: A PTS: 1 OBJ: 1.7
25. ANS: B PTS: 1 OBJ: 1.7
26. ANS: C PTS: 1 OBJ: 1.7
27. ANS: D PTS: 1 OBJ: 1.7
28. ANS: B PTS: 1 OBJ: 1.7

,Chapter 02

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. What are the PRIMARY roles of the American Occupational Therapy Association (AOTA)?
(Choose 3 answers)
a. Advocacy
b. Licensure
c. Educational standards
d. Therapist certification
e. Support research
f. Hospital accreditation

____ 2. A client comes to a treatment session with a look of devastation on her face. Upon discussion, the
client reveals that her elderly parent has just experienced a CVA. The OTA has not experienced
caring for a loved one post-CVA and responds, “I might feel the same way if I were in your
position.” By taking the time to talk with the client, what is the OTA demonstrating?
a. Sorrow c. Sympathy
b. Pity d. Empathy

____ 3. A client comes to a treatment session with a look of devastation on his face. Upon discussion, the
client reveals that his elderly parent has just experienced a CVA. The OTA has not experienced
caring for a loved one post-CVA and responds, “You poor thing. I can’t imagine how hard it will be
to care for your parent now.” What is the OTA MOST accurately demonstrating?
a. Sorrow c. Sympathy
b. Pity d. Empathy

____ 4. An OTA student is doing a Level II fieldwork (FW) placement in a long-term care setting. The
supervising FW educator gives her some feedback on her midterm evaluation that she does not agree
with. What is the BEST way for the student to respond to the FW educator?
a. Take time to process and follow-up with a plan for improvement
b. Immediately inform the educator that the assessment is inaccurate
c. Request to be supervised by a different OT practitioner who works in the same
department
d. Contact the academic FW coordinator and request a new site placement

____ 5. An OTA is working with a client who has been receiving OT services in an outpatient clinic for a
couple of weeks. The OTA notices that the client is less talkative, withdrawn, and not as invested in
an activity she usually enjoys. What is the BEST way for the OTA to respond?
a. Ignore it, assume she is just having a bad day, and continue the activity
b. Make eye contact, use a calm voice, and ask if something is bothering her
c. While walking around the clinic getting supplies, ask if something is wrong

____ 6. What organization is responsible for the certification of OT professionals?

, a. AOTA c. The state
b. NBCOT

____ 7. What organization is responsible for the licensure of OT professionals?
a. AOTA c. The state
b. NBCOT

____ 8. An OTA is discussing one of her clients with some friends over dinner because she thinks it is a
particularly interesting case. Which ethical principle would the OTA MOST LIKELY have
breached?
a. Nonmaleficence c. Veracity
b. Autonomy d. Beneficence

____ 9. An occupational therapist is assigning an OTA a client with complex needs. The OTA does not feel
comfortable with the needs of the client and her own competence for treating this client. The
occupational therapist instructs the OTA to treat the client anyway because she does not have any
room on her own caseload. Which ethical principle is MOST LIKELY being breached?
a. Justice c. Nonmaleficence
b. Beneficence d. Fidelity

____ 10. It is time for an OT practitioner to renew both her state license and NBCOT certification. She has
enough professional development units (PDUs) to meet the NBCOT requirements but not enough
continuing education units (CEUs) to meet the state requirements. When filling out the online
application to the state licensure board she reports that she has completed all of the required CEUs.
What ethical principle is this practitioner MOST LIKELY violating?
a. Beneficence c. Nonmaleficence
b. Veracity

____ 11. A client is nearing discharge from inpatient rehabilitation to her home. Upon review, the OTA
recognizes that the client will need some adaptive toileting equipment to be functional once she goes
home. How can the OTA BEST assist with advocating for these pieces of equipment?
a. Draft a letter of medical necessity with the occupational therapist for the insurance
company
b. Advise the family to contact the insurance company about coverage
c. Request that the occupational therapist discuss insurance options with the client
d. There is no way to help because it is not covered by insurance

____ 12. A young adult with cerebral palsy who lives with her parents is a new client of the OTA. The parents
transport the client to her therapy sessions. The client, who has good cognition, tells the OTA that
she had a fight with her parents. She wants to drive but the parents will not allow her to take driving
lessons. How can the OTA BEST advocate for this client?
a. Make eye contact, use a calm voice, and say, “I can understand how frustrating that
must be for you”
b. Collect brochures from some local adaptive driving schools and talk to the parents
after the session
c. Tell her you agree with the parents because you are a parent too, and you do not

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