Question 1

A client is 2 weeks post right CVA and demonstrates significant left unilateral neglect during dressing. Which intervention should the OT implement FIRST?

  • [✓] A. Place all dressing materials on the left side and provide scanning cues. (CORRECT)

  • [ ] B. Teach one-handed dressing techniques.

  • [ ] C. Focus on strengthening the left upper extremity.

  • [ ] D. Introduce community mobility training.

Question 2

A 7-year-old child with ADHD frequently leaves his seat and does not complete classroom assignments. Which intervention is MOST appropriate?

  • [ ] A. Remove the child from classroom activities.

  • [✓] B. Provide structured routines and environmental modifications. (CORRECT)

  • [ ] C. Require longer periods of seated work.

  • [ ] D. Reduce all social interactions.

Question 3

A client with rheumatoid arthritis reports increased pain when opening jars and preparing meals. What is the BEST recommendation?

  • [ ] A. Increase hand strengthening exercises.

  • [ ] B. Complete tasks more rapidly.

  • [✓] C. Use adaptive equipment and joint protection techniques. (CORRECT)

  • [ ] D. Avoid meal preparation entirely.

Question 4

A client with schizophrenia reports hearing voices during a cooking group. What should the therapist do FIRST?

  • [ ] A. End the session immediately.

  • [ ] B. Challenge the hallucination directly.

  • [ ] C. Ignore the statement and continue treatment.

  • [✓] D. Assess the client's safety and ability to continue participation. (CORRECT)

Question 5

A client with left hemiplegia is learning transfer techniques. Which intervention should the therapist prioritize initially?

  • [✓] A. Safe transfer training using the stronger side. (CORRECT)

  • [ ] B. Community reintegration activities.

  • [ ] C. Handwriting retraining.

  • [ ] D. Home management training.

Question 6

A preschool child demonstrates poor bilateral coordination affecting dressing skills. Which activity would BEST address this deficit?

  • [ ] A. Coloring worksheets.

  • [✓] B. Stringing beads while stabilizing with the opposite hand. (CORRECT)

  • [ ] C. Reading picture books.

  • [ ] D. Sensory story activities.

Question 7

A client with a C7 spinal cord injury wants to return to independent meal preparation. Which intervention is MOST appropriate?

  • [ ] A. Focus on wheelchair propulsion only.

  • [ ] B. Recommend complete caregiver assistance.

  • [✓] C. Teach compensatory kitchen techniques using adaptive equipment. (CORRECT)

  • [ ] D. Delay intervention until full strength returns.

Question 8

An OT receives a referral for treatment outside his area of competence. What is the MOST ethical action?

  • [ ] A. Accept the case and learn during treatment.

  • [✓] B. Provide treatment under supervision only if competency can be ensured. (CORRECT)

  • [ ] C. Refuse all future referrals.

  • [ ] D. Delegate treatment to an assistant without supervision.

Question 9

A client with Parkinson disease experiences freezing episodes while walking into the bathroom. Which strategy is MOST appropriate?

  • [✓] A. Use external visual cues during mobility. (CORRECT)

  • [ ] B. Increase walking speed.

  • [ ] C. Restrict ambulation.

  • [ ] D. Eliminate bathroom transfers.

Question 10

A client is 4 weeks post flexor tendon repair. During treatment the therapist noticed increased swelling and pain during exercise. What should the therapist do FIRST?

  • [ ] A. Continue the exercise program.

  • [ ] B. Increase resistance.

  • [✓] C. Reassess the exercise intensity and consult the protocol. (CORRECT)

  • [ ] D. Discharge the client.

Question 11

A client with major depression refuses to participate in group activities. Which intervention is MOST appropriate initially?

  • [ ] A. Require participation.

  • [ ] B. Discharge the client from services.

  • [ ] C. Focus exclusively on cognitive testing.

  • [✓] D. Establish rapport through individualized meaningful activities. (CORRECT)

Question 12

A client with traumatic brain injury repeatedly forgets scheduled therapy sessions despite verbal reminders. Which strategy is MOST effective?

  • [✓] A. Introduce an external memory aid system. (CORRECT)

  • [ ] B. Continue verbal reminders only.

  • [ ] C. Reduce treatment frequency.

  • [ ] D. Eliminate scheduling demands.

Question 13

A student with handwriting difficulties demonstrates poor pencil control but age-appropriate cognition. Which intervention is MOST appropriate?

  • [ ] A. Academic tutoring.

  • [✓] B. Fine motor and handwriting-focused intervention. (CORRECT)

  • [ ] C. Reading comprehension training.

  • [ ] D. Social skills training.

Question 14

A client with low vision wishes to remain independent at home. Which recommendation is MOST appropriate?

  • [ ] A. Relocate immediately to assisted living.

  • [ ] B. Avoid meal preparation.

  • [✓] C. Improve environmental contrast and lighting. (CORRECT)

  • [ ] D. Eliminate community participation.

Question 15

A client recovering from a distal radius fracture wants to return to cooking. Which intervention BEST reflects occupation-based practice?

  • [ ] A. Grip strengthening only.

  • [✓] B. Simulated meal preparation activities with graded demands. (CORRECT)

  • [ ] C. Passive range of motion only.

  • [ ] D. Ultrasound treatment only.

Last modified: Sunday, 18 October 2026, 6:52 AM