OT Assistive Technology & Adaptive Equipment 1 — Questions and Answers
Question 1: Under the Assistive Technology Act, assistive technology is defined as any item that is used to:
- Increase, maintain, or improve functional capabilities of individuals with disabilities (Correct answer)
- Replace medical treatment for chronic conditions
- Provide entertainment and leisure opportunities
- Substitute for caregiver assistance in all circumstances
Correct answer: Increase, maintain, or improve functional capabilities of individuals with disabilities
The AT Act defines assistive technology as any device or service that increases, maintains, or improves functional capabilities of people with disabilities.
Question 2: A client with C4 complete SCI wants to control a computer independently. The MOST appropriate interface is:
- Sip-and-puff switch with scanning software (Correct answer)
- Standard keyboard with wrist supports
- Trackball mouse
- Foot mouse
Correct answer: Sip-and-puff switch with scanning software
At C4, voluntary respiratory control is intact, making sip-and-puff switching a reliable computer access method for clients with no hand function.
Question 3: Which type of AAC (Augmentative and Alternative Communication) device uses pre-programmed vocabulary organized by topic pages?
- Speech-generating device (SGD) with dynamic display (Correct answer)
- Unaided communication system
- PECS (Picture Exchange Communication System)
- Low-tech letter board
Correct answer: Speech-generating device (SGD) with dynamic display
SGDs with dynamic displays allow topic-page navigation and computer-generated speech output for complex communication needs.
Question 4: When recommending a power wheelchair, the seating evaluation MUST address which factor FIRST?
- Postural support and pressure relief needs (Correct answer)
- Joystick location and sensitivity
- Battery range and charging requirements
- Seat cushion color preference
Correct answer: Postural support and pressure relief needs
Postural support and pressure relief are foundational; without adequate positioning, the client cannot access controls or prevent pressure injuries.
Question 5: The role of OT in an assistive technology evaluation is BEST described as:
- Assess client needs and match to AT devices; train in use and monitor outcomes (Correct answer)
- Prescribe AT devices and bill under medical equipment codes
- Program and repair AT devices exclusively
- Delegate all AT decisions to a rehabilitation engineer
Correct answer: Assess client needs and match to AT devices; train in use and monitor outcomes
OT's AT role spans assessment, feature matching, trial, prescription justification, training, and follow-up to ensure functional outcomes.
Question 6: A client who is blind requires a computer access solution. Which OT intervention is MOST appropriate?
- Screen reader software training (e.g., JAWS or NVDA) (Correct answer)
- Magnification software at 300% zoom
- Large-print keyboard overlay
- High-contrast display settings only
Correct answer: Screen reader software training (e.g., JAWS or NVDA)
Screen reader software converts visual information to auditory output, enabling full computer access for individuals who are blind.
OT Assistive Technology & Adaptive Equipment 1
Under the Assistive Technology Act, assistive technology is defined as any item that is used to: