NBCOT Registered Occupational Therapists (OTR) Quiz: Condition Task Interaction
20 questions · exam conditions
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Condition Task InteractionQuestion 1 of 20

A 32-year-old mother of a newborn has been diagnosed with de Quervain's tenosynovitis affecting her dominant right hand. She reports sharp pain at the base of her thumb, particularly when lifting the baby, who is now 3 months old and weighs 14 pounds. She is exclusively breastfeeding and often uses her phone for support forums during lengthy feeding sessions.

When analyzing the client's childcare and self-care routines, which activity demand is MOST likely exacerbating her condition?

Sustained static grip required to hold her smartphone while the wrist is in a neutral position during feeding.
Repetitive, forceful gripping and radial deviation of the wrist when changing the baby's diaper on a changing table.
Sustained isometric contraction of thumb extensors and abductors while supporting the infant's head and neck with the wrist in ulnar deviation.
Intermittent power grasp used to lift the baby from the crib, which places maximal stress on the flexor tendons of the wrist.
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NBCOT Registered Occupational Therapists (OTR) Quiz

NBCOT Registered Occupational Therapists (OTR) Quiz: Condition Task Interaction

Practice Condition Task Interaction in NBCOT Registered Occupational Therapists (OTR) with focused quiz questions that help you check what you know, review explanations, and build confidence with test-style prompts.

What this quiz covers

This quiz focuses on Condition Task Interaction, giving you a quick way to practice the rules, question types, and explanations that matter most for NBCOT Registered Occupational Therapists (OTR).

How to use this quiz

Try each quiz question before looking at the correct answer. Use the explanations to review missed ideas, then come back to similar questions until the pattern feels familiar.

All questions

Question 1

A 32-year-old mother of a newborn has been diagnosed with de Quervain's tenosynovitis affecting her dominant right hand. She reports sharp pain at the base of her thumb, particularly when lifting the baby, who is now 3 months old and weighs 14 pounds. She is exclusively breastfeeding and often uses her phone for support forums during lengthy feeding sessions.

When analyzing the client's childcare and self-care routines, which activity demand is MOST likely exacerbating her condition?

  1. Sustained static grip required to hold her smartphone while the wrist is in a neutral position during feeding.
  2. Repetitive, forceful gripping and radial deviation of the wrist when changing the baby's diaper on a changing table.
  3. Sustained isometric contraction of thumb extensors and abductors while supporting the infant's head and neck with the wrist in ulnar deviation. (correct answer)
  4. Intermittent power grasp used to lift the baby from the crib, which places maximal stress on the flexor tendons of the wrist.
Explanation: The correct answer is C. De Quervain's tenosynovitis involves the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) tendons. Many common breastfeeding holds (e.g., cross-cradle) require the mother to support the infant's head with her hand, often resulting in sustained wrist ulnar deviation while the thumb is actively abducted and extended to create a stable 'shelf'. This specific posture places the exact tendons involved in de Quervain's under prolonged, painful strain. Distractor A is less likely as holding a phone, while a grip task, doesn't typically involve the forceful deviation that is provocative. Distractor B involves gripping, but diaper changing is typically a shorter duration task than feeding. Distractor D incorrectly identifies flexor tendons; de Quervain's affects extensor/abductor tendons, and the lift, while provocative, is less sustained than the feeding posture.

Question 2

A client with severe COPD is being evaluated for meal preparation tasks in their small, cluttered apartment kitchen. The client uses pursed-lip breathing and energy conservation techniques but still experiences significant dyspnea with minimal exertion. The kitchen has poor ventilation, and the client prefers to cook multi-step meals from scratch.

The OTR's analysis of the client's meal preparation activity should prioritize which interaction as the primary performance barrier?

