OT 830 Final

Greggory, a 32-year-old male, was referred after experiencing a full thickness burn to his right upper arm & back of his shoulder, the incident occurred during a fight with his ex-wife where hot grease was thrown in his direction. His past medical history is depression, over-use of drugs, and PTSD from his years spent in the military. You complete an occupational profile and note that Greggory is currently participating in a social group for his anger 2 nights a week. He is currently in a burn clinic at the VA hospital. The burns to his RUE have affected his ADLs resulting in him having major difficulty putting on his shirt. Which of the following interventions/methods below are best for Greggory to put on an over-head garment? (A) Insert the unaffected arm into the sleeve, gather the shirt back bottom edge to neck, lean forward, duck the head & pass the shirt over the head. (B) Insert the affected arm into the sleeve, gather the shirt back bottom edge to neck, lean forward, duck the head & pass the shirt over the head. (C) Try to put both arms in their respective sleeves simultaneously to adhere to energy conservation standards (D) Put the head of the shirt on first and then put the arms in 1 at a time.

(A) Insert the unaffected arm into the sleeve, gather the shirt back bottom edge to neck, lean forward, duck the head & pass the shirt over the head.

Joe & Kacie have been married 33 years; Joe has not been the same since his traumatic brain injury 4 years ago, his wife states. They live Downtown near the NC Panthers football stadium. Joe seemed to have fully recovered from his TBI; but now he acts as if he can't remember the steps on how to adequately change his car tire. Joe and his wife sought help and his care team ruled out all other diagnoses. It appears as if Joe is experiencing early stages of dementia. Joe's Occupational Therapist created some mnemonics for Joe to rehearse so he can remember how to change his car tire. Joe was instructed to repeat the mnemonic 3 times verbally every 30 mins & write it down once every hour. Which internal compensatory strategy did Joe's therapist use to aid in his recovery? (A) Visual Imagery (B) Rehearsal (C) Semantic Elaboration (D) First-Letter Mnemonics

(B) Rehearsal

Bingo is a 45-year-old male who is currently mourning the loss of his wife. During his weekly therapy session, the occupational therapist notices Bingo seems depressed and withdrawn ever since the passing of his wife. Bingo states, "My wife has been gone for 4 months now and I still cannot cope with the loss of her." Which of the following treatment options should the therapist recommend to assist this client with coping? A) Join a support group to enhance social connection B) Recommend the client spend more time alone C) Educate the client on energy conservation D) Design a new home exercise plan unrelated to the client's impairments

A) Join a support group to enhance social connection

Sandy, a sixty-five-year-old female, was referred to occupational therapy following her diagnosis of congestive heart failure. Previous treatment sessions have focused on energy conservation and breathing techniques to decrease shortness of breath while completing her ADL's. It was last documented that Sandy successfully transferred from the toilet and tub without shortness of breath. Based off of the hierarchy of skill building for restoring competence in mobility, what would be the next transfer done to move forward with progress? A. Car transfer B. Bed mobility C. Community mobility and driving D. Functional ambulation for ADL

A. Car transfer

Jenny, a 32-year-old Afghanistan war veteran, had been experiencing PTSD symptoms for more than two years. She consistently avoids thoughts and images related to witnessing her fellow service members face an explosion while driving a combat truck. Over the years, Jenny became increasingly depressed and began using alcohol on a daily basis to suppress her PTSD symptoms. She had difficulties in her employment, missing many days of work, and she reported feeling disconnected and numb around her husband and children. She has been referred to you for occupational therapy. As her OT you work with Jenny to shape her thoughts and behaviors to increase participation in her daily occupations. By doing this, what type of practice model did you use to optimize Jenny's occupational function? A. Cognitive Behavioral Model (CBT) B. Relaxation Response C. Medical Model D. Freudian Model

A. Cognitive Behavioral Model (CBT)

Occupational therapists are often sought out to help create environmental modifications in the home or the community to increase accessibility and individuals' ability to engage in their desired occupations. What is usually considered the main barrier to creating a more accessible home, workplace, and community environment? A. Lack of interprofessional communication B. Funding issues C. Lack of awareness of resources D. Anticipation of outcomes

A. Lack of interprofessional communication

James is in outpatient rehab due to a knee replacement. He is learning compensation strategies to incorporate into his ADL routine to limit fatigue. Which of the following is the best example of a compensatory principle for energy conservation/fatigue management? A. Match activity demands to ability B. Use assistive devices that substitute for memory or poor organizational skills C. Reduce visual clutter D. Incorporate visual skin inspection into daily ADL routine

A. Match activity demands to ability

Erick is a 35-year-old male who was injured in a motorcycle accident which resulted in a right transhumeral amputation. A week after his surgery he started feeling shooting pain in his missing limb. His healthcare provider explained that he was experiencing phantom limb pain. What treatments are used to treat phantom limb pain? A. Mirror box therapy B. Bilateral upper limb training C. Constraint induced therapy D. Massage therapy

A. Mirror box therapy

Your patient is a 42-year-old male with COPD. He reports during the initial evaluation that he has difficulty performing his ADLs due to not being able to catch his breath during daily tasks. What would be one of the first things you would educate and practice him on before you move to task performance? A. Pursed lip breathing and active expiration B. Energy conservation C. Upper extremity function D. Promoting self-enhancement roles

A. Pursed lip breathing and active expiration

Mr.S is a 60-year-old male referred to occupational therapy by his physician due to lower extremity weakness and a Non-Weight bearing status caused by Guillain-Barre Syndrome, he mentions he can lift his buttocks off the seat independently, but experiences a significant amount of fatigue when trying to transfer himself from the passenger seat of his vehicle into his wheelchair. Which of the following assistive devices could be helpful for Mr.S to independently transfer Himself? A. Sliding Board B. Quad Cane C. Hemiwalker D. Leg Lifter

A. Sliding Board

Mr. Casey is a 35 year-old male who has been in a rehab facility the past three weeks due to a unilateral upper extremity amputation. He is a father of two and has always enjoyed taking his children to their soccer practices. Because of his prior level of functioning, the occupational therapist makes a referral for a comprehensive driving assessment. What adaptive equipment or vehicle modifications will Mr. Casey most likely have in his car with this type of amputation? A. Spinner nob or driving ring B. Left foot accelerator bar and pedal C. Hand controls D. Right foot accelerator bar and pedal

A. Spinner nob or driving ring

What intervention technique is classified as a multidisciplinary structured treatment designed to maximize a client's ability to return to employment? It includes all aspects required for the client to return to full employment function and is usually aimed at a specific job rather than generalizing techniques. A. Work hardening B. Vocational rehab C. Work conditioning D. Return-to-work plan

A. Work hardening

Betty Boop is a 75-year-old female who has recently been referred to occupational therapy for an assessment of her functional mobility due to a recent fall. During the initial evaluation, she tells the therapist she fell while getting out of the shower and could not get up until her son got home from work later that evening. The occupational therapist recommends that Betty get grab bars installed in her shower to ensure her safety while transferring out of the shower. Based on the therapist's recommendation, which of the following approaches did the therapist use when suggesting this intervention for the client? A) Adaptation approach B) Modifying approach C) Social participation approach D) Psychological approach

B) Modifying approach

Junie B. is a 56 year old female who works as a chef at a local restaurant in Albemarle. While cooking wings one night, Junie B. had a stroke that caused slurred speech, loss of MMT in her right arm, and memory loss. Junie B expresses concern with her ability to "trim her nails because she has a hard time holding the nail clippers and gripping them." As an occupational therapist, you decide to use an Emery board and elongated grip on the nail clippers to assist Junie B with the completion of grooming her nails. What type of intervention was used? A. Task Simplification B. Adaption C. Environmental Modification D. Compensatory Strategy

B. Adaption

This act was enacted to protect the civil rights of Americans with disabilities by extension of equal rights protection. What was this act called? A. Uniform Federal Accessibility Act. B. Americans with Disability Act C. The Fair Housing Amendments Act D. The Assistive Technology Act

B. Americans with Disability Act

Your same client with the diagnosis of HIV tells you that he has now been diagnose with glaucoma. As an OT you are aware there are many interventions you can implement for your client to alleviate some of the symptoms from his diagnosis, what are some appropriate changes that you can suggest and implement for you client? A. Laser surgery B. Color and contrast enhancement C. Vitrectomy D. Inform him this is out of your scope of practice

B. Color and contrast enhancement

Bill, a fifty-five-year-old male, experienced a right transhumeral amputation after his RUE was severely injured following a tractor incident. Following the initial evaluation, Bill tells the therapist that he would like to be able to be independent in dressing and bathing. It is time for occupational therapy to begin upper extremity strengthening exercises so that Bill can independently put his shirt on and wash himself in the shower. As the therapist, you determine that you need to start Bill with exercises that target a weak muscle to concentrically or eccentrically contract through as much range of motion as possible with the help of the therapist or an external device. What type of ROM exercise are you utilizing? A. Isometric B. Dynamic assistive C. Dynamic active D. Dynamic active resistive

B. Dynamic assistive

Sara, a sixty-year-old female, was diagnosed with rheumatoid arthritis one year ago. Her early RA has shown a loss of 20 degrees of wrist extension, 30 degrees wrist flexion, and 15 degrees MCP flexion. After her evaluation with occupational therapy, Sara expresses that she wants to be able to work in garden again. The occupational therapist decides to apply the seven aspects of adaptation. Once she identifies the problem of Sara having pain when she gardens, what is the next step? A. Know the resources for implementing the solution B. Know the principles of compensation C. Propose solutions D. Train the person

B. Know the principles of compensation

Sally is a 88-year-old female who has dementia. Sally has recently been placed in a nursing facility because her family no longer has the means to take care of her at home. An occupational therapist begins seeing her in the nursing facility to help Sally with her daily routine and utilizing the memories that she still has. What is not a good intervention to work on with Sally? A. Making Sally a visual schedule of her daily routine B. Playing hide and seek with Sally c. Using a family photo album to help remember her family members D. Organizing her room to make things more accessible for her

B. Playing hide and seek with Sally

Mrs. Lucy is a 65-year-old female who is currently seeing an outpatient occupational therapist for COPD. Mrs. Lucy's symptoms have increased the past month or so, and she is having difficulty performing her basic ADL's due to shortness of breath and fatigue. Which of the following interventions would the OT utilize for Mrs. Lucy in order to help her learn proper breathing techniques? A. Introducing the use of adaptive equipment such as a shower chair B. Pursed lip breathing C. Visualization techniques D. Incorporating Yoga in a home exercise program

B. Pursed lip breathing

A client who has a SCI and utilizes a Wheelchair for mobility, is seeking occupational therapy services through an outpatient rehab facility. This client, in his wheelchair, is fully able to enter the building, use the bathroom, and maneuver around the waiting room. The sinks are lowered, there are ramps, widened hallways, and automatic doors. The client also notices that there is brail on the bathroom signs and slopped entrances. What type of design does this facility utilize? A. Inclusive design B. Universal Design C. Functional design D. Automatic design

B. Universal Design

Your patient is in the mild stages of Dementia and states that she wants to still live her life as normally as possible as long as she can. She also states that she would like to transition from working 20 hours a week to 10 to reduce cognitive strain and give her more time to do things she enjoys. What is this transition referred to when discussing roles in aging patients? A. Additional roles B. Environmental modification C. Elimination or alteration of roles D. Decreased capacity

C. Elimination or alteration of roles

Sally Mae is a 78 year old female, who is diabetic. Sally was recently referred to occupational therapy because her daughter noticed that she is experiencing difficulty remembering to do certain things, has difficulty problem solving, and focusing for more than 2-3 minutes. All of the following cognitive assessments would be appropriate to complete with Sally Mae, EXCEPT: A) Saint Louis University Mental Status (SLUMS) B)Wechsler's Adult Intelligence Scale (WAIS) C) Adult Intelligence Questionnaire (AIQ) D)Montreal Cognitive Assessment (MOCA)

C) Adult Intelligence Questionnaire (AIQ)

Billy is a 40-year-old male who recently started working for a moving company that requires him to lift heavy objects multiple times a day. He presents to occupational therapy with complaints of back pain and he is concerned it will only worsen over time. Which of the following performance techniques should the therapist NOT educate the client on regarding proper lifting? A) Plan the path and technique of the lift B) Keep the load to be lifted close to the body at all times C) Position the feet close together for a narrow base of support D) When picking up an object, squat down and bend at the hips and knees only

C) Position the feet close together for a narrow base of support

Mr.Card, a 35-year-old male, was referred due to left side hemiplegia but has full normal function of his right side with a prescription that reads evaluate and treat. You complete an occupational profile and note that Mr.Card works as a cashier and spends 6-8 hours/day standing. He does experience increased numbness on his left side which severely affects his ADLs. He also reports that he requires assistance to dress and complete many tasks he could formerly do himself. His goal is "Work again as soon as possible." Which assistive device/techniques would make the LEAST sense in increasing Mr. Card's independence regarding his left side hemiplegia? A. Stabilizing food, by using a rocker knife, a knife with a sharp curved blade that cuts when rocked over the food B. Toothpaste in pump bottles or a toothpaste dispenser C. Cup with large D-shaped handle assists drinking when grasp is weak. D. A grab bar mounted on the wall beside the toilet and/or a frame mounted on the toilet

