Occupational Therapy Assistant Skills
Review Questions
Course Introduction
This course introduces students to the foundational skills and knowledge necessary to function as an Occupational Therapy Assistant (OTA) across diverse practice settings. Topics include an overview of occupational therapy principles, the role of the OTA within the healthcare team, therapeutic use of self, activity analysis, client-centered intervention strategies, and documentation techniques. Students will gain practical experience in performing basic assessments, developing treatment plans under supervision, and facilitating activities that foster physical, cognitive, and psychosocial health. Emphasis is placed on ethical standards, effective communication, and professional collaboration to support client participation in daily life activities.
Recommended Textbook
Pediatric Skills for Occupational Therapy Assistants 4th Edition by Jean W. Solomon
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434 Flashcards
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Chapter 1: Scope of Practice
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Q1) Evaluation, intervention planning, and discharge planning are all part of:
A) assessment.
B) OT process.
C) referral process.
D) screening process.
Answer: B
Q2) Which is not a means of establishing service competency?
A) Continuing education
B) Direct observation
C) Performing standardized assessments
D) Videotaping
Answer: A
Q3) A therapist planned a Christmas activity but later found out that her clients were of the Jewish faith and did not celebrate Christmas.This shows the importance of examining which aspect of environment when planning activities?
A) Cultural
B) Physical
C) Social
D) Temporal
Answer: A
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Chapter 2: Family Systems
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Q1) Which essential skill for successful intervention with families is most closely shown in the following scenario? The OT practitioner asks the parents what they hope to achieve by coming to therapy.The practitioner seeks to determine how the child spends her day and what problems occur so that an intervention plan can be developed.
A) Acknowledgment
B) Continuity
C) Collaborative goal setting
D) Solution-focused interest
Answer: C
Q2) On what does the success of home-based intervention with children with disabilities most depend?
A) The conceptual framework guiding the intervention
B) The degree to which the intervention is supported by research
C) The extent to which the family is involved in its design and implementation
D) The skill of the practitioner in implementing therapy activities with children
Answer: C
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4
Chapter 3: Medical Systems
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Sample Questions
Q1) What are the proper infection control measures for contact precautions?
A) Wash hands when entering and leaving room.
B) Wash hands when entering and leaving room; wear gown and gloves.
C) Wash hands when entering and leaving room; wear gown, gloves, and mask.
D) Wash hands when entering and leaving room; wear gown, gloves, and fit tested respirator or special protective mask.
Answer: B
Q2) The OT and physical therapy (PT) practitioners decide to cotreat a child together to better address the child's needs.What type of collaborative style is this termed?
A) Interdisciplinary
B) Group session
C) Multidisciplinary
D) Transdisciplinary
Answer: A
Q3) OTAs play a vital role in the NICU.
A)True
B)False
Answer: False
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Chapter 4: Educational Systems
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Q1) What is the role of the OTA in the IEP team?
A) To analyze and interpret test results independently of the occupational therapist.
B) To determine level of service along with the teacher and principal.
C) To negotiate changes in the child's goals with the parent.
D) To report findings and recommendations under direction of the occupational therapist.
Q2) Which strategy is recommended for working with teachers?
A) Use the lunch hour to discuss children.
B) Provide the teacher with literature and a long list of things to do.
C) Provide solutions and resources to teachers concerning children with special needs.
D) Schedule regular hourly meetings to discuss a child's intervention plan.
Q3) What is the parent's and child's right to bring legal action against a school called?
A) Due process.
B) LRE.
C) Part C of EHA.
D) Zero reject.
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6
Chapter 5: Community Systems
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Q1) Mark is providing OT services for children twice monthly along with the nursing department in a van that goes to the rural communities in his state.He provides families with information on development and shows families how to engage children in healthy movement and eating.What type of practice is this?
A) Community-based practice
B) Community-built practice
C) Medical-based therapy
D) Traditional OT
Q2) What is not considered a challenge to providing services in the community?
A) Funding
B) Maintaining good communication
C) Cultural competence
D) Natural context
Q3) Which of the following accurately defines the term community?
A) One's natural environment
B) Area with geographic boundaries
C) Population with boundaries
D) A and B only
E) All of the above
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Chapter 6: Principles of Normal Development
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Q1) A child learns to roll over, then crawl, then creep, and eventually walk.This is an example of what type of development?
A) Horizontal
B) Lateral
C) Vertical
D) Dynamic
Q2) Which of the following is true about normal development?
