TEST BANK
Adult Physical Conditions: Intervention Strategies for
Occupational Therapy Assistants
Amy J. Mahle, and Amber L. Ward
2nd Edition
,Table of Contents
Chapter 01 Client-Centered Occupational Therapy-Disability and Participation 1
Chapter 02 Professional Considerations for Occupational Therapy Assistants 7
Chapter 03 Occupational Justice for Diverse and Marginalized Populations 12
Chapter 04 The Continuum of Care and the Changing Healthcare Environment 16
Chapter 05 Health Promotion and Wellness for the Client and Practitioner 21
Chapter 06 Teaching and Learning With Clients and Community 26
Chapter 07 Developing the Occupational Profile and Analyzing Occupational Performance 33
Chapter 08 Vision and Visual Perception 39
Chapter 09 Cognition 43
Chapter 10 Self-Feeding, Swallowing, and Communication 48
Chapter 11 Sensation, Wounds, and Pain 54
Chapter 12 Range of Motion-Assessment and Intervention 60
Chapter 13 Muscle Strength-Assessment and Management 66
Chapter 14 Transfers Across the Continuum-Safety and Management 69
Chapter 15 Motor Control and Neurotherapeutic Approaches 74
Chapter 16 Assistive Technology and Home Modifications 81
Chapter 17 Seating and Wheeled Mobility 86
Chapter 18 Driving and Community Mobility 90
Chapter 19 Work Rehabilitation 94
Chapter 20 Physical Agent Modalities 99
Chapter 21 Orthosis-Fabrication and Management 103
Chapter 22 Orthopedic Considerations-Spine, Pelvis, Hip, and Knee 108
Chapter 23 Orthopedic Considerations-The Shoulder 113
Chapter 24 Arthritic Diseases-Factors, Adaptations, and Intervention 118
Chapter 25 Comprehensive Hand and Wrist Management 122
Chapter 26 Amputations and Prosthetics-Components, Training, and Treatment 127
Chapter 27 Chronic Disease Management-Utilizing a Self-Management Approach 131
Chapter 28 Cardiopulmonary Conditions and Treatment 139
Chapter 29 Bariatric Factors and Management 144
Chapter 30 Burns Across the Continuum of Care 149
Chapter 31 Oncological Care and Treatment 156
Chapter 32 Sexual Activity and Intimacy 160
Chapter 33 Motor Unit and Myopathic Diseases-Considerations and Treatment 165
Chapter 34 Degenerative Diseases of the Central Nervous System-Understanding and
Management 169
Chapter 35 Dementia-Understanding and Management 173
Chapter 36 Cerebrovascular Accident-Critical Aspects and Components of Care 177
Chapter 37 Traumatic and Acquired Brain Injury-Management and Treatment 183
Chapter 38 Spinal Cord Injury and Disease-Factors and Essential Care 187
Chapter 39 Polytrauma and Complex Multiple Conditions 191
Chapter 40 Impact of Childhood Conditions Across the Lifespan 196
,Chapter 41 The Influence of Aging on Occupational Performance 201
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Test Bank - Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants, 2e (Mahle, 2023)
Chapter 01 Client-Centered Occupational Therapy: Disability and Participation
MULTIPLE CHOICE
1. An OTA is working with a client who previously sustained a spinal cord injury and is now
utilizing a wheelchair. The client’s job is being modified because the client will be unable to
resume full job responsibilities as a first-grade teacher. Under the International Classification
of Functioning and Disability, how would this scenario be BEST categorized?
A. Impairment
B. Activity limitation
C. Participation restriction
D. Disability
ANS: C PTS: 1 OBJ: 1.1
2. An OTA is working on a committee to help ensure that public transportation settings continue
to offer accessibility for individuals with disabilities. What law is the OTA MOST LIKELY
considering when making these recommendations?
A. Americans with Disabilities Act (ADA)
B. Individuals with Disabilities Education Act (IDEA)
C. World Health Organization (WHO)
D. Health Insurance Portability and Accountability Act (HIPAA)
ANS: A PTS: 1 OBJ: 1.1
3. Initially, OT practitioners treated individuals with mental illness utilizing a variety of arts and
crafts with an occupational focus as a diversion from their conditions. What would be the
BEST term to describe this focus?
A. Purposeful activity
B. Moral treatment
C. Physical rehabilitation
D. Mental rehabilitation
ANS: B PTS: 1 OBJ: 1.2
4. After World War II, the field of occupational therapy shifted focus to placing wounded
veterans in job-related occupations as a part of the Rehabilitation Movement. How was this
different from the way that OT practitioners previously treated their clients?
