Occupational Therapy Assistant Practicum
Textbook Exam Questions
Course Introduction
The Occupational Therapy Assistant Practicum provides students with supervised, hands-on experience in clinical and community settings, enabling them to apply foundational knowledge and occupational therapy techniques learned in previous coursework. Through direct interaction with clients, collaboration with licensed occupational therapists, and participation in therapeutic interventions, students develop practical skills in assessment, treatment planning, and documentation. This practicum emphasizes professionalism, ethical practice, and adaptability, preparing students to perform entry-level duties as occupational therapy assistants upon graduation.
Recommended Textbook
Pediatric Skills for Occupational Therapy Assistants 4th Edition by Jean W. Solomon
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Page 2
Chapter 1: Scope of Practice
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Q1) Akita recently attended a workshop designed for fieldwork educators.She is now compiling a student notebook for Level II fieldwork experiences.What type of scholarship is this?
A) Application
B) Integration
C) Discovery
D) Teaching
Answer: B
Q2) Which of the following is not a category in the Occupational Therapy Practice Framework (OTPF)?
A) Areas of occupation
B) Performance arenas
C) Context and environment
D) Client factors
Answer: B
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Chapter 2: Family Systems
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Q1) What is an important message to convey to families when first meeting them?
A) You are interested in their child and respect what the family is doing to support and parent their child.
B) Professionals have all of the answers.
C) The road ahead with a child with disabilities will be hard.
D) Therapy is the single most important activity in their child's life.
Answer: A
Q2) What is meant by reframing as a perceptual coping strategy?
A) Giving up and asking someone else to take charge
B) Ignoring a problem
C) Redefining a problem so that there are parts of the problem that can be managed and dealt with
D) Taking up a hobby such as picture framing
Answer: C
Q3) Which general systems theory principle refers to the capacity for change?
A) Equifinality
B) Morphogenetic
C) Morphostatic
D) Volition
Answer: B
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Chapter 3: Medical Systems
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Q1) 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
Q2) A 2 year-old child who has undergone open heart surgery yesterday is most likely to be admitted to which setting?
A) Acute rehabilitation program
B) High Risk Infant Clinic
C) NICU
D) PICU
Answer: D
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) 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.
Q2) Which law stresses the use of scientifically based or evidence-based programs and practices for children?
A) PL 94-142.
B) PL 99-457.
C) Americans with Disabilities Act.
D) No Child Left Behind
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) 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 it called when the practitioner hopes to learn more about the Hispanic culture?
A) Cultural awareness
B) Cultural desire
C) Cultural skill
D) Cultural encounter
Q3) What is not considered a challenge to providing services in the community?
A) Funding
B) Maintaining good communication
C) Cultural competence
D) Natural context
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Page 7
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) 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) You are treating Jim, a 12-month-old boy with developmental delays.He is sitting without support, anterior propping.According to developmental theory, which skill would you work on next?
A) Skipping
B) Walking up stairs "marking time"
C) Pulling to stand
D) Sitting without support, lateral propping
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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) At what age are infants able to transfer objects from one hand to the other?
A) 3 months
B) 5-6 months
C) 9 months
D) 12 months
Q3) Children in middle childhood experience a growth in vocabulary and language, in part due to the focus on reading.This is evident in children's ability to use all of the following except
A) puns and figures of speech.
B) jokes based on words with double meanings.
C) secret languages with their friends.
D) abstract language such as debating.
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Chapter 8: Development of Occupations
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Q1) What does the age at which children develop independent self-care skills depend on?
A) Family's cultural expectations
B) Opportunities for practice
C) The child's motivation to be independent
D) Both A and C
E) All of the above
Q2) What type of social play is demonstrated when a child plays next to another child in the sandbox without interacting?
A) Solitary
B) Parallel
C) Competitive
D) Group play
Q3) What can be expected of a 4-year-old?
A) Ability to put on clothing; generally knowing the right and wrong side.
B) Ability to tie his or her shoes.
C) Ability to zip pants and buckle belts.
D) Both A and C.
