Occupational Therapy Assistant Fieldwork
Exam Solutions
Course Introduction
Occupational Therapy Assistant Fieldwork provides students with supervised, hands-on experience in a variety of clinical and community settings, allowing them to apply theoretical knowledge and develop practical skills essential for supporting clients in achieving optimal independence and participation in daily activities. Throughout the fieldwork, students collaborate with licensed occupational therapists and other professionals, engage in client-centered interventions, and gain proficiency in assessment, documentation, and therapeutic techniques. This immersive learning opportunity prepares students to meet the professional and ethical responsibilities of an entry-level occupational therapy assistant, bridging classroom learning with real-world practice.
Recommended Textbook
Pediatric Skills for Occupational Therapy Assistants 4th Edition by Jean W. Solomon
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434 Verified Questions
434 Flashcards
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Chapter 1: Scope of Practice
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Q1) Which is not a means of establishing service competency?
A) Continuing education
B) Direct observation
C) Performing standardized assessments
D) Videotaping
Answer: A
Q2) Inca forgets to lock a client's brakes on the wheelchair, and the client falls and fractures her hip.Inca is violating which principle of ethical behavior?
A) Nonmaleficence
B) Autonomy
C) Justice
D) Beneficence
Answer: A
Q3) In what year will the OT profession turn 100 years old?
A) 2017
B) 2020
C) 2027
D) 2035
Answer: A
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Page 3
Chapter 2: Family Systems
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Q1) What is the best approach if a family consistently misses therapy appointments?
A) Give up because the family does not care about the child and does not understand the value of therapy
B) Keep the therapy goals and continue to make appointments in hopes that the family will cooperate
C) Report the family to the proper authorities to be investigated for negligence
D) Reestablish the goals of therapy with family
Answer: D
Q2) Which general systems theory principle refers to the capacity for change?
A) Equifinality
B) Morphogenetic
C) Morphostatic
D) Volition
Answer: B
Q3) Which factor allows you to predict how a family will adapt to a crisis?
A) Cannot necessarily predict adaptation
B) Income level
C) Past experience with crises
D) Marital status
Answer: A
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Chapter 3: Medical Systems
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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) What type of care is it called when the OT practitioner and team provide comfort care to the dying child and family?
A) Early intervention
B) Medical management
C) Palliative care
D) Rehabilitative care
Answer: C
Q3) Which medical team member specializes in lung development?
A) Cardiologist
B) Gastroenterologist
C) Pulmonologist
D) Neurologist
Answer: C
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Chapter 4: Educational Systems
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Q1) What must be true for OT services to be provided in the public school system?
A) The services must be functional and outcome based.
B) The services must be medically necessary.
C) The services must be related to the child's educational needs.
D) There are no requirements or restrictions.
Q2) Which tip would help the occupational therapist work best with the teacher?
A) Provide the teacher with a comprehensive list of research advocating for OT.
B) Spend time in the classroom before making any suggestions.
C) Schedule hourly meetings over lunch on a weekly basis.
D) Discuss the intervention plan and how the teacher may assist the occupational therapist.
Q3) What is the role of the certified occupational therapy assistant (COTA) in the evaluation phase?
A) To choose the evaluation tool to be used.
B) To determine areas to be assessed.
C) To give tests within their competency level.
D) No participation in student evaluations.
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Chapter 5: Community Systems
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Q1) What was one of the most significant shifts from hospital to community care?
A) Community Health Act of 2008
B) Mental Health Center Act of 1963
C) Americans with Disabilities Act
D) No Child Left Behind
Q2) What is the largest community system in which occupational therapists and OTAs are employed?
A) Hospital clinics
B) Mental health centers
C) School systems
D) Assisted living centers
Q3) Which of the following is the definition of health in accordance with the World Health Organization (WHO)?
A) Absence of disease and deformity
B) Absence of infirmity
C) State of well-being
D) All of the above
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Chapter 6: Principles of Normal Development
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Q1) Which of the following statements is true about the occupational therapy (OT) practitioner's study of typical development?
A) It has no clinical relevance unless the therapist is working with developmentally delayed children.
B) It is best to memorize developmental sequences.
C) It helps practitioners to problem solve developmental sequences while working with children who have special needs.
D) It has limited application while working with special needs children.
Q2) Children learn to finger-feed, use a pincer grasp, and creep simultaneously.This an example of:
A) cephalocaudal development.
B) horizontal development.
C) spiral adaptation.
D) vertical development.
Q3) In which context can the OT practitioner have the greatest impact?