  1. The client's impaired fine motor skills due to chronic hypoxia make chopping vegetables difficult and unsafe.
  2. The combined physiological demand of sustained standing and bilateral upper extremity use in a humid, poorly ventilated space exceeds the client's cardiopulmonary capacity. (correct answer)
  3. Cognitive deficits secondary to hypercapnia impair the client's ability to sequence complex recipes, leading to frustration and abandonment of the task.
  4. The cluttered environment increases the physical demand of reaching and bending, which is contraindicated due to the client's risk of falls.
Explanation: The correct answer is B. For clients with severe COPD, activities that involve sustained upper extremity use (especially above the shoulder level) while standing are extremely demanding on the respiratory system because the accessory muscles of respiration are recruited for arm movement. Compounding this with a hot, humid, and poorly ventilated kitchen environment (from cooking steam) dramatically increases the work of breathing and can quickly lead to severe dyspnea. This physiological interaction is the most significant and immediate barrier to performance. While distractors A, C, and D can be relevant concerns for this population, they are secondary to the overwhelming physiological demand described in B.

Question 3

An OTR is assessing a 60-year-old client with late-stage Parkinson's disease, who presents with severe resting tremors, bradykinesia, and postural instability. The client requires a wheeled walker for mobility and lives in a home with narrow hallways and thick-pile carpeting. The client wants to be able to get a glass of water from the kitchen and bring it to the living room.

Which factor represents the MOST significant challenge when analyzing the task of retrieving and transporting water, based on the interaction between the client's condition and environment?

  1. The resting tremor will cause water to be spilled from the glass before the client can begin moving.
  2. The thick-pile carpeting will increase rolling resistance, demanding more force to propel the walker and exacerbating fatigue.
  3. The bradykinesia will make the task of turning the faucet on and off the most time-consuming step in the sequence.
  4. The inability to simultaneously manage the walker and carry the glass of water is compounded by the postural instability and narrow hallways, creating a high fall risk. (correct answer)
Explanation: The correct answer is D because it identifies a complex, multi-faceted problem. A client with Parkinson's has postural instability, making them highly dependent on the walker for balance. Transporting an item like a glass of water requires at least one hand, meaning the client cannot maintain a stable, two-handed grip on the walker. This conflict between needing the walker for stability and needing a hand for the task, combined with the environmental challenge of narrow hallways that limit maneuverability, creates the most significant and dangerous barrier. Distractor A is a problem, but a lid could mitigate it. Distractor B describes a real challenge, but it is a matter of effort, not the fundamental impossibility of the task like that described in D. Distractor C notes a difficulty with a sub-task, but it does not pose the same safety risk as the mobility component.

Question 4

An 80-year-old client with age-related macular degeneration (AMD) lives alone and is responsible for managing multiple medications. The OTR observes the client attempting to read the prescription labels on their pill bottles in their dimly lit living room.

The interaction between the client's condition and the environment creates the GREATEST challenge with which aspect of the medication management task?

  1. Remembering the schedule for taking each medication.
  2. Opening the child-proof caps on the pill bottles.
  3. Visually discriminating the small print on the labels. (correct answer)
  4. Swallowing the pills without spilling water.
Explanation: The correct answer is C. Age-related macular degeneration (AMD) causes loss of central vision, which is critical for tasks requiring detailed sight like reading. The task demand is to read small print. The context of a dimly lit room further compounds this visual deficit. This combination makes visually discriminating the text on the labels the most significant challenge. Memory (A), grip strength for caps (B), and motor control for swallowing (D) are not the primary deficits associated with AMD in this scenario.

Question 5

An OTR is working with a 28-year-old veteran diagnosed with PTSD. The client has secured a job as a data entry clerk in a large, open-plan office. The client's workstation is located in the middle of the room, with pathways on all sides and no partitions. The client reports feeling 'on edge' and is making frequent errors in their work.

The OTR's analysis should identify that the client's poor work performance is MOST likely due to the interaction between which factor and task demand?