C. Cup with large D-shaped handle assists drinking when grasp is weak.

Mr.T, a 42-year-old male, was referred due to a diagnosis of Guillian-Barre Syndrome. His family reported that 4 weeks ago he had been experiencing tingling his legs, which progressed to his trunk and eventually up to his upper extremities. After 10 days in acute care, he is now being referred to rehab therapy. You complete an occupational profile and note that Mr.T works as a bouncer and spends 6-8 hours a night removing unruly customers from local bars. His goal is to "go back to removing fools." A client like Mr.T often displays ROM limitations, which of these is NOT a potential intervention method to address limited ROM. A. Decreasing Edema by raising affected limb above heart B. Minimizing Contractures by splinting/therapeutic positioning C. Decreasing Edema by moving affected limb below the heart D. Movement through Full Range of Motions

C. Decreasing Edema by moving affected limb below the heart

A procedure in which a client is first put on a heart lung machine and then undergoes a procedure in which harvested grafts are attached to the aorta and reconnected below the occlusion in the coronary artery is called; A. Valve replacement B. Open heart surgery C. Coronary artery bypass graft (CABG) D. Percutaneous Coronary Intervention (PCI)

Coronary artery bypass graft (CABG)

Client, Beth, is a 65-year-old female who is seeking occupational services for cognitive rehabilitation due to her mild neurocognitive disorder. When the occupational therapist is working with the client, the therapist constantly is providing support to assist the client in the activity rather than verbal or environmental cues. The support is provided to ensure that the client is only performing what they are doing, correctly with no errors. What type of method of teaching-learning is the therapist using? A. Spaced Retrieval B. Multicontext Approach C. Errorless Learning D. Cognitive rehabilitation learning

C. Errorless Learning

Martha, a 55-year-old female, was referred following a breast cancer diagnosis 2 weeks ago. She has had a lumpectomy and is recovering well. She will be receiving in home care and there are several modifications that need to be performed to her home before it is considered to be safe. Which of the following is NOT a part of universal design? A. Simple and Intuitive B. Flexible Use C. High physical effort D. Appropriate size and space provided

C. High physical effort

You are at an acute care setting as you perform your initial evaluation for Mr. Fuego, a 50-year-old firefighter. There was a fire where he rescued 3 children and a mother, sustaining a deep partial thickness burn covering about 10% of his body via anterior right leg. Mr. Fuego said he would do it again if he had the chance. He is optimistic about his therapy and treatment and looking forward to returning to work being as functional as he was prior to the burn. His activity level at this time is minimal, which requires him to be splinted for longer amounts of time. It is very important to prevent contractures. Which of the following would be the most appropriate anticontracture positioning? A. wrist support in neutral B. Knee flexion splint C. Knee extension positioning/splint D. Functional hand splint w MP joints at 70-90 degrees

C. Knee extension positioning/splint

What treatment method has been widely accepted as a standard therapy for limb amputation and often results in improvement of phantom limb pain? A. Action observation B. Task-oriented training C. Mirror box therapy D. Constraint-induced movement therapy

C. Mirror box therapy

Mr. Baylor is a 60-year-old male with right upper and lower extremity weakness, facial droop, and slurred speech. He has a history of hypertension, type 2 diabetes, and smoking. Client sustained an acute ischemic cerebrovascular accident (CVA) and was treated with intravenous t-PA. After the client was stabilized, he was referred to occupational therapy to maximize his ability to perform ADLs by using modification techniques and adaptations. What is an example of an adaptation technique that Mr. Baylor could use? A. Installing handrails or grab bars will help client ambulate and stay balanced B. Nonslip bathmats will help stabilize client and prevent falls C. Over the shoulder method to don a shirt D. Using assistive devices such as a universal cuff for feeding.

C. Over the shoulder method to don a shirt

You are working with the same patient who is 45-years-old and has been diagnosed with cancer in the head/neck region. The patient has expressed to you that he has not had welcoming encounters with therapists in the past and is very hesitant in trusting you when it comes to his health management with therapy. What model approach should you use as a therapist to best establish a relationship with this client to provide a safe, empathetic, and consistent environment for the client? A. Wellness Model B. Cognitive-Behavioral Model C. Psychodynamic Model D. Model of Human Occupation

C. Psychodynamic Model

Ashton, a 54-year-old female was referred following a diagnosis of congestive heart failure (CHF) 2 weeks ago. Her past medical history shows hypotension, type 1 diabetes, and anemia. You complete an occupational profile and note that Ashton is a retired doctor who enjoys going to Pilates and playing with her 15 cats. She is currently in the inpatient setting and will begin cardiac rehab in the next few days. Which of the following is NOT a goal of cardiac rehab? A. Prevent muscle loss B. Educate the patient and family C. Work on wound and catheter care D. Monitor patient's ability to function

C. Work on wound and catheter care

Roberta is an 83-year-old female who was referred to you by her physician after a recent fall in her home. Your goal as the OT is to assess her home for safety hazards, make home modifications, and provide the client with fall education. When educating Roberta, what is NOT a safety consideration you could educate her on to reduce her fall risk? A. using readily available mobile supports B. get sufficient sleep C. multitask while moving around D. exercise regularly

C. multitask while moving around

Bob is a 45-year-old male who has recently been diagnosed with Chronic obstructive pulmonary disease (COPD) by his doctor. After seeing his doctor, he is being referred to see an occupational therapist to help him manage his day-to-day activities following his recent diagnosis. What types of therapy services does OT NOT provide for someone with COPD? A) ADL retraining and adaptations B) Education of energy conservation C) Functional Mobility D) Bed Mobility

D) Bed Mobility

Becky is a 62-year-old female who recently had a stroke and has just been cleared to begin occupational therapy. During the initial evaluation, the therapist notices Becky has right-sided weakness and poor static and dynamic sitting balance when performing functional tasks. The client's goal is to be as independent as possible when performing all ADLs. Which of the following interventions would be best for improving the client's sitting dynamic balance? A) Walking with an assistive device to improve dynamic standing balance B) Perform the functional reach test 3 times a day C) Have the client catch a ball tossed from different angles while seated D) Perform seated self-care activities including dressing and bathing

D) Perform seated self-care activities including dressing and bathing

Billy Jean, a 70-year-old female has recently become a resident of the Happy Endings nursing home. During her initial evaluation with occupational therapy, the therapist notes the client has difficulty with toileting and problems with urinary continence. Billy Jean also informs the therapist that she often forgets to use the bathroom throughout the day and she sometimes does not make it to the bathroom in time because she confuses her closet door for the bathroom in her new room. Which of the following interventions would the therapist NOT implement with this client? A) Mark the bathroom clearly by using large, clear words, pictures, and color code if necessary B) Implement a toileting schedule for the client C) Pelvic muscle reeducation (Kegel exercises) D) Recommend the client increase her water intake prior to bedtime