E) All of the above.
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Page 10
Chapter 9: Adolescent Development: Becoming an Adult
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Q1) What is generally true of the photographs of adolescents in teen magazines, television, and media?
A) Adolescents are generally shown as overweight.
B) Media do not show a diversity of types.
C) Media present a realistic body type.
D) Media present an ethnic variety.
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
Q3) Which fact is not true concerning American teenagers?
A) Eighteen percent of adolescents are overweight.
B) Depression is a significant health concern.
C) Seventy-five percent of teens report using marijuana.
D) Alcohol is the most widely used drug by adolescents.
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Page 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 not true about short-term objectives?
A) They are all the things the client needs to be able to do to meet long-term goals.
B) They are the statements that describe the terminal functional skills the clients should achieve after intervention.
C) They are interim steps that are used to reach long-term goals.
D) They describe skills that should be mastered in a relatively short time period.
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12
Chapter 11: Anatomy and Physiology for the Pediatric
Practitioner
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Q1) What is homeostasis?
A) Balancing water and electrolytes.
B) Maintaining a steady heart rate and blood pressure.
C) Maintaining a stable internal body temperature.
D) Creating an external barrier to microbes.
Q2) A physiologist is a biologist who studies
A) function.
B) structure.
C) evolution.
D) genetics.
Q3) Which tissue covers and protects the body surface, lines body cavities, and consists of densely arranged cells on the outer layer of the body?
A) Nervous
B) Muscle
C) Connective
D) Epithelial
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Page 13
Chapter 12: Neuroscience for the Pediatric Practitioner
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Q1) How many lumbar vertebrae are there?
A) 1
B) 8
C) 5
D) 12
Q2) Which statement reflects the dynamic and ever-changing nature of the brain?
A) Cell migration
B) Neuroplasticity
C) Physiology
D) Proliferation
Q3) What region has the primary function of increasing the surface area for the neuron?
A) Axon
B) Cell body
C) Dendrite
D) Golgi
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Chapter 13: Pediatric Health Conditions
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Q1) 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.
Q2) Bob, a 5-year-old boy, is unable to dress himself and cannot write his name or count to 10.Bob has a longish face with a high forehead and prominent jaw; he has lax joints and stands with flat feet.Which genetic disorder is suspected?
A) Cri du chat syndrome
B) Down syndrome
C) Fragile X syndrome
D) Prader-Willi syndrome
Q3) 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.
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Chapter 14: Childhood and Adolescent Psychosocial and Mental
Health
Disorders
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Q1) 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.
Q2) Which statement is not a criterion for substance dependence?
A) The individual does not realize that the use is excessive.
B) Much time is spent in obtaining, using, and recovering from the substance.
C) Withdrawal symptoms occur with attempts to reduce or stop using the substance.
D) Responsibilities are neglected.
Q3) Gerald, a 5-year-old kindergartner, is reluctant to go to sleep without his parents nearby.He clings to his parents each morning when being dropped off at school and spends the first 30 minutes in tears, even after the second month of school.What do these symptoms represent?
A) Normal reactions to new situations
B) Phobic anxiety disorder
C) Separation anxiety
D) Generalized anxiety disorder
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Chapter 15: Childhood and Adolescent Obesity
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Q1) What can an occupational therapy (OT) practitioner do to engage the family in establishing health habits?
A) Make complex suggestions that require major life changes.
B) Engage the whole family in simple habit changes.
C) Keep things private and encourage the family not to seek support from others.
D) Make the family members feel guilty about their poor health habits.
Q2) What is the problem with sedentary activities (e.g., playing computer games) in regard to obesity?
A) They require a low expenditure of energy.
B) They displace high-energy activities.
C) They place visual strain on the eyes.
D) Children eat while they play.
Q3) What is the BMI based on?
A) Height, weight, age, and gender
B) Height, age, and grade
C) Height, weight, and body fat
D) Height, body fat measures, and grade
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17
Chapter 16: Intellectual Disabilities
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Q1) Who is qualified to do intelligence quotient (IQ) testing?
