410

According to the Glasgow Coma Scale, a severe TBI is categorized as ______.

8 and below

What standardized assessment would be appropriate for your client status post stroke when analyzing participation in IADLs?

ACS

Angela has been in occupational therapy for cognitive dysfunction. Upon medical review, the client was evaluated by the OTR utilizing an assessment that simulates the task of working in a library. What is this assessment?

complex

Isabelle has documented damage in her front and parietal lobes, what kind of impairment would you expect to see?

contralateral sensory loss

Re: TBI, the primary damage injury in which the cerebrum strikes the skull then accelerates in the opposite direction to strike the skull in the opposite location is considered which type of injury?

coup

To enhance self-awareness and insight, it would be appropriate to facilitate use of all of the following except:

daily calendar

You are working with a client who had a CVA and is being seen at your skilled nursing facility. Your client has been on bedrest for 2 weeks. What should you continue to monitor and take precaution with this patient?

deep venous thrombosis

What is a subconscious process that spares the client the psychological pain of accepting serious consequences of a brain injury?

denial

An OTA is conducting a community transportation group with individuals attending a TBI day treatment program in an urban area. Which should the group do first?

determine a destination

In what way is the GOAT beneficial in regards to coming up with a treatment plan?

determines when a patient

An individual with the goal of increasing attention span is frequently observed watching the person next to her instead of performing her assigned task. This behavior MOST likely indicates a problem with:

distractibility

____________ strategies focus on teaching client's particular strategies to manage specific perceptual or cognitive deficits.

domain specific

What model views cognition as a product of interaction among the person, activity, and environment.

dynamic interaction model

Oftentimes after CVA, the swallowing muscles are also impacted and "weak." It is common for a CVA survivor to potentially be on altered food and/or liquid consistencies to prevent aspiration. This symptom/deficit related to CVA is known as:

dysphagia

Martin is a new patient to the subacute TBI floor. He is 27 years old and suffered a TBI s/p MVA. He has having difficulty with chewing, swallowing, and breathing. What ADL will be challenging for Martin?

eating

In regards to Jim's oral hygiene tasks, during the last session you had to prompt Jim on all steps of the task. This time, Jim was able to complete the final step of the task without your assist - rinsing and drying his mouth. This is an example of what kind of errorless learning technique?

backward

You are working with the OTR on manipulating distractions for a client with a recent TBI in their environment to improve their overall ability to shift their attention. What tpe of modification is this?

environemental

Barbara utilizes an alarm clock after her TBI in order to remind her to take her medication. What type of compensation is this?

external

A client exhibits full elbow PROM but can only actively flex his elbow ¾ of the range when seated. What muscle grade should this be documented as?

fair (-)

Ryan received an assigned score for motor response on the Glasgow Coma Scale of 2, what does this indicate?

body becomes rigid

Attention is not vital to the rehabilitation process and does not help guide daily activities. (T/F)

false

Catheterization is always necessary status post stroke. (T/F)

false

Family members should see confusion and agitation for Levels I-III as regression. (T/F)

false

Hemorrhagic strokes more commonly occur than do ischemic type

false

Working memory is related to long term memory (T/F).

false

What fosters an active partnership where the client joins the OT to design and implement an intervention program to best meet the client's needs?

client centered

The ______________________model is utilized for adolescents and adults with neurological and neuropsychological dysfunction.

cognitive

What model was developed for children with developmental coordination disorder?

cognitive

You are working with a client who suffered a TBI, they demonstrate Parkinson like rigidity also known as?

cogwheel

What is the traditional method used by healthcare professionals to assess levels of consciousness after a TBI?

GCS

Jonathan has recently been admitted to Sinai Regional Medical Center after a traumatic motorcycle accident. He sustained a TBI and is currently in the ICU. The OTR has evaluated him and you are asked to begin treatment. Jonathan requires total assistance and can move, but the movement has no purpose. What level of Ranchos do you believe he is at?

2

What type of evidence typically has 2 groups and are non-randomized?

2

You are working with a client who recently sustained a TBI and has a goal for following a 3-step command, which they are not able to do yet. They goal is to complete a simple UB hygiene/grooming task with 3 steps. What level Ranchos is your client at?

2

Joseph is a new patient on your caseload. He has sustained a TBI s/p MVA. He is currently being monitored via the Ranchos Los Amigos scale. He is confused and agitated during all of his occupational therapy sessions. What rating is he on the Ranchos Scale?

4

Mr. Brown has short term memory challenges following his TBI, due to a fall at home. Which of the following is the least appropriate strategy?

completion

A person's symptoms must last more than how many hours to be considered a CVA?