  1. Cognitive deficits from a past traumatic brain injury are impairing the client's ability to maintain attention on the repetitive data entry task.
  2. Hypervigilance, a core symptom of PTSD, is being constantly triggered by the 360-degree environmental exposure, diverting attentional resources from the detail-oriented task. (correct answer)
  3. Social anxiety is causing the client to be distracted by the presence of coworkers, leading to a fear of negative evaluation and subsequent performance decline.
  4. Auditory hypersensitivity is making the ambient office noise overwhelming, causing sensory overload that directly interferes with concentration.
Explanation: The correct answer is B. A core symptom of PTSD is hypervigilance, an enhanced state of sensory sensitivity accompanied by an exaggerated intensity of behaviors whose purpose is to detect threats. The open-plan office with traffic on all sides creates an environment where the client feels exposed and unable to monitor their surroundings effectively, particularly their back. This constant threat-monitoring state consumes significant cognitive and attentional resources, directly impacting their ability to focus on a detail-oriented task like data entry. While distractors A, C, and D could be comorbid issues, hypervigilance is the most direct and primary explanation given the diagnosis of PTSD and the specific environmental layout described.

Question 6

An OTR is evaluating a high school student with social anxiety disorder and dysgraphia. The student is required to participate in a group biology project that involves researching a topic, creating a large handwritten poster with diagrams, and presenting the findings to the class.

How does the interaction between the student's conditions and the task requirements create a compounding barrier to academic performance?

  1. The student's anxiety will primarily manifest as a refusal to engage in the research portion of the project, preventing task initiation.
  2. The difficulty and slowness of handwriting (dysgraphia) will be exacerbated by the performance anxiety of being observed by peers while creating the poster. (correct answer)
  3. The cognitive demands of organizing the research material will overwhelm the student's executive functioning, which is compromised by anxiety.
  4. The dysgraphia will make note-taking during the presentation of other groups difficult, limiting the student's overall learning from the assignment.
Explanation: The correct answer is B. This choice correctly identifies the compounding interaction. Dysgraphia makes the physical act of writing laborious and may produce results the student feels are messy or inadequate. Social anxiety involves a fear of negative evaluation. When the student has to perform the difficult and frustrating task of handwriting in a group setting (creating the poster), the anxiety of being judged by peers on their slow or 'messy' writing will heighten stress, which can in turn worsen motor control and further degrade the handwriting. This vicious cycle is a more potent and specific barrier than the other options. Distractor A is too absolute; the student may engage in research alone. Distractor C is plausible but less specific than the direct motor/anxiety link. Distractor D addresses a different task (listening to others) rather than performing the assigned project.

Question 7

A 35-year-old client with multiple sclerosis (MS) experiences significant intention tremors and ataxia, which worsen with fatigue. The client is a parent to a toddler and wants to be able to prepare simple meals, such as heating soup on a gas stovetop.

In the context of heating soup, the interaction of the client's MS symptoms with the task demands creates the MOST critical safety risk during which step?

  1. Retrieving the can of soup from a kitchen cabinet, where ataxia may cause the client to lose balance.
  2. Operating the can opener, where intention tremors could lead to difficulty and minor cuts on the hand.
  3. Carrying the open pot of hot soup from the stove to the counter, where intention tremors could lead to a severe burn. (correct answer)
  4. Turning the knob to ignite the gas burner, where ataxia could result in an unsteady hand motion.
Explanation: The correct answer is C. An intention tremor is a type of action tremor that worsens as a limb approaches a target. The task of lifting and carrying a container of scalding liquid requires precise, controlled movement. The client's intention tremor will be at its worst during this transport phase, creating a very high risk of spilling the hot soup and causing a severe burn. This represents the most critical safety risk among the choices. While A, B, and D describe real difficulties, the potential for injury is less severe. A fall (A) is possible but less specific to the tremor. Minor cuts (B) are less severe than a major burn. Difficulty with a knob (D) is less dangerous than spilling hot liquid.

