TherapyEd Occupational Therapy (OT) Exam A Practice

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A preschool child born with congenital CMV has difficulty seeing but enjoys peer play. Which intervention best improves play experiences with classmates?
Correct Answer:
Have the child read books in braille aloud to classmates
Explanation:
Fostering participation in peer play for a preschooler with visual impairment relies on creating shared, meaningful activities that invite classmates to join. Having the child read braille aloud to classmates does this by turning literacy into a collaborative experience. It shows the child’s competence in braille, gives peers a concrete way to engage with the story or activity, and normalizes the use of braille in the group. This approach promotes social interaction, communication, and inclusion during play, which are central goals in pediatric OT. Other options tend to center on adult-led prompts or guidance rather than enabling ongoing peer interaction. A personal assistant providing verbal cues can shorten opportunities for peers to join in. Training a classmate to guide the child may create a dependency and alter the natural play dynamic toward one-on-one assistance rather than shared play. While incorporating 3D objects supports tactile exploration and access, it doesn’t inherently foster peer-led collaboration and literacy-based shared activity in the same way.

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