720 Final
What insurance coverage would you have if you are a 77 year old, who hurt his shoulder while skiing and now need outpatient therapy? a) Medicare A b) Medicare B c) Medicare C d) Medicare D
b) Medicare B
An OTR in an inpatient clinic evals a 77 y/o client with bilateral chronic adhesive capsulitis who is experiencing interrupted sleep patterns and decreased ability to perform ADLs because of pain. Range of motion (ROM) is close to functional but painful throughout the arc. What is the primary functional focus of occupationl therapy intervention? a) ADL modifications and adaptive equipment education for grooming, bathing, and dressing b) electrotherapeutic modalities followed by stretching exercises to facilitate increased ROM c)rest, ice, elevation, and compression (RICE) to facilitate functional return d) intra-articular corticosteroid injections to allow for better tolerance to stretch
a) ADL modifications and adaptive equipment education for grooming, bathing, and dressing
An individual with hemiplegia has inadequate ankle dorsiflexion of the affected side. Which one of the following equipment would you recommend to use to compensate for the deficit and facilitate safe and effective ambulation? a) an ankle foot orthosis (AFO) b) a wide based quad cane (WBQC) c) a narrow based quad cane (NBQC) d) a knee ankle foot orthosis (KAFO)
a) An ankle foot orthosis (AFO)
There are significant differences between Alzheimer's disease and age-related cognitive decline. While both have short term memory loss, what is a symptom of Alzheimer's that you do not see in normal age-related cognitive decline? a) Difficulties with word finding b) Reduced capacity to pay attention c) Decreased working memory d) Delay in processing information
a) Difficulties with word finding
A client sustained a cerebral infarct 3 months ago with hemiparesis in the right lower extremity. The client has been discharged from physical and occupational therapy, walks with a quad cane, and is fully functional in the other extremities. The client completed an on-road driving evaluation and did fine with the use of adaptive devices. What device did the certified driver rehabilitation specialist MOST LIKELY prescribe? a) Left-foot accelerator b) Spinner knob on the steering wheel c) Right Veigel accelerator and brake pedal extension d) Additional mirrors to decrease blind spots
a) Left-foot accelerator
In the systematic review on older adult community mobility, it was found that special or additional drivers license renewal requirements for older adults had the following impact: a) Reduced number of accidents b) Increased income for local businesses c) Increased personal costs and decreased community business income d) Increased use of occupational therapy
a) Reduced number of accidents
When assessing a client with dementia early on in their trajectory, you observe no aphasia and recall memory deficits greater than their recognition memory deficits. You expect visuo-spatial skills, frontal/executive skills, and mental speed to be impacted as well because they present with: a) Subcortical dementia b) Alzheimer's Disease c) Cortical dementia d) Protein energy malnutrition
a) Subcortical dementia
An older adult experiencing depression after the loss of her longtime partner is interested in having more social support. In order to achieve this, she decides that she will research local grief support groups online and attend at least one meeting in the next two weeks. Which self-management strategy is this an example of? a) action planning b) self-monitoring c) problem solving d) goal setting
a) action planning
This is a cardiac procedure where a doctor uses a balloon-tipped catheter to open a blocked blood vessel and improve blood flow of an artery. a) angioplasty b) CABG c) mitral valve replacement d) pacemaker replacement
a) angioplasty
A patient diagnosed with Parkinson's disease is being seen by OT to develop a routine for performing self-care activities. The OT is most likely to begin this process by instructing the patient that self-care activities: a) are more easily performed of coordinated with consistent timing of medications. b) Should be performed before medication's are taken. c) Should be attempted only with assistance of others. d) Should be performed at intervals throughout the day until completed.
a) are more easily performed of coordinated with consistent timing of medications.
Following a hip replacement, a patient is limited to "toe touch" weight bearing (TTWB) on the operated extremity. While performing a toilet transfer, the OT should instruct the client to do which of the following? a)attempt to bear 90% of their weight on the unaffected leg b) attempt to place 50% of their weight on the affect side c) try to judge how much weight they can tolerate when standing d) prompt the client to put 100% of their weight on the affected leg
a) attempt to bear 90% of their weight on the unaffected leg
A 55-year-old man suffered left frontal lobe CVA. Which one of the following to the OT watch most closely for? a) changes in emotions and behavior. b) Monitor loss of hearing. c) Observe appetite and vision deficits. d) Changes and facial muscle control.
a) changes in emotions and behavior.