A) Development is linear.
B) Development is static.
C) Development is dynamic.
D) Development is vertical.
Q3) What is the length of the typical prenatal period?
A) 4 weeks
B) 12 weeks
C) 30 weeks
D) 40 weeks
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Chapter 7: Development of Performance Skills
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Q1) Which statement is not true concerning primitive reflexes?
A) Reflexes provide the first movement out of physiological flexion.
B) Reflexes are integrated as the infant learns about the environment.
C) Reflexes persist throughout childhood.
D) Reflexes are genetically carried survival mechanisms.
Q2) Kelly is a 3-month-old infant.As you observe her, you notice that her eyes are open, they are bright and shining, and she can track moving objects with her eyes.You would likely classify Kelly into which of the following infant states?
A) Alert, active, and awake
B) Drowsy
C) Light sleep
D) Equilibrium
Q3) Which reflex involves a child making subtle changes in muscle tone or movement to remain in an upright position?
A) Protective extension
B) Righting
C) Equilibrium
D) Moro
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9
Chapter 8: Development of Occupations
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Q1) Which task represents a formal educational activity?
A) Going to preschool.
B) Making one's bed.
C) Playing school in the backyard.
D) Selling lemonade to friends.
Q2) Which type of play is demonstrated when an infant feels his toes and puts them in his mouth?
A) Sensorimotor
B) Symbolic
C) Games with rules
D) Constructive
Q3) What factor(s) influences a child's participation in home management activities?
A) Age
B) Social environment
C) Culture
D) Both A and C
E) All of the above
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Chapter 9: Adolescent Development: Becoming an Adult
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Q1) Sixteen-year-old Cindy has decided to go to college to become a veterinarian.She is working in the summer to raise money for tuition.What term most closely describes this?
A) Identity achievement
B) Identity diffusion
C) Identity formation
D) Moratorium
Q2) What is the occupational therapy (OT) practitioner's role in working with adolescents with disabilities?
A) None, because OT practitioners work only with younger children.
B) They help the adolescent achieve in school.
C) They work on writing and motor skills as they interfere with school only.
D) They facilitate the teen's transition to young adulthood.
Q3) What influences the onset of menarche?
A) Race
B) Socioeconomic status
C) Heredity
D) Both A and C
E) All of the above
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11
Chapter 10: The Occupational Therapy Process
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Q1) Which statement best describes purposeful activity?
A) A person involved in purposeful activities is more concerned with the process required to complete the activities.
B) Purposeful activities are prescribed based on analysis of their inherent characteristics.
C) Purposeful activity requires active participation from the client.
D) Purposeful activities are deemed by the OT practitioner to be critically important to skill development.
Q2) Which of the following statements is true about long-term goals?
A) They do not need to be behavioral.
B) They need to be measurable but not behavioral.
C) They are the building blocks for OT intervention.
D) They are the expected outcomes of OT intervention.
Q3) Which statement best describes legitimate tools of OT practice?
A) Instruments or tools that a profession uses to bring about change.
B) Tools that remain constant over time.
C) Tools commonly found in an OT clinic.
D) Instruments commonly used to evaluate clients.
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Chapter 11: Anatomy and Physiology for the Pediatric
Practitioner
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Q1) How many thoracic vertebrae are there?
A) 1
B) 5
C) 7
D) 12
Q2) What is the purpose of the endocrine system?
A) Breaks down waste products.
B) Secretes hormones that travel to target cells.
C) Transports hormones to the body.
D) Fights diseases and disorders.
Q3) Which statement describes the autonomic nervous system?
A) It consists of the brain and spinal cord.
B) It consists of a network of peripheral nerves.
C) It consists of the "fight-or-flight" and "rest-and-digest" nerves.
D) It controls movement only.
Q4) Where are the eyes located on the surface of the head?
A) Anterior
B) Posterior
C) Lateral
D) Proximal
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Chapter 12: Neuroscience for the Pediatric Practitioner
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Q1) Which statement reflects the dynamic and ever-changing nature of the brain?
A) Cell migration
B) Neuroplasticity
C) Physiology
D) Proliferation
Q2) What is the pattern of cortical representation in the motor homunculus for fine motor skills as compared to the area for gross motor skills?
A) Equal amount of cortical representation
B) Greater amount of cortical representation
C) Smaller amount of cortical representation
D) This has not been calculated.
Q3) A child showed prolonged eye movement after being spun around 10 times.Which statement best describes this response?