Question 8

A 40-year-old woman with Fibromyalgia reports widespread pain, fatigue, and cognitive difficulties, which she calls 'fibro fog.' She works in a busy office and finds it increasingly difficult to participate in weekly hour-long project meetings. During these meetings, a manager presents data on slides while multiple team members discuss action items.

An analysis of the client's participation in work meetings indicates that the MOST challenging demand is:

  1. the need to simultaneously listen to the speaker, read the slides, and filter out background conversations, which overwhelms her attentional and information processing capacities. (correct answer)
  2. maintaining an upright sitting posture in a standard office chair for an hour, which exacerbates her widespread pain.
  3. the social expectation to appear engaged and energetic, which conflicts with her internal experience of profound fatigue.
  4. the fine motor task of taking detailed notes, which is made difficult by pain and stiffness in her hands.
Explanation: When analyzing occupational performance challenges, you need to identify which environmental and task demands create the greatest barrier to successful participation. For clients with fibromyalgia experiencing "fibro fog," cognitive processing difficulties are often the primary limiting factor in complex environments. The correct answer is A because it identifies the core issue: divided attention and information processing overload. During these meetings, the client must simultaneously process auditory information (the speaker), visual information (slides), and filter out competing auditory stimuli (background conversations). This places enormous demands on her already compromised attentional and executive functioning systems, which are significantly affected by fibromyalgia-related cognitive dysfunction. Option B, while postural discomfort may be present, doesn't represent the MOST challenging demand since pain management strategies could address sitting tolerance. Option C focuses on social-emotional aspects, but the question asks about participation demands rather than psychosocial concerns. Option D mentions fine motor difficulties with note-taking, but this is a secondary task that could be modified through adaptive strategies or technology. The key distinction here is that cognitive processing demands are often the most difficult to accommodate and represent the greatest barrier to meaningful participation in complex work tasks for individuals with fibromyalgia. Remember: When evaluating occupational performance, always consider which demand creates the greatest barrier that cannot be easily modified. Cognitive processing challenges in fibromyalgia are typically more limiting than physical symptoms because they affect the fundamental ability to process and respond to environmental information.

Question 9

An OTR is working with a 7-year-old child with Developmental Coordination Disorder (DCD). The child's parents report that the child struggles significantly with self-care, particularly getting dressed for school. The child has difficulty with fasteners and often puts clothes on backwards or inside-out.

An activity analysis of the child's dressing routine should identify the primary performance deficit as an impairment in:

  1. motor planning (praxis), which involves conceptualizing, sequencing, and executing the unfamiliar movements required to orient and don clothing. (correct answer)
  2. somatosensation, or the ability to feel the texture and position of the clothing against the skin.
  3. fine motor strength, which is insufficient to manage the force required for buttons and zippers.
  4. visual-spatial relations, or the ability to accurately perceive the relationship between their body and the clothing in space.
Explanation: When analyzing dressing difficulties in children with DCD, you need to systematically break down which underlying skills are most impaired. The key signs here—putting clothes on backwards, inside-out, and struggling with fasteners—point to challenges with motor planning rather than sensory or strength deficits. Answer A is correct because motor planning (praxis) encompasses the entire process of conceptualizing how clothing should be oriented, sequencing the steps needed to put it on correctly, and executing those complex movements. Children with DCD typically have intact understanding of what they want to do but struggle with the "how" of execution. The backwards and inside-out errors indicate difficulty with spatial orientation and sequencing—core components of praxis. Answer B is incorrect because somatosensory issues would more likely manifest as tolerance problems with textures or difficulty sensing when clothes are properly positioned, not systematic orientation errors. Answer C misses the mark because fine motor strength problems would primarily affect the child's ability to manipulate fasteners due to weakness, but wouldn't explain the consistent spatial orientation mistakes. Answer D, while tempting, focuses too narrowly on visual-spatial processing when the real issue is the broader motor planning process that integrates multiple systems. For NBCOT questions about childhood disorders, remember that DCD primarily affects motor planning and coordination rather than isolated sensory or strength deficits. When you see systematic errors in task execution (like consistent backwards/inside-out mistakes), think praxis first—these children know what to do but struggle with how to do it.

