OTA OT Fundamentals 2 — Questions and Answers
Question 1: Which frame of reference emphasizes that humans are occupational beings who need meaningful activity for health and well-being?
- Biomechanical
- Occupational behavior (Correct answer)
- Neurodevelopmental
- Sensory integration
Correct answer: Occupational behavior
The occupational behavior frame of reference, developed by Mary Reilly, posits that engagement in meaningful occupation is essential to human health.
Question 2: An OTA is working with a client who has hemiplegia. Which principle of the neurodevelopmental treatment (NDT) approach best guides intervention?
- Strengthen the uninvolved extremities first
- Inhibit abnormal tone and facilitate normal movement patterns (Correct answer)
- Focus on compensatory strategies using adaptive equipment
- Prioritize strengthening through resistive exercise
Correct answer: Inhibit abnormal tone and facilitate normal movement patterns
NDT focuses on inhibiting abnormal muscle tone and facilitating more normal patterns of movement to improve functional performance.
Question 3: In the OTPF, which term refers to the 'doing, being, becoming, and belonging' aspects of human occupation?
- Performance skills
- Occupational dimensions (Correct answer)
- Aspects of occupation
- Occupational identity
Correct answer: Occupational dimensions
The OTPF describes four dimensions of occupation: doing, being, becoming, and belonging, which reflect the full human experience of occupation.
Question 4: A client with low vision asks for help with meal preparation. Which OT approach focuses on modifying the task or environment rather than remediating the underlying impairment?
- Remediation
- Restoration
- Compensation/adaptation (Correct answer)
- Prevention
Correct answer: Compensation/adaptation
The compensatory/adaptive approach modifies tasks, tools, or environments to enable performance despite persistent impairment.
Question 5: Which of the following best defines 'role competence' as used in occupational therapy?
- The ability to perform all self-care tasks independently
- The ability to effectively meet the demands of one's various life roles (Correct answer)
- A client's compliance with the OT treatment plan
- A therapist's clinical reasoning ability
Correct answer: The ability to effectively meet the demands of one's various life roles
Role competence is the ability to effectively meet the performance demands of the roles that a person values and identifies with.
Question 6: When using the Model of Human Occupation (MOHO), an OTA assessing a client's belief in their own ability to perform occupations is evaluating which component?
- Habituation
- Volition — personal causation (Correct answer)
- Performance capacity
- Occupational identity
Correct answer: Volition — personal causation
In MOHO, personal causation is the component of volition that reflects one's sense of effectiveness and belief in one's own abilities.
Question 7: Which of the following is the most accurate description of 'occupational justice'?
- Ensuring all clients receive equal amounts of therapy time
- The right of all people to engage in meaningful and health-promoting occupations (Correct answer)
- Fair billing practices within OT service delivery
- Prioritizing pediatric OT services over geriatric services
Correct answer: The right of all people to engage in meaningful and health-promoting occupations
Occupational justice refers to the right of all people to participate in a range of meaningful, health-promoting occupations regardless of social, political, or economic barriers.
OTA OT Fundamentals 2
Which frame of reference emphasizes that humans are occupational beings who need meaningful activity for health and well-being?