Practice Questions #3

Client: Mr. R. is a 49 year old male.

Case: Married, living with his wife. Used to work as a fish harvester. Mr. R. has had low back
difficulty since 2005. In 2005 and 2012, he had a L4-L5 discectomy. He has been off work
since June 2011 due to frequent back and radiating leg pain. He has been referred for a
Functional Assessment (FA) at a private clinic to determine his overall abilities and
limitations as it relates to alternate occupations as he cannot return to his previous job.
Results from the FA indicate: his ability to bend, sit, stand and walk is significantly impaired
by buttocks and radiating leg pain; he was significantly flared up with sedentary to light
activity; he cannot sit or stand comfortably without environmental support which affects his
endurance for upper extremity use while in these positions; he has significant fear about
making his condition worse with activity therefore has decreased his participation in many
life tasks. Mr. R. is currently independent with self-care but reports difficulty with some tasks
due to pain.

Which would be the MOST difficult activity for Mr. R.?

A. Washing the dishes. Repetitive upper extremity activity

B. Getting in and out of the tub
C. Putting on a sweater
D. Eating breakfast

Question 2 of 100 1.0 Points

Formal assessment of lifting, carrying, and pushing/pulling was not completed by the
occupational therapist during the FA. Which one of the following reasons MOST likely
contributed to the occupational therapist’s decision?

A. Assessment of these tasks is not required during a FA

B. Mr. R. was significantly flared due to sedentary to light activity.
C. These tasks are not required at his former job
D. Mr. R. stated that he does not normally complete these tasks at home

Question 3 of 100 1.0 Points

Mr. R. was noted to hold his breath while performing tasks during the assessment. He stated
that he has difficulty controlling his breathing and holds his breath due to fear of making his
condition worse when attempting an activity.

What is the MOST appropriate intervention strategy for the occupational therapist to
use when assisting Mr. R. to overcome this problem?

A. Energy conservation techniques

B. Proper body mechanic techniques
C. Proper stretching techniques
D. Relaxation techniques
Question 4 of 100 1.0 Points

Fine motor skills were tested during the FA. Which one of the following assessments
was MOST likely used to test fine motor skills?

A. Range of motion testing

B. Jamar Dynamometer
C. Minnesota Rate of Manipulation Test
D. Valpar Standardized Work Sample

Question 5 of 100 1.0 Points

It was determined by the occupational therapist that Mr. R. is not currently

employable. Which of the following should the occupational therapist address FIRST
in order to work towards his goal of returning to work?

A. Sitting and standing tolerance

B. Fear about making his condition worse
C. Walking with a normal gait pattern
D. Bilateral upper extremity endurance

Question 6 of 100 1.0 Points

Case: Group therapy mental health

You are an occupational therapist working in an elective inpatient mental health treatment
program for adults (aged 18+) who have a mood and/or anxiety disorder. The program
follows a bio-psycho-social framework and treatment is almost solely group based. You are
responsible for leading various groups, many of these are didactic and educational in nature;
however, you are also responsible for facilitating a daily psychotherapy group where clients
are free to share their deepest feelings, thoughts and concerns with not only you, as the
therapist, but also fellow group members. Often times the content of this group gets very
emotional and very private, personal information is often shared. One day in the
psychotherapy group, Ms. R starts to share her story about her husband and his suicide and
identifies a lot of pent up, negative feelings about his choice to take his own life. She also
mentions she has difficulty expressing these feelings to others.

What group would be the MOST beneficial for Ms. R to partake in?

A. Self-esteem.
B. Art therapy.
C. Communication skills
D. Anger management.

Question 7 of 100 1.0 Points

A new client starts in the psychotherapy group that you lead. What is the most
important thing that you, as the occupational therapist, should ensure the client
understands?

A. The client is introduced to the group and understands the purpose of the group and
how it is run.
B. The confidentiality policy, especially involving what information can and cannot be
shared outside of the group
C. That the program is voluntary and if the client feels uncomfortable at any time during
the group, they are welcome to leave.
D. What your role is as an occupational therapist as well as your role in facilitating and
supporting the group.

Question 8 of 100 1.0 Points

Occupational therapists are in a position to practice psychotherapy if certain standards are

met, according to the College of Occupational Therapists of Ontario (COTO). There exist
many similarities and differences between counseling and psychotherapy. What is the
BIGGEST difference between the two?

A. Compared to counseling, psychotherapy focuses on a deeper, more fundamental

process of change with more mentally distraught clients.
B. Compared to counseling, psychotherapy focuses more on the “here and now” of the
client’s life and current situation.
C. Psychotherapy is long-term whereas counseling is short-term.
D. Compared to counseling, psychotherapy is always a controlled act.

Question 9 of 100 1.0 Points

In Ontario, the use of the title Occupational Therapist, or OT, or any form of abbreviation is
reserved for those registered with COTO. When documenting or communicating in
written format, which of the following is INCORRECT for declaring the title of
psychotherapist?

A. Julie Flowers, College of Occupational Therapists of Ontario, Psychotherapist

B. Julie Flowers, OT (Reg.) Ont., Psychotherapist
C. Julie Flowers, OT (Reg.) Ont. and practicing psychotherapist;
D. Julie Flowers, OT (Reg.) Ont., practicing in the area of psychotherapy

Question 10 of 100 1.0 Points

Later that day, you are teaching one of the psycho-educational groups. You are discussing
concepts of negative self-talk and thought re-framing. What therapeutic framework are you
using?

A. Cognitive therapy.
B. Narrative therapy.
C. Therapy
 D. Cognitive behavioural therapy

Question 11 of 100 1.0 Points

Client: Chuck is a two and a half year old boy.

Case: Lives with his twin brother, two older brothers, mom, and dad. They live in a split level
home. Chuck has experienced many complications since birth and has a feeding tube and
tracheostomy. He has been in and out of the hospital for the past few months and has been
extremely ill at times with respiratory infections. He uses some sign language to
communicate. In addition to these complications, Chuck is very defensive with tactile
sensations, especially wet or novel things and vomits when exposed to textures outside of
his current repertoire of sensations. Mom would like Chuck to maintain his health and fears
for his health and safety on a daily basis. During your visits, you notice that Chuck rarely
leaves his room due to the medical equipment associated with his health problems. He also
does not interact with different toys and sensations, and does not have the opportunity to
interact with other children. When he is encouraged to interact with novel or wet textures,
Chuck often vomits. Many websites have suggested things such as rice or beans in a
sensory bin but mom is concerned about these ideas because Chuck could potentially put
these small items in his tracheostomy. Mom's goal is to maintain Chuck's health but you
think that Chuck should be working on sensory goals as well.

What is the LEAST appropriate thing to do?

A. Work on Chuck's sensory preferences as it will be important as he grows up

B. Talk with Mom about sensory defensiveness and how it could impact Chuck's future.
C. Discuss what maintaining health means to Mom to work out more specific goals.
D. Keep Chuck on caseload to monitor his status and further develop goals even though
the current goals are not directly related to occupation.