Question 10

An OTR is evaluating an older adult client with moderate rheumatoid arthritis (RA) who reports significant difficulty with upper body dressing in the morning. The client lives in an older home with poor heating, and their bedroom is often cold upon waking.

Based on the interaction between the client's condition and the context, what is the MOST likely reason for the increased difficulty with this task?

  1. Morning stiffness is exacerbated by the cold environment, limiting joint range of motion. (correct answer)
  2. Decreased grip strength from RA makes it difficult to manage buttons and zippers.
  3. The client's poor vision in the dim morning light prevents them from seeing the clothing.
  4. Pain from RA makes it hard to tolerate the weight of heavy winter clothing.
Explanation: The correct answer is A. A hallmark symptom of rheumatoid arthritis is morning stiffness, which can be significantly worsened by cold temperatures. This interaction between the condition (RA) and the context (cold room) directly impacts the task of dressing by severely limiting the client's available range of motion for reaching and manipulating clothing. While decreased grip strength (B) and pain (D) are also symptoms of RA, the combination of 'morning' and a 'cold environment' most directly points to exacerbated stiffness as the primary factor. Poor vision (C) is not stated as a factor related to the client's condition.

Question 11

A high school student with generalized anxiety disorder (GAD) is required to participate in a group presentation for a history class. The student tells the OTR that while they know the material well, they are extremely distressed about the task. The presentation will take place in front of 30 classmates and the teacher.

Which aspect of the task is MOST likely to be impacted by the interaction of the student's condition and the performance context?

  1. Motor coordination required to handle presentation materials like posters or a laser pointer.
  2. Cognitive recall of the historical facts they have memorized for the presentation.
  3. Social participation and verbal communication due to fear of negative evaluation. (correct answer)
  4. Sensory processing of auditory information from classmates' questions.
Explanation: The correct answer is C. Generalized anxiety disorder, particularly in a social performance context like a classroom presentation, manifests as a significant fear of judgment or negative evaluation. This directly impacts the student's ability to engage in the social and communication demands of the task, such as speaking clearly, making eye contact, and interacting with the audience. While anxiety can affect cognition (B) and motor skills (A), the primary challenge in this specific scenario is the social performance aspect. Sensory processing (D) is less central to the core features of GAD in this context.

Question 12

An OTR is conducting a kitchen evaluation with a client who sustained a moderate traumatic brain injury (TBI) three months ago. The task is to prepare a boxed macaroni and cheese meal. The client can read the instructions and has the physical ability to perform each step, but they become disorganized, repeatedly re-reading the box and misplacing ingredients in their well-stocked kitchen.

The client's difficulty primarily stems from the interaction between their cognitive deficits and which demand of the activity?

  1. The fine motor coordination needed to open the box and stir the contents.
  2. The requirement to sequence multiple steps and maintain attention amidst distractions. (correct answer)
  3. The social demand of cooking a meal that others might consume.
  4. The physical endurance needed to stand for the duration of the cooking task.
Explanation: The correct answer is B. The scenario describes classic signs of executive dysfunction, a common sequela of TBI. The task of cooking, even a simple meal, requires sequencing (doing steps in the right order), initiation, and sustained attention. The context of a 'well-stocked kitchen' provides environmental distractions. The client's disorganization and repeated re-reading indicate a breakdown in these executive functions, not a physical (A, D) or social (C) limitation.

Question 13

An OTR is performing a community-based evaluation with a client who has severe chronic obstructive pulmonary disease (COPD). The task is to complete a full weekly grocery shopping trip at a large supermarket.

The client's performance of this task is MOST likely to be limited by the interaction between their physiological condition and what aspect of the environment?

