Musculoskeletal (NBCOT)

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An OTR® is preparing a hip replacement client for returning home alone after surgery. Which recommendation regarding kitchen modifications is the BEST?

The client should arrange for commonly used items to be located at counter level.

A client has been referred to occupational therapy after complaining of difficulty with some ADLs. During the range of motion (ROM) assessment, the OTR® notices that the client has more passive ROM (PROM) in bilateral shoulder flexion than active ROM (AROM). What could be the cause of these ROM limitations?

Muscle weakness

An OTR® is working with a client who works on an assembly line. The OTR® suspects compression of the ulnar nerve at the elbow, or cubital tunnel syndrome. Which two nerve-related assessments would be used when cubital tunnel syndrome is suspected?

Wartenburg's sign and Froment's sign

An OTR® is working with a client who has had a cerebrovascular accident (CVA). One of the client's goals is independence in baking activities. Which modality intervention is BEST used to decrease shoulder subluxation of the nonpainful hemiparetic arm during this task?

Neuromuscular electrical stimulation (NMES)

An OTR® has just instructed a hip replacement client on a proper sit-to-stand technique from the chair. What is the BEST method to record the client's adherence to hip precautions?

Observe the client in the dining room performing the activity.

An OTR® works in a clinic for clients with low back pain. What is the BEST way for the OTR® to evaluate the client's spinal postures?

Observe the client performing ADLs, IADLs, and work-related tasks

An OTR® is working with a client who has cervical osteoarthritis. The client is currently working as a computer programmer. Which strategy would be contraindicated by the client's condition?

Putting the computer monitor as low as possible to stretch the neck into flexion while working.

An OTR® is preparing to discharge a client to home after hip replacement. The client reports having a high-step tub with a shower door and no money to buy additional equipment. Which recommendation is MOST appropriate for bathing?

Recommend the client sponge-bathe at the sink until equipment can be purchased

Which client is MOST LIKELY to experience a hip fracture?

A 55-year-old woman with osteoporosis

Which type of chair is MOST appropriate for a client with hip replacement?

A firm-based chair with armrests

A client presents with osteoarthritis of the thumb carpometacarpal (CMC) joint. The client reports moderate pain and weakness and experiences triggering during pinching tasks. What is the BEST treatment to improve functional hand use?

A hand-based thumb spica splint

A client with a transfemoral amputation who is being fitted for a prosthesis is reporting severe pain when placing weight on the end of the residual limb. The OTR® examines the limb but does not see any reddened or open areas. What is this pain MOST likely the result of?

A neuroma

An OTR® is working with a client with a unilateral transradial amputation. The client is switching to a salesperson position from a computer operator position. The client does not wear a prosthesis and is independent in all one-handed skills. The client is concerned that the appearance of a residual limb may put the client at a disadvantage during sales calls and would like to obtain a prosthesis. What is the BEST prosthesis for the client?

A passive realistic cosmetic prosthesis

A recent hip replacement client has been referred to an OTR® for a wheelchair evaluation. What type of wheelchair is the MOST appropriate to maintain hip precautions and preserve mobility?

A reclining manual wheelchair

What piece of adaptive equipment is MOST IMPORTANT to address bathing needs for a hip replacement client with poor balance and weight-bearing restrictions?

A shower chair

A client with chronic inactive rheumatoid arthritis (RA) has been referred for occupational therapy. All the joints in the client's wrists and hands are affected by the RA, but the only visible sign is the beginning of ulnar drift. What type of splint is BEST to prescribe for this client with the goal of reducing pain at night?

A soft, prefabricated wrist, thumb, and MCP joint support

In a predischarge consultation with a hip fracture client, the client's spouse reports planning to take the client home in a small four-door car and being unsure as to whether the client can get into the car while adhering to hip precautions. Which solution is the BEST solution for the OTR® to recommend?

Recommend that the client sit in the rear seat of the car for transportation home.

The client has fair minus (3−) strength in the bilateral shoulder muscles and fair plus (3+) strength in the elbow, forearm, and wrist joint motions. The client's grip strength bilaterally is just below the norm for the client's age and sex, and the client's pinch strength is normal in both hands. With which functional activity will the client have the MOST difficulty?

Reaching into the closet above shoulder level for a pair of pants

A client with bilateral transtibial amputation is being fitted for a wheelchair. Which of the following adaptations is MOST important?