A) Chronologic age
B) Environmental
C) Social
D) Cultural
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Page 8
Chapter 7: Development of Performance Skills
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Q1) In which period (other than fetal growth) is physical growth most rapid?
A) Birth to 6 months
B) Middle childhood
C) Preschool
D) Puberty
Q2) 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
Q3) Which five factors are rated to make up the Apgar score?
A) Heart rate, color, reflex irritability, muscle tone, and respiratory effort.
B) Size, color, muscle tone, movement, and mood.
C) Heart rate, muscle tone, size, and respiratory effort.
D) Crying ability, length, age, muscle tone, and respiratory effort.
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9
Chapter 8: Development of Occupations
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Q1) Which OT theorist provided the profession a format to obtain play information during an interview?
A) Reilly
B) Takata
C) Bundy
D) Knox
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) Which readiness skill(s) do children entering preschool programs need?
A) Toileting
B) Self-feeding
C) Cooperative play
D) Both A and C
E) All of the above
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10
Chapter 9: Adolescent Development: Becoming an Adult
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Q1) Which stage of adolescent development involves the teen being engrossed with self (e.g., interested in personal appearance), decreased compliance with parents' rules, questioning of adults, and changing moods and behaviors?
A) Early adolescence
B) Middle adolescence
C) Late adolescence
D) All stages
Q2) Fifteen-year-old Bill is anxious about future goals and career choices.He is not sure whether to pursue a job or enroll in college.He has many interests, but he does not want to do "what his parents want," although he is not exactly sure what he wants.What term most closely describes this?
A) Identity achievement
B) Identity diffusion
C) Identity formation
D) Moratorium
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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 statement best represents a top-down approach toward intervention?
A) Haley will bring both hands together during play.
B) Haley will pick up a Cheerio with a neat pincer grasp.
C) Haley will play with a variety of toys using two hands.
D) Haley will stack four cubes using both hands.
Q3) Which frame of reference views the child in terms of volition, habits and roles, performance, and environment?
A) Model of Human Occupation (MOHO)
B) Intentional Relationship Model
C) Person-Environment-Occupation
D) Biomechanical
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Chapter 11: Anatomy and Physiology for the Pediatric
Practitioner
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Q1) A physiologist is a biologist who studies A) function.
B) structure.
C) evolution.
D) genetics.
Q2) How many thoracic vertebrae are there?
A) 1
B) 5
C) 7
D) 12
Q3) What is the term used to describe the primary muscle that shortens, producing movement around a joint?
A) Antagonist
B) Skeletal
C) Co-contraction
D) Agonist
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Page 13
Chapter 12: Neuroscience for the Pediatric Practitioner
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Q1) How does a child with neurological damage (i.e., cerebral palsy) learn to do things with his peers?
A) Repetition of task
B) Passive movement
C) Active repetition
D) A and C
E) All of the above
Q2) Which statement reflects what occurs in therapy in regard to neurons?
A) Brain neurons do not change over time.
B) Damaged neurons can be repaired.
C) Destroyed neurons are replaced with new ones.
D) Neurons gain new synapses.
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) Mira is a 10-year-old with juvenile rheumatoid arthritis (JRA).She has trouble completing her work at school.Which client factors (associated with JRA) may be interfering with her educational work?
A) Decreased ROM.
B) Increased muscle tone.
C) Inability to process sensory information.
D) Poor strength and endurance.
Q2) What do boys with Duchenne muscular dystrophy (DMD) commonly develop?
A) Arthritis
B) Osteoporosis
C) Scoliosis
D) Seizures
Q3) Carolyn is a 5-year-old with a cardiac disorder.She has trouble playing with her peers at day care.Which client factors (associated with cardiac disorders) may be interfering with her play?
A) Decreased range of motion (ROM).
B) Increased muscle tone.
C) Inability to process sensory information.
D) Poor strength and endurance.
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Page 15
Chapter 14: Childhood and Adolescent Psychosocial and Mental Health Disorders
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Q1) Which of the following is an appropriate OT intervention for conduct disorder?
A) Assist the child in channeling energy into appropriate activities.
B) Clearly define acceptable behaviors.
C) Reinforce appropriate behaviors.
D) All of the above are appropriate interventions.
Q2) What is the name of a life-threatening disorder characterized by a body weight 15% below average, an intense fear of gaining weight, and a perception of being or feeling fat even though looking emaciated?
A) Anorexia bulimia
B) Anorexia nervosa (AN)
C) Bulimia nervosa
D) Failure to thrive
Q3) Which statement is not true concerning children with conduct disorder?