Question 12 of 100 1.0 Points

Chuck's lack of exposure to different textures and lack of interactions with other
children and environments is representative of:

A. Occupational marginalization
B. Occupational injustice
C. Occupational alienation
D. Occupational deprivation

Question 13 of 100 1.0 Points

Mom agrees that increasing Chuck's repertoire of sensory presences is important as long as
Chuck remains in good health. According to Ayres Sensory Integration, which would be
the BEST way to work on this goal?

A. Start with dry textures in his current repertoire and work gradually towards dry novel
textures not in his current repertoire.
 B. Start with dry textures and work your way to wet textures.
C. Observe Chuck playing to see what he likes to play with to increase the divergence
of textual factors related to Golgi tendon organs.
D. Immerse Chuck in tactile sensations that he is averse to in an attempt to alter the
way his brain receives the impulses related to the texture.

Question 14 of 100 1.0 Points

While working with this family, you notice tension between the parents and that they both
seem very stressed. The mom confides in you that she has panic attacks daily and that she
is concerned about her husband's wellbeing.

What is the LEAST appropriate action to take in this instance?

A. Contact your employer to determine if there is a social worker available to meet with
the family immediately.
B. Contact Children's Aid as this family is unable to take care of their children.
C. Provide the family with resources and contacts such as the crisis helpline.
D. It is not your concern as the child is okay and there is not harm;

Question 15 of 100 1.0 Points

Mom is interested in combining sensory play with exploration for taking food orally.
What would be a LOGICAL progression for exploration with food?

A. Encouraging taste and playing around the mouth with the jello, using an orange as a
means to paint, playing in pudding with his hands.
B. Modeling tasting jello, playing with it near our face, hand over hand play with rice,
encouraging Chuck to taste the jello.
C. Helping mom to make meals, eating with the family, sitting and watching the family
eat.
D. Modeling and using an orange as a paintbrush, playing with jello with our hands,
bringing jello and pudding near to and around the face, tasting the pudding or jello

Question 16 of 100 1.0 Points

Client: Ms. Dumas is a 78 year old female.

Case: Ms. Dumas is single and previously lived alone. She has a history of diabetes
mellitus. She was independent with ADLs and IADLs prior to hospital admission. Ms. Dumas
lives in a two storey home with amenities on different floors, but would like to relocate to a
duplex with her son living on the other side. She underwent a left below-knee amputation
and is now being admitted to a slow stream rehab unit. She had worked with an occupational
and physiotherapist in the previous unit and there were some confusion and cognitive issues
noted in the chart. She would like to move into the duplex to live independently.

Ms. Dumas would like to be fit for a prosthesis and to return home to live
independently. What would be your FIRST step as the occupational therapist?
 A. Assess her ability to propel her wheelchair without any cueing
B. Assess her overall strength and bed mobility
C. Assess her ability to complete routine dressing from sitting
D. Assess her ability to wash and groom herself

Question 17 of 100 1.0 Points

Ms. Dumas has agreed to complete an ADL assessment. She is becoming

overwhelmed and irritable and requests assistance with most components. What
should the occupational therapist do to maintain a therapeutic relationship?

A. Encourage her to do all tasks independently

B. Assist with some aspects, while revisiting the goal of living independently with her
C. Provide her with necessary assistive devices and instructions regarding their use
D. Discuss the possibility of setting up community supports at home

Question 18 of 100 1.0 Points

The team is unsure whether Ms. Dumas is a good candidate for a prosthesis due to
cognitive issues. What is the BEST approach for the occupational therapist take to
assess cognition?

A. Complete standardized assessments in order to quantify cognitive functioning and

compare to norms
B. Assess client’s ability to perform a routine task, such as dressing
C. Examine functional tasks, such as applying wheelchair brakes and caring for her
stump
D. Assess client’s ability to perform a sliding board transfer when provided with
instructions

Question 19 of 100 1.0 Points

Ms. Dumas has been demonstrating poor problem solving skills throughout new
tasks and poor appreciation of the safety issues of living alone without 24 hour care.
What would be the MOST appropriate action?

A. Investigate Ms. Dumas’ feelings regarding her progress and discuss her plan
B. Generate alternative discharge plans with team members
C. Arrange a meeting with Ms. Dumas and her son to discuss issues
D. Complete a capacity assessment to determine whether she is capable to make and
to appreciate the consequences of her decisions

Question 20 of 100 1.0 Points

The team decides that Ms. Dumas is not an appropriate candidate for a prosthesis and
that she cannot access 24 hour care at home. What would be the MOST appropriate
step for the occupational therapist?
 A. Provide her with resources for assisted living facilities in her region
B. Set up community supports to assist with ADLs and IADLs at home
C. Consult with community occupational therapist to assess and adapt home
environment for wheelchair use
D. Provide client and family with safety recommendations when completing ADLs and
IADLs

Question 21 of 100 1.0 Points

Client: Mrs. B is an 87 year old female.

Case: She is married. She lives with her 91 year old husband in a ranch style home. She
has decreased cognitive functioning as a result of dementia. She has a history of recurrent
falls. She recently fell in her living room and sustained an intertrochanteric fracture of her left
hip. Following left hip surgery, she was transferred to an inpatient complex continuing care
(CCC) unit. She is non-weight bearing with her left leg and has limited activity tolerance. She
is a high risk for falls and has decreased independence and safety with activities of daily
living (ADLs), mobility, and transfers. She has a supportive family, with a husband, daughter
and son living in town, and two daughters living out of town. She expressed the importance
of participating in leisurely excursions with family and friends within the community. The
inpatient occupational therapist has received a referral for Mrs. B.

What should the occupational therapist do FIRST?

A. Contact Mrs. B’s power of attorney in order to gain consent for occupational therapy
services
B. Meet with Mrs. B to initiate occupational therapy services
C. Perform a chart review to confirm Mrs. B’s occupational therapy referral from a
physician
D. Liaise with other hospital staff about Mrs. B’s status in hospital

Question 22 of 100 1.0 Points

Following the initial occupational therapy assessment, safety issues were identified with Mrs.
B’s mobility, transfers and ADLs. What is the FIRST step the occupational therapist
should take to address this issue?

A. Perform a wheelchair assessment

B. Warn other hospital staff about Mrs. B’s high risk of falling
C. Post educational posters in Mrs. B’s room about not standing alone
D. Perform a cognitive assessment

Question 23 of 100 1.0 Points

Since Mrs. B`s hip surgery, she has trouble remembering to follow her hip precautions and
weight bearing restriction. What is the LEAST effective method of reminding Mrs. B to
follow these guidelines?
 A. Remind staff about providing verbal and visual cues
B. Post visual reminders in client`s room
C. Provide verbal reminders to client
D. Educate Mrs. B`s family about guidelines and cues for client

Question 24 of 100 1.0 Points

How can the occupational therapist MOST effectively assist Mrs. B with her
meaningful occupation of participating in community excursions with family and
friends?