A) Certified occupational therapy assistant
B) Registered occupational therapist
C) Psychologist
D) Special education teacher
Q2) Which statement reflects the influence of alcohol and drugs during pregnancy?
A) Teratogens during prenatal periods can be dangerous to brain growth.
B) Anoxia may result in bleeding around the baby's brain.
C) Postnatal infections may cause permanent brain damage.
D) Toxins cause particular problems when ingested.
Q3) Which factors are considered when diagnosing a child with intellectual disability?
A) Parental intelligence
B) Body height and weight
C) Culture and language
D) Socioeconomic status
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18
Chapter 17: Cerebral Palsy
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Q1) Which statement is not emphasized in the dynamic motor control systems theories?
A) Movement will improve through use of controlled sensory input only.
B) Movement will improve through use of sensory input and practice.
C) Movement will improve if the individual is able to use feedforward when planning movements.
D) Movement will improve when an individual has to move in many different types of situations.
Q2) What is the term for the degree of contractility and elasticity in muscle tissue?
A) Resistance
B) Co-contraction
C) Coactivation
D) Muscle tone
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) Tyrell is an 8-year-old with spastic quadriplegia cerebral palsy who has made great gains in head control and use of his arms and hands while positioned prone on a wedge.The COTA decides to have Tyrell try to use his skills at a more advanced level.Which activity is most likely to integrate his success with prone posture?
A) Self-feeding while seated on a bolster chair.
B) Initiating forward movement while prone on a scooter board.
C) Reading a story while prone on a wedge.
D) Swimming with his classmates at school.
Q2) What is considered the optimal sitting position for children with cerebral palsy (spastic quadriplegia)?
A) Chair reclined for comfort
B) Hips extended back into chair
C) Knees extended into long-sitting
D) Hips flexed forward
Q3) What is the first event that must happen for a child to move?
A) Flexion
B) Extension
C) Rotation
D) Weight shift
Page 20
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Chapter 19: Activities of Daily Living and Sleeprest
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Q1) What is the practitioner doing by moving the objects higher so that the child has to reach above his head to get them?
A) Remediating
B) Adapting
C) Compensating
D) Grading
Q2) The activities of obtaining and using supplies and washing, drying, combing, and trimming one's hair fall in what category?
A) Grooming
B) Personal device care
C) Personal hygiene or grooming
D) Toileting hygiene
Q3) What is required for a successful bowel and bladder management program?
A) Volition, intention, and intake neurologic system
B) Scheduling, planning, and follow through
C) Consistency, timing, and luck
D) Cognitive ability, visual-perceptual skills, and sensory awareness
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Chapter 20: Instrumental Activities of Daily Living
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Q1) 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
Q2) Which of the following is not considered an instrumental activity of daily living (IADL)?
A) Care of pets
B) Community mobility
C) Eating and feeding
D) Shopping
Q3) When discussing sexuality with an adolescent in a school setting, what must the OT practitioner first do?
A) The OT should discuss the topic with the school principal and nurse.
B) It is not appropriate for the OT to address sexuality.
C) The OT should obtain consent from the adolescent's parent or guardian.
D) The OT should get verbal consent from the adolescent.
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Chapter 21: Play and Playfulness
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Q1) 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.
Q2) Which characteristic does not promote play and playfulness in children?
A) Positive reinforcement
B) Patience
C) Rigidity with rules
D) Sense of humor
Q3) Which standardized assessment provides practitioners with an age-equivalent core of play skills?
A) Knox Preschool Play Scale
B) Test of Playfulness (ToP)
C) Takata's Play History
D) Transdisciplinary Play-Based Assessment
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Chapter 22: Functional Task at School: Handwriting
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Q1) Kayla, a 7-year-old first grader, is having trouble in school because her teacher says she does not try to write well.The Certified Occupational Therapy Assistant (COTA) observed that Kayla had trouble with letter identification, especially when the letters were smaller than those on her desk.What type of visual perceptual skill does this describe?