A. The client’s specific illness would be treated
B. The client would be treated as a whole person
C. Client-centered goals would guide treatment
D. A moral treatment model would be used
ANS: A PTS: 1 OBJ: 1.2
5. What does the term “occupation” in occupational therapy BEST represent?
A. Employment
B. Purposeful activity
C. Livelihood
ANS: B PTS: 1 OBJ: 1.2
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Test Bank - Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants, 2e (Mahle, 2023)
6. In relation to occupational therapy, how is the term “occupation” BEST described?
A. Something a person wants to do
B. A chore that a person has to perform
C. A newly acquired skill a person wants to learn
ANS: A PTS: 1 OBJ: 1.3
7. What occupational therapy model is BEST described as focusing on the understanding and
development of a person’s occupational identity and occupational competence to facilitate
adaptation to the dynamic demands of the life patterns and focuses intervention on a client’s
volition and habituation to lead to improved competence, identity, and occupational
adaptation?
A. Model of human occupation (MOHO)
B. Canadian model of occupational performance and engagement (CMOP-E)
C. Person-environment-occupation-performance (PEOP)
ANS: A PTS: 1 OBJ: 1.3
8. What occupational therapy model is BEST described as using an array of interconnected and
overlapping circles to explain the interactions between the person, the environment, the
person’s occupations, and the performance of those occupations in five dimensions and
centers on understanding how these dimensions interact with one another to
promote well-being and quality of life?
A. Model of human occupation (MOHO)
B. Canadian model of occupational performance and engagement (CMOP-E) model
C. Person-environment-occupation-performance (PEOP)
ANS: C PTS: 1 OBJ: 1.3
9. What occupational therapy model is BEST described as depicting the client at the center, with
spirituality as the core motivating principle, which is foundational for the cognitive, affective,
and physical aspects while being surrounded by the individual’s occupations, followed by the
outermost layer, the environment?
A. Model of human occupation (MOHO)
B. Canadian model of occupational performance and engagement (CMOP-E) model
C. Person-environment-occupation-performance (PEOP)
ANS: B PTS: 1 OBJ: 1.3
10. An OTA is working with a client who has diminished grip strength after coming out of a cast
for a forearm fracture. The client is expected to regain full strength with therapy services. The
client complains of difficulty holding a toothbrush. What is the BEST action for the OTA to
allow the client to participate in the purposeful activity of morning ADLs?
A. Suggest home modifications that could be made
B. Hire an in-home caretaker to assist the client
C. Ask family members to dress the client
D. Provide adaptive equipment and techniques
ANS: D PTS: 1 OBJ: 1.3
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Test Bank - Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants, 2e (Mahle, 2023)
11. An OTA is working with a client who has experienced a spinal cord injury so that she can
navigate the grocery store with more independence. The OTA suggests that the client should
go to the grocery store during off-peak times to allow better maneuverability of her
wheelchair. The client is pleased with her ability to grocery shop with more independence.
What is this scenario MOST LIKELY an example of?
A. Therapeutic use of self
B. Activity adaptation
C. Occupation
ANS: B PTS: 1 OBJ: 1.3
12. The goals for what frame of reference are MOST closely associated with gaining strength,
increasing ROM, reducing pain or swelling, maintaining joint ROM or strength, and
preventing contractures?
A. Rehabilitation
B. Biomechanical
C. Neurofunctional
ANS: B PTS: 1 OBJ: 1.4
13. The goals for what frame of reference are MOST closely associated with adapting techniques
or tools, making changes to the environment, or compensating for difficulties in performing
occupations?
A. Rehabilitation
B. Biomechanical
C. Neurofunctional
ANS: A PTS: 1 OBJ: 1.4
14. An OTA is working with a college-aged student who sustained a spinal cord injury in a motor
vehicle accident. The student wants to resume attending classes so he can finish his degree.
What would be the BEST suggestion for the OTA to make for this student to begin
reintegration into college life?
A. Explore the accessibility options on campus
B. Inquire about online course options
C. Search for a smaller school in which to enroll
D. Register for classes for the next semester
ANS: A PTS: 1 OBJ: 1.4
15. After working with an elderly client who had a total hip replacement, the OTA overhears a
conversation between the client and her caregiver about the client’s lack of independence. The
caregiver states that he will do all of the required ADLs and that the client does not need any
of the adaptive equipment shown. What is the BEST way for the OTA to respond?