24 hours

What level of research is typically undertaken to establish usual or average values of characteristic, trait, or performance parameter in a population or interest?

3

James is a 34-year-old male who was assaulted while walking down the street. James was beaten with a bat and sustained a traumatic brain injury to his frontal lobe. James currently requires max assist to feed himself and requires maximal structuring of the environment. During OT sessions, James often becomes agitated and will throw things at his therapist. He often screams and cries when he is restrained. At what level is James functioning on the Rancho Los Amigos Cognitive Scale?

4

Jenna is a 17-year-old female who was admitted to the hospital after falling of a horse during an equestrian tournament. In the field, Jenna was oriented to name and place, but could not identify time or date. She was able to make eye contact while emergency personnel were assessing her and was able to visually track people near her. When the doctor would pinch her nail bed, she would pull away. Identify Jenna's score on the Glasgow Coma Scale.

4,4,4

You are working with a client and need to measure the ability to complete BADLs what standardized assessment could you utilize?

Barthel index

Bob has recently had a stroke. You are collaborating with the OTR on his evaluation. During the evaluation you have chosen together an assessment that utilizes a client centered approach and is utilized to identify areas of difficulty. What assessment have you chosen?

COPM

Upon review of your newest intake at the California Regional Medical Center you see that she has had a history repetitive brain trauma including symptomatic concussions due to falls, what diagnosis would you expect?

CTE

The primary difference between a TIA and CVA is that a TIA:

Does not result in residual deficits

A stroke in the vertebrobasilar artery system has an effect on what cranial nerves?

III - XII

Which assessment provides a comprehensive profile of visual perceptual and motor skills and involve both motor free and constructional functions?

LOTCA

What part of the brain is damaged with the inability to recognize and identify familiar faces or better known as Prosopagnosia?

R P H

Match the task description with the most appropriate Frame of Reference

Recommending a shower chair for an individual with COPD → Rehabilitation, Lifting dumb bell x 10 reps → Biomechanical, Quick icing over biceps to increase muscle contraction/tone → Sensorimotor, Prolonged stretch to decrease hypertonicity → Sensorimotor, One handed shoe tying technique → Rehabilitation, Splinting → Biomechanical

All of the following are common signs and symptoms of CVA except:

Sudden increase in blood sugar and excessive thirst

Janice is a patient at California Skilled Nursing and Rehab. You are working with her on getting around the facility with improved independence. What skill are you working on?

Topographic

Prior to his CVA, Mr. Johnson was able to dress at (I) level. You have him select clothing and practice manipulation of fasteners (zippers, buttons). This intervention would be an example of:

activity

Ellis has poor short term memory and struggles to remember to complete his daily medication routine. What is a form of assistive technology that can help Ellis remember to take his meds?

all

The failure to recognize the presence of deficits or performance limitations is a severe form of neglect known as:

anos

Suzette has cognitive dysfunction s/p TBI. She anticipates that while completing some light IADLs that she will struggle due to lack of coordination and memory deficits. What level of interdependent awareness is she at?

anticipatory

A motor planning deficit in which the range of motion (ROM), coordination, and strength of the UE may be intact, but the individual has difficulty carrying out the task related to planning, sequencing, and correct ADL tool use is considered:

apraxia

What assessment based standardized test is general and specific in relation to daily tasks and the interview is conducted after performance on the AMPs.

assessment

Common components of "executive functions" include all of the following except:

attention

What type of deficits are the most common observed deficits among those with brain injuries?

attention

Lucas is a Ranchos Level VII s/p TBI. He is making decisions with the discharge planning team on items he needs to be successful at home. What is the best way to support Lucas?

autonomy

A common UE impairment that occurs following CVA can be described as the separation of the humeral head from the glenohumeral joint. A visible and/or palpable space can often be noted in between these 2 anatomical points. This often occurs in an UE that has ________ tone and is called ______________.

flaccide; subluxation

"Motor planning" abilities are overseen by which lobe?

frontal

As a COTA you have collaborated with your OTR to work with a client who has a cognitive dysfunction. You both decided as a team it would be best to teach your client global learning strategies and awareness, what will you teach your client?

generalizing a task in novel situations

A COTA is working on morning ADL with Jim who recently sustained a TBI. The client requires prompting to apply shaving cream to his face and to pick up the razor. After these cues, the client is then able to complete the shaving activity. This MOST likely indicates a deficit in which of the following performance components?

initiation

You are working with Logan who has cognitive dysfunction. Logan keeps asking "why am I not home, why can't I go home?" What level of interdependent awareness is Logan at?

intellectual

Something I might do in Jim's case would include all except which action?