  1. The cognitive challenge of navigating the store layout and finding items.
  2. The fine motor skill required to pick up items and place them in the cart.
  3. The long distances required to walk between aisles and to the checkout. (correct answer)
  4. The social anxiety of being in a crowded public space.
Explanation: The correct answer is C. The primary functional limitation in severe COPD is dyspnea (shortness of breath) upon exertion, which significantly reduces activity tolerance and endurance. A large supermarket (the context) requires extensive walking (the task demand). This combination directly challenges the client's limited cardiorespiratory capacity, leading to fatigue and shortness of breath that can halt the activity. Cognitive (A), fine motor (B), and social (D) demands are secondary to the overwhelming endurance and physiological demands of this specific task for a person with severe COPD.

Question 14

A 68-year-old client is 3 days post-operative from a total hip arthroplasty with a posterior approach. During an OT session in their hospital room, the client drops a book on the floor and attempts to pick it up from a standard chair.

This action is contraindicated because the task requires body movements that violate which specific hip precaution?

  1. No hip flexion beyond 90 degrees. (correct answer)
  2. No weight-bearing on the operated leg.
  3. No active hip abduction.
  4. No sleeping on the operated side.
Explanation: The correct answer is A. The posterior approach for total hip arthroplasty requires precautions against hip flexion greater than 90 degrees, adduction, and internal rotation to prevent dislocation. The task of bending over from a seated position to pick something up from the floor necessitates flexing the hip well beyond the 90-degree limit. This interaction between the surgical condition (and its precautions) and the demands of the task makes the action unsafe. Weight-bearing status (B) depends on the surgeon but is not the primary precaution violated by this specific movement. Abduction (C) and sleeping position (D) are other precautions but are not challenged by this particular task.

Question 15

A client in the middle stages of Amyotrophic Lateral Sclerosis (ALS) wishes to continue using their desktop computer to email family. They have significant distal weakness in their upper extremities, making it difficult to control a standard computer mouse.

The client's condition alters the task demands of using the computer primarily by impairing their ability to perform which action?

  1. Read the text on the computer screen.
  2. Maintain an upright seated posture in the chair.
  3. Execute the fine, graded movements needed for mouse control. (correct answer)
  4. Understand the sequence of steps for opening the email program.
Explanation: The correct answer is C. ALS is a progressive neurodegenerative disease that causes muscle weakness. Distal weakness specifically affects the hands and fingers. Using a standard computer mouse requires precise, graded motor control to point, click, and drag. The client's weakness directly interferes with this specific performance component of the task. Vision (A), postural control (B), and cognition (D) are typically preserved until the later stages of ALS and are not the primary barrier described.

Question 16

An OTR is evaluating a client who sustained a full-thickness burn to the dorsum of their right hand two months ago. The client has significant scar tissue that has healed and is now tightening. The client is a carpenter and is attempting to grip a hammer.

Which specific aspect of gripping the hammer is MOST likely limited by the location and nature of the client's injury?

  1. The ability to supinate the forearm to position the hammer.
  2. The ability to fully flex the MCP and IP joints to form a power grasp. (correct answer)
  3. The sensation on the palmar surface of the hand needed to feel the tool.
  4. The shoulder strength needed to swing the hammer effectively.
Explanation: The correct answer is B. Scar tissue, particularly from burns, is prone to contracture, meaning it shortens and tightens. When this occurs on the dorsum (back) of the hand, it creates an extrinsic extensor tightness. This tightness mechanically blocks the ability of the finger flexor tendons to work, preventing the client from making a full fist or achieving the composite flexion of the MCP and IP joints needed for a strong power grasp around a hammer handle. Sensation on the palmar surface (C) would not be affected by a dorsal burn. Supination (A) and shoulder strength (D) are proximal and not directly limited by the scar tissue on the hand.

Question 17

A client who had a right hemisphere CVA exhibits significant left unilateral neglect. The OTR is observing the client as they attempt to cross a two-way street at a crosswalk.