John is your client in an acute care hospital and he had right rotator cuff repair surgery two days ago. He is scheduled to go home tomorrow. What should be the focus of your ADL intervention? a) educate on one handed dressing activities b) educate on shoulder replacement precautions c) resistive exercises for his right shoulder d) instruction on how to use right upper extremity to life heavy grocery bag
a) educate on one handed dressing activities
Which one fo the following does not have deleterious effects on persons with respiratory ailments? a) fresh air b) humidity c) pollution d) extremes of temperature
a) fresh air
An older adult client who lives independently and has age related macular degeneration reports difficulty reading small print. The OTR completes acuity testing and determines that the client has visual acuity of 20/200. What recommendation should the OTR make? a) increase illumination and enlarge print b) use occlusion to facilitate reading c) reduce background contrast when reading d) see an eye care specialist for visual field testing
a) increase illumination and enlarge print
Which of the following is the most important adaptation to recommend to an individual returning home following total hip replacement? a) obtain a raised toilet seat b) move items from high cabinets to lower locations c) obtain a raised toilet seat d) place high contrast tape at the edge of each step
a) obtain a raised toilet seat
Mr. Jones incurred CVA two months ago and is now at home and will be receiving outpatient occupational therapy services. You notice that his right hemiparetic hand has significant hypertonicity and has very limited PROM of the fingers and you are not able to passively bring them into full extension. Which of the following would be your course of action? a) provide an anti-spasticity splint for the right hand. b) Request the physician conduct a tendon release. c) Place a rolled up washcloth or something soft into his left hand. d) Conduct electrical stimulation of the extensors of the hand.
a) provide an anti-spasticity splint for the right hand.
A client with stroke is in inpatient rehabilitation and at the start of the intervention session the OTR is observing as the client sits at the dining table in a wheelchair. The client's hips are extended and the client is leaning on the unaffected left upper extremity. What should the OTR's first approach be? a) reposition the client in the wheelchair with hips flexed at 90° in the upper extremity resting in the lap b) complete the berg balance scale to determine the clients pastoral needs. c) Transfer the client to a standard chair with arms for positioning and posterior pelvic tilt. d) Transfer the client to another wheelchair that provides a lap tray for upper extremity support
a) reposition the client in the wheelchair with hips flexed at 90° in the upper
Sally is a 67 year old client who had a CVA 2 weeks ago. She has just been admitted to the acute inpatient rehab facility where you work. When should the IADL of driving be addressed? a) right before discharge, or on an outpatient basis b) within the first week c) immediately upon evaluation d) only when a driving specialist is available
a) right before discharge, or on an outpatient basis
An older adult client with a history of falls and glaucoma is referred to occupational therapy for evaluation and intervention. Which strategy should the OTR teach the client to compensate for impaired vision due to glaucoma? a) rotate head to choose clothing from a closet b) use colorful, patterned tablecloth c) pour coffee into a dark colored mug d) place dinner plate to the left of midline
a) rotate head to choose clothing from a closet
Following a left CVA individual receives OT services at the sub acute rehab facility. The patient's personal goal is to be independent in dressing. The patient demonstrates decreased memory, poor sequencing skills and ideational apraxia. Which one of the following is most effective for the therapist to provide when teaching one handed dressing techniques to this patient? a) sequence photographs of the steps in dressing b) a full length mirror for the client to observe self dressing performance c) step-by-step verbal instructions d) physical prompts to initiate the steps and dressing
a) sequence photographs of the steps in dressing
Which is the most appropriate position for a client with a hip replacement to perform lower body dressing? a) sitting on the side of the bed b) sitting in a low chair without arm rests c) sitting with the feet on a stool d) sitting on a tub bench
a) sitting on the side of the bed
An OT is performing a kitchen activity with an individual with limited shoulder ROM the day before discharge. The individual demonstrates difficulty retrieving items from the higher shelves. Which of the following recommendations will BEST facilitate home management for this individual? a) store the most frequently used items on the shelves just above or below the counter b) use the largest joint available to move or lift items from high shelves c) perform shoulder ROM exercises 10x/day, twice a day. d) continue reaching for items on high shelves because it will help improve ROM
a) store the most frequently used items on the shelves just above or below the counter
You are working with a 67-year-old woman who has recently become legally blind due to cataracts. She would like to return to preparing meals on her own. Which of the following is a best recommendation? a) train her to use sensory substitution b) use a cctv c) scanning training d) eccentric viewing training
a) train her to use sensory substitution
A client is two days post stroke in acute care with right hemiparesis. And admission to occupational therapy, the clients FIM scores were 2 for dressing, 1 for bathing, and 3 for feeding. Which intervention is most appropriate to try first? a) train the client in postural activity at the edge of bed to increase supported sitting. b) Supervise the client in completing hygiene tasks standing at the sink while emphasizing use of the right arm. c) Refer the client for a driving evaluation in preparation for community reentry. d) Educate the client and caregiver about a home program addressing right side awareness.