A. Focus on short term goals and increase endurance during physical activity
B. Focus on short term goals and increase upper extremity strength
C. Focus on long term goals and initiate application for wheelchair through the assistive
devices program
D. Focus on long term goals and practice vehicle transfers with family

Question 25 of 100 1.0 Points

Mrs. B`s ultimate goal is to return home, however her family feels that a nursing home will be
the safest discharge destination for her. What is the most important factor to consider
when considering the client`s destination for discharge from hospital?

A. Client`s safety
B. Client`s cognitive functioning
C. Client`s goals
D. Client`s physical functioning

Question 26 of 100 1.0 Points

Client: Mr. Theodore Kemp is a 72 year old male.

Case: He is single, lives alone and has limited social support. He lives in a one story
modular home with three steps to enter and no railing. He does not own any equipment and
has a walk in shower. Mr. Kemp is diabetic and suffered a gangrene infection in his right
foot. The infection resulted in a right side below the knee (BTK) amputation. He has been
admitted to an 8 week inpatient rehabilitation program.

You are the occupational therapist (OT) who received the referral for Mr. Kemp. During your
initial interview he revealed his therapy goal is to receive a prosthesis. What is the MOST
appropriate action by the OT during the initial interview?

A. Evaluate Mr. Kemp’s forward lift-offs and bed mobility

B. Evaluate and practice Mr. Kemp’s transfers.
C. Educate Mr. Kemp on how to shape his residual limb.
D. Commence an upper extremity program.
Question 27 of 100 1.0 Points

You need to report to the team if you feel Mr. Kemp is a candidate for a prosthesis.
What would be the MOST appropriate assessment to complete?

A. Mini-Mental State Examination

B. Bilateral upper extremity range of motion and manual muscle testing
C. Left lower extremity range of motion and manual muscle testing.
D. Home visit.

Question 28 of 100 1.0 Points

During your routine skin check, you notice a black marking on Mr. Kemp’s left lateral heel
that does not blanch. He reported no sensation when you press it. What stage of pressure
ulcer would BEST classify this clinical presentation?

A. Stage I.
B. Stage III.
C. Stage IV.
D. Stage X

Question 29 of 100 1.0 Points

The team has decided Mr. Kemp will receive a prosthesis. What two pieces of
equipment would be BEST for the OT to recommend for Mr. Kemp’s long term use?

A. Tub transfer bench & raised toilet seat.

B. Wheelchair & shower chair
C. Wheelchair & sliding board.
D. Grab bars & long handled reacher.

Question 30 of 100 1.0 Points

What Ontario funding source would be MOST appropriate to help Mr. Kemp fund his
prosthesis?

A. March of Dimes.
B. Workplace Safety and Insurance Board.
C. Adult Amputee Program (WarAmps).
D. Assistive Devices Program

Question 31 of 100 1.0 Points

Client: Mr. T is a 41 year old male.

Case: Mr. T has been in a mental health facility for more than two years and he is currently
on a rehabilitation ward. His parents and younger brother live in a town that is about one-
hour drive away from the hospital. He is in regular contact with his family. He is diagnosed
with epilepsy, mild learning disability, paranoid personality, and oppositional defiance
disorder. He has lived in various community placements which all broke down due to his
challenging behaviours and aggressions. His behaviours have been improving since his
hospital admission. He enjoys certain activities, such as escorted walk to the village.
However, in general, he does not attend scheduled activities or therapeutic sessions
regularly. He has limited insight and tends to push boundaries with staff. The occupational
therapist is concerned with his self-care abilities, daily structure, and road safety. He has
been attending some cooking and road safety sessions with fluctuating motivation. Mr. T is
anxious about moving to a community placement. A placement has been identified and may
be confirmed in a few months. The multidisciplinary team wants to prepare him for the future
discharge.

Mr. T approaches the occupational therapist and states that he wants to have unescorted
leave to the village since he is moving to a community placement anyway. What should the
occupational therapist do?

A. Provide legal document to show his restrictions.

B. Apply for more privileges for Mr. T.
C. Tell Mr. T that he should not complain since he already has the privilege to go to the
village.
D. Explain hospital policy and have a discussion with Mr. T about his safety on the road

Question 32 of 100 1.0 Points

The occupational therapist is planning a Team Building group on the ward to teach the
clients how to work as a team. Mr. T declines to attend the group and states that the group
is boring. What is the MOST appropriate action the occupational therapist should take
to encourage Mr. T to attend the group?

A. Ask Mr. T why he thinks the group is boring and explain the benefits of the group
B. Call Mr. T’s parents and tell them that Mr. T is not cooperative.
C. Run the group without Mr. T and let other clients tell him that the group is interesting.
D. Tell Mr. T that the group is mandatory.

Question 33 of 100 1.0 Points

Mr. T enters the therapy room 10 minutes earlier than his scheduled time and insists that it is
time for his cooking session, while the occupational therapist is in the middle of a session
with another patient. What should the therapist do?

A. Apologize to the other client and end the session early.

B. Tell Mr. T that he needs to respect the time boundary and wait outside
C. Call the supporting staffs on his ward to take him back.
D. Ask the other patient if Mr. T could stay for the last 10 minutes of the session.

Question 34 of 100 1.0 Points

A weekly timetable is created for Mr. T. What is the MOST effective way to ensure the
implementation of the timetable?

A. Check on Mr. T every time he has a session to attend.

B. Leave multiple copies of the timetable in Mr. T’s room.
C. Talk to Mr. T about it and ask the staff to help him follow the timetable
D. Tell other clients on the ward to remind Mr. T about his timetable.

Question 35 of 100 1.0 Points

The occupational therapist wants to know Mr. T’s functional abilities at discharge. What is
the MOST appropriate approach the occupational therapist should use to measure
client outcomes?

A. Ask Mr. T’s perception about his functional abilities.

B. Get feedback from supporting staffs and Mr. T’s family.
C. Observe Mr. T’s behaviours on the ward.
D. Take both objective and subjective measurements

Question 36 of 100 1.0 Points

Client: Ms. W is a 67 year old female.

Case: Widowed, currently hospitalized in a mental healthy facility. Ms. W has advanced
dementia and a history of paranoid and delusional thoughts. She fell and broke her right
femur one week ago and is unable to fully weight bear on that leg. Since her fall, Mrs. W is
presenting with increased agitation and aggressive behaviors, which include screaming and
abusive vocalizations, hitting, grabbing and scratching people. Her communication abilities
have severely diminished and her verbalizations usually revolve around wanting to use the
toilet. She is unable to follow instructions. She has full weight-bearing status but does not
weight bear on her leg due to pain. She is currently confined to a wheelchair with a pelvic
restraint. She is being transferred to a toilet using a sit-to-stand mechanical lift but has been
observed to let go of the handlebars during mid-transfer resulting in her putting her full
weight in the sling.

The interprofessional healthcare team has requested your consultation for planning and
implementing the safest transfers for Ms. W. during toileting. In gathering information to
plan your intervention, what is the MOST valuable source of information?

A. Speak with Ms. W’s family members to determine what might be leading to her
agitation
B. Speak with members of the healthcare team such as the nursing staff and personal
support workers
C. Observe the nursing staff performing a transfer with Mrs. W
D. Spend time with Mrs. W and perform a physical assessment of her abilities

Question 37 of 100 1.0 Points

For Ms. W., what would be the BEST way to address her agitation and aggressive
behaviors during transfers?

A. Physically restrain Ms. W. with the help of additional staff

B. Reduce stimulation from the environment
C. Distract Ms. W by talking to her about something of interest
D. Discuss with Ms. W., the risks and consequences of her behavior before each
transfer

Question 38 of 100 1.0 Points

If Ms. W. is deemed to be unsafe in the sit-to-stand mechanical lift, what other

assistive device could be used to toilet her safely?

A. Transfer board.
B. Overhead mechanical lift
C. Bedpan
D. Adult Diapers

Question 39 of 100 1.0 Points

When planning an intervention for a client with severe dementia what is the most
sought after outcome?

A. Increasing independence in valued occupations.

B. Adapting the environment to allow for engagement in occupations
C. Maintaining the level of independence in valued occupations.
D. Teaching the client new and enjoyable occupations

Question 40 of 100 1.0 Points

In conducting a transfer with Ms. W., what would be the first step to ensure a safe
transfer?

A. Ensuring Ms. W. has received medications to prevent aggressive behaviors.

B. Physically restraining Mrs. W., to ensure her behavior is not harmful to herself or
others.
C. Assessing Ms. W.’s current condition to determine if she can transfer safely
D. Ensuring that the assistive device to be used is in proper working condition

Question 41 of 100 1.0 Points

Client: Mrs. S is an 82 year old female.

Case: Widowed, living alone and has four children that live out of town. Mrs. S lives in a
high-rise apartment. Mrs. S has been admitted to a rehabilitation unit following her total right
hip arthroplasty. Mrs. S is partial weight bearing on her right lower extremity. She is also
weight bearing as tolerated on her left lower extremity because of severe pain in her left
ankle due to an ankle deformity that is awaiting surgery. Mrs. S is currently a moderate
assist of one for all ADLs, moderate assist of one for transfers and ambulating by using a
manual wheelchair. Prior to surgery Mrs. S was independent with functional transfers,
ambulated short distance with a rollator walker and she was able to independently manage
her ADLs, except she received CCAC PSW assistance for a shower once a week. Mrs. S’s
groceries were delivered and her daughter manages her finances. Mrs. S prepared breakfast
and lunch independently, but her bible group assisted with providing dinner. Her goal is to
return her apartment and resume her previous level of independence.

During the initial interview what information would be MOST important for the
occupational therapist to gather to address Mrs. S’s goal?

A. Home environment and previous level of functioning and independence.

B. Physical assessment results (i.e. range of motion, strength and transfers).
C. Mrs. S’s leisure interests.
D. Cognitive status because Mrs. S is 82 years old and living alone.

Question 42 of 100 1.0 Points

Mrs. S receives community supports and assistance from family to complete selected
occupations. She is in agreement with resuming these services once discharged from the
unit. Therefore, what would be the MAIN focus of the occupational therapy treatment
sessions?

A. Completing a kitchen assessment and ensuring that Mrs. S is able to safely prepare
three meals a day.
B. Discussing with Mrs. S various transportation options to ensure she would be able to
complete her IADLs in the community.
C. Activities that would assist with regaining Mrs. S’s independence with ADLs,
functional transfers and resuming ambulating with a rollator walker.
D. Discussing with Mrs. S community supports to increase her socialization with other
older adults because her family lives out of town.

Question 43 of 100 1.0 Points

Mrs. S has been completing a bed to commode transfer using a two wheeled walker. She
has been having difficulty maintaining partial weight bearing on her right lower extremity and
is experiencing severe pain in her left ankle during the transfer. Which transfers would be
the SAFEST at this time to ensure Mrs. S is following her weight bearing orders as
well as assist in minimizing the pain that is experienced in her left ankle?

A. Stand and step around transfer.

B. Transfer using a rollator walker.
C. High pivot transfer.
D. Sliding board transfer

Question 44 of 100 1.0 Points

Mrs. S’s physical assessment results noted decreased upper extremity ROM and strength
bilaterally due to significant bilateral arthritic deformities. The occupational therapist in the
rehabilitation unit is responsible for formulating Mrs. S’s upper extremity treatment plan.
What intervention would be MOST appropriate to incorporate into the plan to address
her upper extremity limitations?

A. Active assisted ROM exercises to increase Mrs. S’s functional upper extremity ROM
B. Provide Mrs. S with free weights to regain strength in her upper extremity muscles.
C. Incorporate upper extremity Thera-Bands resistance exercises into therapy.
D. Do not incorporate upper extremity interventions into the treatment plan because
there would be no benefit due to Mrs. S’s arthritic changes.

Question 45 of 100 1.0 Points

Mrs. S has been on the unit for 90 days and is at the maximum length of the stay that the
unit allows. However, she has not yet regained enough independence to return home. The
team needs to consider alternate discharge locations while still keeping in mind that Mrs. S’s
end goal is to return home. Which community support program would be MOST
appropriate for Mrs. S to be discharged to at this time?

A. Wait at home.
B. Convalescent care
C. Long-term care facility.
D. Home at last.

Question 46 of 100 1.0 Points

Client: Mr. J is a 70 year old who has an incomplete spinal cord injury.

Case: Mr. J is a 70 year old gentleman who had bone cancer that resulted in boney growths
on his vertebral column that began to compress and damage his spinal cord, which resulted
in an incomplete spinal cord injury at the level of T1-T3. Mr. J lives with his wife in a small 1
storey home that has 5 steps at the entrance. He was de-conditioned and presented with
upper extremity and trunk weakness and limited movement of his lower extremities. He had
a stage II pressure ulcer on his coccyx that was beginning to heal. He was unable to use his
legs functionally to walk or stand, so he required a wheelchair and completed transfers using
a sliding transfer board with minimum assistance. Typically, the occupational therapist, in
this rehab setting, addresses ADLs, upper extremity strength and function, pressure relief,
functional transfers, home accessibility and equipment needs and has the assistance of
occupational therapy assistants (OTAs). Given Mr. J’s level of impairment and physical
condition, how would you expect him to perform while completing his initial dressing
assessment and what assistive devices could you bring to facilitate the activity?

