OTA Activity Analysis 5 — Questions and Answers
Question 1: Which of the following activities would be MOST appropriate for a client working on dynamic standing balance during activity analysis?
- Completing a puzzle while seated at a table
- Washing dishes at a sink while weight-shifting (Correct answer)
- Reading a book in a recliner
- Typing on a keyboard at a desk
Correct answer: Washing dishes at a sink while weight-shifting
Washing dishes at a sink involves upright stance and natural weight shifts, making it an occupation-based activity that challenges dynamic standing balance.
Question 2: When analyzing an activity using the Occupational Therapy Practice Framework (OTPF), 'context and environment' includes:
- Only the physical space where the activity occurs
- Cultural, personal, temporal, virtual, physical, and social contexts (Correct answer)
- The client's medical history and diagnosis
- The sequence of steps required to complete the task
Correct answer: Cultural, personal, temporal, virtual, physical, and social contexts
The OTPF defines context broadly to include cultural, personal, temporal, virtual, physical, and social dimensions that influence occupational performance.
Question 3: A client with a traumatic brain injury has difficulty initiating tasks. Which activity modification would BEST address initiation deficits?
- Increasing the complexity of the task
- Providing a verbal or visual cue to begin each step (Correct answer)
- Removing all assistance and prompting independence
- Lengthening the duration of the activity
Correct answer: Providing a verbal or visual cue to begin each step
External cues prompt initiation for clients who have difficulty starting tasks due to executive function deficits following brain injury.
Question 4: The PURPOSE of activity analysis in occupational therapy is PRIMARILY to:
- Determine the client's insurance eligibility for treatment
- Understand the inherent demands of an activity to match or modify it for the client (Correct answer)
- Document the therapist's clinical competency
- Identify which activities the client enjoys most
Correct answer: Understand the inherent demands of an activity to match or modify it for the client
Activity analysis systematically identifies an activity's demands so the therapist can select or adapt it to meet the client's therapeutic goals and capabilities.
Question 5: When grading an activity DOWN for a client with fatigue, an OTA would MOST likely:
- Add more steps to the activity
- Reduce the number of repetitions or duration of the task (Correct answer)
- Introduce a new, unfamiliar task
- Increase the weight of objects used
Correct answer: Reduce the number of repetitions or duration of the task
Reducing repetitions or duration decreases the energy demands of the activity, making it more manageable for a client experiencing fatigue.
Question 6: Which of the following BEST describes a 'preparatory' activity in the context of activity analysis and treatment?
- An activity performed in the client's natural environment for functional purposes
- A technique used to prepare the client's body for occupational performance, such as stretching (Correct answer)
- A group activity designed to build social skills
- A cognitive exercise that mimics a real-life task
Correct answer: A technique used to prepare the client's body for occupational performance, such as stretching
Preparatory activities (e.g., stretching, sensory preparation) ready the client's physical or sensory systems before engaging in purposeful occupation.
Question 7: An OTA analyzes meal preparation for a client using a wheelchair. Which 'space demand' modification is MOST critical?
- Choosing recipes with fewer than five ingredients
- Ensuring counter heights and aisle widths accommodate wheelchair access (Correct answer)
- Limiting cooking to cold-preparation meals only
- Requiring the client to transfer to a chair during cooking
Correct answer: Ensuring counter heights and aisle widths accommodate wheelchair access
Accessible counter heights and aisle widths are essential space modifications to allow safe wheelchair navigation and reach during meal preparation.
OTA Activity Analysis 5
Which of the following activities would be MOST appropriate for a client working on dynamic standing balance during activity analysis?