A. Provide education on the benefits of the adaptive equipment
B. Respect their wishes and focus treatment on other tasks
C. Tell them they are being a distraction and ask them to leave
D. Inquire about a funding source for the adaptive equipment
ANS: A PTS: 1 OBJ: 1.4
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Test Bank - Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants, 2e (Mahle, 2023)
16. An OTA is working with a client who has just experienced a cerebrovascular accident (CVA).
The client reports feeling depressed and frustrated with the drastic changes to her life and
body and feels that no one else understands what she is going through. How can the OTA
BEST help the client in this situation?
A. Explain that she can still live her life with the skills that she learns in the therapy
setting
B. Help her find a support group for individuals who have had a similar experience
C. Encourage family to take her to activities that she used to enjoy so she can enjoy
them again
D. Discuss with the physiatrist about the need for a referral for a psychiatric
evaluation
ANS: B PTS: 1 OBJ: 1.5
17. If an OTA were using people-first language, how would he MOST LIKELY describe his
client?
A. The traumatic brain injury (TBI) in room 220
B. Ms. X who had a TBI
C. Room 220 with a TBI
ANS: B PTS: 1 OBJ: 1.5
18. An OTA is working with a client who has recently sustained a spinal cord injury. While
talking with the client and asking about what activities she enjoys doing, the client tends to
state that everything is just a blur and that she cannot recall what she enjoyed doing. What
might the client MOST LIKELY be experiencing?
A. Shock
B. Refusal
C. Denial
D. Anger
ANS: A PTS: 1 OBJ: 1.5
19. An OTA is working in an acute rehabilitation facility with an elderly woman who has recently
had a CVA resulting in left hemiparesis and minimal active range of motion in her shoulder.
While talking about goals, the client states that she cannot wait to pick up her grandchildren
when they visit tonight. What might the client MOST LIKELY be experiencing?
A. Shock
B. Refusal
C. Denial
D. Anger
ANS: C PTS: 1 OBJ: 1.5
20. When a client is preparing for discharge from an outpatient setting, which of the following
tasks would MOST LIKELY be delegated to the OTA?
A. Creating a discharge summary
B. Creating a home exercise program
C. Performing a final evaluation
ANS: B PTS: 1 OBJ: 1.6
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Test Bank - Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants, 2e (Mahle, 2023)
21. Throughout the OT process, an OTA is collaborating with an occupational therapist as the
evaluation and treatment process is carried out. The OTA has demonstrated competence with
several assessment tools and has a good rapport with the clients on her caseload. During the
assessment phase, what is the role of the PRIMARY OTA?
A. Administer and interpret assessment scores for treatment planning
B. Delegate components of the assessment to the occupational therapist
C. Report scores on the standardized assessment and client progress
D. Select the standardized assessments to perform
ANS: C PTS: 1 OBJ: 1.6
22. An entry-level OTA is beginning a new job in a rehabilitation facility and will be a part of a
team of OTAs who are supervised by an occupational therapist. Where would the OTA
MOST LIKELY look to find regulatory information about supervision guidelines?
A. The state regulatory body
B. The healthcare facility’s policies and procedures manual
C. The National Board for Certification in Occupational Therapy
D. The American Occupational Therapy Association
ANS: A PTS: 1 OBJ: 1.6
23. What type of team is MOST closely characterized by a group of various professionals from
different disciplines that provide their own care to the client by performing their own
evaluations, have separate treatment goals, and are responsible for their individual scope of
practice as they work independently of each other?
A. Multidisciplinary
B. Interdisciplinary
C. Transdisciplinary
ANS: A PTS: 1 OBJ: 1.7
24. What type of team is MOST closely characterized by a group of various professionals from
different disciplines that work in the same setting, share information formally and informally,
and use team meetings to systematically coordinate efforts and solve problems as they relate
to each discipline?
A. Multidisciplinary
B. Interdisciplinary
C. Transdisciplinary
ANS: B PTS: 1 OBJ: 1.7
25. An occupational therapist and OTA team are working together and with a client on a sensory
stimulation program. The OTA notices that the client’s feet tend to point downward, and it
causes distress when the feet are moved. After this is discussed during a team conference, the
physical therapist instructs the team how to stretch the heel cords. What model of intervention
is this team MOST LIKELY functioning under?
A. Multidisciplinary
B. Interdisciplinary
C. Transdisciplinary
ANS: C PTS: 1 OBJ: 1.7
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