A) Absent nystagmus illustrating impaired cranial nerve II
B) Dysfunctional vestibular system illustrating hypertonia
C) Oculomotor deficit illustrating hypoactive vestibular system
D) Prolonged nystagmus illustrating hyperactive vestibular system
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14
Chapter 13: Pediatric Health Conditions
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Q1) What are common signs of arthrogryposis?
A) Absence of muscle tissue and stiffness of all or most of the extremity joints.
B) Arthritis, spinal stiffness, and visual problems.
C) Developmental delays resulting from intellectual disabilities.
D) All of the above.
Q2) Theodore is a 2-year-old boy who avoids playing with others.He does not ask his mother for help, screams to have his needs met, prefers to sit alone, and flaps his hands in front of his face.He loves to spin the wheels on toy cars and to swing.Which developmental disorder do these behaviors describe?
A) Asperger syndrome
B) Attention deficit hyperactivity disorder
C) Autism
D) Rett syndrome
Q3) What must the OT practitioner never do when a child is having a seizure?
A) Turn the child's head to the side in case she or he vomits.
B) Put a finger in the child's mouth.
C) Remove dangerous objects around her or him.
D) Put something soft under her or his head.
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Chapter 14: Childhood and Adolescent Psychosocial and Mental
Health Disorders
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Q1) Which statement is true concerning suicide in adolescents?
A) Bringing up suicide may encourage the adolescent to act on it.
B) An adolescent expressing suicidal thoughts will probably not act on them.
C) Adolescents who are preoccupied with death require professional counseling.
D) Suicide is very uncommon in teens.
Q2) Which of the following statements is true about Tourette's disorder?
A) Tics increase during activities that require a lot of concentration.
B) Coprolalia is the vocal tic of repeating others' words.
C) The disorder improves in adolescence and adulthood.
D) Tics increase during sleep.
Q3) Which of the following represent positive symptoms of schizophrenia in children or adolescents?
A) Disorganized thought and apathy
B) Hallucinations and delusions
C) Lethargy and blunted affect
D) Poor concentration and attention
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16
Chapter 15: Childhood and Adolescent Obesity
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Q1) What is the recommended physical activity level for children?
A) Vigorous activity for 1 hour daily.
B) Moderate activity for 30 minutes daily.
C) Quiet activity all day long.
D) Outdoor play for at least 20 minutes daily.
Q2) Which factor is not associated with childhood obesity?
A) Quality of diet
B) Level of physical activity
C) Family history of obesity
D) Living in a ranch house
Q3) What is not considered a core value to a program to prevent childhood obesity?
A) Social participation
B) Health education
C) Moderate to high physical activity
D) Including only obese children
Q4) Which statement reflects the trend in physical activity as children get older?
A) Participation in activity declines across childhood and into adolescence.
B) Adolescents are more physically active than preschool children.
C) Puberty slows down the need for physical activity.
D) Sedentary activities replace active activities as a person ages.
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Chapter 16: Intellectual Disabilities
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Q1) Which of the following conditions is considered a trisomy disorder?
A) Anoxia
B) Down syndrome
C) Fragile X syndrome
D) Meningitis
Q2) What must be included for a child to be diagnosed with an intellectual disability?
A) Below-average intellectual functioning
B) Motor delays
C) Deficit in two or more skill areas
D) Both A and C
E) All of the above
Q3) Joey is 18 years old and intellectually disabled.He completed the seventh grade and is going to start vocational training in the fall.In which category of intellectual disability does Joey fit?
A) Mild
B) Moderate
C) Severe
D) Profound
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18
Chapter 17: Cerebral Palsy
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Q1) Stan has a type of cerebral palsy in which balance and fine motor functions such as coordination are impaired.What type of cerebral palsy is this?
A) Ataxia
B) Choreoathetosis
C) Hypotonia
D) Spasticity
Q2) Frank is unable to extend his hand quickly enough to prevent him from falling.With what reaction is he having difficulty?
A) Equilibrium
B) Protective
C) Righting
D) Static balance
Q3) George is unable to sit in a regular chair because when he writes, he falls off the edge as soon as his hand moves past midline.With what is he having difficulty?
A) Equilibrium
B) Protective
C) Righting
D) Static balance
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19
Chapter 18: Positioning and Handling: A
Neurodevelopmental Approach
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Q1) Anitra is a 2-year-old with low muscle tone, flat emotions, and frequent lethargy.The COTA who treats her has difficulty gaining Anitra's attention when trying to engage her in movement activities.What handling technique can facilitate increased tone, alertness, and activity level?
A)Slowly rocking with her positioned sideways in an adult-sized rocking chair.
B) Wrapping her with a light flannel blanket.
C) Tickling her feet.
D) Positioning her on the lap and bouncing her up and down.
Q2) Yuki is a 9-year-old with spastic quadriplegia.Yuki's parents would like her to be able to participate in their weekly family game time.What is the most important point to consider when developing a positioning plan for Yuki?
A) Yuki has her head upright.
B) Yuki is able to participate from her wheelchair.
C) Yuki can easily move her wheelchair if she wants to leave the room.
D) Yuki is safely secured with a lap belt.
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Page 20
Chapter 19: Activities of Daily Living and Sleeprest
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Q1) What technique is the OT using by providing the child with a shower chair, nonslip map, and safety bars when showering?
A) Remediation
B) Adaption
C) Compensatory
D) Grading
Q2) Suck-swallow-breathe synchrony is not necessary for which of the following?
A) Eating without gasping
B) Smiling and frowning
C) Sleeping without drooling
D) Talking and singing
Q3) Useful techniques to help special children develop sleep patterns do not include which one of the following?
A) Allowing children to go to bed when they wish.
B) Establishing a sleep routine with family.
C) Having family ignoring the behaviors.
D) This is not the domain of OT.
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Chapter 20: Instrumental Activities of Daily Living
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Q1) When working on IADLs with a child who has physical limitations, which approach is not recommended?
A) Adapt the environment to remove physical obstacles.
B) Recommend home modifications when possible.
C) Provide direct intervention in the state of the art kitchen at the clinic.
D) Organize the home environment so that tools for particular jobs are located close to the job.
Q2) Mary is a 12-year-old girl who is unable to begin her homework each evening.Her mother notices that once the child begins, she can continue.With what executive functioning is she experiencing difficulty?
A) Emotional control
B) Inhibition
C) Initiation
D) Shift
Q3) How is a single walking device positioned?
A) Placed on the strong hand.
B) Placed on the weak hand.
C) Placed on the preferred hand.
D) Always placed on the right.
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Chapter 21: Play and Playfulness
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Q1) Which trait is not a characteristic of play?
A) Active involvement of the player
B) Child-centered activity
C) Extrinsically motivated
D) Spontaneous
Q2) You are treating a 12-month-old girl for delayed fine motor skills.During the treatment session, you pick out toys that encourage hand use.Your goal is for her to use a neat pincer grasp to pick up the small toys.Which statement best describes the role of play in the treatment of this child?
A) Play is the goal of the session.
B) Play is the method of intervention to work on gross motor skills.
C) Play is the method of intervention to work on hand skills.
D) Play is being used to divert the child's attention.
Q3) Which characteristic of an OT practitioner promotes play in children?
A) Be serious.
B) Keep activities the same from session to session.
C) Insist that children use toys only in standard ways.
D) Try out silly things and have fun.
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23
Chapter 22: Functional Task at School: Handwriting
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Q1) Brigit is an 8-year-old girl who presses hard on the paper and frequently smears her letters and rips the paper.What do you expect to observe with her grasp pattern?
A) Dynamic tripod grasp
B) Grasp by the eraser
C) Loose grasp
D) Tight grasp
Q2) What are the benefits of keyboarding?
A) It improves legibility and reduces spelling errors.
B) It requires less memorization and little bilateral coordination.
C) It strengthens upper extremity strength and timing.
D) It reduces eye strain and improves visual skills.
Q3) Which sitting position is most helpful for writing?
A) Feet on floor, desk resting on lap
B) Feet off floor, desk under armpits
C) Feet on floor, desk slightly above elbow
D) Feet off floor, desk slightly above elbow
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Chapter 23: Therapeutic Media: Activity With Purpose
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Q1) According to the OTPF, what are you addressing by taking into consideration that Suzy is a 3-year-old child?
A) Activity demands
B) Habits
C) Client factors
D) Context
E) Both A and D
Q2) The OT practitioner noticed the client had a small cut and provided a glove to protect his hand during woodworking.This shows the practitioner was taking into account what client factor?
A) Skin-related structures
B) Sense of self
C) Cardiovascular system
D) Eye-hand coordination
Q3) Why did you choose the activity in question 1?
A) It is purposeful.
B) It has meaning for the client.
C) It works on endurance skills.
D) Both A and C are reasons for choosing the activity.
