TherapyEd OTR Certification Practice Exam

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• What intervention method should an occupational therapist use next for children overresponsive to touch who responded well to a previous activity?
• Which item should the accountant request to be included in the budget for anticipated direct expenses regarding a growing practice?
• Which intervention is best for a patient in Post-acute Rehabilitation focusing on mobility and endurance?
• Which career choice is most appropriate for a young adult with bulimia nervosa to explore, based on a vocational interest inventory?
• In a situation where the parents of a 15-year-old with HIV refuse safe sex education, what is the best course of action for the occupational therapist?
• What is the best action for an occupational therapist to take after an early intervention screening shows an 8-month-old child can sit independently?
• What intervention approach focuses on using real-life activities to remediate cognitive dysfunction?
• In which situation would an occupational therapist likely use a Motor Re-Learning Program (MRP)?
• Which leadership style is most effective for an occupational therapist leading newly admitted psychiatric clients?
• Which skill is crucial for an occupational therapist to consider when choosing between a dynamic interactional and a deficit-specific approach for cognitive perceptual deficits?
• What approach should an occupational therapist take when selecting group activities for a clubhouse program?
• A person with traumatic brain injury scores a 6 on the Glasgow Coma Scale. What should the occupational therapist use to initiate intervention?
• When a client states, "Eggs break, they should be on top," while making a grocery list, what does this indicate about their cognitive approach?
• What is the most appropriate intervention for enhancing trunk stability in individuals during ambulation?
• What type of sensory input is best to recommend for a child suffering from sensory deprivation?
• In creating a job description for an activities program director at a SNF, what qualification should the occupational therapist recommend?
• What precaution should an occupational therapist observe for an older adult with medication-related orthostatic hypotension after a myocardial infarction?
• A client recovering from a CVA indicates an aura during a transfer. What should the therapist do?
• What is the major expected outcome of the new occupational therapists attending an advanced course on pediatric assessment?
• When designing an activity program for individuals with cognitive decline, which focus group is most beneficial?
• At what angle should a therapist position the outrigger when designing a dynamic splint for tendon repair recovery?
• What is a key goal of occupational therapy for individuals with chronic illnesses like COPD?
• What is the best recommendation for ensuring a safe transfer for a resident weighing 280 pounds who cannot independently transfer?
• If a client struggles with the first two tasks of a cognitive-perceptual assessment, what should the therapist do?
• For a child with tactile defensiveness, what is the most effective method to introduce tactile stimuli?
• A hospitalized adult with mild chronic obstructive pulmonary disease (COPD) desires to exercise regularly. Which program should the occupational therapist recommend?
• What is an appropriate intervention for improving fine motor skills in a child with developmental delays?
• For adolescents recently diagnosed with anorexia nervosa, which is the best initial group activity?
• For a patient with incomplete spinal cord injury, which secondary diagnosis might be significant when conducting a home evaluation?
• Which best describes an effective outcome for therapy with adolescents with a history of abuse?
• After evaluating a child who struggles with a certain play activity, which action shows best practice for the occupational therapist?
• If a new occupational therapist is unsure about the effectiveness of an adaptive device, what is the best course of action to take?
• If a client consistently misunderstands spatial tasks, which area should be assessed for potential therapies?
• What individualized strategy should an occupational therapist implement for a child with sensory-seeking behaviors?
• What household activity is most appropriate for a client with CRPS Type I to complete at home?
• When assessing a client with repetitive stress disorder, where should the occupational therapist document a positive Tinel's sign?
• Which orthosis would be most effective for an individual with a brachial plexus injury and full arm involvement?
• What is the best response for a staff therapist who learns about a senior therapist dating a former patient?
• If a client complains of dry mouth due to medications, what is the most effective strategy for the occupational therapist to suggest?
• During a home-based session post-right CVA, what PNF technique is used when a client retrieves dishes from an open dishwasher?
• Which therapeutic intervention is most effective for an individual with Parkinson's disease who has poor trunk rotation during ambulation?
• What intervention approach should be used first to develop skills in an 18-month-old toddler with multiple developmental disabilities?
• What is the purpose of sensory input to the faucial arches during swallowing therapy?
• For an individual with a left-sided CVA who does not speak English, what is the best initial action for the occupational therapist during evaluation?
