OTA OT Fundamentals 4 — Questions and Answers
Question 1: Which level of Bloom's Taxonomy is being demonstrated when a client can explain why a joint protection technique works, rather than just performing it?
- Knowledge
- Comprehension (Correct answer)
- Application
- Analysis
Correct answer: Comprehension
Comprehension involves understanding the meaning or rationale behind information, not just recalling or mechanically applying it.
Question 2: An OTA working in a skilled nursing facility documents that a client has reached 'plateau.' This term implies that:
- The client has achieved all therapy goals
- Progress has ceased and further skilled intervention is unlikely to produce improvement (Correct answer)
- The client is ready for discharge home
- The treatment plan should be escalated immediately
Correct answer: Progress has ceased and further skilled intervention is unlikely to produce improvement
Plateau indicates that the client is no longer making measurable functional gains, which typically signals that skilled OT services may no longer be justified.
Question 3: According to AOTA's Occupational Therapy Code of Ethics, the principle of 'beneficence' requires that OT practitioners:
- Respect client autonomy in all decisions
- Act in the best interest of clients and promote their welfare (Correct answer)
- Maintain professional competence through continuing education
- Avoid conflicts of interest
Correct answer: Act in the best interest of clients and promote their welfare
Beneficence obligates practitioners to actively promote the health and well-being of clients and to act in their best interests.
Question 4: In which practice setting would an OTA MOST likely use a 'sensory diet' as an intervention strategy?
- Acute care hospital
- Pediatric outpatient clinic (Correct answer)
- Skilled nursing facility
- Hand therapy clinic
Correct answer: Pediatric outpatient clinic
Sensory diets, individualized programs of sensory activities to support regulation, are most commonly used in pediatric settings with children who have sensory processing differences.
Question 5: A client demonstrates difficulty with figure-ground discrimination. Which ADL task would MOST likely be affected?
- Dressing — donning a shirt
- Finding a white washcloth on a white sink (Correct answer)
- Remembering medication schedules
- Maintaining balance during standing
Correct answer: Finding a white washcloth on a white sink
Figure-ground discrimination is the ability to distinguish a foreground object from the background; finding a white washcloth on a white surface directly challenges this skill.
Question 6: Which of the following is an example of a 'top-down' assessment approach in occupational therapy?
- Measuring grip strength before evaluating functional tasks
- Observing a client perform a functional task first, then identifying underlying deficits (Correct answer)
- Testing range of motion before any occupational performance evaluation
- Administering a standardized cognitive battery before interviewing the client
Correct answer: Observing a client perform a functional task first, then identifying underlying deficits
The top-down approach begins with evaluating occupational performance in context before drilling down to identify the component deficits that explain the performance issues.
Question 7: An OTA is co-treating a client with a speech-language pathologist (SLP) for swallowing and self-feeding. The OTA's PRIMARY contribution to this co-treatment would be:
- Assessing swallowing function and risk of aspiration
- Addressing positioning, upper extremity function, and adaptive equipment for self-feeding (Correct answer)
- Determining the appropriate food texture consistency
- Ordering a modified barium swallow study
Correct answer: Addressing positioning, upper extremity function, and adaptive equipment for self-feeding
The OTA addresses the occupational performance aspects of self-feeding, including seating/positioning and adaptive equipment, while the SLP manages swallowing function.
OTA OT Fundamentals 4
Which level of Bloom's Taxonomy is being demonstrated when a client can explain why a joint protection technique works, rather than just performing it?