D) Recommend the client increase her water intake prior to bedtime

Joan, a 66-year-old female, was referred following a full thickness burn from a work accident 2 weeks ago that affect her whole R UE and LE. Her past medical history shows diabetes, heart disease, and depression. You complete an occupational profile and note that Joan is a retired forensic science pathologist who worked for the FBI. She enjoys traveling and reading. She is currently in a burn clinic unit soon to be transferred home. Which of the following is NOT a home modification that could be beneficial to Joan for her return to home? A. Hand rails in the shower to assist getting in and out B. Stair lift to make going up and down the stairs easier C. Ramps for getting in the house D. Adapted clothes and shoes that are easy to put on

D. Adapted clothes and shoes that are easy to put on

Jim, a seventy-year-old male, was showing early signs of dementia and referred to occupational therapy. His wife expressed that he had trouble remembering names and she was embarrassed by this. As the occupational therapist, you decide to utilize internal compensatory strategies with the technique of first-letter mnemonics. What does the "A" stand for in the "NAME" mnemonic? A. Ask the person their name and explain that you have trouble with names B. Ask the person to speak slowly C. Ask the person if they have a nickname D. Ask the person to repeat his or her name

D. Ask the person to repeat his or her name

Gibbie, a 23-year-old female, was referred following a L transradial amputation following a GSW 3 weeks ago. Her past medical history shows a MI and diabetes. You complete an occupational profile and note that Gibbie is a recent college forensic science graduate who works for the FBI. She enjoys traveling and reading. She is currently in outpatient therapy. Which of the following is NOT a way OT works with amputee patients? A. Provide emotional support B. Facilitate independence during ADLS C. Education to patient and family about D. Change prosthetic wearing schedule without a specific order from MD

D. Change prosthetic wearing schedule without a specific order from MD

You are working in an assisted living facility as an occupational therapist. Mr. Jones is 85 years old and can sometimes be a handful. Mr. Jones always tries to complete things himself, even if it means he is risking his safety. His gait is very slow, and it has been reported that he has had a couple falls while trying to reach for things or access areas on his own. When you ask Mr. Jones why he does this, he says it's because everyone that works there is always too busy to help him. When you approach the care team about Mr. Jones, they let you know that Mr. Jones is very impatient and does not like to ask for help. He is so determined to do things on his own as he once did before his family sent him to this facility. Which of the following is LEAST likely to be a contribution to Mr. Jones' falls? A. Visual deficits B. Musculoskeletal decline C. Vestibular deficits D. Cognitive decline

D. Cognitive decline

Jamie, a twenty-five-year-old female, was diagnosed with leukemia and referred to occupational therapy. Jamie was having trouble finding the motivation to complete her daily tasks of self-care, going to work, and eating properly. She expressed that she is having a difficult time trying to cope with the diagnosis and needs an intervention that focuses on her mental health and something she can do at home. What would be the best practice model and practice for Jamie? A. Cognitive-Behavioral Model - Cognitive-behavioral treatment (CBT) B. Psychodynamic Model - one-on-one session with occupational therapist C. Cognitive-Behavioral Model - Relaxation Response (RR) D. Cognitive-Behavioral Model - Mindfulness

D. Cognitive-Behavioral Model - Mindfulness

Mr. Harker is a 69-year-old male diagnosed with Alzheimer's disease who lives alone in his one-story home. He has a history of hypertension and takes lisinopril as his blood pressure medication. He is a retired police officer with two children who live nearby. His daughter had noticed his gradual cognitive decline in which he was forgetting words, forgetting conversations with his children, not being able to recognize family members, having difficulty with maintaining his home and managing medications. What is a strategy used to decrease cognitive demands and increase occupational performance? A. Principles of compensation to reduce workload B. Three step commands to complete tasks at home C. Lengthy explanations to improve communication D. Establish a daily schedule/routine to help with appointment reminders and medications

D. Establish a daily schedule/routine to help with appointment reminders and medications

Marlena is a 35-year-old mother who has undergone a double mastectomy 6 months ago. Marlena has 3 children, two of which are very young and sometimes need to be picked up and held. Her main goal was to be able to pick up her children when they called out for her. Marlena was very motivated; however, she was also very timid due to the pain that she was still in. During this outpatient session, the therapist had Marlena engage in active and passive ROM and PNF stretches of both UE. Which intervention is the therapist using in this scenario to make progress towards the client's goal? A. Lymphedema management to decrease pain B. Education C. Decreasing UE pain D. Increasing shoulder ROM

D. Increasing shoulder ROM

Mrs. Lindley a 42-year old mother of 2 children sustained a congestive heart failure and was admitted to the hospital. Her symptoms included SOB, fatigue, swollen feet, irregular heartbeat, and persistent cough. Mrs. Lindley had been previously diagnosed with hypertension and is not consistent with taking her blood pressure medication. She also smokes 2-3 cigarettes a day and is trying to cut down on her smoking. Her medical provider will most likely refer her to which medical facility after she is stabilized in the hospital? A. Home health B. Outpatient rehabilitation C. Acute care D. Inpatient cardiac rehabilitation

D. Inpatient cardiac rehabilitation

Shirl, an 88-year-old female, was referred following a recent Alzheimer's disease diagnosis 3 weeks ago. She is wanting to return home to age in place. What is NOT one intervention or assessment that is appropriate for an OT to do for Shirl and her family? A. Educate on home modifications B. Medication management C. Caregiver education D. Manual Muscle Testing or other strength tests

D. Manual Muscle Testing or other strength tests

Client, Judy, is a 70-year-old female, who has been experiencing weakness in her upper extremities that have affected her ADLs that she uses to be independent in. Which would be a suggestion that would not benefit the client for her ADLs? A. Use plastic dishes B. Use a cart to transport laundry C. Use a rocking knife D. Raised markings on washer settings

D. Raised markings on washer settings

Mr.Sandman, a 70-year-old male residing at a long-term care facility, after surgery. You complete an occupational profile and note that Mr.S is a teacher and spends 7 hours a day standing and teaching his students. He reports constant exhaustion and is worried that it will affect his teaching ability, his goal is to "Be able to think straight, without this constant feeling of tiredness." Which of the following is NOT an area that an Occupational Therapist might evaluate regarding sleep? A.Sleep Environments (e.g Night Noise) B. Sleep Hygiene (e.g examination of sleep quarters that should be rendered quiet, dark , cool, comfortable , clean, and safe) C. Sleep Assessments (e.g Epworth Sleepiness Scale) D. Sleep Posture (e.g positioning while sleeping)

D. Sleep Posture (e.g positioning while sleeping)

Your same 70-year-old client has been referred for home-health therapy effective immediately to create adaptations and modifications to help with IADL tasks that she is now finding more difficulty in completing. You decide to give intervention work that is focused on family caregiver education and physical and social environmental modifications, what is this intervention approach called? A. Process-specific training B. Cognitive stimulation therapy C. User friendly modifications D. Task-environment modification training

