OTA OT Fundamentals 3 — Questions and Answers
Question 1: An OTA notices that a client's chart contains information about substance abuse. Who is primarily responsible for determining what information can be shared with other team members?
- The OTA
- The supervising OT (Correct answer)
- The facility administrator
- The client
Correct answer: The supervising OT
The supervising OT, in collaboration with the team and following legal and ethical guidelines, determines appropriate information sharing, but the OTA must follow facility policy and HIPAA.
Question 2: Which occupational therapy theorist developed the Ecology of Human Performance (EHP) framework?
- Gary Kielhofner
- Winnie Dunn (Correct answer)
- Anne Fisher
- Mary Law
Correct answer: Winnie Dunn
Winnie Dunn and colleagues at the University of Kansas developed the Ecology of Human Performance framework, emphasizing the context-performance relationship.
Question 3: Under IDEA, an OTA providing school-based services must ensure that OT goals are integrated into which document?
- The discharge summary
- The Individualized Education Program (IEP) (Correct answer)
- The physician's order
- The 504 plan for all students
Correct answer: The Individualized Education Program (IEP)
For students receiving special education services, OT goals must be documented within the Individualized Education Program (IEP).
Question 4: A client reports fatigue during a morning ADL session. Based on energy conservation principles, what should the OTA recommend first?
- Discontinue therapy for the day
- Prioritize tasks and eliminate nonessential steps (Correct answer)
- Increase the session length to build endurance
- Refer the client to physical therapy
Correct answer: Prioritize tasks and eliminate nonessential steps
Energy conservation begins with prioritizing essential tasks and eliminating unnecessary steps or activities to preserve available energy.
Question 5: In OT practice, 'preparatory activities' differ from 'purposeful activities' in that preparatory activities:
- Are always performed in a group setting
- Prepare the client for purposeful activity but lack inherent meaning (Correct answer)
- Are goal-directed and have intrinsic value to the client
- Require adaptive equipment to complete
Correct answer: Prepare the client for purposeful activity but lack inherent meaning
Preparatory activities (e.g., stretching, sensory warm-up) ready the client for engagement but do not in themselves constitute meaningful occupational performance.
Question 6: Which assessment tool is specifically designed to measure a client's satisfaction and performance in self-identified occupational goals?
- Functional Independence Measure (FIM)
- Canadian Occupational Performance Measure (COPM) (Correct answer)
- Mini-Mental State Examination (MMSE)
- Barthel Index
Correct answer: Canadian Occupational Performance Measure (COPM)
The COPM uses a semi-structured interview to identify client-centered occupational goals and measures both performance and satisfaction.
Question 7: A client with arthritis is having difficulty with jar opening. Which joint protection principle is MOST relevant to address this problem?
- Avoid positions of deformity
- Use larger joints when possible (Correct answer)
- Avoid prolonged static holding positions
- Reduce the force and effort required
Correct answer: Use larger joints when possible
Using larger, stronger joints distributes force more broadly and protects smaller vulnerable joints like those in the fingers and wrists.
OTA OT Fundamentals 3
An OTA notices that a client's chart contains information about substance abuse.
Who is primarily responsible for determining what information can be shared with other team members?