a) train the client in postural activity at the edge of bed to increase supported sitting.
A person recovering from THR wants to begin meal preparation but refuses to use the walker ordered by the physician. The physician is unavailable for consultation. Which would be the best action for the OT to take in response to this situation? a) work on meal prep activities with the client sitting at the table b) work on meal prep activities with the client w/o the walker c) delay working on meal prep until the physician can be contacted d) tell client walker must be used until the physician changes the orders
a) work on meal prep activities with the client sitting at the table
The OTR is treating a client who presents with hemiplegia from a cardio vascular accident. The clients hand is flaccid. To fabricate a custom resting had orthosis in what position to the OTR place to rest and metacarpal phalangeal's (MCPs)? a) wrist at 25 extension and MCPs at 55 flexion. b) Wrist at 45 flexion and MCPs at 10 flexion. c) Rest at 60 flexion and MCPs at 0 flexion. d) Wrist at 10 flexion and MCPs at 0 flexion.
a) wrist at 25 extension and MCPs at 55 flexion.
In dementia with Lewy Bodies, the earliest loss appears to be with: a) Words when speaking or writing b) Attention and visual perception c) Decreased or poor judgment d) Difficulty completing familiar tasks
b) Attention and visual perception
Clara's speech therapist has reported to you and the rest of the team that Clara has dysarthria. This means: a) Clara will have difficulties expressing herself b) Clara's speech is characteristically slurred, slow, and difficult to understand c) Clara has difficulty with naming objects, repeating phrases or conveying ideas or needs d) Clara has difficulty with understanding words spoken to her
b) Clara's speech is characteristically slurred, slow, and difficult to understand
The typical clinical syndrome of Alzheimer's Disease includes all the following in the early stages EXCEPT: a) Amnestic type of memory defect b) Deficits in executive function and disturbances of visual-spatial skills c) Difficulty learning and recalling new information d) Progressive language disorder
b) Deficits in executive function and disturbances of visual-spatial skills
Your client Mrs. Burns informs you that she has been having trouble using her phone. She states that when she looks directly at the dialing pad there is a large dark spot in the middle. She is most likely impaired by: a) glaucoma. b) Macular degeneration. c) Cataracts. d) Sensory neural hearing loss
b) Macular degeneration.
You have received a referral to work with Bob, who has Alzheimer's disease, and his wife who is his caregiver. Bob's wife reports that he has been using foul language out in public, has been agitated and yells at his wife, and has wandered from home twice in the last week. He has problems recognizing distant friends and family members and difficulty getting out of bed. Bob is most likely in which stage of the disease process? a) Mild stage b) Moderate stage c) Severe stage d) End stage
b) Moderate stage
A person with a long history of Parkinson's disease is experiencing considerable fatigue during the day. The OT's most appropriate response to help the individual maintain his or her level of function is to teach them how to: a) work through the fatigue. b) Perform the desired activities in a simplified manner to conserve energy. c) Perform additional exercises to increase energy level. d) Eliminate activities or reduce activity level as much as possible.
b) Perform the desired activities in a simplified manner to conserve energy.
