Johnson-Anderson Part 1

An OTR is MOST likely to administer a test of visual motor integration to a child referred to OT for difficulty with:

• Copying letters

• Remembering letters

• Recognizing letters

• Sequencing letters

An OT practitioner is planning a community living program for clients who are to be discharged after an average of 25 to 30years of hospitalization. One of the goals of this program is to train the clients to effectively manage their money. Which of the following activities should be used first?

• provide each client with $23 to spend during a group trip to the local shopping center

• provide sample of coins and paper money

• use a board game to introduce the concept of receiving and spending money

• establish a hospital-based community store where the clients can buy clothing

An OT practitioner is working with three individuals in a cooking group. The individuals demonstrate difficulty attending to task, frequently ask to leave the room, and do not interact with each other. Based on the developmental group concept, which of the following is the MOST appropriate goal for this group?

• Each member will take a leadership role within the session

• Members will share materials with at least one other group member

• Each member will express two positive feelings about themselves with in the group session

• Each member will remain in the group without disrupting the work of others for 15 minutes

The treatment goal for a 4-year-old child with hypotonia is to improve grasp. Which of the following activities would be best for preparing the child’s hand for grasp activities?

• Dropping blocks into a pail

• Placing pegs on a pegboard

• Weight-bearing on hand

• Holding and eating a cookie

The OT practitioner is observing dressing skills in an individual with chronic obstructive pulmonary disease (COPD). While putting on his shirt, the individual becomes short of breath and stops to rest before finishing with the shirt and going on to his trousers. The OTR would recognize this as a deficit in:

• Postural control

• Muscle tone

• Strength

• Endurance

An OT student witnesses a seizure in young client with hydrocephalus. The MOST relevant information to document and report to the supervising therapist is:

• The child’s positioning during the seizure.

• Objective signs and duration of the seizure.

• Responsiveness during the seizure

• Facial expression during and after the seizure

An individual with myocardial infarction (MI) was transferred from the acute care unit to a rehabilitation unit. During the initial interview, he displays good memory of information processed before the MI but poor recall of the period spent in the acute care facility. He is able to recall information since the transfer. The OT practitioner would be MOST likely to document these behaviors as:

• Orientation problems

• Long-term memory deficits

• Anterograde amnesia

• Retrograde amnesia

The home health OT practitioner is seeing a client in the middle stages of Alzheimer’s disease. The family is very concerned that the client’s memory loss is now interfering with performance of daily activities, even familiar self-care activities. The MOST relevant OT intervention at this point would be:

• memory retraining activities for the client

• ADL retraining program for the client

• instructing caregivers in task breakdown

• leisure activity planning

An individual with emphysema reports recently “having an accident” when unable to make it to the bathroom in time. When the home health OT practitioner recommends a bedside commode, the idea is immediately rejected. Which of the following actions should the OT practitioner take FIRST?

• identify options and the consequences of each option

• decrease the effects of prolonged inactivity

• practice with a “demo” bedside commode

• allow time for the individual to think about the bedside commode

A woman with a head injury is impulsive during self-feeding and frequently attempts to place too much food in her mouth at one time. Which of the following methods would MOST effectively control her rate of intake during self-feeding?

• Cut her food into smaller pieces

• have her count to 10 between bites of food

• have her put the utensil down until she swallows

• Serve the various food items in separate containers on the meal tray