The interaction between the client's perceptual deficit and the dynamic nature of the environment creates the most significant safety risk due to difficulty with what task component?

  1. Judging the speed of oncoming cars.
  2. Maintaining balance while stepping off the curb.
  3. Failing to visually scan for traffic approaching from the left side. (correct answer)
  4. Remembering the sequence of 'walk' and 'don't walk' signals.
Explanation: The correct answer is C. Unilateral neglect is a failure to report, respond, or orient to stimuli presented to the side contralateral to the brain lesion. For a client with left neglect, this means they will not spontaneously or effectively scan their left visual field. In the dynamic and dangerous context of a street crossing, this deficit becomes critical as they may fail to see cars approaching from their left, creating a major safety hazard. While judging speed (A), balance (B), or memory (D) can be issues post-CVA, the defining risk of unilateral neglect in this specific task is the failure to scan.

Question 18

An older adult client with diabetic peripheral neuropathy has significant loss of protective sensation in both feet. The client's preferred daily routine includes taking a warm bath to ease joint stiffness.

The interaction of the client's condition with this self-care task creates a significant safety risk related to which specific step of the activity?

  1. Applying soap to their feet while in the tub.
  2. Stepping in and out of the bathtub without slipping.
  3. Testing the water temperature before getting in. (correct answer)
  4. Drying between their toes thoroughly after the bath.
Explanation: The correct answer is C. Peripheral neuropathy causes a loss of sensation, including the ability to discern temperature. The task of preparing a bath requires checking the water temperature to ensure it is safe. Because the client cannot feel temperature accurately with their feet or hands (if also affected), they are at high risk of scalding themselves without realizing it, leading to serious burns. This is a critical safety issue directly resulting from the interaction between the sensory loss and the task demand. While balance (B) and skin care (D) are important considerations for this client, the risk of a thermal injury is the most direct and severe danger in this specific scenario.

Question 19

A client is recovering from a right rotator cuff repair and has a physician's order to avoid active shoulder abduction and reaching above 90 degrees of flexion. The client is in their home kitchen attempting to put away clean dishes.

Which part of this IADL task will be MOST affected by the client's current medical restrictions?

  1. Loading the dishwasher at waist level.
  2. Placing heavy plates into a lower cabinet.
  3. Wiping down the kitchen counter.
  4. Storing glasses and mugs in an overhead cabinet. (correct answer)
Explanation: The correct answer is D. The task of storing items in an overhead cabinet requires shoulder flexion or abduction beyond 90 degrees, which is a movement specifically restricted by the post-surgical precautions. This creates a direct conflict between the task demands and the client's condition. The other tasks—loading a dishwasher (A), placing items in a lower cabinet (B), and wiping a counter (C)—can all be performed while keeping the arm below shoulder height, thus adhering to the medical restrictions.

Question 20

An adult client is receiving occupational therapy for major depressive disorder. A primary goal is to re-engage in meaningful leisure. The client's friends have invited them to go bowling, an activity the client previously enjoyed. However, the client expresses no interest and feels too tired to even consider going.

The client's reluctance to participate is a direct result of which symptoms interacting with the social and physical demands of the activity?

  1. Anhedonia and fatigue. (correct answer)
  2. Impaired memory and concentration.
  3. Feelings of guilt and worthlessness.
  4. Increased appetite and hypersomnia.
Explanation: The correct answer is A. The core symptoms described are anhedonia (the inability to experience pleasure from previously enjoyable activities, reflected in the lack of interest) and fatigue (low energy). These symptoms directly conflict with the demands of a social leisure activity like bowling, which requires energy expenditure and is pursued for enjoyment. The client's condition removes the intrinsic motivation (pleasure) and the physical capacity (energy) needed to engage in the task. While other symptoms (B, C, D) are associated with depression, anhedonia and fatigue are the most relevant to this specific scenario of avoiding a leisure occupation.