Occupational Therapy Assessment Quiz

Ms. Thompson has been diagnosed with a central nervous system disorder that predominantly affects her upper motor neurons. Which of the following signs would you expect to observe during an assessment of Ms. Thompson's motor control?

• Muscle weakness

• Autonomic dysreflexia

• Hyperreflexia

• Flaccidity

Which of the following assessment techniques would provide the MOST accurate evaluation of a patient’s visual field?

• Conduct the MVPT using standardized procedures while positioned directly across from the patient to monitor eye movements.

• Position yourself at a distance and ask the patient to identify the number of fingers you are holding up without moving their head.

• Enhance the lighting in the room to improve the patient's ability to see the test materials.

• Sit behind the patient and slowly bring an object into their field of view from the side, while another practitioner ensures the patient maintains a forward gaze.

A 72-year-old patient with a history of stroke is undergoing an occupational therapy evaluation due to reported difficulties with swallowing. The patient experiences coughing and throat clearing when eating or drinking, especially with liquids. During the evaluation, the occupational therapist observes that the patient has difficulty coordinating the movement of food from the mouth to the throat. The patient also struggles with triggering a swallow, leading to some food remaining in the throat. In which stage of the swallowing process is the patient most likely having trouble with?

• Oral

• Oral preparatory

• Pharyngeal

• Esophageal

A 58-year-old patient is participating in occupational therapy after a stroke that affected their ability to use their right arm for daily tasks such as dressing and cooking. The therapist is using a task-oriented training approach to support neuroplasticity and improve the patient's functional performance. The patient practices real-life tasks, like reaching for items in the kitchen and dressing, with their affected arm. The therapist introduces different variations of the tasks, such as changing the location of objects and increasing the complexity, while using real utensils and clothing during therapy sessions. Which statement MOST accurately describes the principle behind the therapist’s task-oriented training intervention approach to enhance neuroplasticity in this case?

You are working with Mrs. Davis in an outpatient clinic. During a session, you ask her to reach for a water bottle placed on the table in front of her. As she reaches, her hand overshoots the bottle, and she has difficulty coordinating the movement to grasp the object. Which motor deficit do you suspect?

• Dysmetria

• Dyspraxia

• Stereognosis

• Dysdiadochokinesis

You are working with Mr. Johnson, who is struggling to complete a multistep task of making a sandwich. He picks up a knife and attempts to use it to spread mustard, but instead uses it to stir the mustard jar, unable to recognize the proper use of the tool. Which perceptual or motor deficit do you suspect?

• Ideational apraxia

• Visual closure dysfunction

• Figure ground dysfunction

• Ideomotor apraxia

You are working with Mr. Adams on self-feeding during breakfast. When you enter his room, you find him sitting in a wheelchair, but he is slouched forward with his chin nearly resting on his chest. His breakfast tray is on a table in front of him, but he has not started eating. What is the first action you should take?

• Reposition him upright with proper trunk support and head alignment to promote safe swallowing and effective self-feeding.

• Move the tray closer so he doesn't have to lean forward to reach his food.

• Hand him his utensils and prompt him to begin eating.

• Begin feeding him to ensure he finishes his meal while maintaining a safe posture.

You are working with a client who presents with slowed movements, muscle rigidity, and resting tremors. The client reports difficulty initiating voluntary movements, such as standing up from a chair or starting to walk. These symptoms are consistent with dysfunction in which part of the brain?

• Cerebellum

• Basal ganglia

• Brainstem

You are working with a client who has age-related macular degeneration, causing central vision loss. The client reports difficulty reading the newspaper and recognizing faces but is still able to see objects in their peripheral vision. What intervention would be MOST appropriate to support the client’s independence in daily activities?

• Increasing overhead lighting in the home to reduce shadows and improve vision.

• Encouraging the use of magnifying glasses for tasks requiring detailed vision.

• Training the client to use their peripheral vision more effectively for functional tasks.

• Providing large-print reading materials to improve readability.

You are working with a client who reports difficulty reading small print, watching television, and recognizing faces from a distance. Upon assessment, you determine that the client has reduced visual acuity. What intervention would be MOST appropriate to address the client's difficulty with visual tasks?

• Encourage the use of contrasting colors for better object visibility.

• Provide a magnification device to assist with reading and near tasks.

• Recommend rearranging the furniture to reduce the risk of tripping.

• Instruct the client in the use of eccentric viewing techniques for better visual tracking.

• Provide remediation exercises to improve visual acuity.