NEW
Font size
WorksheetsMosby Part 1
Total questions: 40
Worksheet time: 20mins
Entry into the early intervention system begins with which of the following?
Screening for developmental delay
Individualized Family Service Plan
Screening for family environmental risk factors
Individualized Education Plan
A 65 year old patient who sustained a myocardial infarction 1 week prior has been referred to cardiac rehabilitation. To determine the functional capacity, the OT should initially assess:
caregiver's ability to handle the patient at home
resumption of sexual activity with spouse
endurance for grooming, hygiene, dressing, eating
ability to return to work on a part-time basis
A problem that limits in-hand manipulation is:
Limited finger isolations and control
Inability to hold more than one object in the hand at the same time
An inability to maintain long sitting
Difficulty combining wrist extension with finger extensions
During an evaluation, the OT must determine a child's exact chronological age. The child was born on March 6, 2003 and the testing date is July 12, 2006. The child's chronological age is:
4yrs, 6mos, 5days
3yrs, 2mos, 6days
4yrs, 5mos, 6days
3yrs, 4mos, 6days
Which one of the four components of the adaptation process pertains to reception of sensory stimuli from internal and external environments?
Assimilation
Accommodation
Association
Differentiation
The OT is interested in determining the degree of sensory discrimination present in the fingertips of the patient with scleroderma. The BEST assessment to use is the:
fingertip wrinkling test
monofilament test
distinguishing between light and deep touch
test for stereognosis
A patient with diabetes mellitus also has complications of peripheral neuropathy. During the evaluation, the OT discovers that there are additional tactile processing issues. Further assessment should focus on:
visual deficits
fatigue and endurance
fine and gross coordination
reflexes
The parent of a child that is being treated in therapy describes how the child covers their ears when riding in the car with the windows down. The parent does not understand why the child persists in this behavior. The OT explains that this behavior could be the result of:
Sensory defensiveness
Gravitational insecurity
Underresponsiveness
Aversion to movement
A 5 year old child presents with difficulty climbing stairs, rising from a sitting or lying position, and demonstrates progressive fatigue caused by muscle weakness. The OT might suspect a problem with:
Duchenne's muscular dystrophy
Limb-girdle muscular dystrophy
Facioscapulohumeral muscular dystrophy
A congenital muscular dystrophy
In the assessment phase of early intervention, an OT assesses the daily living skills of an infant. In the context of early intervention, the areas that are being assessed are:
Feeding and sleeping patterns
Play and leisure patterns
Motor development patterns
Sensory development patterns
While performing a grooming evaluation, a client is noted to smear toothpaste over their hands and face. The OT should assess the client for possible issues with:
ideational apraxia
ideomotor apraxia
spatial relations deficit
motor apraxia
A child with mild spastic diplegia usually displays
Tactile defensiveness
Gravitational insecurity
Postural insecurity
Overresponsiveness
When evaluating a client, you use a cross out sheet and a balloon activity. You are most concerned with:
Visual scanning
Visual acuity
Ocular control
Visual perception
A client's loss of ROM, grip strength, and sensation caused by a work-related injury would be documented by the OT as a(n):
Handicap
Disability
Dysfunction
Impairment
Among children who are autistic, the most significant area of impairment tends to be:
Social
Cognitive
Self-care
Motor
An OT assessing movement determines that a child has oscillating vision. An area for further assessment might be:
Eye-hand coordination
Equilibrium
Muscle tone
Drawing ability
A client with shoulder impingement is referred to OT for skilled instructions in dressing. A dressing technique that would have a tendency to cause symptoms to increase is:
Donning and doffing socks and shoes
Pulling pants up to waist
Putting on a shirt with buttons down the front
Putting on an overhead garment
A child loses its balance and falls down whenever it tries to catch a ball thrown in its direction; otherwise, the child can sit, stand and walk well. The OT would determine that the child has a problem with:
Development of higher-level balance skills
Protective reactions
Anticipatory postural control
Labyrinthine head righting
A 40 year old patient with a 3 week old wrist fracture is receiving outpatient therapy focused on early mobilization. The OT should FIRST:
Determine the patient's tolerance for pain
View the radiographs to determine the amount of healing that has taken place
Begin isometric exercise for strengthening
Teach self-ranging and tendon gliding techniques
The biomechanical FOR is most likely to be used in assessing and intervening for hand skills problems in children with:
Motor planning difficulties