• Which play activity is best for a cognitively intact 21-month-old child with severe spastic quadriplegia?
• When treating clients with Parkinson's disease, what should be a primary focus for occupational therapists?
• What stage of motor learning should an occupational therapist document for a client who can transfer learned motor skills to different contexts?
• A client successfully completes three running stitches during an Allen Cognitive Level (ACL) Screen. What should the therapist do next?
• What adaptation is most beneficial for a teenage girl with juvenile rheumatoid arthritis who wants to apply makeup?
• For a preschool child with congenital cytomegalovirus (CMV) infection who has visual difficulties, what intervention should a therapist recommend to enhance play experiences?
• What is the primary intervention focus for an occupational therapist implementing a topical group for patients recovering from substance abuse?
• How should an occupational therapist assess a child's cognitive abilities in play?
• What activity is most appropriate for a retired carpenter and war veteran with PTSD who engages during structured tasks but is withdrawn otherwise?
• For a new mother with a complete spinal cord injury, what is the most beneficial recommendation for feeding her child?
• After suffering full-thickness burns, what is the first action an occupational therapist should take if a patient exhibits decreasing ROM and increased pain in the elbow?
• What is the primary focus for an occupational therapist working with clients experiencing visual scanning difficulties?
• What should be a significant consideration when selecting activities for clients in occupational therapy?
• Which direction is most effective for a therapist working with an individual with schizophrenia experiencing auditory hallucinations?
• How should an occupational therapist respond to a family offering a cash gift for services rendered?
• What is the most appropriate intervention technique for teaching table manners to an individual with moderate intellectual disability?
• Which of the following is essential for successful task completion among clients with schizophrenia?
• What should an occupational therapist do initially when bruises are observed on a resident with a neurocognitive disorder?
• What activity is best for the therapist to present to newly admitted psychiatric patients in a task group?
• To aid an individual with cerebral vascular accident effectively, what is an important consideration during therapy?
• In therapy for a child with sensory processing challenges, what strategy may be used to enhance engagement?
• What method is considered most effective for molding a residual limb during pre-prosthetic treatment?
• After treating an individual with myasthenia gravis, what is the best recommendation for the occupational therapist to address the client's home situation?
• What benefit does stretching the upper extremity every 15-20 minutes provide for a child during writing activities?
• What cognitive perceptual ability might an occupational therapist need to evaluate further for a client who struggles to locate objects post-CVA?
• An occupational therapist develops an intervention plan for a patient in Phase 2 of cardiac recovery. Which activities should be included?
• What approach should be recommended for a child with spinal muscle atrophy to assist with dressing?
• To elicit a swallow reflex in a patient with a swallowing disorder, what should the occupational therapist use?
• For a child with mild spastic diplegia, what type of bicycle is most suitable for assisting participation in neighborhood activities?
• What should an occupational therapist do next after noticing an older adult client in a hot apartment showing signs of heat-related illness?
• When evaluating a client's visual deficit, which condition is indicated by difficulty with a letter cancellation task?
• What type of activity would indicate progress for an individual in occupational therapy recovering from an upper extremity amputation?
• Which indication would suggest that an adolescent who is a survivor of abuse should have individual therapy sessions instead of group sessions?
• For a high school senior with developmental delay aiming for independence, what is the best living environment to recommend?
• In a team environment, what is the best way for an occupational therapist to communicate patient needs?
• In documentation for a client with emotional instability after a stroke, what term accurately captures their fluctuating mood?
• What is the first step an occupational therapist should take with a newly diagnosed client with schizophrenia?
• During therapy, which approach is recommended for enhancing proprioceptive input in a child?
• What fundamental principle of validation therapy should be included in an in-service for staff?
• When meeting with an accountant to discuss an expanded practice, how would fees from an early intervention contract be classified?
• Which assessment tool provides the most valid results in evaluating individuals within a work hardening program?
• What cognitive dysfunction might a therapist record if a client has difficulty with increasing stimuli across modalities?
• What is an important factor to include when planning group activities for patients taking psychotropic medications?
• What is a key factor in developing an effective intervention plan for an older adult living alone in a high-heat environment?
• According to the Cognitive Disabilities model, which activity is best for an individual who has completed three running stitches in therapy?
• What type of mobility aid may be recommended for an older adult with difficulty walking?
• What is the appropriate response for an occupational therapist when a student shows behavioral changes and a strong smell of alcohol is detected?
• When splinting a person with full-thickness facial and anterior neck burns, in what position should the neck be splinted?
• A child with developmental delay is being treated for hypotonicity. What is the primary goal of using the Rood approach during therapy?
• How should an occupational therapist respond to a veteran's concerns about body image and sexual appeal after amputations?
• How should an occupational therapist handle a disruptive co-worker in the therapy department?
• Which physical agent modality should be used to prepare a client for functional activities in occupational therapy?
• What should an occupational therapist prioritize when developing interventions for a client with a cognitive impairment?
• In the context of an individual with borderline personality disorder requesting individual therapy, what should the occupational therapist do?
• When advising a parent on feeding techniques for an 18-month-old with developmental delays, which utensil is best recommended?
• What is the appropriate response for an occupational therapist if a child is not meeting established therapy goals?
• For an individual at Level VI on the Ranchos Los Amigos scale, what treatment should an occupational therapist implement?
• What is the best adapted activity for a parent with a C7 spinal cord injury to engage in with their children?
• During group therapy, what is an effective way to encourage interaction among clients?
• What service management task is an occupational therapist performing when reviewing the department’s resources for medical necessity and cost efficiency?
• When planning activities for a child with oppositional defiant disorder, what aspect is most important for the therapist to focus on during group activities?
• What visual deficit is indicated for an older adult who has experienced significant functional vision loss and misidentifies objects in bright light?
• In considering sensory testing for a client with post-polio syndrome, how should the occupational therapist initiate the test?
• What is the best recommendation for parents to help a child with tactile defensive sensory modulation disorder?
• A client in a leisure skills group reports trouble focusing while playing a computer game. How should the occupational therapist respond?
• After evaluation, what is the priority focus for a client with decreased confidence in mobility after a brain injury?
• If a patient frequently spills food when eating, which deficit should the occupational therapist primarily focus on during intervention?
• When providing services to a homeless shelter with residents who are HIV positive, what is an important practice for the therapist to follow?
• What should an occupational therapist do to maintain ethical practice when working with clients?
• In working with a parent receiving hospice services, what intervention is best for the occupational therapist?
• After a patient with major depressive disorder participates in ECT, what is the occupational therapist's best response when the patient wants to join a leisure skills group later that day?
• For a hospitalized nine-year-old girl with cystic fibrosis, what is the best age-appropriate play activity to suggest?
• During a work hardening program, a client expresses complaints of significant substernal pain and nausea. What is the best action for the occupational therapist to take?
• In what context would three-dimensional objects be pivotal for improving interactions in play for a visually impaired child?
• Which group level is most appropriate for a client recovering from a major depressive disorder who has fair eye contact and intact cognition?
• What should a covering therapist do if an individual with bilateral upper extremity weakness reports shoulder and elbow pain after exercising?
• In planning interventions for individuals with cognitive deficits, what activity should be avoided?
• When providing instruction on the environmental control unit (ECU) to a client with amyotrophic lateral sclerosis, which aspect is most critical for the occupational therapist to address?
• What independence skill is most likely stated in discharge documentation for a client with a C5 spinal cord injury?
• Which method is vital for an OT to assess the effectiveness of interventions for cognitive deficits?
• What is the appropriate action for an occupational therapist when a client on Nardil reports headaches and difficulty concentrating?
• Which intervention might be appropriate for an adolescent learning coping skills following trauma?
• What is an effective way to help a patient in the recovery phase of Guillain-Barre syndrome experiencing hand symptoms?
• During a leisure planning group, what side effect of psychotropic medications should be emphasized by the occupational therapist?
• A 5-year-old child demonstrates age-appropriate skills. Which activity would the child likely be able to complete?
• Which method should the occupational therapist use to assess proprioception in a client with perceptual skills difficulties?
• How should the occupational therapist adjust an activity when a child shows resistance to a task?
• If an occupational therapist discovers that a colleague is selling participant information, what should they do?
• What recommendation should an occupational therapist make for a single parent with schizophrenia who is being discharged but has children at home?
• A child with spastic cerebral palsy is struggling with self-feeding. What strategy could effectively support their needs?
• What technique is best for a person with Parkinson's disease to use when transitioning from sitting to standing?
• For an individual with hemiparesis, which adaptive device might the occupational therapist consider for daily living tasks?
• A client recovering from a left CVA demonstrates increased flexor tone in the dominant right upper extremity. What is the most accurate documentation for the therapist regarding this observation?
• What is the minimum door width that an occupational therapist should recommend as accessible without needing modifications?
• What should an occupational therapist do after evaluating a patient and believing an alternative treatment is better than recommended by a physician?
• When evaluating lateral pinch strength, what is the optimal positioning for the individual using a pinch meter?
• What is the best course of action for an occupational therapist if a patient’s family wants to extend therapy beyond the recommended duration?
• What is the most suitable recommendation for the construction of a ramp for a religious congregation with six steps of 7 inches each?
• After a left CVA, which technique is most effective for teaching a patient one-handed dressing?
• In evaluating executive functioning after a mild CVA, which areas should be the main focus?
• What is the best intervention for an individual with intention tremors and nystagmus caused by a cerebellar lesion?
• What task is most appropriate for COTA®s to perform under the supervision of an occupational therapist?
• In evaluating a child with processing difficulties, what sensory processing skill should the occupational therapist assess?
• What important precaution should an occupational therapist review with a patient prescribed Parnate for major depressive disorder?
• Which developmental age should the occupational therapist prioritize when selecting objects for a home evaluation of an 18-month-old child?
• Which emotional response is typical for an adolescent dealing with amputation after trauma?
• To ensure best practice for new entry-level occupational therapists in a growing private practice, what should be implemented?
• What should be emphasized in the orientation of new therapists regarding client confidentiality?
• A 6-year-old child has thumb weakness affecting thumb opposition. What activity will the occupational therapist observe the child struggling with?
• What therapeutic skill is addressed when an occupational therapist asks a client to categorize closet items into grooming and dressing items?
• In a therapeutic activity group for individuals with poor reality orientation, which activity is the best choice for the occupational therapist?
• During the assessment of an infant with developmental disabilities, what should the therapist prioritize?
• When assessing a client with degenerative joint disease, what is the occupational therapist evaluating when asking about pain triggers?
• What statement best reflects an adequate measure of satisfaction in an occupational therapy satisfaction survey?
• In a predischarge home evaluation for a client with a C6 spinal cord injury, which aspect is most crucial for the occupational therapist to assess?
• After a cerebellar tumor removal, what area should the occupational therapist evaluate for further needs?
• When training staff in a long-term care facility on feeding techniques, which point is most important for the occupational therapist to include?
• What should an occupational therapist document as needing further evaluation for a child holding a pencil with a tight grip and relying on visual cues?
• What technique is most consistent with the behavior modification approach used for students with behavioral disorders?
• What activity should an occupational therapist include in an intervention session to facilitate ambulation goals for a child with cerebral palsy?
• If a client demonstrates anger by throwing adaptive equipment on the floor after losing significant functional abilities, which defense mechanism are they likely exhibiting?
• What initial step should an occupational therapist take before recommending technology for a student with severe spastic quadriplegia?
• Which adaptation is most effective for a parent with shoulder weakness to use for meal preparation?
• When correcting a documentation error during a chart audit, what is the best practice for the occupational therapist?
• For an individual with hemiplegia, which equipment is most suitable to assist with ambulation?
• Which strategy is most effective for managing aggressive behavior in a five-year-old with ADHD?
• Which symptom might indicate a possible lithium overdose in a client diagnosed with bipolar disorder?
• When should an occupational therapist refer a patient to another professional?
• What is the appropriate action if a client declines to participate in a recommended therapy program?
• What technique should an occupational therapist recommend to a child with developmental delay to facilitate lip closure?
• When applying PNF principles in therapy, what should the client do to increase the use of the right upper extremity?
• During a sensory evaluation of an individual with right hemiplegia, what should the therapist use for identifying responses in stereognosis testing?
• Which of the following actions best demonstrates ethical practice for an occupational therapist?
• When designing activities for a child with spastic quadriplegic cerebral palsy after Botox injections, what is vital to include?
• What is the best bed position for a client recovering from hip replacement surgery with GERD?
• In what situation is it essential for therapists to obtain informed consent from clients?
• When an occupational therapist finds no one at a scheduled house visit, what should be the therapist's best course of action?
• What is the most crucial information an occupational therapist should provide about a young adult with schizophrenia being discharged to a halfway house?
• What is the best course of action when encountering a client with behavioral concerns during therapy sessions?
• In response to increased admission rates and difficulties in timely evaluations, what should the occupational therapist do?
• When interviewing a COTA® for a position, what should the occupational therapist inquire about that relates to the candidate's mobility considerations?
• After left frontal lobe ischemia, what is the best intervention for a patient struggling with weight bearing during reach activities?
• What is a primary characteristic of complex regional pain syndrome (CRPS) Type I?
• During an OT evaluation, what activity should the therapist have a patient with suspected unilateral neglect complete to assess related deficits?
• During a home visit with a family of a premature infant, what is most important for the occupational therapist to do?
• What is an appropriate strategy for an occupational therapist to adopt for a child with a developmental delay but normal cognitive skills?
• Which cognitive-perceptual skill is likely targeted during an intervention that involves sorting familiar items?
• What type of activities should be included in the intervention plan for an individual with developmental disabilities scoring Level 3 on the Allen Cognitive Level Test?
• What sensation is most likely retained in a client with an anterior spinal artery injury at T12 during a sensory evaluation?
• What is the recommended splint wearing schedule for a patient post-skin graft for full-thickness burns during the first 72 hours?
• How should occupational therapists handle situations where a client's family disagrees with their recommended interventions?
• Which group approach is least likely to support skill building for clients with mood disorders?
• What is the appropriate response for an occupational therapist when a former client wants to share insights in a group session?
• What is an important consideration when recommending activities for a post-stroke client attending therapy?
• What should a couple do first to address their declining shared activities after a client’s hospitalization for depressive disorder?
• In occupational therapy, what is the significance of using context-based activities for cognitive rehabilitation?
• What is the primary focus when using behavior modification techniques with students exhibiting behavioral disorders?
• What is the total active motion (TAM) of an individual's index finger if the measurements are MCP 0-45, PIP 10-60, and DIP 10-40?
• For a patient with right homonymous hemianopsia, where should the therapist recommend placing the call button and cell phone?
• When assisting a veteran with PTSD, which communication method can enhance engagement during structured activities?
• What functional ability should an occupational therapist evaluate for a client who struggles to locate items after brain tumor treatment?
• For a 6-year-old child with figure ground perception difficulties transitioning out of occupational therapy, what discharge recommendation is best?
• During a developmental screening of an 8-month-old, what oral motor development skill is the child likely to demonstrate, according to normal limits?
• What type of prompts should an occupational therapist use to assist a patient with apraxia in dressing?
• What conservative intervention should a house painter with rotator cuff tendinitis be advised to do for their shoulder?
• What is the main focus of occupational therapy when addressing the needs of a child with cerebral palsy?
• What should an occupational therapist do first if a patient with a BK amputation begins to feel weak and dizzy during laundry tasks?
• In developing grasp and shoulder mobility, what type of practice does moving identical one-pound cans provide?
• A child with T10 level spina bifida is losing bladder control. What condition might this change in status indicate?
• What should an occupational therapist do if a child with juvenile rheumatoid arthritis complains of wrist pain upon awakening while using splints?
• What after-school activity is best to promote socialization for a middle school child with osteogenesis imperfecta?
• What is the best intervention approach for a therapist to use when instructing a patient with a left CVA to lock the right brake of a wheelchair?
• When a 3-year-old child exhibits visual deficits during evaluation, what should the occupational therapist do?
• In dealing with a child displaying signs of tactile defensiveness, what is an important consideration when introducing new sensory experiences?
• What approach should an occupational therapist take with a client who exhibits resistance to therapy interventions?
• When evaluating an adolescent student with Duchenne muscular dystrophy for a power wheelchair, what is the most important area to assess?
• During a fire alarm at a transitional planning group, what should the occupational therapist do in response to students dismissing the alarm?
• During a screening, which skill is most likely to be intact and needing no further evaluation in an elementary school child with poor performance and clumsiness?
• What is the best way for an occupational therapist to observe attention deficits during a client evaluation?
• When considering interventions for clients in a psychiatric inpatient unit, which group activity would best foster engagement?
• Which action is best for the therapist to take in response to an adolescent stating that a prosthesis is annoying to wear?
