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Praxis II: Special Education Exam Prep

Category - Responsibilities

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Your student, Michael, is a 16-year-old boy with Down syndrome. His parents would like him to be independent with dressing in the morning. However, his mother says she still has to help him zip his coat and get his shoes on. Sometimes she has to help him snap his pant buttons after using the bathroom. When you talk to the OTA team they inform you that they have been trying to work with him on those tasks for many years now. What do you tell her?

  1. “Michael and I will work harder on fine motor skills. I will ask OT to revise his goals.”
  2. “Michael still has a hard time with fine motor skills, even though we’ve been working on them for a long time. We might want to consider adapting those tasks for him, so he can be independent.”
  3. “He is not going to be able to do these things”
  4. “You shouldn’t help Michael so much. Let him struggle with these tasks, so he will learn that he has to do them himself.”
Explanation

Answer: B. Michael still has a hard time with fine motor skills, even after working on them. This is not uncommon for Down Syndrome. Those tasks may need to be adapted for him to be independent. People with Down syndrome have impairments in fine motor prehension patterns that impact their ability to manipulate small objects. Since this student is 16 years old and has not learned these tasks after years of therapy, it is likely that his fine motor skills are not adequate to perform these tasks without adaptations.

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