Limitations in range of motion (ROM), strength, or endurance
Tactile and/or proprioceptive sensory problems
Postural tone and coordination problems
A 6 year old is interested in learning to roller skate. However, after the initial few minutes of practice the child does not continue with it and appears to lack the will to follow up what was started. This behavior is typical of Erik Erikson's psychosocial development stage that deals with:
Basic trust vs mistrust stage
Autonomy vs doubt and shame stage
Self-identity vs role diffusion stage
Security vs instability
The OT would administer a test of visual motor integration to a child who most likely has difficulty with:
Copying letters
Putting puzzles together
Selecting geometric shapes that are the same
Finding a figure embedded in a beach scene
A condition that can cause double vision or mental suppression of one of the images that affect the development of visual perception is:
Strabismus
Phoria
Myopia
Astigmatism
A child with cerebral palsy shows significant impairment in the function of the lower extremities with mild involvement of the upper extremities. The classification of cerebral palsy for this child would be:
Hemiplegia
Tetraplegia
Choreoathetosis
Diplegia
A patient with C6 tetraplegia is referred to an inpatient rehabilitation unit. The OT intervention plan should highlight the asset that:
Normal bowel and bladder control are present
Trunk stability is present
No cognitive losses
Motor control of UE is intact
A grasp that is often used to control tools or other objects is
Hook grasp
Power grasp
Lateral pinch
Tip pinch
A child uses a wide base of support when walking because of instability and poor weight shifting. This is characteristic of:
Mental retardation
Scoliosis
Juvenile rheumatoid arthritis
Ataxic cerebral palsy
An elderly client with no visual deficits exhibits difficulty with balance and also reports a tendency to occasionally fall. The OT should assess:
Labyrinthine righting reflexes
Tactile discrimination
Vestibular function
Visual memory
A 65 year old client had a right stroke in the nondominant hemisphere of the parietal lobe. During an ADL evaluation, the client dresses the unaffected limb but not the affected limb. This is an indication of:
Visual field cut
Ideomotor apraxis
Unilateral body neglect
Ideational apraxia
A patient with diabetes is employed as a bricklayer. The patient has recently developed a neuropathy leading to impaired sensation in the upper extremities. In regards to work, the OT needs to caution the patient to examine their hand frequently for:
swelling and dryness
bruising and redness
dryness and erythema
excessive perspiration
The most important information that an OT gains from assessing a child's ball throwing skills is the child's
Use of thumb opposition
Voluntary release of the ball
Sequence and timing of arm movements
Accuracy in hitting a target area
A patient diagnosed with insulin dependent diabetes mellitus is referred to occupational therapy for splinting. A primary area that must be assessed before prescribing a splint is:
Edema
Sensation
Pain
Fine motor manipulation
A psychosocial reaction of an elderly client who experiences difficulty understanding normal speech sounds might be:
Decreased physical reactions
Decreased paranoid tendencies
Increased social activities
Increased paranoid tendencies
An OT would expect a patient that presents with performance deficits caused by issues related to visual processing to demonstrate difficulties with:
Tracking
Attending to objects
Focusing on multiple objects
Discrimination between objects
An individual who recently received radiation in the area of the head and neck drools, pockets food, and coughs. The OT should:
recommend increasing liquid and a cough suppressant
recommend a feeding tube
provide intervention for dysphasia
advise that these are common radiation reactions, which will appear overtime
A child has difficulty recognizing letters in different styles of print or in making the transition from printed to cursive letters. The child has a visual discrimination problem of:
Form constancy
Spatial vision
Figure ground perception
Binocular fusion
A patient with rotator cuff repair surgery to the left nondominant shoulder 3 days ago is referred to OT for an evaluation. An assessment that might be contraindicated is:
sensory testing
ROM testing
manual muscle testing
self-care assessment
the OT is requested to evaluate a mechanic's ability to locate and use small tools. the MOST appropriate sensory assessment to:
monofilament test
test for stereognosis
two-point discrimination
asthesiometer
A 2 year old client with delayed motor skills shifts his weight onto one leg and steps to the side with other in a movement pattern described as:
dancing
creeping
cruising
crawling
An elderly client is observed by an OT as having an unsteady gait, and the client has to hold onto the wall when coming in and out of the bathroom. The OT should assess the patient for:
Visual deficits
Postural control
Possible wheelchair or walker
Apraxia