A. Maximum assistance for upper and lower dressing. He would require a hospital bed
and 2 helpers.
B. Minimum assistance for donning his pants and socks. He may benefit from a sock aid
and long handled reacher.
 C. Independent with aids. He would benefit from a sock aid, dressing hook and long
handled reacher.
D. Moderate assistance. He would benefit from a sock aid, dressing hook, long handled
reacher, and bed rails with the head of the hospital bed raised

Question 47 of 100 1.0 Points

What type of theoretical intervention approach(s) would be the MOST appropriate for
the occupational therapist to use in this case?

A. Remediation and compensatory/adaptive approach

B. Sensorimotor and motor learning approach.
C. Compensatory approach alone.
D. Biomechanical approach alone.

Question 48 of 100 1.0 Points

Mr. J will be using his wheelchair daily to access his home environment and
community. What is the BEST type of seat cushion for the occupational therapist to
recommend Mr. J trial before completing the ADP wheelchair application?

A. Roho cushion because it provides the best pressure relief.

B. Firm foam cushion because it provides support, which is needed for sliding board
transfers.
C. Quadro Roho cushion because it can compensate for pelvic obliquities.
D. Hybrid (Roho with foam) because it provides support and pressure relief

Question 49 of 100 1.0 Points

Mr. J has expressed that his long term goal is to be discharged home. What is the
MOST appropriate action for the occupational therapist to complete in order to ensure
that Mr. J’s home is accessible?

A. Recommend that Mr. J move into a wheelchair accessible retirement home.

B. Have a home assessment completed and then provide recommendations and set up
a follow up assessment
C. Recommend that Mr. J install off set hinges, a ramp, a tub transfer bench and
remove all rugs.
D. Refer Mr. J to a vendor who can assess, arrange for, and install equipment.

Question 50 of 100 1.0 Points

When working with OTAs, it is important to identify appropriate tasks to assign,

develop a supervision plan and monitor and evaluate the task. What tasks would be
MOST appropriate for the occupational therapist to assign in this rehab setting?

A. Office administration and equipment management only.

 B. Office administration, equipment management, ADL training and simple
assessments.
C. Office administration, equipment management, carrying out a strengthening program
developed by the OT, and ADL training
D. Office administration, equipment management, measuring and arranging for a
wheelchair, and reporting at team rounds or family conferences when the OT is
absent.

Question 51 of 100 1.0 Points

Client: Mr. A is a 56 year old male.

Case: Divorced father of two adult children. Lives alone in a rented basement apartment. Mr.
A has a long standing history of major depressive disorder and alcohol abuse. He sustained
an alcohol related acquired brain injury 4 years ago that resulted in cognitive deficits. He was
receiving CCAC supports at home such as cuing from PSW to complete self-care and
cleaning of his room. He has rejected previous recommendations for supportive living and
wishes to live alone. He has few friends and copes with stressors either by drinking or
avoiding and isolating himself. He is being evicted by his landlord by the end of next month.
He has experienced a recent relapse of alcohol. He is anxious about discharge not knowing
if he'll be able to find new housing.

Mr. A has identified lack of motivation to initiate or complete tasks as his major issue.
What should the occupational therapist do FIRST to address this issue?

A. Ask nursing staff to provide Mr. A with more cueing and encouragement.
B. Engage Mr. A in behavioural activation
C. Arrange for a visit from his children.
D. Suggest Mr. A to set goals for each day.

Question 52 of 100 1.0 Points

Mr. A's performance during interviews and standardized assessments indicates that he has
good insight and is able to cook and grocery shop independently. What should the
occupational therapist do next to BEST evaluate his ability to manage independent
living?

A. Visit Mr. A's home to assess his living situation

B. Call Mr. A's friend to obtain a corroborative history .
C. Liaise with nursing staff regarding his behaviour on the unit.
D. Conduct more standardized assessments.

Question 53 of 100 1.0 Points

Mr. A has expressed his desire to fight the eviction and return to his basement apartment
upon discharge. What action is MOST appropriate for the occupational therapist to
carry out?
 A. Encourage Mr. A to look for other houses in case he is unsuccessful at fighting the
eviction.
B. Advice Mr. A to seek legal advice.
C. Speak to Mr. A's landlord to inquire about the eviction.
D. Discuss future options with Mr. A and the importance of living in an environment
conducive to his recovery.

Question 54 of 100 1.0 Points

What should the occupational therapist do to BEST address Mr. A's recent relapse of
alcohol and prevent another relapse?

A. Refer Mr. A to the Addiction Program.

B. Encourage Mr. A to utilize the coping skills he has learned in hospital
C. Advise Mr. A that he will be discharged if he relapses again.
D. Suggest to the team to have Mr. A. locked on the ward until discharge.

Question 55 of 100 1.0 Points

What should the occupational therapist do to BEST address Mr. A's anxiety about
discharge?

A. Refer Mr. A to transitional housing in the interim so he has more time to look for
houses
B. Refer Mr. A to outpatient cognitive behavioural therapy for anxiety.
C. Assist Mr. A to look for houses to rent.
D. Advocate to prolong Mr. A's hospital stay until he has found a new place to rent.

Question 57 of 100 1.0 Points

Mr. C’s main goal is to return home. After weeks of working with him there have been very
small gains in the functional movement of his left upper extremity and in cognitive function.
As the OT moving forward towards discharge, what is the BEST option for therapy
sessions?

A. Increasing Mr. C’s ability to transfer and mobilize independently

B. B.Encouraging Mr. C to consider other discharge options.
C. Continue to try improving Mr. C’s cognitive abilities.
D. Continue working on Mr. C’s functional movement in the left upper extremity.

Question 58 of 100 1.0 Points

You and the team do not feel that Mr. C has the functional ability necessary to be discharged
back to his previous home with his wife. Mr. C is determined to return home. What should
the occupational therapist do FIRST?

A. Move ahead with a discharge to a more appropriate location.

 B. Move ahead with a discharge home with increased home care services for Mr. C and
his wife.
C. Reassess Mr. C’s level of competence in making this decision.
D. Have a discussion with Mr. C about his current level of ability and any concerns you
might have about his ability to function at home

Question 59 of 100 1.0 Points

Mr. C has a diagnosis of a right CVA resulting in a hemiplegic left upper extremity. As the
OT
what should you be looking for, preventing and treating in his left upper extremity?

A. Spontaneous flickers of movement in the left arm.

B. Edema, pain, or increased tone in any of the joints
C. Compensating for loss of left arm with increased use of right arm.
D. Bruising or joint deformities.

Question 60 of 100 1.0 Points

Mr. C continues to struggle with cognitive deficits as a result of the stroke. What would be
the MOST appropriate strategy to assist him in improving his memory?

A. Continued assessment of his cognitive function.

B. Teach Mr. C some compensatory strategies such as using a digital recorder
C. Teach Mr. C skills such as journaling, association or visualization
D. Refer Mr. C to an outpatient program to improve his cognitive function.

Question 61 of 100 1.0 Points

Case: Alice is 71 year old woman living alone in an apartment building.