issue opaque eye

Abigail sustained a TBI s/p a fall. She was evaluated by the OTR and has recently begun intervention with you. During her sessions she is saying inappropriate things to you. What level of Ranchos do you think she is?

level V

You are working with a client who has had a stroke effecting the Basil Artery you expect the following side effects:

memory loss

Mark is a 45 year old who fell off his ladder at his home putting up Christmas lights. He sustained a TBI and is a Ranchos Los Amigos IV. You are walking into his room to start occupational therapy and he refuses, yells, and pushes you away. What is the next step you should take?

not force

What ADL task would you work on with Amy?

one step grooming

Early medical treatment of a CVA includes the following:

open airway

Austin is a Ranchos Level V. You are working on a goal to complete upper body dressing. What activity would be appropriate to support Austin at this level?

organization

A stroke results in hemiplegia or better known as ?

paralysis on one side of the body

What portion of the SOAP note does this paragraph belong in: Client will continue OT for 30 minutes per week 3x per week for 2 weeks for sequencing during ADL task and transfer training.

plan

When assessing muscle strength for wrist extension, a client can perform full AROM with his hand resting sideways on the ulnar side (on a tabletop). However, the client is unable to initiate wrist extension with the palm resting face down on the table. The muscle grade is most likely which of the following?

poor

The goal for a patient who has had a TBI is to be able to put on a shirt independently. The MOST effective way for the OTA practitioner to structure dressing training for maximum learning retention and generalization of this skill is:

practicing the whole task...

Mr. Smith has 2 finger subluxation of the R shoulder. You choose to apply a rigid tape to his shoulder to provide external support to the joint. This type of intervention would be considered:

prep method

While performing a MMT on a 35-year-old client who has good balance and mobility, the OTA observes that a client cannot shrug his shoulders while sitting in a chair. For this motion, the next position for the OTA to place the client in is which of the following? Shrug = bringing shoulders up to ears; elevating shoulders

prone

A COTA is working with a group of patients who have orientation deficits resulting from head injuries. Using an adaptive or compensatory approach, the MOST appropriate intervention would be to:

provide

What suggestions could you give a client with cognitive dysfunction to improve their overall awareness?

provide

A client with stroke demonstrates deficits in visual-perceptual skills. One of the client's goals is to be more independent with dressing. What activity would be appropriate for the intervention session?

putting on a button shirt

What approach was developed to utilize for individuals who were cognitive impaired after a brain injury?

quad

Ana had a TBI and you are working with her on facilitation of her hygiene/grooming tasks. You know she is a Level VI Ranchos Los Amigos. What will you expect to do during your treatment sessions?

repetition

A client has had a left CVA what do you expect to see in rehabilitation?

right sided

Susie received a Glasgow Coma Scale score of 4 for verbal response, what would you expect to hear?

seems confused

What assessment is semi-structured clinician rated interview based on the tools that include six questions that assess metacognition or self-regulation skills.

self-regulation

An OTA collaborates with the OT to complete the discharge plan for an individual with a right CVA, who has completed a 3-week inpatient rehab program. The patient is right hand dominant. The patient exhibits mild residual cognitive perceptual deficits. Which of the following discharge recommendations would likely be included?

supervision for cooking

As a COTA, you are working with a client with cognitive dysfunction after a brain injury. Your client is able to attend to long conversations during therapy and reports being able to watch John Wayne movies without falling asleep or losing interest. What type of attention does your client display?

sustained

The "O" section of the SOAP note contains what information?

test results

Mrs. Smith is having urinary incontinence as a complication status post stroke. What is a strategy that you can educate her own to improve her ADL of toileting?

toileting schedule

A client centered approach will facilitate better rehab outcomes. (True/False)

true

A safety concern for someone who is a Ranchos Level IV is the pulling of medical tubes (T/F)

true

Compared to controls, impaired attention results in increased rates of off task behavior. (T/F)

true

Research shows that emphasis on being aware of deficits demonstrates greater improvement for cognitive dysfunction. (True/False)

true

Selective attention is the process and filtering of relevant information in the presence of irrelevant stimuli. (T/F)

true

Most often those with cognitive impairment will ___________ their level of cognitive impairment and _____________ their level of function.

under, over

Your patient is functioning at a Rancho Level II. The most appropriate intervention at this stage would include which of the following?

use graded

What is the "just right challenge"?

using graded tasks

The vegetative state is described as _________ without ____________.

wakefulness, awareness

Sallie has had a stroke that has effected the systemic hypoperfusion what side effects would you expect to see?

weakness of the shoulder and arm

Mr. Smith had a stroke that effected the middle cerebral artery/lower trunk, what dysfunction would you expect to see in rehabilitation?

wernickes

TBI is the most common cause of death among?

young