Encircle the correct answer.

1. An OT using the psychoanalytic frame of reference suggests kneading dough to make

bread as an activity for a non verbal and angry patient. The OT is basing her activity
choice on which of the following concepts?

A. Acting out
B. Sublimation
C. Identification
D. Regression

2. The occupational therapist has been asked to evaluate a feeding program for a 65 year
old woman with hemiplegia. The patient spilled food because of the inability to adjust
her movement when getting food to the mouth. The most likely neurobehavioral
impairment it:

A. Ideational Apraxia
B. Motor Apraxia
C. Unilateral Neglect
D. Perseveration

3. When instructing the parents of a toddler in the use and care of a hand splint, the OT
should put MOST emphasis on:
A. Checking for irritation and pressure problems
B. Avoiding excessive heat exposure
C. Cleansing the splint regularly
D. Adhering strictly to the wearing schedule

4. In the middle of a wheelchair to bed transfer, an obese patient begins to slip from the
grasp of an average size OT practitioner. The BEST action for the OT practitioner to take
is to:
A. Call next door for assistance
B. Reverse the transfer, getting the patient back in the wheelchair.
C. Continue the transfer, getting the patient to the bed
D. Ease the patient onto the floor, cushioning his fall.

5. An OT receives a referral to fabricate a splint that will assist with the maintenance of a
functional hand position while keeping the soft tissues of the hand in a midrange
position. Which splint would the OT most likely select to address these needs?
A. A wrist cock-up splint
B. A resting pan splint
C. A dynamic extension splint
D. A bivalve cast
6. It is the second time that a 3 year old was brought in for OT. Each time, the child
screams and cries without tears when the mother starts leaving. What is the BEST thing
to do in this situation?
A. Allow the mother to leave. Play with colorful toy in front of the child.
B. Let the mother leave. Let the child cry until he is ready.
C. Ask the mother to comeback tomorrow.
D. Ask the mother to stay and initiate the treatment.

7. The necessary prerequisites in implementing a dysphagia program include the following

EXCEPT:
A. positive gag reflex
B. mental alertness
C. tongue mobility
D. ability to take in solid food

8. If a patient asks, “Is my condition hopeless? Will I still be able to fully recover after
this?”, the BEST thing to do is the following, EXCEPT:
A. give her sample medical information
B. encourage spiritual interests
C. acknowledge her feelings then change the topic
D. ask about her plans when she returns home

9. Enabling a person to interact with the environment effectively and develop an accurate
map of self requires all of the following systems except:
A. Olfactory
B. Somatosensory
C. Proprioceptive
D. Vestibular

10. What nerve passes through the carpal tunnel?

A. Ulnar
B. Median
C. Radial
D. Musculocutaneous

11. An occupational therapist provides bed mobility for an individual recovering from a left
CVA. The therapist notes that the person’s right leg is cyanotic, swollen and cold. The
person complains that it is painful. The most appropriate action for the therapist to take
is to:
A. elevate the leg and provide retrograde massage.
B. advise the person to tell the physician about the symptoms during the physician’s
next bedside visit.
C. continue with the training and document the symptoms in the medical record.
D. contact the nurse-in-charge immediately to report the symptoms.
12. An example of handicap is:
A. partial blindness
B. inability to enter a building
C. loss of index finger
D. hard of hearing

13. The principle that an OT fulfils when she tells the patient how well he/she did the
activity is:
A. Practice
B. Active participation
C. Feedback
D. Instructors Attitude

14. An occupational therapist receives a referral from a physician that outlines a specific
course of treatment. Following the evaluation of the patient, the therapist believes that
a different course of treatment would be more beneficial. The BEST course of action for
the therapist is to:
A. Proceed with the treatment that the therapist believes would be more beneficial for
the person.
B. Combine the prescribed treatment with the treatment that the therapist believes to
be more beneficial.
C. Contact the physician and discuss the alternative treatment.
D. Provide the prescribed treatment on a one week trial.

15. An occupational therapist is evaluating a child with developmental delay characterized

by hypotonicity. According to the Rood approach, the first stability pattern that the OT
should facilitate during intervention is:
A. Quadruped
B. Roll over
C. Prone on elbows
D. Neck cocontraction

16. An OT is filling out an incident report regarding a patient who was seen on the
rehabilitation department. Which of the following scenarios is the MOST likely to be the
subject of an incident report?
A. The patient complained of nausea during a standing activity.
B. A patient with spinal cord injury indicated that his hand splints were uncomfortable.
C. A patient who had total hip replacement did not follow precautions while
completing dressing activities but did not complain of discomfort.
D. A patient with the diagnosis of a CVA and left neglect caught his left arm in the
wheel of the wheelchair resulting in a cut and a bruise.
17. An OT practitioner is instructing an individual with left hemiplegia how to remove a T-
shirt. The correct sequence is:
A. (1) remove the shirt from the unaffected arm; (2) remove the shirt from affected
arm; (3) gather the shirt up at the back of the neck; and (4) pull gathered back fabric
off over head.
B. (1) remove the shirt from affected arm; (2) remove the shirt from the unaffected
arm; (3) gather the shirt up at the back of the neck; and (4) pull gathered back fabric
off over head.
C. (1) gather the shirt up at the back of the neck; (2) pull gathered back fabric off over
head; (3) remove shirt from affected arm; and (4) remove shirt from unaffected arm
D. (1) gather the shirt up at the back of the neck; (2) pull gathered back fabric off over
head; (3) remove shirt from unaffected arm; and (4) remove shirt from affected arm

18. To avoid overstimulation when handling a stable, 12-week premature infant in the NICU
setting, an OT practitioner must FIRST:
A. Provide gentle human touch to enable the infant to enable the infant to slowly
respond to intervention.
B. Establish a calm state by utilizing the infant’s musical mobile
C. Swaddle the infant in a blanket and cuddle to provide containment and warmth to
assist with self-regulation
D. Establish a bond through visual orientation to the therapist’s face.

19. Your department has an enormous waiting list. What is the best thing to do?
A. Attend only to the present caseload. Do not take new referrals.
B. Admit all patients, but give only 30 minutes per treatment sessions.
C. Accept referrals and schedule patients accordingly then explain the long waiting
time.
D. None of the above.

20. Which of the following performance components are MOST important to consider when
analyzing activities for use with adults with psychosocial problems?
A. Tactile, kinesthetic, visual, and olfactory properties
B. The amount of self-control demands, time management demands, self-expression
opportunities, and interest in activity.
C. Age appropriateness, prehension patterns required, and the presence of small
pieces that could be mistakenly swallowed.
D. Space requirements, equipment and supply needs, cost, and safety considerations.