• If a 19-year-old client arrives at a vocational rehabilitation program exhibiting signs of intoxication, what is the best action for the therapist to take?
• In a work adjustment group, how should occupational therapists respond when a member becomes dependent on the COTA?
• When addressing concerns from a family about a client's safety while driving post-CVA, what is the best action for the occupational therapist to take?
• What benefit does participation in quality improvement committees provide to occupational therapists in a hospital setting?
• What is the most appropriate response for a therapist when a client successfully finds items in a refrigerator using scanning strategies?
• When working with an 8-month-old child with poor dynamic sitting balance, what is the most beneficial positioning for activity?
• How should an occupational therapist respond to a situation where they have little experience treating chronic back pain?
• In a small room with eight participants, what seating arrangement is recommended for a topical group?
• What should an occupational therapist do if a patient with Parkinson's disease shows low energy and reports difficulty with home activities?
• For a child with Duchenne's muscular dystrophy whose family seeks to maintain leisure and social participation, which activity should the occupational therapist recommend?
• When documenting observations in an older adult recovering from a stroke who displays abrupt mood changes, what is the most accurate term to use?
• What is the best intervention for a child with myelomeningocele who has not achieved a pincer grasp after therapy?
• What adaptation should an occupational therapist recommend to a teacher with multiple sclerosis to enhance classroom teaching?
• What is the best recommendation for an occupational therapist working with a teenager with spinal muscle atrophy and decreased trunk balance?
• Which technique should be used to inhibit the tonic bite reflex in a toddler with spastic quadriplegic cerebral palsy?
• To effectively develop triceps strength in a carpenter during therapy, how should the tabletop project be positioned?
• When a client with a C5 spinal cord injury reports discomfort during a feeding practice session, what is the best first action for the occupational therapist to take?
• When formulating an individualized wellness plan for a person with a BMI of 35, what risk should the occupational therapist consider?
• In training a client with a right below elbow amputation on how to use a myoelectric prosthesis, what position should the client's elbow be in for optimal grasp and release activities?
• What action should an occupational therapist recommend to a right-hand dominant child experiencing numbness after writing?
• To ensure caregivers accurately implement a bed positioning plan for a stroke recovery client, what action should the occupational therapist take?
• At what age is it typical for a child to begin using blunt scissors to snip paper, moving them in a controlled forward motion?
• According to the Rood approach, which stability pattern should be facilitated first for a child with hypotonicity?
• For a 2-year-old child aiming to develop pincer grasp skills, which activity is the most appropriate for an occupational therapist to implement?
• What term best describes the behavior of a client with a left CVA who shows neglect for items on the right side?
• For a high school student with a history of school failures, what is the most effective intervention principle for occupational therapy?
• Which aspect of the client's history is essential when developing a treatment plan for someone with bulimia nervosa?
• What should an occupational therapist do when a client recovering from hip replacement surgery refuses to use a walker during meal preparation?
• What additional evaluation method should an occupational therapist use to assess a client diagnosed with CRPS Type I?
• When a client with upper extremity burns expresses fears about safety at home, what should be the occupational therapist's initial response?
• What should an occupational therapist prioritize when designing a program for a client with a major depressive disorder?
• If a 9-year-old child selects a model car as a play activity but will struggle with it, what strategy should the occupational therapist use?
• What method is effective for increasing fine motor skills in individuals recovering from a stroke?
• What is the recommended type of wheelchair for an individual concerned about accessing doorways wider than 31 inches?
• What is the most effective direct intervention approach for a patient with left-sided weakness and dysphagia swallowing food?
• What is a key focus for occupational therapy in a clubhouse setting?
• What should an occupational therapist do first after receiving a request to supervise two volunteers learning patient transfer?
• In occupational therapy, what is the main goal when working with a patient experiencing pain during exercises?
• What is the best response for an occupational therapist to provide when a parent insists their child with ADHD and conduct disorder should not be given sugary snacks?
• After an adult patient with a laceration to the flexor tendons has healing completed, what is the most critical exercise to include in their home program?
• During orientation, which policies and procedures are most important for an occupational therapy supervisor to include?
• An occupational therapist is working on dressing skills after a CVA. What motor learning technique is used when alternating environments?
• When using a cognitive-behavioral approach with a client experiencing agoraphobia and panic attacks, which technique is best for the initial session?