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The OT has evaluated a client with RA who is beginning to show signs of swan neck joint deformities and complains of increasing pain in hands. What should the OT do NEXT?

During a home evaluation, the OT observes a client's living room, dining room, and bedroom furniture are all low to the ground making transfers difficult. What would be the most efficient and cost effective way to raise the height of the furniture?

To teach an individual with a T1 spinal cord injury to put on his pants seated in his w/c What would be the FIRST step for the therapist?

Which in hand manipulation skill is needed for a child to use a pincer grasp to pick up five peanuts in their dominant hand before eating them?

An OT is using constraint induced movement therapy with a client with a CVA. The OT instructs the client to use the affected UE to perform a variety of activities in her daily routine and gives her a journal to track her activities. What is the rationale for using CIMT when working with clients with CVA?

During treatment after returning tot he w/c from the mat table, the client suddenly becomes dizzy. What should the therapist do FIRST?

The OT is working with a mother  recently diagnosed with post party depression. The OT recommends using a maid service once a week during the first month home. This example BEST represents which intervention strategy of the Ecology of Human Performance Model?

A therapist has observed that a 4 year old child in a daycare program only participates in observer and parallel play. Which is the BEST way for the therapist to encourage associative play?

The OT is working with a group of patients with schizophrenia in a community day program. The therapist has 4 patients with goals to improve self-care and hygiene skills. What is the BEST method to address the groups’ needs?

The client is 2 months post a moderate TBI. He has some active movement in the hand and wrist of the involved extremity to use as an assist, but has no shoulder or elbow movement According to the Task Oriented Approach, which of the following activities would best help the client incorporate her involved extremity?

A four year old child uses a wheelchair and is unable to speak, but shakes his head to indicate “yes” and “no” and points to objects that he wants. What is the BEST option for augmentative communication for this child at this time?

A therapist has a client with a. Unique set of symptoms. Traditional assessment tools and interventions do not seem appropriate. What would be the FIRST step for the therapist as an evidence-based practitioner?

A client complains of pain, stiffness, and a warm sensation in her right hand one week after slamming her hand in the front door at work. The OT notes upon examination that she has edema and shiny skin. Which of the following modalities would be contraindicated?

The assessment of grip strength results demonstrated the client is 2.5 standard deviations below the norm. The NEXT thing the occupational therapist does to determine if the client needs further intervention to improve grip strength is:

The OT has determined that a pre-vocational training program would be the best service for clients at a homeless shelter. What should the OT do NEXT?

A therapist performing sensory testing on a client with hemiparesis positions the client’s affected arm and asks the client to duplicate the position with the opposite extremity. Which of the following is being tested?

A therapist is assessing an individual's range of motion of shoulder horizontal abduction. What common substitution pattern does the therapist need to watch carefully for?

A client with MS symptoms has developed bilateral hand tremors. The client reports what disturbs her most is her difficulty when reading at work. The book shakes and she has difficulty turning the pages. What is the BEST recommendation for the OT to make?

Which of the following is the BEST intervention strategy for a patient with a high radial nerve injury who just had surgery? Passive exercise to

According to the cognitive disabilities model, which activity would be most likely to engage the abilities of an individual functioning at level 5?

What is the best position for the OT to assume when performing a stand/picot transfer with an individual from a wheelchair to a car?

The OT is working on a morning routine with a client who had a stroke and has ideomotor apraxia. The BEST type of cues the OT should provide during the intervention are:

An individual with a SCI at C-4 is most likely to propel a wheelchair using a

Your client with a CVA demonstrates abnormal tone in her involved extremity. What is the BEST assessment to use to determine tone?

A therapist is working in an acute hospital setting. He/she wants to determine if an individual with a C-6 SCI is ready to be discharged to an inpatient rehab program. Which data would indicate that this individual is ready for discharge?

The play skills of a 4 year old child with a diagnosis of Rett's Syndrome are limited by the amount of time she spends sucking on her hands. A Therapist is planning to use behaviorism to address this issue. What should the therapist do FIRST?

An OT has been asked to develop a health promotion program for children living at a women's shelter. What is the FIRST step for the OT?

An OT is evaluating ta client in acute care who had a CVA. The OT notes that the client is not attending to his L arm and does not look to the left side beyond midline. Where did this client's stroke likely occur?

