OTA Ultimate Occupational Therapy Assistant 5 — Questions and Answers
Question 1: An OTA observes a client with traumatic brain injury who consistently neglects the left side of their meal tray. This behavior BEST reflects which deficit?
- Apraxia
- Unilateral spatial neglect (Correct answer)
- Anosognosia
- Perseveration
Correct answer: Unilateral spatial neglect
Unilateral spatial neglect causes clients to fail to attend to stimuli on one side of space, commonly manifesting as ignoring food on the contralesional side of a tray.
Question 2: Which Medicare part covers occupational therapy services provided in a skilled nursing facility (SNF)?
- Medicare Part A (Correct answer)
- Medicare Part B
- Medicare Part C
- Medicare Part D
Correct answer: Medicare Part A
Medicare Part A covers inpatient hospital and skilled nursing facility care, including OT services provided as part of a qualifying SNF stay.
Question 3: An OTA working with a client who has lateral epicondylitis should emphasize which wrist position during functional tasks to reduce tendon stress?
- Wrist flexion with ulnar deviation
- Wrist extension with radial deviation
- Neutral wrist alignment (Correct answer)
- Wrist hyperextension
Correct answer: Neutral wrist alignment
Maintaining a neutral wrist position minimizes tension on the extensor tendons and reduces strain at the lateral epicondyle during activities.
Question 4: A client being discharged home after a hip fracture repair lives alone in a two-story home. Which home modification is the HIGHEST priority for immediate safety?
- Installing a ceiling fan in the bedroom
- Moving the client's sleeping and bathing areas to the ground floor (Correct answer)
- Adding decorative handrails to the front porch
- Replacing carpeting with hardwood floors throughout
Correct answer: Moving the client's sleeping and bathing areas to the ground floor
Relocating sleeping and bathing areas to the ground floor eliminates stair navigation, the most immediate fall risk for a client with a recent hip fracture living alone.
Question 5: Which ethical principle is MOST relevant when an OTA obtains informed consent from a client before beginning treatment?
- Justice
- Nonmaleficence
- Autonomy (Correct answer)
- Beneficence
Correct answer: Autonomy
Informed consent upholds the ethical principle of autonomy by ensuring clients understand and voluntarily agree to the proposed treatment.
Question 6: When measuring active range of motion of shoulder flexion using a goniometer, where should the fulcrum (axis) be placed?
- Over the acromion process (Correct answer)
- Over the lateral epicondyle of the humerus
- Over the greater tubercle of the humerus
- Over the coracoid process
Correct answer: Over the acromion process
For shoulder flexion goniometry, the fulcrum is placed over the lateral aspect of the acromion process, aligning with the axis of shoulder movement.
Question 7: An OTA is working with a client who has a diagnosis of borderline personality disorder and becomes verbally aggressive during a group session. What is the BEST immediate response?
- Ask the client to leave the facility permanently
- Ignore the behavior to avoid reinforcing it
- Calmly redirect the client and offer a brief break in a quieter space (Correct answer)
- Restrain the client to prevent harm to others
Correct answer: Calmly redirect the client and offer a brief break in a quieter space
Calm redirection and offering a quiet space de-escalates emotional dysregulation without reinforcing maladaptive behavior or escalating the situation.
OTA Ultimate Occupational Therapy Assistant 5
An OTA observes a client with traumatic brain injury who consistently neglects the left side of their meal tray.
This behavior BEST reflects which deficit?