A) They have an apparent lack of feelings of guilt or remorse about hurting others.
B) Academic performance is affected in most cases.
C) They have good self-esteem.
D) Those who do not receive treatment may develop antisocial personality disorder as adults.
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Chapter 15: Childhood and Adolescent Obesity
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Q1) 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.
Q2) 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.
Q3) Which strategy is not recommended for managing and preventing obesity in children and adolescents?
A) Set many short-term, achievable goals at a time.
B) Address issues of health rather than weight.
C) Encourage the child to have regular sleeping hours.
D) Do not completely deny child occasional sweets or soda.
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Chapter 16: Intellectual Disabilities
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Q1) 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
Q2) What term describes causes of intellectual disability present before a child is born?
A) Acquired
B) Perinatal
C) Postnatal
D) Prenatal
Q3) Smith is 36 months old, but his score on a performance assessment placed him at 24 months.What is his estimated IQ?
A) 50
B) 67
C) 100
D) 115
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18
Chapter 17: Cerebral Palsy
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Q1) What is one of the problems seen most frequently in children with cerebral palsy?
A) Early integration of the primitive reflexes
B) Absent or impaired righting and equilibrium responses
C) Wide ranges of movement patterns
D) Excessive muscle strength
Q2) What component is not essential for the acquisition of motor skills?
A) Inborn reflexive movement patterns.
B) Opportunities to practice and repeat movements.
C) Following an exact sequence of motor skills.
D) Feedback regarding the effectiveness of our actions.
Q3) What is the best way to describe muscle tone that is associated with atypical postural alignment and limited joint range of motion?
A) Flaccid
B) Hypotonic
C) Hypertonic
D) Weak
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Chapter 18: Positioning and Handling: A
Neurodevelopmental Approach
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Q1) What are the reactions called that bring the body back to midline position and the head into vertical position (e.g., when an infant is tilted to the side and brings his head back to the middle)?
A) Equilibrium
B) Protective extension
C) Righting
D) Balance
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.
Q3) Which statement correctly describes positioning?
A) Children should assume a variety of positions.
B) The ideal functional position is sitting.
C) Positioning does not improve social interactions.
D) Only children younger than 1 year sit on the floor.
Page 20
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Chapter 19: Activities of Daily Living and Sleeprest
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Q1) An adolescent with limited judgment and cognitive skills makes a sexual comment to the Certified Occupational Therapy Assistant (COTA).The proper responses do not include which of the following?
A) Asking the adolescent about sexual activity.
B) Asking the adolescent to use words that are more polite.
C) Reporting the incident to the registered OT.
D) Reporting the incident to the adolescent's counselor.
Q2) What technique is used when the caregiver takes the child's clothes off, washes the child in a tub, and dries the child off, but the child dresses self and empties the tub water?
A) Adapting the activity
B) Backward chaining
C) Forward chaining
D) Grading the activity
Q3) 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
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Page 21
Chapter 20: Instrumental Activities of Daily Living
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Q1) Which statement best reflects the role of the OT when working with medication management and children?
A) Children should never be in charge of their medications.
B) Children should bring all medications to school so the OT can look at them.
C) A team will decide if the child is able to manage the medications.
D) The OT can decide on his or her own to help the child manage medications.
Q2) Marty is unable to distinguish a dime from a nickel.With what client factor is he most likely having difficulty?
A) Figure ground
B) Depth perception
C) Mathematical computation
D) Visual perception
Q3) Who provides the guidelines for safe transport of infants, toddlers, and young children who have special needs?
A) National Highway Traffic Safety Administration
B) AOTA
C) Car seat manufacturers
D) Health and Human Services
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22
Chapter 21: Play and Playfulness
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Q1) 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.
Q2) Terry, the Certified Occupational Therapy Assistant (COTA), plays "Simon Says" with Julie and asks her to raise her hands high above her head and to the sides.On which motor goal is she working?
A) Increasing endurance.
B) Increasing upper extremity strength.
C) Increasing range of motion in the upper extremities.
D) Increasing fine motor skills.
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Chapter 22: Functional Task at School: Handwriting
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Q1) The OT practitioner provided John with a variety of drawing activities that were fun and promoted hand skill, especially hand strengthening.These activities required that John manipulate a variety of materials (e.g., Play-Doh, clay, and sand sculptures).What frame of reference was the practitioner using?
A) Biomechanical
B) Developmental
C) Educational
D) Sensory
Q2) Tiffany is a 10-year-old girl who got in trouble in class for talking during free writing time.When confronted, she told the teacher that she did not intentionally speak out loud, but it made the writing easier.What kind of learner is Tiffany?