Rear antitipping devices

A client had surgery 6 weeks ago. The surgeon used a plate to fix a metacarpal shaft fracture. The client is experiencing moderate edema that makes it difficult to make a fist. Grasping containers and manipulating clothing fasteners are the most difficult tasks. What is the BEST approach for the OTR® to take to address the client's edema?

Cold packs and compression glove

An OTR® is treating a client with a cumulative trauma disorder resulting from work in an automotive assembly plant. Acute symptoms have subsided, and the client is preparing to return to work. Which strategies should the OTR® train the client in to prevent symptoms from recurring?

Activity modification and proper body mechanics

An OTR® working at a rehabilitation hospital is given orders for a client who recently underwent a right hip replacement. The OTR® notices a foam wedge between the client's legs. What is the wedge meant to prevent?

Adduction of the client's lower extremities

An OTR® is working with a client who has just had a total hip replacement using an anterolateral approach. Which type of equipment is MOST important for maintaining appropriate hip precautions?

An abductor wedge Hip precautions for an anterolateral approach are no external rotation, no adduction (crossing legs or feet), and no hip extension. An abductor wedge will prevent external rotation and adduction of the hips.

An OTR® is working with a client with newly diagnosed osteoporosis. The client's insurance will only cover one community evaluation. Which of the following would be the MOST important environmental evaluation to complete?

An evaluation of the home for fall risk

An OTR® has received a referral for a pre-hip replacement consultation. Which task should be completed INITIALLY?

An occupational profile to determine occupational history and performance

An OTR® receives a referral for a client who is preparing for hip replacement surgery. The client's caregiver attends the session. How would the OTR® BEST incorporate the caregiver into the session?

Ask the caregiver to practice adaptive activities alongside the client.

An OTR® is providing information on how to safely complete job tasks to nursing staff at a nursing home. Which instruction should be included in the training?

Bend at the knees, and keep shoulders and hips parallel."

An OTR® is working with a client who has upper-extremity injuries incurred in a motorcycle accident. The client is being treated using hydrotherapy as a modality for wound debridement. Which tissue needs to be debrided for healing of a wound to occur?

Black or yellow tissue

A client with rheumatoid arthritis (RA) presents with the right index finger in 30° of proximal interphalangeal (PIP) flexion and 20° of distal interphalangeal (DIP) hyperextension. What type of finger deformity does the client have?

Boutonnière deformity

An inpatient had a total hip replacement 2 days ago. The OTR® observes that the patient uses proper hip precautions during bed mobility and when moving from the bed to a bedside chair. What should be the focus of the NEXT intervention session with this patient?

Methods for transferring on and off a toilet with a raised toilet seat

An OTR® is working with a client experiencing a cumulative trauma disorder of the right upper extremity. To document client improvement as a result of therapy, which occupation-based statement would the OTR® be MOST likely to write?

Client can brush teeth using the involved upper extremity without pain.

An OTR® is working with a client with a transtibial lower limb amputation to develop a prosthetic wearing schedule. The client has been gradually increasing wear time from 15 minutes to 1 hour in 15-minute increments. However, after 1 hour of wear, they notice a reddened area on the residual limb that remains for 45 minutes after removing the device. What is the BEST course of action to take?

Contact the prosthetist to adjust the device to improve the fit.

An OTR® is seeing a client who sustained a severe wound to the right forearm 4 days ago. Given that the client is in the inflammatory stage of wound healing, what would the OTR's goal for therapy be with this client?

Control excessive edema and inflammation.

Which of the following exercise programs is MOST appropriate for a client with rheumatoid arthritis (RA) during an acute flare-up that involves significant pain and swelling?

Daily PROM of the joints through full comfortable ROM

An OTR® needs to choose an assessment for a client experiencing fibromyalgia that provides information on the client's sleep patterns, level of fatigue, cognition, and mood changes. Which assessment can BEST provide this information?

Daily activity log

An OTR® is treating a client with wrist tendinitis secondary to computer use. Before educating the client on wrist positions to avoid, the OTR® has applied iontophoresis to the affected area. Which medication would the OTR® be MOST likely to use with the iontophoresis?

Dexamethasone

An OTR® is reevaluating a client who has received six iontophoresis treatments within a 2-week period. The client reports there has been no change in symptoms compared to the day of the initial physical agent modality administration. What action should the OTR® take with regard to the iontophoresis based on the client's report?