A) Figure ground
B) Form constancy
C) Visual closure
D) Visual memory
Q2) Which pencil grip is considered the most mature?
A) Crossed-thumb grasp
B) Dynamic tripod
C) Palmar grasp
D) Static tripod
Q3) Which classroom strategy is most helpful to a child with handwriting difficulties?
A) Allow the child to spend recess time writing homework assignments.
B) Do not require the child to write at all.
C) Provide a written list of homework assignments.
D) Require the child to write in neat, full paragraphs.
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Page 24
Chapter 23: Therapeutic Media: Activity With Purpose
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Q1) Mary is 8 years old and has difficulty stirring a heavy cookie mixture.What is it called when the COTA adds more milk to make the mixture easier to stir?
A) Adapting activity
B) Analyzing activity
C) Grading activity
D) Evaluating activity
Q2) Which statement best describes making the activity of carving a pumpkin more challenging for a group of teenagers?
A) Allow them to work in pairs.
B) Allow them to light the candles.
C) Have them use an extremely dull knife.
D) Provide samples of intricate stencils for them to trace and cut.
Q3) Grace is a 9-year-old girl who is unable to raise her right arm over her head and complains of pain.According to these observations, with what area is she having difficulty?
A) Endurance
B) Muscle tone
C) Range of motion (ROM)
D) Strength
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25
Chapter 24: Motor Control and Motor Learning
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Q1) Alison quickly repositions her body to catch a ball.Of what is this an example?
A) Adaptation
B) Blocked practice
C) Feedback
D) Feedforward
Q2) What term is used to describe the intrinsic processes that go hand in hand with children experiencing and participating in meaningful activities that lead to long-lasting changes in motor performance?
A) Bilateral motor control
B) In-hand manipulation
C) Implement usage
D) Motor learning
Q3) What type of practice is most effective for transfer of learning?
A) Blocked
B) Distributive
C) Variable
D) Repetitive
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26
Chapter 25: Sensory Processingintegration and Occupation
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Q1) 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.
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) During a sensory integration session, Ryan, a 10-year-old boy, suddenly becomes quiet, forgets the object to the swinging game he is playing, and stops playing.What do these behaviors suggest?
A) Ryan is processing vestibular input accurately.
B) Ryan has attention deficit disorder.
C) Ryan is showing signs of sensory shutdown behaviors.
D) Ryan needs more sensory stimulation.
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27
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 child is engaged in a play group at his local place of worship.When using MOHO as a guide to practice, this sort of activity is an environmental factor.This is an example of A) occupational form.
B) spaces.
C) objects.
D) social group.
Q3) According to MOHO, which subsystem should be objectively measured and is typically measured using other frames of reference?
A) Performance capacity
B) Volition
C) Habituation
D) Environment
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Page 28
Chapter 27: Assistive Technology
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Q1) Which of the following is an example of a low-technology device?
A) Pencil grip
B) Environmental control unit (ECU)
C) Powered wheelchair
D) Laptop computer
Q2) 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
Q3) Which of the following is an example of an adapted input device for computer access?
A) Braille embosser
B) Enlarged print
C) Speech synthesizer
D) Switch
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Chapter
Therapeutic Taping for the Pediatric Population
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Q1) You are treating Maggie, a 14-year-old girl who was injured playing soccer.Maggie wears an orthosis but is noncompliant when donning it.You stress the importance of wearing the orthosis.What is the best reason you can give Maggie to encourage her to wear the orthosis?
A) It prevents the tendons and ligaments from shortening.
B) It decreases the potential contracture formation.
C) It prevents the progression of deformity.
D) Both A and B are good reasons.
E) All of the above are good reasons.
Q2) 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.
Q3) What is not considered an outcome of Kinesio taping?
A) Control edema
B) Facilitate or inhibit movement
C) Immobilize joints
D) Provide support
Page 30
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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) Which factor is most important for the occupational therapy (OT) practitioner to consider when using an animal as an occupation for children?
A) Family and child's pets
B) Parental income and educational level
C) Practitioner's comfort with animals
D) Transportability of pet
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