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?

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?

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?

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:

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

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:

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:

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?

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?

Which of the following is the BEST method to use for encouraging problem solving during a craft media group?

During an evaluation, you learn that a young child is easily aroused because of a sensory-processing disorder. Which environmental adaptation would be MOST effective in assisting this individual to fall asleep?

During an infant’s first OT session, the mother reports she has observed that the baby has difficulty with swallowing and frequently chokes. Which of the following feeding positions will MOST effectively reduce the risk of aspiration and facilitate swallowing?

A college student has been referred to a day treatment program following hospitalization for an acute schizophrenic episode. The individual is uncomfortable in social settings; has difficulty sustaining conversation, is unable to make eye contact, and responds with bizarre comments when spoken to. Which of the following would be the MOST effective treatment approach?

An individual with weak grip strength and poor endurance wishes to bake something for family member’s birthday. The OTR wants to plan an activity during which a client can work on grasp/release for 5 minutes without becoming exhausted. The MOST appropriate activity for both purposes would be:

An OT practitioner is working with a student on handwriting skills when she instructs the client to stabilize his forearm on the table when writing. The client is MOST likely to be demonstrating:

An OT is applying PNF techniques for weight shifting during an activity that requires an individual to use the right hand to remove groceries from a bag on the floor to the right. The MOST benefit would be gained from this activity by then placing the groceries:

An individual with hand weakness has difficulty holding a fork. Using a biomechanical frame of reference, which of the following interventions would be MOST appropriate?

An OT practitioner is working with a withdrawn child whose occupational therapy objectives include increasing the ability to express feelings and conflicts. Which of the following activities will MOST effectively promote this skill?

Development of a treatment plan for a child with an underreactive vestibular system would MOST likely include specific activities to address:

When leading groups, OT practitioners should demonstrate consistency from day to day. Inconsistent behavior would most likely result in:

A child with a behavior disorder has an innately difficult temperament. Which of the following treatment approaches is MOST appropriate?

A sales executive is participating in a time management program. Which of the following would be the expected outcome for the client?

An OT practitioner is working on morning activities of daily living with a young adult who recently sustained a traumatic brain injury. The client requires prompting to apply shaving cream to his face and to pick up his razor. After these cues, to client is then able to complete the activity. This is MOST likely to be documented as a deficit in which of the following performance components?

An OT practitioner is planning a group session in which the group members will be encouraged to participate in a game of chance. Which of the following would MOST likely be considered a game of chance?

A therapist is planning a simple meal preparation activity that will result in success for a patient with cognitive deficits. The SIMPLEST activity would be preparing:

A woman experienced repeated sexual abuse by her father as a child and now describes her father’s abusive actions as being caused by his stress of being fired from a job because of new management. The defense mechanism she is MOST likely to be using is:

A school age child has Duchenne muscular dystrophy. Although he is able to use a manual chair for distances between classes, he is tired on arrival. What would be the BEST recommendation the OTR could make for wheelchair use at school?

A deficit in visual memory is affecting a child’s reading skills. Which would be the BEST game to promote visual memory?

Which of the following activities should be introduced FIRST when treating a child for tactile defensiveness?

An individual who works as a nurse reports difficulty squeezing the bulb of the sphygmomanometer when taking blood pressures and difficulty opening pill bottles. Which of the following instruments would be MOST appropriate for assessing the individual?

A pre-schooler has poor visual tracking skills, which affect her performance on tasks requiring eye-hand coordination. Which of the following activities is most appropriate for OT practitioner to recommend to the child’s parents in order to promote beginning visual tracking skills during summer vacation?

Which of the following activities would BEST represent an expected outcome for an individual who completes an energy conservation program?

An OT practitioner is performing sensation testing on an individual with hemiplegia. The therapist should FIRST:

A client is working on prehension skills in order to return to work as a mechanic. Which of the following BEST resembles a prehension activity?

After assessing a client who had recently lost his spouse in a house fire, the psychiatrist classifies the client as having an anxiety disorder caused by the occurrence of a major life event. Which of the following BEST represents this disorder?

In an acute mental health facility, an individual refuses to participate in OT activities, and the therapist notes the refusal in the subjective section of documentation note. Which form of refusal would MOST likely reflect acute depression?

In a home program to promote beginning symbolic play for a child with developmental delay, the OT practitioner would MOST likely recommend playing with:

An individual with the goal of increasing attention span is frequently observed watching the person next to her instead of performing her assigned task. This behavior MOST likely indicates:

Using the Model of Human Occupation as a frame of reference, evaluation of an individual should focus PRIMARILY on which of the following?

A client with neurological deficits resulting from a head injury was performing the task of reaching for her brush on the shelf of her bathroom cabinet. During this task the OT practitioner observed that the client located the brush but became very distracted by the other items on the shelf. As a result of this observation, the OT is most likely to provide activities that will improve:

When performing a “naturalistic observation” of dressing skills with a young child diagnosed with developmental delay, an OT practitioner should FIRST:

Which of the following assessment methods would an OT practitioner MOST likely choose to learn about a family’s values and priorities?

During an initial interview, parents describe their child as having severe difficulty in communication and interacting with others. The OT practitioner also observes that the child exhibits many repetitive and ritualistic behaviors. The behaviors described are MOST likely to be associated with:

A flight attendant with a back injury is participating in a work hardening program. The client can successfully simulate distributing magazines to all passengers in a plane using proper body mechanics. To upgrade the program gradually, the OT practitioner should NEXT request that the client simulate: