Question 1
Question
Charlie is a 10-year-old boy who will eat only mashed foods, does not like noises (e.g., he gets upset when the phone rings), and has difficulty sitting during meals. Charlie's parents report that he does not like new clothes and cannot wear jeans. What type of sensory integrative problem does Charlie have?
Answer
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Dyspraxia
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Poor sensory discrimination and perception
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Problems related to vestibular-proprioceptive functions
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Sensory modulation problems
Question 2
Question
Which of the following SI terms refers to a achieving an internal state of “homeostasis” or the ability to achieve the ultimate state of arousal?
Answer
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Adaptation
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Threshold
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Modulation
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Registration
Question 3
Question
You observe 5 year old Johnny. You note that he does not like to have his hair washed, does not like to go on playground equipment, such as the see saw or swings, and seems to be very cautious in his movements. Which of the following is Johnny MOST LIKELY exhibiting?
Answer
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Gravitational Insecurity
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Hyposensitivity to movement
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High threshold for vestibular input
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Low threshold for tactile input
Question 4
Question
Which system detects head position and movement as well as gravity and pertains to the inner ear receptors, the semicircular canals, and the otolith organs?
Answer
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Proprioceptive
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Vestibular
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Somatosensory
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Ideation
Question 5
Question
Mary is 9 years old and does not adjust her body position well for various school activities. She is unable to move her feet without looking at them and is frequently bumping into things. With what is she experiencing difficulty?
Question 6
Question
Motor planning and praxis mean the same and are used interchangeably.
Question 7
Question
What is Ayres's definition of sensory integration?
Answer
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Intricate synaptic connections
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Organization of sensation for use
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The development of programmed movement patterns, such as crawling and walking
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Perceiving one sensation as another, e.g., perceiving a specific taste when a certain color is seen
Question 8
Question
Which type of sensory input can be both calming and alerting depending upon what the body needs and includes the use of “heavy work” activities?
Answer
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Olfactory
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Vestibular
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Proprioceptive
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Gustatory
Question 9
Question
Which statement is not true concerning dyspraxia?
Answer
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Ayres found a relationship between tactile perception and praxis
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Not all dyspraxia is sensory integrative in nature.
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Dyspraxia is difficulty conceptualizing, planning, and executing movement.
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Somatodyspraxia is a degenerative disorder.
Question 10
Question
Which system detects head position and movement as well as gravity and pertains to the inner ear receptors, the semicircular canals, and the otolith organs?
Answer
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proprioceptive
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vestibular
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somatosensory
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ideation
Question 11
Question
Max is a 12-month-old boy who is just learning to walk. He stands for short periods, sees his favorite toy, and takes one step and falls. The therapist places the favorite toy two steps away the next time. Which term describes this concept?
Answer
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Dyspraxia
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Just-right challenge
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Somatosensory
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Sensory integration
Question 12
Question
You are working with a child who doesn’t like the tags in his shirt, seams in his sock, and touching “messy media” such as finger paints and shaving cream. He is MOST LIKELY exhibiting which of the following?
Answer
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Hyposensitivity for tactile input
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A high threshold for proprioceptive input
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Hypersensitivity for tactile input
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A low threshold for proprioceptive input
Question 13
Question
Lisa is an 8-year-old girl who bumps into things frequently, bears down hard on her pencil at school, and stands very close to her friends. Lisa gets in trouble in school because she is always "talking herself through" her handwriting homework. Lisa likes to play rough at home and is frequently called a bully by her younger brother. What type of dysfunction does this scenario depict?
Question 14
Question
The chapter about sensory integration in the text by Kramer & Hinojosa outlines the 10 basic postulates (beliefs or principles) in the evolving theoretical base of sensory integration. Each postulate supports the theoretical base which states that it is critical the therapist promotes growth and development toward the outcomes of the sensory integration process. Which of the following principles are defined in the chapter?
Answer
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An optimal state of arousal is a prerequisite for adaptive responses to occur.
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Sensory integration occurs during adaptive responses.
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Adaptive responses must be directed toward the child's current developmental level.
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All of the above
Question 15
Question
Which is the best example of an "adaptive response"?
Answer
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Increased strength after a program of using weights
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Ability to hold on and pump a swing higher and longer.
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Improved handwriting after practice exercises
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Enhanced accuracy in throwing a ball when wearing weight cuffs
Question 16
Question
The chapter about sensory integration in the Kramer & Hinojsa, 2010, text identifies the theory of sensory integration combines concepts from which field(s)?
Answer
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Neuroscience
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Psychology
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Occupational therapy
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All of the above
Question 17
Question
Which of the following end product abilities of sensory integration treatment is considered the “highest level” or the “ultimate goal”?
Question 18
Question
The Kramer & Hinojsa (2010) text reviews the idea that sensory integration theory considers all of the sensory systems as important contributors to behavior and learning. However, sensory integration theory emphasizes which "body-related senses?
Answer
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Tactile, vestibular, and proprioception
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Auditory, visual and tactile
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Visual, auditory and vestibular
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tactile, vestibular and auditory
Question 19
Question
Which statement reflects Ayres's theory of central nervous system (CNS) organization?
Answer
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Critical aspects of sensory integration are seated in the higher levels of the CNS (i.e., cortex).
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The brain stem assumes a directive role and inhibits lower levels of the CNS.
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Increased efficiency at the levels of the brainstem and thalmus enhances higher-order functioning.
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The higher levels of the CNS (cortex) replace lower-level functions(i.e., brainstem and thalmus)
Question 20
Question
How did Ayres view sensory input?
Answer
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Nourishment for the brain
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An optional addition to therapy
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Technique to reward child at end of therapy
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Key to improving orthopedic conditions
Question 21
Question
When skills are learned in a natural setting, they are more likely to be generalized in more activities and environments.
Question 22
Question
What determines eligibility of early intervention services?
Question 23
Question
When does planning begin to support the transition from IFSP (Part C) to IEP (Part B)?
Answer
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12 months
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18 months
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24 months
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30 months
Question 24
Question
At what age should a child begin to extend familiar actions to dolls and figures?
Answer
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12-16 months
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18-24 months
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24-36 months
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30-36 months
Question 25
Question
What service delivery model best addresses the needs of children from birth through two who have an established risk, have a developmental delay, or are considered to be environmentally or biologically at risk?
Answer
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Early Intervention
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School-based practice
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Clinic-based practice
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Hospital-based practice
Question 26
Question
What is the most important childhood occupation
Answer
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self care
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handwriting
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Play
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Feeding
Question 27
Question
Which behavior is not a sign of stress in premature infants?
Answer
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Sucking
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Hiccup
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Finger splaying
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Gaze aversion
Question 28
Question
Which of the following does not apply when creating an outcome for an IFSP?
Answer
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Discipline specific
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Jargon free
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Positive emphasis
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Contextualized settings
Question 29
Question
What is an IFSP?
Answer
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Individualized Family Service Plan
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Instrumental Family Service Plan
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Instrumental Family Service Provider
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Individualized Functional Satisfaction Plan
Question 30
Question
At what age should a child begin to walk well?
Answer
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6-12 months
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12-18 months
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18-24 months
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24-30 months
Question 31
Question
By what age should a child begin to explore objects?
Answer
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2-6 months
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8-10 months
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10-12 months
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12-18 months
Question 32
Question
You arrive at your next home visit and find that the baby is sleeping but the family still wants you to come in for your visit. What can you as the OT do during that time according to the types of services that can be provided?
Answer
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Provide family support and education to help facilitate the baby’s development.
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Suggest that the baby be awakened to provide services according to the IFSP and goal page.
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Reschedule the visit during the baby’s awake time so you can treat the baby at the next visit.
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Suggest the parents call the center and schedule a visit for a make-up session.
Question 33
Question
Which of the following factors that is the top priority for premature infants in the NICU?
Answer
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Parental bonding
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Breast feeding
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Sleep
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Kangaroo care
Question 34
Question
What is the least “natural environment” for therapy to take place in early intervention?
Answer
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A clinic
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The home
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A park
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Grandparent’s home
Question 35
Question
At what age does the suck-swallow reflex emerge?
Answer
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10-12 weeks gestation
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28-30 weeks gestation
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33-35 weeks gestation
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at birth
Question 36
Question
Family-centered care is often a hallmark approach in pediatric hospitals. It is characterized by all of the following, but not
Answer
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Clear descriptions in communicating evaluation results.
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Input from family on expected intervention outcomes.
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Mutually agreed upon treatment plan.
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Family led team meetings.
Question 37
Question
Occupational therapists in hospital settings may be characterized as addressing which of the following?
Answer
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Common disorders that necessitate specialty equipment.
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Low frequency but highly complex medical conditions.
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Chronic medical conditions with developmental complications
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Acute medical problems that need preventive care.
Question 38
Question
What are the most common reasons for extended hospital care?
Answer
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ADHD
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Respiratory problems
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Flu
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Motor challenges
Question 39
Question
Which adaptation is best to help a child who is having difficulty with cardiac functioning?
Question 40
Question
Assistive devices can be used to enable or enhance functional skills, and can generally be used when:
Answer
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Ensuring safety and immediate or permanent functional recovery.
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Funding is available.
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Recovery of physical capacities is not possible.
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Substitution for skill limitations are needed
Question 41
Question
What type of hospital serves the community's needs, both adult and pediatric?
Trauma Center
Children's Hospital
General Hospital
No answer text provided.
Answer
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Trauma Center
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Children's Hospital
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General Hospital
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No answer text provided.
Question 42
Question
Teamwork in hospital settings is common. Specific relationships within teams may vary based on child and family needs. What style of teamwork is most commonly employed within occupational therapy services?
Answer
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Interdisciplinary and transdisciplinary approaches
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Special care consultation
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Family-centered consultation and care
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Multidisciplinary care
Question 43
Question
Evaluations by OT's in hospital settings may include a number of approaches and techniques. Select the sequence most commonly used in medical settings.
Answer
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Role assessment, functional capacities, skill observation, physical measures
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Physical examination, objective measures, occupational role appraisal, occupational attitudes
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Clinical interview, clinical observation, physical examination, standardized assessments.
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Goal setting, occupational performance skills, physical capacities, context appraisal
Question 44
Question
What is the primary focus of the occupational therapist working in the pediatric hospital setting?
Answer
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re-entry into the community
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child's independence with ADLs
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choosing adaptive equipment
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evaluation and discharge planning
Question 45
Question
Transition services are an important part of discharge from a hospital program for the OT.