D. Task-environment modification training

Roberta is an 83-year-old female who was referred to you by her physician after a recent fall in her home. Your goal as the OT is to assess her home for safety hazards and make home modifications. After talking with Roberta in her home, you find out that she has impaired (low) vision. What is NOT something you would consider modifying in Roberta's home or suggesting for adaptive strategies during the assessment? A. Increased lighting B. Reduce clutter C. Scanning techniques D. Using light weight objects

D. Using light weight objects

Mr. Beal, is a 38-year-old veteran who completed two tours in Iraq. He sustained a traumatic brain injury when a convoy nearby was hit with an explosive device (IED). He has been experiencing depression, anxiety, and social isolation which has led him to alcohol and drug use. He has been referred to occupational therapy by his primary care doctor to address substance abuse. What is a treatment goal for Mr. Beal? A. Increase independence with ADLs B. Increase self-esteem C. Anger management D. Value a clean and sober identity

D. Value a clean and sober identity

As part of the preprosthetic period, which includes aspects such as providing emotional support, maximal limb shrinkage and shaping, desensitizing the residual limb, maintaining range of motion, facilitating independence in ADLs, and change of dominance, which one includes wrapping, massage, and percussion? A. Maximal limb shrinkage and shaping B. Emotional support C. Desensitizing the residual limb D. Facilitating independence in ADLs

Desensitizing the residual limb

75. Sue is a 75-year-old female who is suffering from Alzheimer's/Dementia, her family tells you that she is starting to have difficulty remembering who each of them are. As her OT what is a strategy you could use to help her remember her family members and boost her social interaction? a. Meditation b. Create a memory book with her and her family members with photos and names of them c. Incorporating a better diet d. Brain Surgery

b. Create a memory book with her and her family members with photos and names of them

A 20-year-old male was burnt waist down due to his pants being caught on fire from jumping over a bon-fire. The worst part of his burn that is taking the longest to heal is on his right foot. The Occupational therapist is working with him on teaching him to dress his wound to prevent infection while it continues to heal to completion. The OT asks the patient to describe how he will dress his wound and how many times a day we will. What kind of learning technique is the OT using? a. Bottom-up Approach b. Repeated learning c. Active Learning d. Energy conservation

c. Active Learning

Sunny was working with fire and he suffered a severe superficial-partial thickness burn, as it was healing, he started to get contractures. As an OT our role is to prevent contractures. How do we do this? a. Splinting b. Home exercise program c. Fleetotherapy d. Casting

Splinting

You are working with a patient on strengthening their right upper extremity. You are performing an intervention of banded internal and external rotation. They have been on the least resisted band, and you want to grade them up. Which of the following would be the most appropriate to grade the client up? a) Use the next level resistance band but keep the same the reps b) Use the next level resistance band and increase the reps c) Use the same level resistance band and don't change anything d) Use the same level resistance band but decrease the reps

a) Use the next level resistance band but keep the same the reps

Kathryn Jones, an 86-year-old female, was just recently diagnosed with vascular dementia. She was originally seen by a neurologist because she expressed to her daughter that she could no longer remember the past. As her occupational therapist, which type of intervention do feel would benefit Kathryn the most? a. Cognitive stimulation therapy b. Metacognitive strategy instruction c. Skill habit training d. Process specific training

a. Cognitive stimulation therapy

Billy, a 67-year-old retired firefighter, was in a MVA where he sustained a TBI 2 months ago. Due to his TBI he is having issues with his independence while at home. Billy was the main chef for his family and is determined to get back to being able to do things by himself and to cook for his family. Which of these assistive devices would be least beneficial to that goal? a. Large handle utensils b. Universal cuff c. Button hook d. Rocker Knife

c. Button hook

Which of the following represents the unlikely approach for an occupational therapist to utilize family members as a therapy extender for Skill-Task-Habit training for a client who was a former grade school teacher with onset dementia? a . Etiquette and good manners-->toileting-->Wash your hands after bathroom usage b. Good hygiene practice-->bathe/shower-->Wash yourself each day before bed c. Documentation-->SOAP Note--> Communicate patient information & documentation d. Writing-->Create a short story--> To convey a thought/idea/experience

c. Documentation-->SOAP Note--> Communicate patient information & documentation

Margret is an 89-year-old female who has been referred to occupational therapy because her family has noticed that her memory isn't as sharp as it once was which has led her recently to wander away from her home and become lost. She lives alone in a small condo on the first level, still drives to the grocery store and church, and has a cat that she cares for. What types of intervention would occupational therapy conduct with Margret? a. Community-based occupational therapy for older adults with memory and cognition deficits b. Fall prevention c. ROM/MMT d. Margaret is doing great and doesn't need OT currently

a. Community-based occupational therapy for older adults with memory and cognition deficits

Burns are very common. Over 486,000 burn injuries require medical treatment in the United States. The majority of burns are adult males and the most common cause is fire/flames. Where do most burns occur? a.Workplace b.Fireworks c.In homes d.Oil explosions

c. In homes

Mary is a 34-year-old female who recently had a transhumeral amputation due to an accident involving a chainsaw. After her amputation surgery and she is stable, you as the occupational therapist meet with Mary to provide her services. You have been instructed by the doctor that she needs assistance and training in wrapping the limb to help with shaping and shrinkage of edema. What is the proper way to wrapping a limb with an elastic bandage? a) In a wrapping circular motion all the way up to the shoulder b) Wrap firmly distally to proximally starting on the anterior surface of the arm. c) None, this client doesn't need to be wrapped d) Wrap starting at the shoulder and ending at the stump.

b) Wrap firmly distally to proximally starting on the anterior surface of the arm.

Your client Kate, suffered a stroke 2 weeks ago and is now preparing to be discharged home from the hospital. Kate's symptoms upon discharge include paresis of her left UE and minimal cognitive deficits. Kate lives in the guest house behind her daughter's home. Her living space is a single-story home with 1 bedroom, 1 bathroom, and a full kitchen/dining area. What might your next step be in Kate's discharge process? a. Continue family & caregiver education, make a predischarge visit to assess Kate's living space before she returns home, and offer additional resources that may be appropriate for Kate and her family upon discharge. b. Begin family and caregiver education from this point and offer appropriate adaptive equipment that may help Kate be independent in her living space after discharge. c. Continue family & caregiver education prior to discharge and make a home-visit following Kate's discharge to assess how she is adapting to her environment. d. Complete a Modified Barthel with Kate to reassess her functional abilities before discharge to make any final recommendations before Kate returns home.

a. Continue family & caregiver education, make a predischarge visit to assess Kate's living space before she returns home, and offer additional resources that may be appropriate for Kate and her family upon discharge.

