Mixed Deck — All OTR Topics Flashcards

During evaluation, an OTR notes that a patient with Parkinson's disease pauses and freezes when initiating gait. Documenting this as a performance skill deficit, the OTR would categorize it under:

Answer: Motor and praxis skills

Initiation of movement and sequencing of motor actions are classified as motor and praxis skills within the OTPF.

Which technique uses purposeful activity to promote motor skills?

Answer: Activity-based interventions

Occupational therapy uniquely uses purposeful and meaningful activities as therapeutic tools to achieve specific goals. Activity-based interventions involve engaging clients in tasks that are relevant to their daily lives, which helps to improve motor skills, coordination, strength, and endurance in a functional context. This approach makes therapy more engaging and transferable to real-world situations.

A client asks the OTR to keep a safety concern secret from the treatment team. The OTR should:

Answer: Disclose the safety concern to the team despite the client's wishes

Client safety is a paramount concern that overrides confidentiality when there is imminent risk of harm.

Which standardized assessment is MOST appropriate to evaluate functional daily living skills in a child aged 6 months to 7.5 years?

Answer: Pediatric Evaluation of Disability Inventory (PEDI)

The PEDI assesses functional capabilities and caregiver assistance in self-care, mobility, and social function for children from 6 months to 7.5 years.

Why are ethical standards important in OT?

Answer: Maintain integrity and protect clients

Ethical standards in occupational therapy are essential for guiding professional conduct, ensuring high-quality care, and protecting the rights and welfare of clients. They provide a framework for decision-making, promote professional integrity, and build public trust in the profession. Adhering to these standards helps OTs navigate complex situations responsibly and uphold their commitment to client-centered practice.

Which augmentative and alternative communication (AAC) device feature is MOST critical for a client with ALS who retains only eye movement?

Answer: Eye-gaze technology

Eye-gaze technology allows individuals who retain only volitional eye movement, as in late-stage ALS, to select messages by directing their gaze.

An OTR who accepts a gift of significant monetary value from a client most likely violates which ethical principle?

Answer: Fidelity

Fidelity requires maintaining appropriate professional boundaries; accepting significant gifts can compromise the therapeutic relationship and objectivity.

An OTR is implementing cognitive rehabilitation with a TBI patient using errorless learning. What is the core feature of this technique?

Answer: Structuring the environment so the patient succeeds without making errors during acquisition

Errorless learning prevents incorrect responses during skill acquisition because people with memory impairments cannot easily suppress erroneous responses they have practiced.

An OTR is treating a client in a setting where the employer requires use of a non-evidence-based intervention. The OTR should:

Answer: Discuss concerns with the supervisor and advocate for evidence-based practice

OTRs have a professional duty to advocate for evidence-based care while working within the system to effect change.

Which type of wheelchair cushion is most appropriate for a client with Stage II pressure injuries and limited repositioning ability?

Answer: Air-flotation cushion

Air-flotation cushions provide dynamic pressure redistribution and are indicated for clients with existing pressure injuries who cannot reposition frequently.

How frequently should ongoing assessments be conducted in Certified Occupational Therapist Registered practice?

Answer: At regular intervals and as conditions change

Ongoing assessments should follow established protocols and also respond to changing conditions.

A client with COPD experiences dyspnea during self-care tasks. Which adaptive equipment recommendation BEST conserves energy during bathing?

Answer: Tub transfer bench and handheld shower

A tub transfer bench combined with a handheld shower allows the client to bathe in a seated position, significantly reducing the oxygen demand of standing and maneuvering in the tub.

When establishing inter-rater reliability for a new clinical assessment tool, the OTR is ensuring that:

Answer: Different evaluators produce consistent scores on the same client

Inter-rater reliability confirms that two or more raters produce consistent scores when evaluating the same client at the same time.

Which theory emphasizes the relationship between person, environment, and occupation?

Answer: PEO model

The PEO (Person-Environment-Occupation) model is a core framework in occupational therapy that explicitly examines the dynamic, transactional relationship between an individual (person), their physical and social contexts (environment), and the activities they engage in (occupation). This model emphasizes that optimal occupational performance occurs when there is a good fit between these three components, guiding therapists to consider all aspects when planning interventions.

A client with rheumatoid arthritis is being evaluated. Which assessment would BEST measure the client's perceived impact of arthritis on occupational performance?

Answer: Canadian Occupational Performance Measure (COPM)

The COPM captures the client's self-rated performance and satisfaction with occupations they identify as problematic, making it ideal for client-centered arthritis evaluation.

Which assessment method provides the MOST reliable data for OTR professionals making critical decisions?

Answer: Standardized tools combined with professional observation

Combining standardized tools with professional observation provides the most comprehensive data.

During a neonatal ICU (NICU) evaluation, an OTR observes an infant with disorganized feeding including frequent gagging and nasal flaring. The MOST appropriate immediate intervention is:

Answer: Implement pacing by removing the nipple every 3–5 sucks to allow the infant to breathe

Pacing by briefly removing the nipple allows the infant to regulate the suck-swallow-breathe sequence, reducing gagging and signs of respiratory compromise during feeding.

In Certified Occupational Therapist Registered practice, what is the FIRST step when a safety hazard is identified in the workplace?

Answer: Immediately secure the area and report the hazard

When a safety hazard is identified, the immediate priority is to secure the area to prevent injury and report the hazard through proper channels.

When an OTR identifies a conflict between an employer's policy and a client's best interest, the OTR's primary obligation is to:

Answer: The client's well-being, while working within legal and ethical frameworks

The AOTA Code of Ethics places the client's welfare as the primary obligation of OT practitioners.

When an OTR is uncertain whether a particular action is ethical, the best resource is:

Answer: The AOTA Code of Ethics, state practice act, and consultation with ethics advisors

Ethical decision-making should be grounded in professional codes, legal standards, and consultation with qualified ethics resources.