E) All of the above are reasons for choosing the activity.
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Chapter 24: Motor Control and Motor Learning
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Q1) Which concept is least central to motor control theory?
A) Meaningful activities
B) Natural contexts
C) Promote problem solving
D) Teach components
Q2) What type of practice is most effective for transfer of learning?
A) Blocked
B) Distributive
C) Variable
D) Repetitive
Q3) Which statement is not a guideline for applying the concept of transfer of learning?
A) There is no benefit to practicing the skill in real-life situations.
B) Skills need to be presented in a logical progression.
C) Foundational skills should be practiced before complex skills.
D) Similar skills are more likely to transfer.
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Chapter 25: Sensory Processingintegration and Occupation
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Q1) COTAs can become certified in the administration and interpretation of the Sensory Integration and Praxis Tests (SIPT).
A)True
B)False
Q2) Charlene, the COTA, talks with 11-year-old Bob about strategies that may help him in the classroom and at home.Why does Charlene choose to do this?
A) Bob can become an active participant in problem solving.
B) Charlene does not have to document the strategies.
C) Bob's parents are not involved in the therapy.
D) Charlene should not be discussing strategies with a child.
Q3) Charlie, a 10-year-old boy, is unable to ride a bicycle.He has poor balance and low muscle tone throughout and does not cross midline.His teacher reports that he sits slouched in his seat and has difficulty reading across the page.Charlie has difficulty copying words from the board.Which type of deficit do these findings represent?
A) Bilateral integration dysfunction
B) Developmental dyspraxia
C) Sensory modulation disorder
D) Postural-ocular disorder
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Chapter 26: Applying the Model of Human Occupation to Pediatric Practice
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Q1) A child's pattern and organization around different occupations is called
A) Volition
B) Performance capacity
C) Habituation
D) Environmental factors
Q2) What is the term for things that a child is happy to do, finds happiness in doing, and usually is able to do successfully?
A) Occupational forms
B) Occupational objects
C) Interests
D) Values
Q3) During a treatment session, a therapist provides the guidelines for choice and performance of tasks by allowing a child to choose from a set of alternative activities that addresses the same area of concern.This type of therapeutic strategy is
A) structure.
B) encouragement.
C) coaching.
D) giving feedback.
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Chapter 27: Assistive Technology
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Q1) What type of selection is it when the child moves the joystick to the right so the cursor goes to the right?
A) Direct selection
B) Encoding
C) Indirect selection
D) Scanning
Q2) What do built-up controls for a toy or activity represent?
A) No-technology solution
B) Low-technology solution
C) High-technology solution
D) Bad solution
Q3) From where would someone seek AT funding for an 8-year-old to perform successfully in school?
A) Medicare
B) Vocational rehabilitation program
C) Individuals with Disabilities Act (IDEA)
D) Birth to three program
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29
Chapter 28: Orthoses, Orthotic Fabrication, and Elastic
Therapeutic Taping for the Pediatric Population
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Q1) What is the purpose of a wrist immobilization orthosis with ersal cuff?
A) It stabilizes the forearm.
B) It allows the child to hold things.
C) It rests the arm.
D) It provides support to the wrist and elbow.
Q2) What is the primary goal of Kinesio taping?
A) To help the body in self-healing.
B) To provide stability to muscles.
C) To correct misaligned joints.
D) To normalize muscle tone.
Q3) Which statement is not a goal of orthotic fabrication?
A) Alleviate pain
B) Enhance function
C) Prevent deformity
D) Shorten soft tissue structures
Q4) Which skill represents appropriate hand use for a 5-month-old child?
A) Hand crosses the midline while supine.
B) Active forearm supination while prone.
C) Two-handed approach to objects with a unilateral grasp.
D) Roll from supine to prone.
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Chapter 29: Animal-Assisted Activities and Therapy
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Q1) Which statement most reflects pet-assisted therapy?
A) Play with animals on a farm.
B) Feed the fish in the classroom.
C) Brush the trained facilitator's dog with the affected side.
D) Feed your own dog treats.
Q2) The COTA designed an activity of digging through the dirt to find insects.What client factor is the OT practitioner most likely targeting with this activity?
A) Balance
B) Gross motor skills
C) Tactile discrimination
D) Timing and sequencing
Q3) What type of animals are frogs and salamanders?
A) Amphibians
B) Invertebrates
C) Mammals
D) Reptiles
To view all questions and flashcards with answers, click on the resource link above.