A 20-year-old male was shot in his left forearm and was taken into emergency surgery. He received an amputation below his elbow but above his wrist. He is referred to you to help find which prosthesis would be best for him and really cares about what it looks like and wants to look like he has a normal hand. What do you recommend? a. Cosmetic glove with myoelectric function b. Cosmetic glove with no function c. Electric terminal device (hook) d. Body-powered prosthesis

a. Cosmetic glove with myoelectric function

Ruby is an 83-year-old female that lives at home by herself with her dog, Fifi. Ruby's daughter, Emmy, visits Ruby twice a week to make sure she is okay. Her daughter has been expressing her concerns about her mother's vision changes and how she is worried that something bad might happen to Ruby. Emmy stated that Ruby has been putting groceries in the wrong areas and is mistakenly feeding the dog her cereal. Her mother also has a lot of objects around the house and on the floor that she refuses to move. What are environmental modifications an occupational therapist can do to help Ruby stay independent? a. Reduce the clutter around the house and reorganize the environment to establish routines. Label drawers and cabinets in large bold print to help improve visibility and use a portable magnifier. b. Modify the environment to improve acoustics and reduce ambient noise. Use texture cues to signal a change in rooms. c. Provide task-oriented treatment in the individual's environment with numerous repetitions. Institute regular reminders on her phone to feed the dog. d. Use alternative technologies for her bed and alarm systems. Color code all of the bathrooms in the house and make sure the bathroom is physically accessible with grab bars and non-skid mats.

a. Reduce the clutter around the house and reorganize the environment to establish routines. Label drawers and cabinets in large bold print to help improve visibility and use a portable magnifier.

June, a 28-year-old yoga instructor, has recently been sent to you in regards to her mental health. She has been diagnosed with depression and wants you to teach her some routines and ideas that will help her get better. Which of the following models do you think would be best for June? a. Wellness Model b. Cognitive Behavioral Model c. Psychodynamic Model d. Model of Human Occupation

a. Wellness Model

JoAnn lives alone, over the years her vision has been declining, she feels as though she does a thorough job of cleaning her house; but when Occupational therapy assessed the home, Miss JoAnn had items in her walkway causing three of her mechanical falls. OT made alterations to Miss JoAnn's physical environment through activity analysis. OT modified the environment by tapping down the edge of the rugs in the home, freeing the walkways of obstacles & replacing the grooved tile with smooth cherry oak wood floors. OT recognized that all the physical barriers changed in the home were on the floor, where the least amount of lighting was, causing visual issues for JoAnn. To mitigate further falls OT recommended lighting along the floors in the house. Which intervention strategies did the therapist use to correct barriers to the physical environment that may further disable JoAnn functional limitations? a) Inclusive and Universal design b) Environment Modifications c) Assistive Technology d) Task Simplification

b) Environment Modifications

Your client is having cognitive problems and you have decided that you are going to use internal memory strategies. Which is an internal memory strategy? a) Checklists b) Visual Imagery c) Memory Books d) Day Planner

b) Visual Imagery

Your client Claudia was diagnosed with Dementia 2 months ago. Her daughter tells you that Claudia is having a lot of trouble completing tasks that she is physically able to do because she cannot remember the order in which to do the tasks. Once Claudia is reminded of the next step, she is able to complete it independently. Claudia states she wants to stay as independent as possible for as long as possible to avoid feeling like a burden to her daughter. Choose the best intervention strategy for Claudia. a. Internal memory strategies such as mnemonics that reflect the order of steps to complete a task. b. External memory strategies such as visible checklists showing the order of steps to complete a task, and a daily schedule/calendar where Claudia's daughter can write reminders, schedules, etc. c. Attention process training (APT) where Claudia can practice the specific tasks she is having trouble completing to retrain her brain to be able to remember how to perform them. c. Skill-task habit training to develop new habits and routines for Claudia to learn.

b. External memory strategies such as visible checklists showing the order of steps to complete a task, and a daily schedule/calendar where Claudia's daughter can write reminders, schedules, etc.

Sue is a 69-year-old female who is suffering from breast cancer. She is continuously sharing with you how she knows God has a plan for her cancer and that there will be purpose in what she goes through. What attribution is she using to explain her Dx and what can you do as the OT to support her best? a. Victimization, listen to Sue and get to know her better as a whole person b. Faith, listen to Sue and get to know her better as a whole person c. Faith, tell her there is no purpose in her getting cancer but it is just chance d. Chance, tell her there is no purpose in her getting cancer but it is just chance

b. Faith, listen to Sue and get to know her better as a whole person

Cody, a 74 year old retired banker, suffered a right hemisphere stroke 3 weeks ago. He has been showing signs of unilateral neglect (UN) ever since. When it comes to UN there are three distinct areas of space which impairs occupational performances. Which one of the following is NOT one of the three area of space? a. Reaching Space b. Intermediate Space c. Personal Space d. Far Space

b. Intermediate Space

Client Lauren is a 40-year-old female who is seeking occupational therapy for strengthening of her wrist after a fall she had while working in her garden. Due to her injury affecting her wrist extension and her current ROM, the therapist is instructing the client to contract her wrist extensors while she adds resistance to the movement. What type of contraction/exercise is the therapist using? a. Dynamic assistive (Active assistive ROM) b. Isometric c. Dynamic active (active ROM) d. Dynamic active resistive (active resistive ROM)

b. Isometric

Michelle Berndt, 30-year-old mother of two, was recently diagnosed with Metastatic breast cancer. Since starting chemotherapy, she suffers from depression and anxiety. Which intervention would be best for her once she finishes treatment? a. Active learning b. Medication management c. Self-efficacy d. Energy conservation

b. Medication management

Sally Mae, a 62-year-old woman who has been diagnosed with Alzheimer's for 5 years is admitted into an assistive living facility and her husband has always been her caregiver. Sally Mae's husband shared to the OT that he wants more education on ways he could still assist her with her memory impairment. Which of the following memory strategy would be best for her husband to learn? a. Internal Memory Strategy b. Passive Memory Strategy c. External Memory Strategy d. Active Initiators

b. Passive Memory Strategy

Your client, Joan, is an 80-year old retired female that is experiencing fatigue and weakness that is affecting her ability to participate in and complete daily tasks such as showering, preparing a meal, and taking her small dog on a walk. Joan expresses to you that her goal is to be able to walk her dog for at least 30 minutes a day. What is the best intervention you may first suggest for Joan? a. Suggest Joan gets a service dog to help her with daily activities around the house and to act as a motivator to get Joan walking more with both dogs. b. Suggest energy conservation techniques. For example, instead of Joan completing 30 minutes of walking her dog at once she can break up the tasks to 3, 10 minute walks throughout the day to allow for rests throughout the day. c. Suggest adaptive equipment such as a long-handled hair brush and electric toothbrush. to make her grooming routine easier to complete. d. Suggest a home exercise program to gradually build Joan's strength and endurance to aid in her participating in ADLs.

b. Suggest energy conservation techniques. For example, instead of Joan completing 30 minutes of walking her dog at once she can break up the tasks to 3, 10 minute walks throughout the day to allow for rests throughout the day.

