OTA Treatment Planning 5 — Questions and Answers
Question 1: A treatment plan for a client with unilateral neglect following a stroke should include which strategy?
- Visual scanning training and environmental cues placed on the neglected side (Correct answer)
- Patching the unaffected eye to force use of the neglected side only
- Restricting all activities to the unaffected side
- Using only verbal reminders without environmental modification
Correct answer: Visual scanning training and environmental cues placed on the neglected side
Visual scanning training and environmental cues on the neglected side are evidence-based OT strategies for unilateral neglect.
Question 2: When a client's treatment goals are not being met due to poor motivation, what should the OTA do FIRST?
- Discuss the barrier with the supervising OT and explore client-centered goal revision (Correct answer)
- Discharge the client for non-compliance
- Increase session frequency without consulting the OT
- Document non-compliance and continue the unchanged plan
Correct answer: Discuss the barrier with the supervising OT and explore client-centered goal revision
Poor motivation may reflect a mismatch between goals and client values; the OTA should communicate barriers to the OT for collaborative resolution.
Question 3: Which documentation element is REQUIRED in a treatment plan to justify skilled OT services?
- Evidence that the client requires the skill, knowledge, or judgment of a trained therapist (Correct answer)
- A list of all equipment owned by the facility
- The client's prior therapy history from another discipline
- The physician's preferred therapy schedule
Correct answer: Evidence that the client requires the skill, knowledge, or judgment of a trained therapist
Skilled care documentation must demonstrate that the client's needs require the expertise of an OT/OTA to justify reimbursement.
Question 4: An OTA is treating a burn survivor with hand contractures. Which treatment planning priority addresses prevention of further deformity?
- Consistent use of splinting and ROM exercises to maintain or improve hand function (Correct answer)
- Immediate return to all premorbid activities without restriction
- Avoiding all stretching to prevent wound reopening
- Using only passive ROM performed by the therapist
Correct answer: Consistent use of splinting and ROM exercises to maintain or improve hand function
Splinting and ROM exercises are the cornerstone of OT treatment planning to prevent and address contractures in burn survivors.
Question 5: A client newly diagnosed with multiple sclerosis is beginning OT. Which treatment planning consideration is MOST important given the nature of the condition?
- Planning for both relapse and remission phases with flexible, adaptive strategies (Correct answer)
- Designing a single fixed program that remains unchanged throughout treatment
- Focusing exclusively on upper extremity deficits
- Avoiding any energy conservation training to maintain activity levels
Correct answer: Planning for both relapse and remission phases with flexible, adaptive strategies
MS has a relapsing-remitting course, so treatment plans must be flexible to address varying functional levels across phases.
Question 6: When integrating caregiver training into a treatment plan for a client with advanced Parkinson's disease, what should the OTA emphasize?
- Safe assistance techniques for transfers and ADLs to prevent caregiver and client injury (Correct answer)
- Complete independence for the client in all ADLs regardless of safety
- Reducing the caregiver's involvement to promote client autonomy only
- Delegating all caregiver training to a home health aide
Correct answer: Safe assistance techniques for transfers and ADLs to prevent caregiver and client injury
Caregiver training in safe assistance techniques is essential to prevent falls and injury as Parkinson's disease progresses.
Question 7: Which of the following BEST represents a client-centered approach when finalizing a treatment plan?
- Collaborating with the client to establish goals that reflect their own priorities and values (Correct answer)
- Selecting goals based on the most common outcomes for the diagnosis
- Setting goals according to what the insurance company recommends
- Prioritizing goals that are easiest to achieve within the reimbursement period
Correct answer: Collaborating with the client to establish goals that reflect their own priorities and values
Client-centered practice requires that the client's own goals, values, and priorities drive the treatment planning process.
OTA Treatment Planning 5
A treatment plan for a client with unilateral neglect following a stroke should include which strategy?