An OT working in an inpatient rehab hospital is trying to determine how effective their in patient rehab serves are in helping their Clints to improve performance in ADL skills. The BEST ADL assessment to use for this purpose would be

You are in the middle of a wheelchair to bed transfer with an obese client when the individual begins to slip out of your grasp. The BEST action for you to take is

The therapist wants to recommend a home program for a child. What should the therapist do FIRSt?

The doctor has asked an individual to restrict his/her activities to those that require no more than 5 Metabolic Equivalent Units (METs). Which is the MOST strenuous activity that this individual can do safely?

A client has upper extremity hemiplegia with a 2 finger subluxation. What is the BEST position for the OT to recommend for the patient when seated in the w/c?

A client has a tendon injury and has been referred to OT immediately following a surgical repair. What strategy should the OT use FIRST?

A therapist has been teaching an individual who had a stroke to use a modified approach to dressing. Which feedback is most likely to facilitate learning?

A therapist in a vocational rehab setting is teaching a client who works in the Amazon warehouse correct body mechanics for lifting items. Which approach is most likely to help the individual remember to use the techniques at work?

A therapist is working with an individual who has decreased visual field due to early symptoms of glaucoma. Which intervention is the therapist MOST likely to select.

An individual with agoraphobia has not left home in 6 months. A Therapist is using systematic desensitization to help an individual work toward the goal of grocery shopping. Which activity will be used FIRST?

A therapist is performing MMT at the shoulder and finds the client has no active movement at this joint. What should the therapist do NEXT?

The therapist is working with an individual who has recently become blind secondary to trauma. The client is working on money handling. What is the BEST technique to teach the client?

A therapist is working with an individual diagnosed with mild to moderate Guillain Barre. Because of this diagnosis this individual has a greater risk of

A journal article in AJOT the authors describe how they used social media to recruit participants for their focus groups. In which section of the article would this information be found?

An Ot in an industrial rehab program receives a referral to evaluate client's ability to return to work. What is the FIRST thin the OT should do?

The OT is given a referral to evaluate a client just hospitalized with schizophrenia-disorganized type. The chart states the client has active positive symptoms. What is the BEST method to assess the client?

The OT receives a referral to evaluate a client with a L CVA. During the initial eval, the client does not answer when questioned but maintains eye contact and smiles during the interaction. What is the BEST response for the therapist?

When the OT enters the room of a patent with a L hip replacement, it is observed that the client is laying on the right side with the left leg across the right leg. What is the therapists' FIRST response?

The patient has uncontrolled hypertension and a history of cardiovascular disease. The patient is being seen in outpatient department and begins to seat and complain of a severe headache. The OT should FIRST:

A therapist using Toglia's Multicontextual intervention approach with a client with a mild TBI would be most likely to begin treatment session by asking the individual to:

During the interview, the client repeatedly makes statements such as "I'll never get better. I'm the sickest patient here". Using a cognitive behavioral FOR, what would be the BEST approach for the OT?

A client with Parkinson's is very concerned with his ability to write at work due to tremors. What is the BEST recommendations or the OT to make to help the client improve his writing?

A patient with middle stage Alzheimer's disease has broken his dominant hand and it is in a cast. What would be the BEST strategy to teach the client to assist him to complete dressing?

Which of the following is a normed and criterion referenced assessment that would be appropriate to administer to a. 5 year old in order to assess motor skills?

Which intervention would a therapist be most likely to use when working with an individual who is functioning at a level 4 according to Allen's Cognitive disabilities model?

The therapist is working with a 3 years old with Erb's Palsy. What is the BEST intervention activity?

A therapist has completed their assessment and is recommending OT services for a child in early intervention. What should the therapist do NEXT?

The physician questions the OT about using electrical stimulation to decrease the should subluxation with a client with a CVA. The OT is unfamiliar with this techniques. What would be the BEST approach for the therapist?

The director of the community mental health center notices that the population has been gradually changing over the last year. There are a growing number of new immigrants from Slavic countries with complex histories. What would be the BEST approach to ensuring effective treatment planning?

A client with severe hypertension, diabetes, and atherosclerosis experienced a myocardial infarction 3 days ago and is feeling anxious. He is medically stable and the physician has explained what has happened, but the client remains anxious. What is the BEST activity to start this client's intervention?

A researcher studied individuals after CV and reported a correlation between an assessment of functional mobility and a scale of stroke symptoms severity as follows: (r= .64, p< .08), this would mean that the relationship between symptoms and mobility is:

A child has UE weakness and decreased coordination. Which of the following tasks would be MOST difficult for the 6 year old?

The OT discovers that the assessment tool that the facility uses has been revised, and new protocols and a new measurement scale has been added. What is the BEST action for the therapist ?