In the hierarchy of skill building for restoring mobility, as an occupational therapist after the patient can bend and transfer what is the next activity to work on. a) Wheelchair transfer b) Toilet and tub transfer c) Functional ambulation for ADL d) Car transfer

c) Functional ambulation for AD

You are seeing a client in the inpatient setting who recently had a BKA and will be returning home soon. As an OT, you recognize that home modification will likely be necessary for the clients safety and independence. Which of the following would NOT be a type of environmental modification? a) Adding a ramp b) Widening hallways c) Using a prosthetic d) Adding a shower chair

c) Using a prosthetic

Grace, a 68 year old female teacher, had open heart surgery 4 weeks ago due to a previous heart condition and she wants to be able to walk her dog again. What MET score does she need to get to score in order to be able to do that? a. 1 b. 6 c. 4 d. 2

c. 4

Ben, a 33-year-old single father to a 12-year-old son recently diagnosed with congestive heart failure (CHF) is preparing to go home after 6 weeks in inpatient rehab. His symptoms included increased fatigue, limited endurance, dry hacking cough, swelling in ankles, and an increase in weight. Which of the following home programs will benefit Ben to improve his overall occupational performance? a. High intensity aerobic exercises b. Lifting greater than 10 pounds c. Mild exercise program with education about the diagnosis to help patients understand that overexertion could put them back to heart failure d. Stress reduction techniques

c. Mild exercise program with education about the diagnosis to help patients understand that overexertion could put them back to heart failure

After going through 8 rounds of chemotherapy, Nico has developed insomnia. From the lack of sleep, Nico has become more anxious and irritable throughout the day. When assessing his sleep from the Epworth Sleepiness Scale, his score indicated that he has a high chance of dozing. What are some interventions occupational therapy can address to help Nico get better sleep? a. Talk with Nico's physician to prescribe him sleep medicine. Have Nico keep a bright alarm clock in his room to record when he wakes up during the night. b. Suggest a white noise machine that can turn on overnight with the curtains open to restart his circadian rhythm. c. Modify the sleep environment to make sure it is quiet, dark, cool, clean, comfortable, and safe. Educate Nico on relaxation responses and to address his sleep-related anxieties. d. Tell Nico to sleep in the side-lying position. Suggest that he start losing weight to help with the sleep disorder.

c. Modify the sleep environment to make sure it is quiet, dark, cool, clean, comfortable, and safe. Educate Nico on relaxation responses and to address his sleep-related anxieties.

Logan, a 39 year old male lawyer, was in a MVA which resulted in a below the knee amputation on his left leg. When it comes to the current trends related to amputation, which of the following is NOT one of those trends a. Targeted Muscle- Reinnervation b. Surface EMG c. Pattern Recognition d. The Starfish Procedure

c. Pattern Recognition

Gracie is a 28-year-old concert pianist, who got in a car accident which resulted in the amputation of her left hand, her dominant hand. She recently got out of surgery and has gotten clearance from her surgeon to get the residual limb wet, but is still waiting to get fitted for her prosthetic device. What are some interventions Gracie's occupational therapist will provide during the preprosthetic period? a. Maximize limb shrinkage and limb shaping by wrapping the elastic bandage in a circular manner, begin patient and family education for prosthetic wear for 5 minutes, and soften scar tissueput pressure on the residual limb. c. Provide emotional support, implement a physical conditioning program to increase/maintain range of motion, and introduce activities to practice changing her hand dominance. b. Instruct the patient to wash the limb daily with mild soap and dry it thoroughly, encourage the client to start using her feet for ADLs, and tell the patient not to touch or d. Advise the client to leave the bandage on weekly and check for redness when the nurse comes to check on her vitals, encourage the client to sit in one position to promote core strengthening for balance, and bear weight on the end of the limb with layers of felt.

c. Provide emotional support, implement a physical conditioning program to increase/maintain range of motion, and introduce activities to practice changing her hand dominance.

Callie, a 72-year-old female has low vision and lives alone in a one-story house. Twice a week, she receives home-health OT. At today's session, the OT noted that her low vision has decreased more and notices that Callie cannot differentiate between her bath towels and kitchen towels. Callie's kitchen wall is white whereas her bathroom is a sandy yellow. Which of the following OT interventions will help assist Callie differentiate? a. Bring the light closer to the towels b. Handheld magnifier c. Provide high color contrast d. Educate on scanning techniques

c. Provide high color contrast

20.Client, John, is a 60 year old male who had a stroke which resulted in affected motor recovery of his left upper extremity. While working with an occupational therapist, the therapist noticed that the client is showing isolated motor control and his spasticity is minimal after weeks of therapy. According to Brunnstorm Stages of recovery for the affected arm, what stage is this client at? a. Stage II b. Stage VII c. Stage VI d. Stage III

c. Stage VI

Ruth Handler is an 80-year-old woman who enjoys the company of her occupational therapist, Ken. Ruth is very spry, and cannot wait to return to work. Ruth had a double mastectomy, and was unable to work for almost a year due to the development of lymphoma shortly after. Ruth developed lots of swelling around her neck and armpits, and found it a challenge to get in and out of the tub. A tub bar was installed which is known as what best universal strategy: a) Inclusive and universal design b) Task simplification strategies c) Assistive Technology d) Environmental Modifications

d) Environmental Modifications

Jane is having trouble being able to feed herself because she can't grasp the utensils or cup, and everything is too heavy for her. Which of the following would not be an appropriate device to recommend for Jane to use? a) Universal cuff b) L- shaped rocker knife c) D- shaped handle on cup d) Large Grip weighted utensils

d) Large Grip weighted utensils

Cecilia is an 84 year old woman who has been diagnosed with moderate dementia. You are seeing her in her home where she lives with her husband. You assess her environment and daily routine. Which of the following would not be appropriate for this client? a) Maintain socialization b) Continue engaging in physical activity c) Modify environment d) Regain skills that have been forgotten

d) Regain skills that have been forgotten

Jacob was in a car accident that has caused him to need to use a wheelchair. His work does not have a ramp to get into his building, his desk is too high while he is in his wheelchair, and he struggles getting from the wheelchair into his desk chair. What type of interventions to optimize access and promote participation in the home, workplace and community is not the most appropriate for this client? a) Inclusive and universal design b) Environmental modifications c) Assistive technology d) Task simplification strategies

