[OTR Exam Simulation] Multiple Choice — Bank 2

A 50-year-old individual with a spinal cord injury at the T12 level is using a wheelchair for mobility. They are at risk of developing pressure ulcers due to prolonged sitting. The occupational therapist aims to minimize the risk of pressure ulcers and promote skin health. Which of the following wheelchair modifications would be MOST appropriate for offloading pressure and reducing the risk of pressure ulcers in this individual?

What is the minimum angle for wheelchair tilt-in-space recommended for enhancing skin perfusion over the ischial tuberosity in individuals with spinal cord injury?

A 30-year-old individual with depression presents to the occupational therapy clinic. The individual displays low motivation, lack of interest in engaging in activities, and feelings of hopelessness. As an occupational therapist, which of the following approaches would be MOST effective in addressing the low motivation and engagement in meaningful activities?

A 68-year-old individual with dementia is experiencing difficulty with self-care tasks such as dressing and grooming. The occupational therapist is planning interventions to promote independence and functional abilities. Which of the following interventions would be LEAST beneficial for addressing self-care challenges in individuals with dementia?

An occupational therapist is working with a child who has sensory processing difficulties. The child exhibits hypersensitivity to tactile input and avoids certain textures. The therapist plans to implement a sensory integration intervention to address the child’s sensory needs. Which of the following activities would be the MOST appropriate for providing tactile input and desensitizing the child?

A 45-year-old individual with a traumatic brain injury (TBI) is having difficulty with memory and executive functioning skills. The occupational therapist plans to implement compensatory strategies to support the individual’s functional performance. Which of the following strategies would be the MOST appropriate for addressing memory and executive functioning challenges in this individual?

A 35-year-old patient with multiple sclerosis experiences a flare-up characterized by increased fatigue, muscle weakness, and difficulties with coordination. As an occupational therapist, which intervention approach would be the MOST appropriate to address the patient’s needs during this flare-up?

In a mental health group setting, a conflict arises between two participants who have differing opinions on a particular topic. As the group facilitator, what is the MOST appropriate way to handle this conflict?

During a group therapy session for individuals with anxiety disorders, one participant becomes visibly agitated and starts to hyperventilate. They express feeling overwhelmed and unable to control their anxiety. As the group therapist, what would be the MOST appropriate response to assist the participant in managing their anxiety symptoms?

John is a 62-year-old man who has been diagnosed with Complex Regional Pain Syndrome (CRPS) in his right hand following a traumatic injury. He experiences severe pain, swelling, and stiffness in his hand, which significantly affects his ability to perform daily activities and engage in work. As part of his occupational therapy intervention, you are considering various techniques to manage his pain and improve hand function. Which of the following interventions is commonly recommended for pain management 

A teenager with autism spectrum disorder (ASD) expresses a desire to increase their autonomy and independence. Which of the following strategies would best support their pursuit of autonomy?

Which of the following strategies is most appropriate for supporting a school-age student with an intellectual disability in a classroom setting?

Emily, a 35-year-old woman, is receiving occupational therapy services as part of her substance abuse recovery program. She has struggled with substance abuse, primarily opioids, and is motivated to make positive changes in her life. Emily expresses her desire to engage in activities that bring her joy, promote relaxation, and support her recovery. As her occupational therapist, you need to identify the area of functioning that would be essential to address in her treatment plan.

A 40-year-old patient sustained a deep partial-thickness burn on the dorsal surface of their hand. The occupational therapist is planning to provide a splint to support the hand during the healing process. Which of the following types of splints would be the MOST appropriate for immobilizing the hand and promoting healing in this patient’s burn injury?

An occupational therapy assessment notices that clients are having difficulty with wheelchair accessibility at a school. According to the Americans with Disabilities Act (ADA) guidelines, what is the minimum required width for doorways to ensure accessibility for wheelchair users?