Alice’s primary diagnosis is Cerebral Palsy. She spends the majority of time in her power
wheelchair, requires PSW assistance with all ADL/IADL’s, and requires transfer assistance
with a ceiling lift. Alice is also non-verbal and communicates using a communication board.
Alice has received OT services multiple times and is familiar with the OT scope of practice. A
referral is received for OT assessment citing that Alice and her caregivers are having safety
concerns regarding her sling.

Based on the information above, what is likely the MOST important step in ensuring
effective OT services?

A. Ensure all stakeholders are present for the initial assessment and have opportunity to
express concerns.
B. Ensure the client is adequately supported in terms of communication needs in order
to maximize her participation in the assessment process
C. Plan to trial an alternative sling options during the initial visit.
D. Arrange for a vendor with expertise in slings to be present for the initial visit.
Question 62 of 100 1.0 Points

During the initial assessment, the OT finds that due to difficulties with incontinence Alice and
her caregivers are using a hygiene sling for all transfers. What is MOST concerning about
using a hygiene sling exclusively?

A. Hygiene slings are fundamentally less supportive than other sling types therefore
increasing risk of an accident.
B. Using a hygiene sling for non-hygiene purposes in against best practice guidelines.
C. Hygiene slings require more client involvement making its use more risky for an
individual with pronounced physical limitations
D. Hygiene slings are more complicated to use making the chances for human error
more likely increasing risk of accident.

Question 63 of 100 1.0 Points

If the OT identifies an increased risk with the exclusive use of a hygiene sling and the
client refuses to use another sling type, what is the MOST appropriate clinical action?

A. Respect the client’s decision unconditionally and work within its boundaries.
B. Question the client’s capacity to choose and consider contacting the client’s
substitute decision maker if one is appointed.
C. Respect the client’s decision, explain the risks, and ask for the caregivers input.
D. Respect the client’s decision but refuse to provide services due to concerns over
clinical liability.

Question 64 of 100 1.0 Points

During the initial OT visit, what is the MOST preferable intervention to remediate
safety concerns with exclusive hygiene sling use?

A. Observe the client transfer using the hygiene sling and attempt to make its use safer
by recommending changes to transfer techniques
B. Schedule a second visit to trial alternative sling options.
C. Educate the client and caregivers regarding best practice guidelines for sling use.
D. Recommend using a U-sling and suggest making alterations to the sling to allow
access to the client for hygiene purposes.

Question 65 of 100 1.0 Points

While observing the client’s support worker transfer the client, the OT identifies some
unsafe transfer techniques. Which of the following is LEAST preferable?

A. Respect the support workers expertise and provide no direction or recommendations

to correct safety concerns
B. Report the support workers actions to a supervisor.
C. Take the opportunity to educate regarding safe and evidence based transfer
practices.
 D. Educate the support worker but ensure not to document the incident for sake of the
workers job security.

Question 66 of 100 1.0 Points

Client: Jimmy Jones

Case: He is an 8-year-old boy in grade 2 He lives with his mom and his 2 half brothers and
newborn half sister He has been referred to Occupational Therapy School Health services to
increase function in the classroom. His classroom teacher reports that he has difficulty with
printing, sustaining and maintain attention, and organization of school tools in his desk His
mother reports that he at times he can have angry and emotional outbursts. His teacher and
principal both state that he has a tendency to have “temper tantrums” at school and difficulty
with transitions. There is currently no IPE in place for Jimmy You are a school OT asked to
assess and provide recommendations for treatment and to improve function in the
classroom. Who is the client in this case?

A. The classroom teacher, she made the referral

B. The parent, based on family centred practice, when a child is your client you need to
focus on the child’s family
C. Jimmy
D. All of the above

Question 67 of 100 1.0 Points

Jimmy is reluctant to join OT, but eventually joins the therapist in the hallway. His principal
greets both Jimmy and you as you move toward the treatment room. Jimmy suddenly stops
walking and displays an angry outburst, by kicking the wall and banging his head against it.
What is the BEST course of action?

A. Calmly ask Jimmy why he is hitting his head off the wall.
B. Call for assistance to his principal whom you know is nearby in the hallway
C. Attempt to prevent Jimmy from injury by picking him up and forcibly removing him
from the wall, while using minimal force.
D. Attempt to prevent him from injury by placing your hand in front of the wall.

Question 68 of 100 1.0 Points

After Jimmy is calm, you find out that he is upset that he is missing art class, and he wants
to be able to complete his art work “just like everyone else.” It is near the end of the school
year and you have a heavy caseload, and it is important this assessment is complete. If you
start this assessment in the afternoon you will not have time to finish and will have to come
back and finish another day. You have been allotted 2 visits to complete this assessment.
You will not be back to this school for another 2 weeks. What should you do?

A. Explain to Jimmy, while you appreciate his desire to join his class in artwork it is very
important that you complete this assessment with him now.
B. Let him go back to class, he is upset, and will most likely not cooperate
 C. Explain what you would like to do with him and give him the option of doing it now or
completing it on a specific day in the future; if Jimmy does not want to participate
than forcing him to will only result in poor measures/assessments
D. Discharge him from your caseload, he did not give consent to be assessed.

Question 69 of 100 1.0 Points

Jimmy agrees to come back later in the day to start the assessment. What is the
FIRST course of action during the initial assessment?

A. Get him to give you consent to do the assessment

B. Explain to him the role of occupational therapy and how you can help
C. C.Get background information from him, who does he live with, etc.
D. Ask him to explain how he feels he is functioning in the classroom

Question 70 of 100 1.0 Points

You have completed the McMaster Handwriting Assessment and the Test of Visual
Perceptual Skills. The assessments find that Jimmy’s handwriting is not legible, and he has
above average visual perceptual scores but needs twice as long as most children to
complete tasks. What else might you do to gather more information about Jimmy in
order assess his classroom function?

A. Look at his IPE

B. Ask the classroom teacher to a sample of his work in the classroom
C. Contact his mother, to ask about how he is functioning at home with transitions and
homework
D. Contact his pediatrician and/or family doctor for a copy of any assessments
completed.

Question 71 of 100 1.0 Points

Client: Mrs. Newman is a 38-year-old woman.

Case: Married, living with her husband in her parents’ two-storey home. Mrs. Newman has
been diagnosed with schizophrenia, paranoid type and presents with significant positive
symptoms. She has a phobia of falling down stairs and can only descend stairs on her
buttocks. Her husband has developmental delay. Her parents have been responsible for
most of her and her husband’s care. They have been very supportive, but have previously
reported caregiver burden. She has been with a community mental health team. She exhibits
dependence and learned behaviour due to her family having minimal expectations for her
and do not push her to be more independent. Her pattern is that she expresses fear or
“dizziness” in order to avoid tasks. Her parents no longer want the team to focus on
promoting independence in ADLs, as there was no improvement. She has limited daily
structure – her activities are limited to outings to the coffee shop, watching T.V. at home, and
outings with the team. She used to enjoy taking piano lessons, but had to stop due to
financial difficulties. She has no other hobbies. Her only goal is to have a baby, but her
medications can cause abnormalities in newborns. She also lacks insight into the skills
needed to raise a child. Long-term housing solution is unknown at present time. Mrs.
Newman and her family would like her to have more daily structure.