A piece of foam to build up the handle of a fork would be beneficial for what type of patient? a) THA b) RA c) fibromyalgia d) OA
b) RA
Which symptom may be attributed to typical visual changes due to aging? a) improving ability to see objects at a close distance. b) Slowing ability to adapt to light and dark. c) Increasing color blindness. d) Difficulty recognizing and reading facial expressions.
b) Slowing ability to adapt to light and dark.
During an OT session a client with left CVA demonstrates extinction to the right and a tendency to ignore items on his right side. We're documenting this behavior what should be the OTs report? a) agnosia b) Unilateral inattention c) Poor right left discrimination d) Poor visual scanning
b) Unilateral inattention
An OTR is working with a client who has cognitive deficits after a stroke. The OTR wants the client to be able to complete transfers when the client discharges to home. What strategy should the OTR use to enhance the client's ability to transfer at home? a) provide the client with visual feedback on trunk posture by having the client sit in front of a mirror during toileting b) address transfers in the client's hospital room, the clinic treatment area, and the hospital recreation room c) complete multiple transfers in the client's hospital room throughout the day d) practice bridging in the client's hospital room bed to increase trunk extension
b) address transfers in the client's hospital room, the clinic treatment area, and the hospital recreation room
While assessing dressing skills with a patient who had a recent stroke, the OT notes that the individual is unable to see white buttons on a white fabric. This most likely indicates that the client may be having difficulty with: a) spatial relations b) figure ground perceptions c) body image d) visual closure
b) figure ground perception
While observing a client who has just been admitted to the rehab unit after a right CVA with left hemiplegia, the OT notices of the patient's left arm lays limply by the patient side. And documenting this observation the OT will most likely use the term: a) rigidity b) flaccidity c) subluxation d) spasticity
b) flaccidity
During an assessment, an OT practitioner observes an individual who is able to place his dentures in his mouth, but who has difficulty applying denture cream to appropriate place on the dentures and attempt to place the cap on the two backwards on the wrong end of the tube. The OT is most likely to interpret this as : a) constructional apraxia b) ideomotor apraxia c) dressing apraxia d) unilateral neglect
b) ideomotor apraxia
While working with an individual on ADLs on the first day of treatment following CABG surgery, it is MOST important for the OT to a) keep the MET level above 3.0 b) instruct about precautions c) instruct about how to do meal preparations d) instruct client on how to drive
b) instruct about precautions
Which occupational therapy intervention is most appropriate for use with an older adult with low vision? a) teach the client to use a medication chart printed in typical size print (12 point times new roman) b) instruct the client to reduce clutter and improve organization of the home and work environment c) teach the client how to use a sense of smell to compensate for vision loss. d) Instruct the client in the use of bold, colored patterns on tablecloths.
b) instruct the client to reduce clutter and improve organization of the home and work environment
An individual who had a stroke is copying a picture of a clock. The drawing appears as a lob cited circle with the flat side on the left. The numbers 1 through 8 are written in numerical order around the right side of the clock. The hands of correctly drawn on the clock to represent 3 o'clock. The individual performance appears to demonstrate: a) right hemianopsia b) left unilateral neglect c) cataracts in left eye d) bitemporal hemianopsia
b) left unilateral neglect
A client with middle stage Parkinson's disease demonstrates tremor and rigidity bilaterally and upper extremities, mild difficulties with executive functioning, and increased fatigue during ADL and IADL performance. Which is the BEST occupational therapy intervention for a client in the middle stages of Parkinson's disease? q) training in the sue of power mobility to maximize functional mobility independence b) mod of clothing with minimal fasteners or hook-and-loop closures to reduce fine motor control demands c) Progressive resistive exercises to improve fine motor control function d) splinting to minimize tremor during find motor coordination tasks
b) mod of clothing with minimal fasteners or hook-and-loop closures to reduce fine motor control demands
On a home health visit, you observe that your older adult client is dehydrated and has untreated bedsores. His caregiver says he did not know about the bedsores. This client has signs of... a) physical abuse b) neglect c) self-neglect d) exploitation
b) neglect
Which of the following is most appropriate for an individual who has recently been diagnosed with rheumatoid arthritis and is in the acute stage of the disease: a) strengthening with resistive exercises b) positioning, adaptive equipment, and patient education c) discharge planning d) preparing the patient for surgical intervention
b) positioning, adaptive equipment, and patient education
8.Which one of the following class of medication may not cause driving impairments? a) Antidepressant b) Antipsychotic c) Antibiotics d) Antihistamines
c) Antibiotics
Carl is admitted to the hospital following left CVA and it becomes clear he is exhibiting signs of pusher syndrome. Carl is demonstrating which of the following signs of typical pusher syndrome: a) Carl eats only the left side of his lunch plate, indicative of right sided neglect b) Carl Perceived as falling and pushes toward the left unaffected side c) Carl perceives he is falling over and pushes towards the right affected side d) after a visual examination, it is clear Carl has homonymous hemianopsia
c) Carl perceives he is falling over and pushes towards the right affected side
For a client in the early stages of Parkinson's disease, which area should the OTR focus on first when completing an occupational profile? a) seating and positioning for a wheelchair. b) Ability to feed self in a timely manner. c) Interest in social and leisure activities. d) Availability of a full-time aid or caregiver.