The OT is working with a patient in a day treatment program to establish a functional routine and community living skills. The therapist has been reinforcing the patient's consistency in program attendance with coffee at the end of each group. The patient has started to come to groups late and is demanding cigarettes for attending. What is the BEST response for the OT?

Which exercise program for strengthening would a therapist provide FIRST for a client whose muscle grade is poor (2/5) in both UE?

During the acute phase of treatment for an individual with burns on the chest and arms, the focus of treatment is:

Which intervention is most appropriate for an individual who has Stage 2 mild dementia?

A 14 year old with spastic diplegia CP will be transitioning to high school next year. What is the MOST important information that the OT needs to find out to guide the intervention plan to assist with this transition?

Which of the following is the MOST appropriate recommendation for the OT to give a teacher for a child with visual discrimination problems?

The OT is running a cooking group with members diagnosed with middle staged Azlhemiers disease. One member start to loudly call the therapist by her daughter's name and repeatedly ask if the therapist remembers the recipe for the peach cobbler . What is the BEST response for the OT?

Which is the most appropriate way for an entry level COTA to participate in the evaluation process? Ask the COTA to:

Which of the following muscles are examples of intrinsic muscles?

Using the Ranchos Los Amigos Scale, what would be an appropriate intervention activity for the patient who is currently functioning at Level III?

The therapist wants to help a child to develop effective protective responses. What would be the MOST effective activity for the therapist to use?

A client present with poor plus (2+/5) muscle grade in wrist extensors. Which is the BEST choice of splint to help the client with a functional grasp?

An OT is doing a sensory evaluation with a client. When assessing pain, which limb should the OT demonstrate the test on prior to the actual testing?

A 54 year old patient with a CVA has no physical deficits but has cognitive deficits related to sequencing, problem solving, and planning. He reports having difficulty performing simple meal prep and money management. Which of the following assessments would give the OT the most relevant info regarding the client's performance in these tasks?

Which of the following activities would be contraindicated for a child wit epilepsy

The therapist is working with a group of adolescents with conduct disorders. The adolescent group is participating in a swimming activity. What should the therapist do at the beginning of the activity?

The OT is evaluating a 55 year old with a right CVA. The pain is for the patient to move in with a daughter after rehab. The OT completed an interview and observation of the patient, what is the therapists's ENXT step?

The patient presents with atrophy of thenar eminence, denervation of the thumb, and the lumbricals. The patient has signs of a laceration of injury of the:

Ultrasound should NOT be used:

After wearing anew splint for 30 minutes, the client reports a small red area. The individual denies pain at this point. What is the BEST action for the OT?

A client underwent a Zone 2 flexor tendon repair 1 week ago. They are referred to OT for standard evaluation and treatment. Excessive edema is noted in the involved hand and fingers. How would you BEST manage these symptoms?

An OT is working with a 55 year old man who had a CCVA 1 week Aho and is experiencing L hemiplegia, L visual neglect, anosognosia, and dysphagia requiring level 2 diet. Which would be the MOST effective strategy for the OT to improve safety with eating?

A woman has COPD and has recently moved into an assisted living setting. She lost her job as a store clerk and she misses being productive and interacting with people. She described enjoying all the things she learned from others. Which intervention strategy is most consistent with the PEO model?

You are treating a client who underwent a flexor tendon repair in the L forearm. The client is experiencing significant hypersensitivity at the scar site and unable to tolerate wearing long sleeve garments. Which of the following would be the most appropriate FIRST intervention for this client?

Vasodilation occurs during which phase of wound healing?

The OT in acute care receive a referral to do a swallow evaluation on a patient with paranoid schizophrenia. What would be the BEST approach for the therapist?

Which of the following are signs of sensory integrative dysfunction?

A 60 year old client with congenital blindness and a history of bulimia has been admitted to an acute unit after a myocardial infarction. What is MOST LIKELY to be a primary focus of OT intervention?

A patient with osteoarthritis is observed doing the laundry. She picks up clothes from the basket on the floor, puts them in the machine, adds soap, and then carries the basket upstairs. She complains of back pain and knee pain when doing the laundry. What is the MOST effective approach to address the client's problem?

A therapist is working part-time on the weekends at a skilled nursing facility. The therapist is assisting with weekend treatment sessions. A client asks the therapist if she has to pay her the $20 co-pay or does she give it to her regular therapist. With further questions the client reports paying her regular therapist $20 each session. What should the therapist do FIRST?