She is dependent on team activities for daily structure. Using a client-centred perspective,
what should the therapist do FIRST?

A. Assist Mrs. Newman to find a volunteer piano teacher

B. Encourage Mrs. Newman to assist her parents in household activities.
C. Suggest to Mrs. Newman to find volunteer work in the community.
D. Suggest to the team to create more opportunities for Mrs. Newman to engage in
activities.

Question 72 of 100 1.0 Points

Mrs. Newman’s goal is to have a baby and has brought up this goal repeatedly. How
should the occupational therapist respond MOST appropriately?

A. Explain to her that she can never have a baby due to her mental illness.
B. Provide education about effects of her medications and skills needed to raise a child
C. Help her to build the skills needed to have a baby.
D. Explore other medication options that would allow her to have a baby.

Question 73 of 100 1.0 Points

Mrs. Newman has a phobia of falling down stairs and can only descend the stairs in
her home on her buttocks. What is the MOST appropriate intervention strategy for the
occupational therapist to use when assisting Mrs. Newman to overcome this fear?

A. Challenge negative thoughts

B. Provide verbal encouragement
C. Cognitive therapy
D. Exposure therapy

Question 74 of 100 1.0 Points

Mrs. Newman’s family would not like the occupational therapist to continue working with her
on ADLs, but her parents are at a high risk of burnout (as they have previously experienced)
if they continue to provide the same level of care. What is the MOST appropriate action
for the occupational therapist to take when addressing this issue?

A. Discuss with Mrs. Newman whether she feels there is a need to focus on ADLs and
IADLs
B. Have ongoing conversation with her parents about their feelings towards workload.
C. Encourage Mrs. Newman to contribute to housework to ease her parents’ workload.
D. Focus on other goals that Mrs. Newman might have.

Question 75 of 100 1.0 Points

Mrs. Newman’s parents are aging, and her and her husband will soon need long-term
housing solution. What should the occupational therapist do FIRST?

A. Help her and her husband to build skills and independence.

B. Further assess her and her husband’s functional ability to determine appropriate
housing solution.
C. Discuss with her parents, her husband, as well as with Mrs. Newman regarding their
wishes/needs
D. Investigate possibilities within geographical area.

Question 76 of 100 1.0 Points

Client: Mrs. Smith is a 65-year-old female.

Mrs. Smith is a widow living alone in a small town in Southwest Ontario. Mrs. Smith fell on
April 15 and fractured the distal radius of her right arm. Mrs. Smith is right-handed. She was
referred to Hand Therapy after her cast was removed on May 22. The Orthopaedic surgeon
wanted the OT in Hand Therapy to implement a rehabilitative treatment plan for ROM and
strengthening for Mrs. Smith. She helps out her daughter (a wedding planner) by folding
napkins and changing chair covers. She stated she continued to feel pain at the fractured
area and reported stiffness that reduced her AROM. Mrs. Smith is very friendly towards the
OT. However, the OT observed that Mrs. Smith was upset because she was no longer able
to engage in the daily activities that she used to do.

Which of the following is the LEAST appropriate questions to ask during the initial
interview?

A. How did the injury happen.

B. What did the doctor say regarding the precautions.
C. How did Mrs. Smith think of the Hand Therapy service
D. How did the injury affect her daily functioning.

Question 77 of 100 1.0 Points

Which of the following is the LEAST appropriate assessment for the initial interview
(aka. 5 weeks post-op)?

A. Observation for edema

B. Grip strength
C. AROM
D. Pain

Question 78 of 100 1.0 Points

Which of the following treatment progress seems to be MOST reasonable?

A. AROM exercise - PROM exercises - Strengthening exercises

B. AROM exercise - Strengthening exercises - PROM exercises
 C. Strengthening exercises - PROM exercises - AROM exercise
D. Strengthening exercises - AROM exercises - PROM exercise

Question 79 of 100 1.0 Points

By applying the CMOP-E model, which aspect of the “Person” would you (as the OT)
address FIRST in the initial interview?

A. Cognitive
B. Affective
C. Cultural
D. Social

Question 80 of 100 1.0 Points

How would you (as the OT) help Mrs. Smith gradually regain her ability engage in her
daily occupations?

A. Fabricate a protective splint for Mrs. Smith to wear

B. Encourage Mrs. Smith to attempt some light ADLs if she thinks she can manage
C. Suggest to Mrs. Smith to get support from others
D. Consult your colleagues to plan a better treatment program

Question 81 of 100 1.0 Points

Client: Mr. T is an 87 year old male.

Case: Mr. T. owns a three story home in the country. He has few to no supports. He suffered
a non-union distal humeral fracture of his dominant right arm, subsequent to a fall last year.
Due to his age, the fracture was deemed non-operable. Mr. T. has limited shoulder ROM
and strength in his right arm. He is capable of making decisions related to his personal care
and finances. After his fall, he was admitted into a long term care facility due to significant
deterioration. Mr. T currently has lower extremity weakness and requires a wheelchair for
mobility. He suffers from depression and chronic pain of his affected arm. During an upper
extremity exercise program session, Mr. T. informs you that he has decided to return home.

What is the MOST appropriate response?

A. Tell him that he should reconsider as he has few supports at home.

B. Inform the treatment team of his plans.
C. Encourage him to contact his case manager to explore his options
D. Provide him with the name and number of a community rehabilitation clinic.

Question 82 of 100 1.0 Points

Due to poor ROM in his right arm, Mr. T. is having difficulty donning and doffing his shirt.
Which of the following key enablement skills is MOST suitable in helping him
overcome his difficulties?
 A. Coaching
B. Enabling
C. Educating
D. Emphasizing

Question 83 of 100 1.0 Points

Prior to performing your initial assessment with Mr. T., what should you do FIRST?

A. Contact the physician

B. Consult the treatment team
C. Observe Mr. T on the unit
D. Get consent

Question 84 of 100 1.0 Points

Mr. T identifies that his arm is extremely stiff and painful following his upper extremity
program with you. What is the most appropriate course of action?

A. Encourage him to keep trying

B. Begin to apply heat after each exercise session.
C. Consult Mr. T.’s physician for instruction on how to proceed.
D. Review and modify your exercise program appropriately; you want him to be able to
complete his program and not get discouraged by pain and you also don’t want him
to be non-functional after therapy sessions, so OT would alter the program

Question 85 of 100 1.0 Points

Given Mr. T.’s injury, what task would he have the most difficulty performing?

A. Brushing his teeth

B. Bed mobility
C. Combing his hair
D. Feeding himself

Question 86 of 100 1.0 Points

Client: Mrs. B is a 87 year old female.

