Chapter 10
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____
1. An OTA is working with a 67-year-old client who has recently had a CVA, resulting in self-feeding
difficulties. The client was a high-powered executive who is rather embarrassed about being fed and
is choosing not to eat. Which strategy will BEST benefit the client?
a. Using assistive technology and adaptive strategies
b. Role-playing before and during mealtime
c. Eating in isolation to avoid embarrassment
d. Using a nasogastric tube temporarily as she heals
____
2. A facility is planning a family brunch for the residents and family members they wish to invite. The
OTA asked his client, who recently had a CVA resulting in feeding difficulties, who will be joining
her for the brunch. The client responds by saying, “No one. I don’t want them to come.” The OTA
mentions this at the next team meeting and the nurse responds that the client never has family
present during mealtimes and routinely eats alone in her room. What conclusion would MOST
likely be drawn by the team?
a. She has no relatives in the area that can come
b. She experiences distress when eating in front of others
c. She just prefers to be by herself
d. She does not think her family will like the menu that is planned
____
3. An OTA is working with an elderly client with self-feeding and fine motor issues. The client likes to
host social events and expresses that she would like to drink from her stemmed glasses when she
returns home from inpatient rehabilitation. Which action would BEST benefit this client?
a. Work on a tripod grasp and give the client time to practice drinking from her
preferred glass
b. Discuss with the client that she will have more control when drinking from a
regular glass
c. Assist the client to choose other glasses that could be used during these events
d. Have the client practice carrying a tray of the stemmed glasses around the therapy
gym
____
4. An OTA is treating a client who is of a different nationality than the OTA. The client is expressing
refusal and displeasure during feeding interventions. Which of the following would BEST benefit
the client during intervention?
a. Research the client’s culture and self-feeding traditions
b. Educate the client on the importance of self-feeding skills
c. Explain to the client that OT can make self-feeding easier
____
5. A client who recently had a CVA resulting in decreased strength and coordination of her dominant
hand is having difficulty with self-feeding. What MOST LIKELY needs to be strengthened to allow
the client to hold a standard drinking glass?
a. Lateral pinch
c. Supination
b. Power grasp
____
6. An OTA is working with a client who is experiencing difficulty during the oral preparatory phase of
eating. The client is spending increased amounts of time chewing food and cannot seem to move the
bolus to the throat for a swallow. What should the OTA INITIALLY do to assist this client?
a. Cue for multiple swallows with each
c. Allow for additional time for each bite
bite
b. Provide smaller bites with softer
textures
____
7. An OTA is feeding a client who is coughing after each bite and presents with a gurgling sound to his
voice but no coughing after eating. What should the OTA be MOST concerned about when feeding
this client?
a. Aspiration
c. Anomia
b. Ataxia
d. Dyspraxia
____
8. A client was recently admitted to a subacute rehabilitation facility following a hip replacement. He
does not have any teeth and does not like to wear dentures. What recommendation would MOST
likely be made regarding his diet?
a. Prepare food with a soft consistency
c. Cut the food into large pieces
b. Prepare only liquids
d. Provide bland food
____
9. An OTA is working on self-feeding skills with a client who recently had a CVA but is also
diagnosed with gastroesophageal reflux (GERD). What position before and after eating would
MOST LIKELY diminish GERD symptoms?
a. Sitting upright while eating and lying down in bed after eating
b. Being semi-reclined while eating and lying down in bed after eating
c. Sitting upright while eating and after eating
d. Being semi-reclined while eating and after eating
____ 10. An OT practitioner is preparing to do a dysphagia assessment. What is the FIRST tool utilized when
preforming the assessment?
a. Bedside swallow evaluation
b. Thorough chart review
c. Instrumental evaluations
____ 11. Which of the following foods would be CONTRAINDICATED for a client who is on a restricted
diet of honey-consistency liquids?
a. Oatmeal
b. Applesauce
c. Ice cream
d. Pudding
____ 12. An OTA is going on a community outing with a client whose diet restrictions include avoiding foods
with mixed consistencies. When ordering lunch, which foods should the client MOST LIKELY
avoid? (Choose 3)
a. Meat cut into small cubes
b. Mashed potatoes
c. Ice cream
d. Pudding
e. Chunky vegetable soup
f. Cereal with milk
____ 13. When providing a client with a pureed diet, what is MOST important for the OTA to take into
consideration?
a. The client should be on honey-consistency liquids too
b. The client demonstrates inadequate chewing of foods
c. The food will require little manipulation with a knife
____ 14. An OTA is working with a client who had a nasogastric tube placed after a TBI due to his inability
to swallow safely. It is now 7 weeks postinjury, and his modified barium swallow examination still
shows aspiration with all consistencies. What would be the BEST recommendation for the team to
make regarding eating?
a. Keep the nasogastric tube in place
c. Start with pudding-thick liquids
b. Insert a percutaneous endogastric tube d. Provide honey-thick liquids
____ 15. A client is having difficulty scooping food onto a spoon due to ataxic movements. Which of the
following would the OTA FIRST have the client try during meals?
a. Plate guard, curved spoon, suction plate
b. Spoon with a gyroscope, nonskid shelf liner
c. Wrist weights, larger spoon, weighted plate
d. A universal cuff, spoon with built up handle
____ 16. Which of the following alternative and augmentative communication devices would serve the MOST
benefit for a client who is easily confused during mealtimes?