Discontinue the use of the iontophoresis until the physician is consulted.

An OTR® is working with a young adult experiencing acute lower back pain. What INITIAL activity is most appropriate in mediation?

Education in basic body mechanics

An OTR® is seeing a client with severe diabetes and obesity in a skilled nursing facility. The client is bedbound and has developed a decubitus ulcer. Where is the decubitus ulcer MOST likely to occur on the client's body?

Elbows

An OTR® is working with a client who is concerned about resuming sexual activity after an amputation. What education strategy would be appropriate for the OTR to use with this client?

Encourage the client's exploration of his or her "new" body.

A client who had a total hip replacement 2 days ago with severe kyphosis as a result of osteoporosis is referred to occupational therapy. The chart notes that the client has been demonstrating signs of malnutrition for the past 4 months. What is the FIRST evaluation the OTR® should complete?

Evaluation of eating Kyphosis often leads to deficits in eating skills (e.g., the ability to keep and manipulate food or fluid in the mouth and swallow it).

A client who has COPD is moving a full load of wet laundry from a top-loading washing machine to a front-loading dryer. Which breathing technique should the client use while completing this activity?

Exhale through pursed lips Exhaling through pursed lips is a strategy of the pursed lip breathing technique

An OTR® is providing home health intervention for a client who recently had bilateral transradial amputations. The client is now learning to use newly acquired prostheses that have voluntary-opening terminal devices. The client's goal is to resume former home maintenance roles. Using the Ecology of Human Performance model, what should be the PRIMARY focus of the intervention?

Modification of the environment, tools, and tasks for completion of daily activities The Ecology of Human Performance model aims to focus on the interaction of the person, task, and context; therefore, interventions that modify any of these three falls within this model.

A client has advanced rheumatoid arthritis in both hands. Evaluation results indicate severe MCP joint subluxation and ulnar drift of the index through small fingers, as well as tenosynovitis of the extensor tendons bilaterally. The OTR® expects that when using assistive devices, the client will be able to perform all routine dressing and grooming activities. Which term accurately reflects this client's projected level of function for dressing and grooming?

Modified independent

An OTR® is screening the functional muscle strength of a client who has generalized weakness. When showering seated on a tub bench, the client is unable to wash the opposite side of the body, but can wash the same side of the body when the caregiver places a bar of soap in the client's hand. Which functional muscle grade of the upper extremities is the client demonstrating, based on these observations?

Fair Minus (3/5)

An OTR® is treating a client with a proximal interphalangeal (PIP) flexion contracture secondary to a sports injury. To improve extension of the PIP for functional use of the hand, what is the BEST use of limited therapy time?

Fit the client with a prefabricated dynamic PIP extension assist splint

An OTR® is working with a client who was recently diagnosed with de Quervain syndrome. In addition to the medical treatment of corticosteroid injection, what nonoperative treatment is MOST appropriate for this condition?

Forearm-based thumb spica splint

According to the Americans With Disabilities Act of 1990 (ADA), what is the definition of essential job functions when considering employment of a person with a disability?

Functions that an employee must be able to complete, with or without a reasonable accommodation

An OTR® is working with a 56-year-old client who has recently undergone a bilateral hip replacement. What musculature is the MOST IMPORTANT to focus on in the client's strength training?

Gluteal muscles

An OTR® is working with a client 8 weeks after a unilateral traumatic transtibial amputation. The client's residual limb is well healed, and the team has identified prosthetic fitting and training as the next step. The client wants to use a prosthesis but indicates that the residual limb is not healed enough and is fearful about wearing it. The client's mother currently performs all limb care, including washing, dressing, and wrapping. What is the BEST strategy to progress the client to prosthetic training?

Have the client talk with other clients who have similar amputations.

An OTR® is developing a program for clients who are scheduled to have hip replacement surgery. What is MOST IMPORTANT for the client to learn before returning home?

Hip precautions and proper transfer techniques

A client has been diagnosed with lateral epicondylitis (tennis elbow). The client works in the maintenance department of a large factory and has been unable to complete some work tasks because of pain. The client fears losing this job if the pain does not improve quickly. What is the BEST strategy to assist the client with work tasks while providing relief from pain?