Case: She is married. She lives with her 91 year old husband in a ranch style home. She
has decreased cognitive functioning as a result of dementia. She has a history of recurrent
falls. She recently fell in her living room and sustained an intertrochanteric fracture of her left
hip. Following left hip surgery, she was transferred to an inpatient complex continuing care
(CCC) unit. She is non-weight bearing with her left leg and has limited activity tolerance. She
is a high risk for falls and has decreased independence and safety with activities of daily
living (ADLs), mobility, and transfers. She has a supportive family, with a husband, daughter
and son living in town, and two daughters living out of town. She expressed the importance
of participating in leisurely excursions with family and friends within the community. The
inpatient occupational therapist has received a referral for Mrs. B.

What should the occupational therapist do FIRST?

A. Contact Mrs. B’s power of attorney in order to gain consent for occupational therapy
services
B. Meet with Mrs. B to initiate occupational therapy services
C. Perform a chart review to confirm Mrs. B’s occupational therapy referral from a
physician
D. Liaise with other hospital staff about Mrs. B’s status in hospital

Question 87 of 100 1.0 Points

Following the initial occupational therapy assessment, safety issues were identified with Mrs.
B’s mobility, transfers and ADLs. What is the FIRST step the occupational therapist
should take to address this issue?

A. Perform a wheelchair assessment

B. Warn other hospital staff about Mrs. B’s high risk of falling
C. Post educational posters in Mrs. B’s room about not standing alone
D. Perform a cognitive assessment

Question 88 of 100 1.0 Points

Since Mrs. B`s hip surgery, she has trouble remembering to follow her hip precautions and
weight bearing restriction. What is the LEAST effective method of reminding Mrs. B to
follow these guidelines?

A. Remind staff about providing verbal and visual cues

B. Post visual reminders in client`s room
C. Provide verbal reminders to client
D. Educate Mrs. B`s family about guidelines and cues for client

Question 89 of 100 1.0 Points

How can the occupational therapist MOST effectively assist Mrs. B with her
meaningful occupation of participating in community excursions with family and
friends?

A. Focus on short term goals and increase endurance during physical activity
B. Focus on short term goals and increase upper extremity strength
C. Focus on long term goals and initiate application for wheelchair through the assistive
devices program
D. Focus on long term goals and practice vehicle transfers with family

Question 90 of 100 1.0 Points

Mrs. B`s ultimate goal is to return home, however her family feels that a nursing home will be
the safest discharge destination for her. What is the most important factor to consider
when considering the client`s destination for discharge from hospital?

A. Client`s safety
B. Client`s cognitive functioning
C. Client`s goals
D. Client`s physical functioning

Question 91 of 100 1.0 Points

Client: Elliot is a 5 year old male.

Case: Lives with his parents and older brother. His parents initially sought OT at a private
clinic due to his difficulties with verbal communication. Other parental concerns included
frequent temper tantrums and mood fluctuations and passive interaction with his
environment. The initial OT assessment found that Elliot has dysfunction in sensory
processing. He has difficulty regulating his arousal level, which fluctuates between being too
low or too high. This results in excitement and/or anger. Elliot also displays a range of
sensory avoidance behaviours. His parents would like to learn how to better support him and
are open to OT recommendations that can be applied at home and in the community. It is
Elliot’s first OT session and the OT wants to get a better idea of how he processes sensory
input.

What is the FIRST action that the OT should take?

A. Interview his parents

B. Administer a standardized assessment.
C. Observe him during play.
D. Review his medical records.

Question 92 of 100 1.0 Points

When Elliot’s arousal level is too low he tends to yawn and daydream. What is the MOST
appropriate alerting activity to incorporate into his “sensory diet” to help increase his
arousal
level?

A. Jumping into pillows.

B. Rocking in a rocking chair.
C. Direct joint compression.
D. Playing with fidget toys

Question 93 of 100 1.0 Points

Elliot is sensitive to some types of vestibular input. What school activity is he likely to
find the MOST distressing?
 A. Waiting in line at the cafeteria.
B. Playing sports during gym class
C. Sitting at his desk for academic work.
D. Participating during circle time.

Question 94 of 100 1.0 Points

Elliot has oral hypersensitivity and is reluctant to try new food and drinks. What is the
FIRST course of action that the OT should take in order to determine the reason for
his feeding problems?

A. Consult his medical history

B. Observe him during play.
C. Conduct a feeding observation.
D. Assess for sensory issues.

Question 95 of 100 1.0 Points

What is NOT an appropriate recommendation to support him at mealtimes?

A. Conduct a warm-up facial massage with firm pressure prior to feeding.

B. Expose him to new foods without demanding that he try them.
C. Praise him with enthusiasm when he tries new foods
D. Incorporate food into play when it is not mealtime

Question 96 of 100 1.0 Points

Client: Mr. Theodore Kemp is a 72 year old male.

Case: He is single, lives alone and has limited social support. He lives in a one storey
modular home with three steps to enter and no railing. He does not own any equipment and
has a walk in shower. Mr. Kemp is diabetic and suffered a gangrene infection in his right
foot. The infection resulted in a right side below the knee (BTK) amputation. He has been
admitted to an 8 week inpatient rehabilitation program. You are the occupational therapist
(OT) who received the referral for Mr. Kemp.

During your initial interview he revealed his therapy goal is to receive a prosthesis.
What is the MOST appropriate action by the OT during the initial interview?

A. Evaluate Mr. Kemp’s forward lift-offs and bed mobility.

B. Evaluate and practice Mr. Kemp’s transfers.
C. Educate Mr. Kemp on how to shape his residual limb.
D. Commence an upper extremity program.

Question 97 of 100 1.0 Points

You need to report to the team if you feel Mr. Kemp is a candidate for a prosthesis.
What would be the MOST appropriate assessment to complete?
 A. Mini-Mental State Examination.
B. Bilateral upper extremity range of motion and manual muscle testing.
C. Left lower extremity range of motion and manual muscle testing.
D. Home visit.

Question 98 of 100 1.0 Points

During your routine skin check, you notice a black marking on Mr. Kemp’s left lateral heel
that does not blanch. He reported no sensation when you press it. What stage of pressure
ulcer would BEST classify this clinical presentation?

A. Stage I.
B. Stage III.
C. Stage IV.
D. Stage X.

Question 99 of 100 1.0 Points

The team has decided Mr. Kemp will receive a prosthesis. What two pieces of equipment
would be BEST for the OT to recommend for Mr. Kemp’s long term use?

A. Tub transfer bench & raised toilet seat.

B. Wheelchair & shower chair.
C. Wheelchair & sliding board.
D. Grab bars & long handled reacher.

Question 100 of 100 1.0 Points

What Ontario funding source would be MOST appropriate to help Mr. Kemp fund his
prosthesis?

A. March of Dimes.
B. Workplace Safety and Insurance Board.
C. Adult Amputee Program (WarAmps).
D. Assistive Devices Program.