a. A placemat with several communication pictures
b. A notebook for writing requests and questions
c. A dynamic screen-voice output system
d. A device where choices can be typed out
____ 17. An OTA is working with a client with diabetic retinopathy on self-feeding. What strategy would the
OTA MOST LIKELY use with this client?
a. High contrast between plate and food c. Consistent arrangement of place
setting
b. High contrast plate, cup, and napkin
d. Clock method for placement of food
____ 18. An OTA is working with a client with cataracts on self-feeding. What strategy would the OTA
MOST LIKELY use with this client?
a. High contrast between plate and food
c. Consistent arrangement of place
b. High contrast plate, cup, and napkin
d. Clock method for placement of food
setting
____ 19. An OTA is working on self-feeding with a client who is legally blind. What strategy would the OTA
MOST LIKELY use with this client?
a. High contrast between plate and food
b. High contrast plate, cup, and napkin
c. Clock method for placement of foods
____ 20. An OTA is working with a client with glaucoma on self-feeding. What strategy would the OTA
MOST LIKELY use with this client?
a. High contrast between plate and food
c. Consistent arrangement of place
setting
b. High contrast plate, cup, and napkin
____ 21. A speech-language pathologist (SLP) has decided to change a client’s diet to mechanical soft. The
client has a goal for feeding in the OT plan of care. What should the OTA’s INITIAL step be when
she hears this news?
a. Change the current goal for the use of a mobile arm support with Min A
b. Discuss ideas for the diet with the SLP only because he changed the diet
c. Collaborate with the occupational therapist to change the client’s plan of care
d. Assess the client in the OT session as well
____ 22. When working as a part of an interdisciplinary team, how would an OTA BEST collaborate with a
speech-language pathologist regarding a communication device for a client with dysarthria from
muscle weakness due to amyotrophic lateral sclerosis?
a. Positioning of the communication device for a client in her wheelchair
b. Determining the correct number of simple pictures for the client to use
c. Researching brands of devices available for eye-gaze technology
d. Completing a cognitive assessment to give the results to the SLP
____ 23. An OTA has been treating a client who had a CVA resulting in Wernicke's aphasia. What strategies
would the OTA MOST LIKELY utilize when communicating with this client? (Choose the best 3
answers)
a. Facial expressions
b. Written communication
c. Gestures
d. Open-ended questions
e. Detailed descriptions
f. Nonverbal communication
____ 24. An OTA is working with a client for the first time. A chart review indicates that the individual had a
stroke affecting the left frontal area of the brain, resulting in Broca’s aphasia. What communication
deficit would the OTA MOST LIKELY expect to see with this client?
a. Expressive aphasia
c. Global aphasia
b. Receptive aphasia
____ 25. An OTA is working with a client for the first time. A chart review indicates that the individual had a
stroke affecting the posterior portion of the left hemisphere of the brain, resulting in Wernicke’s
aphasia. What communication deficit would the OTA MOST LIKELY expect to see with this
client?
a. Expressive aphasia
c. Global aphasia
b. Receptive aphasia
____ 26. A client with Parkinson’s disease and resulting dysarthria is trying to communicate with his OTA
but the OTA is having difficulty understanding what he is trying to say. What strategies would the
OTA MOST LIKELY suggest to facilitate their 1:1 communication?
a. Ask him to write down what he wants to say
b. Ask the spouse if she understands what is being said
c. Request that he speaks with increased volume
d. Request that he speaks at a slower pace
____ 27. A treatment plan has been developed for a client who had a stroke and is on a low fat, regular diet.
One of the OT goals is to independently self-feed with the use of a built-up fork and a rocker knife in
2 weeks. Following a modified barium swallow, the client’s diet is changed to mechanical soft.
During a supervision session with the occupational therapist, what change, if any, would the OTA
MOST LIKELY recommend be made to the treatment plan?
a. No change to the goal is needed
b. Change built-up fork and rocker knife to standard fork and rocker knife
c. Change built-up fork and rocker knife to built-up fork and built-up spoon
d. Eliminate the self-feeding goal
____ 28. During a treatment session, a client who has a complex medical history and dysarthria tells the OTA
that she got pulled over by the police and had to go through a sobriety test because the officer
thought she was inebriated. Her husband was present and could explain her communication deficits.
What is the BEST recommendation the OTA can make to this client to prevent a problem when she
is driving alone in a car?
a. Only drive when someone else is in the car
b. Wear a medical alert bracelet with all conditions listed
c. Ask the physician to write a letter stating the diagnosis, which can be kept in the
car
d. Call someone who can explain the diagnosis as soon as the police lights go on
Chapter 10
Answer Section
MULTIPLE CHOICE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
ANS: A
ANS: B
ANS: A
ANS: A
ANS: B
ANS: B
ANS: A
ANS: A
ANS: C
ANS: B
ANS: C
ANS: C, E, F
ANS: B
ANS: B
ANS: A
ANS: A
ANS: B
ANS: A
ANS: C
ANS: C
ANS: C
ANS: A
ANS: A, C, F
ANS: A
ANS: B
ANS: A
ANS: C
ANS: C
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
PTS:
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
OBJ:
10.1
10.1
10.2
10.2
10.2
10.3
10.3
10.3
10.3
10.3
10.4
10.4
10.4
10.4
10.5
10.5
10.5
10.5
10.5
10.5
10.6
10.6
10.6
10.6
10.6
10.6
10.6
10.6