Identify environmental modifications to help the client complete work tasks without aggravating symptoms.

An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The patient is referred to occupational therapy for ROM, edema management, and preparation for hospice care at home. What intervention would be MOST BENEFICIAL for preparing the patient to transition to hospice care?

Identifying ways to enable participation in prioritized desired tasks once at home

Which type of splint should be used with a client who has a recent diagnosis of carpal tunnel syndrome?

Immobilization splint

For which condition is a custom wheelchair seating system MOST appropriate?

Multiple sclerosis (MS)

An OTR® is educating a client about what to expect in the process of wound healing after surgery. What are the expected phases of wound healing in the order they occur?

Inflammation, proliferation, and remodeling

An OTR® decides to use desensitization techniques in structured practice within the context of daily activities for a client with hypersensitivity secondary to peripheral nerve injury. Which desensitization technique would be the MOST therapeutic initially?

Instruct the client in use of a transcutaneous electrical nerve stimulation (TENS) unit during desensitization activities

A client with multiple sclerosis (MS) states that fatigue is negatively affecting work performance. What is the BEST action for the OTR® to take next?

Instruct the client to fill out a diary card that identifies common work tasks, rate each task for how much energy it requires, and then determine appropriate interventions. Further evaluation is needed to determine appropriate interventions; this approach goes beyond typical energy conservation education and involves the OTR® working with the client to identify the specific work tasks that cause fatigue. Work tasks must be identified before determining work demands.

A client with rheumatoid arthritis (RA) is beginning to experience ulnar drift. The client enjoys cooking but is finding it increasingly difficult to use a knife to chop food. Which is the BEST intervention for this problem?

Instruct the client to use a knife with a bent handle.

An OTR® is instructing a client post-hip surgery on after-toileting cleansing while adhering to appropriate hip precautions. What method is the BEST to prevent further injury?

Instruct the client to wipe between the legs in a sitting position on an elevated toilet seat.

An OTR® is seeing a client 1 day post laminectomy surgery for back pain. What would the treatment session MOST likely emphasize?

Instruction in log rolling and sitting and standing postures

An OTR® is working with a client who presents with lateral epicondylitis secondary to the leisure occupation of playing tennis. In the final 2 or 3 OT visits, what treatment intervention would be the most appropriate?

Instruction in progressive resistive exercise

A client had a complete median nerve laceration at the wrist of the dominant hand 3 weeks ago. Which intervention activity should be included as part of the INITIAL phase of the client's sensory reeducation program?

Instruction in visual compensatory strategies to use during daily tasks

An OTR® is using a goniometer to measure active shoulder flexion of a client who is in a seated position. At the start position, where on the client should the axis of the goniometer be placed?

Lateral aspect of the glenohumeral joint, just distal to the acromion process

An OTR® has been asked to provide an inservice for a facility's nursing assistants to prevent back pain or on-the-job injury. What principle BEST reflects safe patient lifting?

Maintain the clients body as close as possible while transferring

A client sustained a peripheral nerve injury 6 months ago and has regained initial perception of moving and constant touch stimulation at the fingertips. The OTR® is selecting activities for a graded tactilekinesthetic training program for the client. Which type of activity would be MOST BENEFICIAL to include as part of this program at this phase of the client's recovery?

Manipulating common objects with eyes open then with eyes closed Once protective sensation and touch sensation have returned to fingertips, intervention includes a variety of stimuli presented repetitively: The client first observes what is happening, then closes the eyes to concentrate on the touch sensation. This process provides feedback to retrain further tactile-kinesthetic abilities.

An OTR® is working with a client who recently underwent a radical mastectomy, chemotherapy, and radiation for breast cancer. What specialized skill must the OTR® have to effectively manage this client's occupational therapy treatment?

Manual lymphatic drainage techniques Lymphedema is a primary symptom that interferes with occupational performance after radical mastectomy. Effective treatment of lymphedema requires specialized knowledge of lymphatic drainage techniques.

A client is recovering from an acute flare-up of rheumatoid arthritis. An initial screening indicates significant joint laxity in both hands. What type of assessment would be CONTRAINDICATED for the OTR® to use during this stage of the client's disease process?

Manual muscle testing Resistance applied during manual muscle testing may be harmful to inflamed tissue and joints and is contraindicated in an acute phase of arthritis.

