OTA OT Fundamentals 5 — Questions and Answers
Question 1: The OT practice framework identifies 'process skills' as a type of performance skill. Which of the following is an example of a process skill?
- Reaches — moving the arm toward an object
- Organizes — logically arranging tools and materials for a task (Correct answer)
- Stabilizes — maintains trunk control during an activity
- Speaks — verbalizes clearly during conversation
Correct answer: Organizes — logically arranging tools and materials for a task
Process skills relate to how a person manages and adapts a task over time; organizing materials is a process skill, whereas motor skills involve body movement.
Question 2: An OTA working in home health is asked to address 'home modification' for fall prevention. Which environmental factor would be the HIGHEST priority to address first?
- Painting wall colors to improve contrast
- Removing throw rugs and tripping hazards (Correct answer)
- Installing a second handrail on the staircase
- Purchasing a hospital bed for the client's bedroom
Correct answer: Removing throw rugs and tripping hazards
Loose throw rugs are one of the leading environmental contributors to falls in the home and are the highest-priority, lowest-cost hazard to eliminate.
Question 3: Which frame of reference would an OTA MOST likely use when treating a child with sensory processing disorder who is hypersensitive to touch?
- Biomechanical frame of reference
- Sensory integration (SI) frame of reference (Correct answer)
- Cognitive-behavioral frame of reference
- Acquisitional frame of reference
Correct answer: Sensory integration (SI) frame of reference
The sensory integration frame of reference, developed by A. Jean Ayres, directly addresses how the brain processes sensory input and guides intervention for sensory processing disorders.
Question 4: In the context of group treatment, which type of group focuses on improving the skills needed to participate successfully in a group itself?
- Task group
- Parallel group (Correct answer)
- Project group
- Mature group
Correct answer: Parallel group
A parallel group is the lowest developmental level of group, where members work side by side on individual tasks and begin to develop basic awareness of others.
Question 5: When writing an OT goal, the acronym SMART stands for Specific, Measurable, Achievable, Relevant, and:
- Repeatable
- Resourced
- Time-bound (Correct answer)
- Reviewable
Correct answer: Time-bound
SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound, ensuring that goals are clear, trackable, and have a defined completion date.
Question 6: A client with a traumatic brain injury demonstrates 'anosognosia.' How would this MOST affect OT intervention planning?
- The client will require maximum assistance for all ADLs
- The client lacks awareness of their own deficits, affecting insight and safety judgment (Correct answer)
- The client will have difficulty following verbal directions
- The client will exhibit emotional lability during sessions
Correct answer: The client lacks awareness of their own deficits, affecting insight and safety judgment
Anosognosia is a neurological unawareness of one's own deficits, which directly impairs safety judgment, rehabilitation motivation, and goal-setting.
Question 7: According to AOTA guidelines, which of the following tasks falls WITHIN the OTA's scope of practice without requiring direct supervision?
- Developing the initial OT evaluation and establishing the occupational profile
- Implementing an established intervention plan under general supervision (Correct answer)
- Determining the need for OT services from a referral
- Modifying the goals of an established plan of care independently
Correct answer: Implementing an established intervention plan under general supervision
OTAs implement intervention plans established by the OT under the level of supervision appropriate to their competence and setting requirements.
OTA OT Fundamentals 5
The OT practice framework identifies 'process skills' as a type of performance skill.
Which of the following is an example of a process skill?