The OT practitioner observed a client playing a game of cards. During the game the client looped one elbow around the upright of her wheelchair, leaned toward the table, and grasped a card be-fore going across the room to answer a phone call

The actions observed are primarily an example of which of the following?
A. Process skills
B. Performance patterns
C. Communication/interaction skills
D. Motor skills

ANS: D
The client's behavior is primarily an example of motor skills (D). The client looped an elbow, leaned forward, and grasped. Answer (C) is tempting insofar as the client engaged in social be-havior; however, the social communication was outside of the context of the card game and does not supply information regarding the way the client conveys his or her intentions and needs. Per-formance patterns (A) and process skills (B) were not
observed in this interaction.