A) Auditory
B) Visual
C) Kinesthetic or tactile
D) Perceptual
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24
Chapter 23: Therapeutic Media: Activity With Purpose
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Q1) 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.
Q2) According to the OTPF, which factor is considered an occupational performance context?
A) Activity demands
B) Habits
C) Motor
D) Personal
Q3) 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
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Chapter 24: Motor Control and Motor Learning
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Q1) The COTA working with 6-year-old Dylan plays a game of crumpling sheets of paper into balls and throwing them.What is the goal of this activity?
A) Basketball mastery
B) Finger individuation
C) Hand strengthening
D) Range of motion
Q2) Which statement is true concerning how knowledge of performance (KP) facilitates motor learning?
A) KP should be given 100% of the time.
B) KP should be provided the next day.
C) Prescriptive KP is more helpful than descriptive KP in the early stages of learning.
D) KP error information is not helpful.
Q3) What type of practice includes having a child placing coins in a slot, resting briefly, and repeating the same activity again?
A) Blocked
B) Distributed
C) Transfer of learning
D) Variable
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Chapter 25: Sensory Processingintegration and Occupation
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Q1) Why does the COTA provide a new activity on the swing during the treatment session using a sensory integration approach?
A) To facilitate attention to new sensations.
B) To prevent the COTA from becoming bored.
C) To assure the child that the COTA is in charge.
D) To reduce the structure of the session.
Q2) Which statement describes the principles of sensory integration intervention?
A) Provide controlled sensory input to elicit an adaptive response.
B) Practice motor movements to repeat patterns.
C) Desensitize the child so she or he can tolerate input.
D) Provide fun and exciting activities to promote playfulness.
Q3) 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.
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Chapter 26: Applying the Model of Human Occupation to
Pediatric Practice
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Q1) The subjective experience a child has in being in her own body is called A) lived body.
B) personal causation.
C) volitional process.
D) occupational task.
Q2) A therapist engages in a give-and-take interaction with a child, his parents, and consultants from other disciplines working with the child to gain an agreement about something that the child should do.The goal of this type of therapeutic strategy is to A) validate.
B) advise.
C) negotiate.
D) identify.
Q3) What idea can be used to help a therapist understand how children experience their participation in occupations?
A) Performance capacity
B) Personal causation
C) Occupational forms
D) Volitional process
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Chapter 27: Assistive Technology
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Q1) The child observes all the letters pass by on the computer screen and presses a button when the letter he wants passes by.What type of selection is this?
A) Direct selection
B) Encoding
C) Scanning
D) Physical selection
Q2) What should the Certified Occupational Therapy Assistant (COTA) consider when selecting assistive switches?
A) Use whatever switch is available.
B) Match switch characteristics to the user's specific needs.
C) Move the switch around as much as possible to find the best spot.
D) Make access challenging for the individual.
Q3) 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
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29
Chapter 28: Orthoses, Orthotic Fabrication, and Elastic
Therapeutic Taping for the Pediatric Population
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Q1) Which statement is not a function of Kinesio tape?
A) Supports muscle
B) Improves ROM
C) Stabilizes fractures
D) Reduces pain and inflammation
Q2) Which statement shows the responsibility of the certified occupational therapy assistant during the splint fabrication process?
A) Writing down the sequence of when to don or doff the orthosis.
B) Teaching the child how to properly don or doff the orthosis.
C) Instructing parents, teachers, and others involved in donning and doffing the orthosis.
D) Both A and C.
E) All of the above.
Q3) What is the reason to fabricate an orthosis for a deformity?
A) To immobilize the injury to prevent further damage.
B) To allow the client to move the extremity without pain.
C) To cover any external signs of the injury.
D) To attempt to realign the deformity.
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Page 30
Chapter 29: Animal-Assisted Activities and Therapy
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Q1) What type of animals are frogs and salamanders?
A) Amphibians
B) Invertebrates
C) Mammals
D) Reptiles
Q2) What is the role of animals in OT practice?
A) Animals should not be allowed in the clinic.
B) Animals may help clients reach their goals.
C) Pet care is considered a social work goal.
D) OT practitioners must be trained to care for animals.
Q3) The parent of a 3-year-old boy does not like her child digging through the dirt.What is the best response to the parent's concern?
A) Continue the activity if it is good for the child.
B) Modify the activity in collaboration with the parent.
C) Provide the activity in the home program.
D) Stop the activity and never bring it up again.
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