A client is currently under partial weight-bearing (PWB) status after a recent hip fracture. How is this weight-bearing restriction BEST described?

Only 50% of the client's weight should be placed on the affected leg.

An OTR® is working with a client with severe kyphosis secondary to osteoporosis. What is the primary cause of kyphosis in osteoporosis?

Pathological deterioration of the vertebrae of the thoracic spine

An OTR® has been asked to give a presentation on ergonomics to the local carpenters union. What factor is MOST associated with the onset of lower back pain?

Poor physical fitness

An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The patient is referred to occupational therapy for ROM, edema management, and preparation for hospice care at home. What information about the patient MUST the OTR® obtain prior to initiating intervention?

Postsurgical precautions and mobility limitations

A resident in a long term care facility has a severe elbow contracture. The OTR® has just finished applying a bivalved splint to provide low load prolonged stress to the affected elbow. What MUST the OTR® do as part of the care plan for maximizing the effectiveness of this splinting intervention?

Provide nursing staff with specific instructions for a graded daily splint-wearing schedule.

A patient underwent a total hip replacement, posterior approach, 2 weeks ago. Which activity puts the patient MOST at risk for hip dislocation if compensatory methods are not used?

Putting on socks and shoe

An OTR® is observing a client in the home environment. The client is able to ambulate safely within the house. The OTR decides to assess kitchen management and safety during light meal preparation. During the assessment, the client has difficulty reaching into cabinets above shoulder level. What might the OTR want to assess further during this functional motion assessment?

Shoulder flexion

A client who has Trace (1/5) lower-extremity muscle strength and Good (4/5) upper-extremity muscle strength is learning safe transfer techniques. Which transfer device would be MOST BENEFICIAL for the client to use when transferring from a standard wheelchair to a variety of surfaces?

Sliding board

An OTR® has completed an initial evaluation of a client who has recently been diagnosed with fibromyalgia. What type of client education is MOST IMPORTANT for the OTR® to include as part of the initial intervention?

Strategies for integrating relaxation and work simplification into daily routines

A client is recovering from an exacerbation of rheumatoid arthritis and is participating in outpatient occupational therapy. The initial evaluation indicates decreased active ROM of bilateral wrists and hands, bilateral ulnar drift, moderate edema, and a pain rating of 7 out of 10 on the visual analog scale. The client currently depends on the spouse to assist with all ADL, but has a goal to increase independence with self-care tasks. Which of the following statements would be BEST to include as a short-term goal in the client's intervention plan?

Subjective report of pain during dressing tasks will decrease by 2 levels on a visual analog scale within 2 weeks.

An OTR® is preparing to discharge a client who recently underwent hip surgery. The client is planning to ride home in a very small car with bucket seats. What is the BEST recommendation for the client's circumstances?

Suggest an arrangement for alternative transportation to limit stress on the hip.

An OTR® is working with a client who works on an assembly line. The client presents with symptoms of cubital tunnel syndrome. In educating the client, what position does the OTR® advise the client to avoid?

Sustained elbow flexion

A client has a unilateral transradial amputation. The client will be fitted with a prosthetic device in 1 month. One of the client's goals is to be independent with BADL as soon as possible. The client refuses to use the uninvolved hand for toileting tasks, citing cultural reasons. What INITIAL action should the OTR® take in this situation?

Talk with the client about using alternative strategies.

A client is attending occupational therapy for conservative management of acute carpal tunnel syndrome. What information would be MOST BENEFICIAL to provide the client during the initial stage of the intervention process?

Techniques for managing edema, illustrations of tendon glide exercises, and methods for modifying daily activities

What advantage does using a functional motion assessment provide an OTR® when evaluating a client?

The OTR can assess range of motion (ROM), strength, and motor control in a natural environment. In a functional motion assessment, an OTR observes a client during functional tasks to assess ROM, strength, and motor control in a natural environment. The OTR can also observe cognitive function, awareness, and sensory deficits.

A client can actively flex the left shoulder to only 75° antigravity but can achieve 180° degrees in a gravity-eliminated plane. On the basis of this information, what would the OTR® consider doing NEXT?

The OTR should assign a muscle grade for shoulder flexion on the basis of this information and move on to test other joints. Because the client cannot achieve 50% active range of motion (AROM) antigravity yet can achieve full AROM in a gravity-eliminated plane, the OTR can assign this client a muscle strength grade of 2+/5 (poor plus) and move on with the assessment procedure.