d) Task simplification strategies

Lucille Lawless had experienced a grease fire while in preparation for a cooking event where she suffered full-thickness burns along the lateral dorsal and lateral ventral portion of her right forearm(dominant), and her left dorsal wrist experienced partial thickness burns. A week passed, and Lucille was finally able to go home after she had received skin grafts. With the assumption that she has a cast on her right forearm and splint on her left wrist, how should Lucille approach her self-feeding occupation? a) Ask for the assistance of a caregiver b) Utilize a universal cuff on her right hand c) Use adaptive utensils (spoon, fork, knife) d) Utilize a universal cuff on her left hand, and to alternate as she deems fit

d) Utilize a universal cuff on her left hand, and to alternate as she deems fit

You are seeing a client who is experiencing weakness and fatigue due to a diagnosis of MS. As an OT, you attempt to help this client by demonstrating different compensatory strategies to assist the client in maintaining independence. Which of the following would NOT be considered a means of compensation? a) Using assistive devices b) Energy conservation c) Performing tasks with gravity assistance d) Working on increasing active range of motion

d) Working on increasing active range of motion

You are the occupational therapist in the inpatient setting for Greg, who is recovering from a CVA. He is going to be discharged soon and find out that he is going to be cared for by his mother when he returns home. What is NOT an important factor that the OT must address when educating the family member? a. Offer specific information about the disability b. Give insight to community resources like support groups c. Address issues with patient care and safety, including a home visit and use of assistive technology d. Don't educate the family member

d. Don't educate the family member

Sue is a 69-year-old female who had to get open-heart surgery and is now under sternal precautions. She says she is feeling clicking and shifting in her sternum with lifting a coffee pot with one hand. What should you as her OT recommend her do? a. Lift the coffee pot with 2 hands b. Continue to life the coffee pot with one hand until the pain goes away c. Don't drink coffee d. Don't lift the pot at all and find an alternative way to pour the coffee or get a caregiver to lift it until the pain ceases.

d. Don't lift the pot at all and find an alternative way to pour the coffee or get a caregiver to lift it until the pain ceases.

44. Bonnie has recently had a burn injury resulting in severe burns. The burns damaged the full epidermis and the dermis. What type of burn does this classify as? a. 1st degree b. Superficial c. Deep-partial thickness d. Full thickness

d. Full thickness

Rebecca, a 28-year-old college graduate, was in a motor vehicle accident (MVA). From the accident, she sustained a right transradial amputation and is recovering in inpatient rehab. Rebecca's right transradial prosthesis just arrived in time for occupational therapy. Before the Occupational Therapist begins the treatment session, he will need to evaluate the prosthesis. Which of the following is not included during evaluation of the prosthesis before Rebecca's occupational therapy treatment? a. Comfort of fit of the socket and harness b. Compliance with the prescription c. Appearance of the prosthesis and all its part d. Hygienic care of the limb

d. Hygienic care of the limb

Jaclyn was diagnosed with spina bifida when she was born. Now at 16 years old, Jaclyn's family is still learning on ways to cope with her diagnosis and provide the best care for Jaclyn as she gets older. How can OT's educate Jaclyn and her family on the support? a. Adjust self-concept b. Compromise coping strategies c. Cognitive Behavioral Treatment d. Identify pathways of belonging, doing, and understanding

d. Identify pathways of belonging, doing, and understanding

Jimmy, an occupational therapist, works at an assisted living facility. His most recent client, Ann, has been diagnosed with mild dementia. Ann is relatively healthy, with a current medical history of arthritis in her left hand and slightly high blood pressure, which is controlled through medication. Ann lives an active lifestyle and enjoys walking with her husband who she lives with. Ann's husband has no cognitive impairment. Jimmy is planning on providing dementia education to Ann's husband next session. Which of the following would be best to consider when educating Ann's husband? a. Take Ann to a mall at least 3x a week to get out of the house and increase social interaction. b. Write down multiple step instructions for Ann to use when completing ADLs. c. Limit physical activity to 2x a week to prevent fatigue d. Provide Ann with activities that stimulate memory, such as listening to music

d. Provide Ann with activities that stimulate memory, such as listening to music

Ray is a 60-year-old male with a diagnosis of osteoarthritis. He has retired early because of the constant pain from the condition, but still enjoys cooking for his wife and helps her manage the garden. His wife says that she makes sure to be beside him when doing activities, because it takes him a lot longer to complete tasks. Ray says that he doesn't like her hovering over him, but he wants to be able to do the activities without her worrying. What type of compensation principles would apply to Ray's situation? a. Educate Ray on eliminating unnecessary tasks, so he can conserve his energy to do other activities. Have home health come to install grab bars in his bathroom. b. Give Ray information on service dogs, so it can help him do his activities. Educate Ray on how to use a transfer tub bench safely, to be able to bathe. c. Develop the habit of directing attention to the affected joints with osteoarthritis. Eliminate environmental clutter for Ray to do tasks faster. d. Suggest that Ray use a garden tool with ergonomic handles and heavier, bigger handled utensils. Educate him on energy conservation methods, such as good body mechanics, and sitting, when possible, to reduce fatigue.

d. Suggest that Ray use a garden tool with ergonomic handles and heavier, bigger handled utensils. Educate him on energy conservation methods, such as good body mechanics, and sitting, when possible, to reduce fatigue.

Davey is a 67-year-old female that has been a long-time smoker and has developed COPD. She lives at home by herself with no caregiver and has stated that she has stopped doing things around the house, like vacuuming, and going on her daily walks around the neighborhood. Unfortunately, her insurance will not reimburse her for home oxygen because her O2 saturation level is at 90% and she fears overexerting herself because she is always short of breath and is constantly wheezing. What are some ways occupational therapy can help Davey? a. Incorporate an exercise schedule and work simplification techniques, so that she can understand her body's response to various activities and maintain muscle tone and endurance. b. The occupational therapist can teach Davey risk factor recognition and awareness to avoid doing the activities that cause her breathlessness. c. Teach Davey to avoid lifting, pushing, or pulling greater than 10 pounds for 6-12 weeks. d. Teach Davey breathing techniques and attempt to use them while performing an activity that causes her breathlessness and stress management to lessen her fear.

d. Teach Davey breathing techniques and attempt to use them while performing an activity that causes her breathlessness and stress management to lessen her fear.

Toby is a 34-year-old car mechanic who was recently injured on the job. He sustained a TBI and a right forearm fracture after falling off a ladder when getting a car part. Toby is stable and his main goal is to return to work as soon as possible. The occupational therapist is going to use work conditioning interventions to help Toby get back to work as soon as he can. What type of interventions would the OT use when referring to work conditioning? a. Cooking a meal for his family. b. Bed transfers. c. Climbing a ladder. d. Using right arm to practice reaching into toolbox for tools to change a tire.

d. Using right arm to practice reaching into toolbox for tools to change a tire.