OTA Treatment Planning 2 — Questions and Answers
Question 1: When writing a treatment goal for a patient with hemiplegia, which component is MOST essential to include?
- A measurable, time-bound outcome (Correct answer)
- The therapist's preferred intervention method
- A diagnosis code for billing
- The patient's insurance coverage details
Correct answer: A measurable, time-bound outcome
Goals must be measurable and time-bound so progress can be objectively tracked.
Question 2: An OTA is reviewing a treatment plan for a child with sensory processing disorder. Which approach best supports a sensory-based treatment plan?
- Sensory integration techniques to improve adaptive responses (Correct answer)
- Cognitive behavioral therapy focused on thought patterns
- Strengthening exercises targeting proximal muscles
- Pharmacological management of sensory thresholds
Correct answer: Sensory integration techniques to improve adaptive responses
Sensory integration therapy uses controlled sensory input to help children develop adaptive responses.
Question 3: A patient recovering from a total hip replacement needs a treatment plan focused on ADL retraining. Which precaution must be integrated into the plan?
- Hip precautions to avoid dislocation during functional activities (Correct answer)
- Shoulder precautions to prevent rotator cuff injury
- Spinal precautions to protect the lumbar vertebrae
- Knee precautions to avoid patellofemoral stress
Correct answer: Hip precautions to avoid dislocation during functional activities
Hip precautions (no flexion >90°, no adduction, no internal rotation) must be followed during all ADL retraining post-THR.
Question 4: Which of the following BEST describes a short-term goal in an OTA treatment plan?
- A stepping stone toward the long-term goal, achievable within weeks (Correct answer)
- The ultimate functional outcome expected at discharge
- A description of the patient's current level of function
- The intervention frequency recommended by the OT supervisor
Correct answer: A stepping stone toward the long-term goal, achievable within weeks
Short-term goals are intermediate milestones that build toward the long-term discharge goal.
Question 5: An OTA is working with an elderly patient with mild cognitive impairment on medication management. Which strategy should be incorporated into the treatment plan?
- Establishing routine use of a pill organizer with visual cues (Correct answer)
- Delegating all medication tasks to a family caregiver immediately
- Referring the patient to a pharmacist only
- Eliminating all medications to simplify the routine
Correct answer: Establishing routine use of a pill organizer with visual cues
Compensatory strategies like pill organizers with visual cues support independence in medication management for those with mild cognitive impairment.
Question 6: When planning treatment for a client with bilateral upper extremity weakness, which principle should guide activity selection?
- Activities should be graded from simple bilateral to complex bilateral tasks (Correct answer)
- Activities should immediately target fine motor skills
- Activities should exclude any upper extremity involvement initially
- Activities should focus exclusively on dominant hand use
Correct answer: Activities should be graded from simple bilateral to complex bilateral tasks
Grading activities from simple to complex bilateral tasks promotes progressive strengthening and functional recovery.
Question 7: Which frame of reference is MOST appropriate when developing a treatment plan to improve a client's ability to sequence morning self-care tasks?
- Cognitive rehabilitation frame of reference (Correct answer)
- Biomechanical frame of reference
- Sensory integration frame of reference
- Psychodynamic frame of reference
Correct answer: Cognitive rehabilitation frame of reference
The cognitive rehabilitation frame of reference addresses cognitive skills such as sequencing needed for ADL performance.
OTA Treatment Planning 2
When writing a treatment goal for a patient with hemiplegia, which component is MOST essential to include?