A client with rheumatoid arthritis (RA) is a salesman for a computer company. Part of the client's job is to work in a trade exhibition booth at conferences (10-15 times a month). This task requires the client to stand continuously for 2-4 hours talking with potential buyers. The client reports that at the end of this time, the client's feet, knees, hips, and back are in severe pain, and the client is so fatigued that the client has to go straight home to bed. What is the BEST reasonable accommodation for this job task?

The client should bring a tall, adjustable sit-stand stool and sit on it throughout tradeshows.

An OTR® is performing a presurgical intervention with a client who will undergo hip replacement surgery in a few days. Which recommendation regarding sleep positioning is MOST appropriate?

The client should sleep in supine position with a wedge or pillow in place.

A client who has rheumatoid arthritis (RA) has difficulty with ADL tasks and has been referred to occupational therapy. Which statement reflects a principle of joint protection?

The client should use an alternate grip on a walker, to provide more stability during ambulation.

An inpatient client post-hip fracture also has moderate rheumatoid arthritis (RA; Stage II) with no current signs of inflammation. The client is seen for dressing training first thing in the morning and requires maximum assistance to use the sock aid because of finger and ankle stiffness. The OTR® spends time training the client in using the sock aid. The OTR® plans to have the client practice with the sock aid in the afternoon session but finds that the client is now independent. What is the MOST likely explanation for this improvement?

The client was experiencing morning stiffness during the initial session.

An OTR® is completing an evaluation for a client with bilateral knee osteoarthritis (OA). The client has no difficulty ambulating on flat surfaces. Which of the following would be MOST important to assess in the client's home?

The client's ability to lift and carry laundry to a basement washer-dryer

During a therapy evaluation of a client who sustained a radial head fracture, the OTR® notes that elbow range of motion (ROM) is 60° of extension and 80° degrees of flexion; wrist ROM is 30° of extension and 25° of flexion. Which statement about this client is TRUE?

This client will regain wrist ROM before elbow ROM, because elbow stiffness is the most common complication after elbow injury.

An OTR® is developing a fall prevention program for an assisted living facility. Which characteristic is MOST often associated with falls?

Throw rugs

An OTR® is training a client with a new transradial amputation to wrap the residual limb with an elastic bandage. What is the PRIMARY reason for wrapping the residual limb?

To develop a tapered distal end

An OTR® is explaining the purposes of therapeutic exercise and therapeutic activity to a physician. What are the PRIMARY reasons that OTRs use these interventions for musculoskeletal conditions?

To improve function, increase strength, and prevent muscle imbalances

An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The patient is referred to occupational therapy for ROM, edema management, and preparation for hospice care at home. What is the PRIMARY purpose of initiating an exercise program for this patient?

To improve mobility for preferred activities

An OTR® is working with a client presenting with a claw hand deformity who has both decreased grip and lateral pinch strength. Before reading the medical notes, what type of injury would the OTR® suspect?

Ulnar nerve injury

An OTR® is working with a client who received significant burns to the elbow. The client presents with a soft-tissue contracture at the elbow and is noncompliant with wear of an anterior elbow extension splint. What alternative would be BEST for effective treatment of the soft-tissue elbow contracture?

Use serial casting to slowly stretch the tissue

A client's wrist and thumb joints are limited in range of motion, and the client complains of some mild discomfort that affects the client's caregiving duties at home. The OTR® wants to facilitate movement, increase circulation, and decrease pain. What would be the MOST appropriate use of thermal modalities?

Use superficial heat before or during a passive stretch.

Which of the following tasks would be MOST appropriate to use during the functional training phase for a client learning to use a unilateral myoelectric terminal device (TD)?

Using scissors to cut paper

A client with a unilateral transradial amputation is undergoing pre-positioning training for a myoelectric arm. Which of the following is the MOST appropriate goal?

Within 1 week, the client will be able to accurately identify how to arrange the wrist of the myoelectric terminal device to be able to optimally grasp different objects.

What is the MOST effective method that an OTR® can use to prevent osteoporosis in community-dwelling adults?

Work with community leaders to develop a walking program for women older than age 50 that incorporates education on osteoporosis. Low-impact weight-bearing exercises and education can help older adults to reduce osteoporosis.


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