Therapeutic Use of Occupations and Activities Flashcards
7 cards from real NBCOT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Therapeutic Use of Occupations and Activities flashcards as text
A pediatric OT wants to use a cooking activity to address executive function deficits in an adolescent with TBI. Which task demand MOST directly targets executive function?
Answer: Sequencing recipe steps independently and self-monitoring for errors
Sequencing and error monitoring directly engage planning, organization, and self-regulation — core executive function components.
A client with COPD is learning energy conservation during home management tasks. The BEST example of work simplification is:
Answer: Sliding heavy items along the counter rather than lifting them
Work simplification reduces the physical effort of a task by changing the method, such as sliding instead of lifting to minimize exertion.
When using occupation-based intervention versus a preparatory method, the OT should recognize that:
Answer: Occupation-based intervention contextualizes skill application in meaningful daily tasks, which can enhance motivation and carryover
Occupation-based interventions embed skill practice in meaningful contexts, promoting generalization and client engagement beyond preparatory exercises.
A client with rheumatoid arthritis asks the OT how to best protect her joints while gardening. The therapist should recommend:
Answer: Using long-handled tools and padded grips to distribute joint load and avoid sustained pinch
Joint protection principles include using larger joints, distributing force, and using ergonomic tools to reduce stress on vulnerable joints.
An older adult in a skilled nursing facility refuses to participate in a morning ADL group, stating she has 'always bathed at night.' The OT's BEST response is to:
Answer: Adjust the bathing schedule to align with her lifelong routine and habits
Respecting established habits and routines is a client-centered principle that supports autonomy, dignity, and occupational engagement.
During a hand therapy session, the OT uses a peg board activity to improve pinch strength. To make this activity MORE occupation-based, the therapist should:
Answer: Replace the peg board with a task the client performs at work, such as sorting small parts on an assembly line
Replacing a simulated task with an actual work task transforms preparatory activity into an occupation-based intervention with real context.
A therapist is designing a group intervention for adults with depression using the lifestyle redesign model. Which activity selection BEST reflects this approach?
Answer: Collaboratively identifying and experimenting with daily routines that promote health and personal meaning
Lifestyle redesign centers on co-creating health-promoting occupational patterns and routines tailored to the individual's values and life context.