c) Interest in social and leisure activities.
What does abbreviation MODEM stand for? a) Motivated Older Driver's Evaluation Model b) Multifactor Older Driver's Evaluation Model c) Multifactor Older Driver with Dementia Evaluation Model d) Multifactor Older and Deaf adults' Evaluation Model
c) Multifactor Older Driver with Dementia Evaluation Model
John has problem using seat belts and keys, adjusting mirrors and seats, steering, transferring in and out of the car, driving in reverse and using foot pedal. What type of aging system might be impaired? a) Cognitive b) Vision c) Musculoskeletal d) Polypharmacy
c) Musculoskeletal
An occupational therapist providing homebase occupational therapy services implement to bed positioning for a person recovering from CVA. The person is receiving care from family members and personal care assistance employed by a home care agency. Which action should the therapist take to ensure accurate implementation of this plan by the clients caregivers? a) Post written step-by-step directions of the desired positions on the wall by the clients bad. b) Require only family member to demonstrate the replication of the desired position. c) Post pictures of the desired positions next to the head of the clients bed and let the caregivers demonstrate the position. d) Provide verbal step-by-step directions to the desired positions to the clients caregivers.
c) Post pictures of the desired positions next to the head of the clients bed and let the caregivers demonstrate the position.
The behavioral and psychological symptoms of dementia are often the most destructive to the lives of those who live with someone with dementia. Which of the following would you recommend for someone with dementia who has been wandering off and getting lost in the neighborhood? a) Suggest the client be admitted to a "locked" unit b) Provide the client with clearly marked routes c) Prevent boredom by creating an activity plan d) Add adaptive equipment to the environment to prevent fall
c) Prevent boredom by creating an activity plan
As evidence by functional ADL assessment a client presents with right left discrimination in your clinic. I restore approach to treatment would be: a) tags on functional items. b) Watch on right or left rest. c) Repetition of activities requiring right and left hand to use. d) Avoiding the use of right and left terms and describing items by location (i.e. by the comb)
c) Repetition of activities requiring right and left hand to use.
1) In long-term care, individuals with moderate to severe dementia, one approach to raise levels of general activity, social interaction, and engagement is to: a) Use of as-needed acetaminophen b) Place clothes together in outfits to enable self-efficacy c) Scheduled administration of acetaminophen d) Organize medications in a pillbox to provide a visual cue
c) Scheduled administration of acetaminophen
An individual who recently experienced an MI has been referred to OT. To determine the individual's current endurance level, the OT plans to monitor performance of self-care activities. The first step is to ________ a) Take the individuals vital signs after performance of ADls b) observe the individual for signs and symptoms of exhaustion during ADLs c) Take the individual's vital signs at rest d) Take vital signs 5 minutes after the individual has completed ADLs
c) Take the individual's vital signs at rest
Anna is an 81 year old female client who recently had a right hip ORIF. Which of the following will be the focus of your OT intervention? a) educating and training her on use of AE to follow hip precautions b) teaching her how to use a FWW for mobility c) assuring she can complete activities following WB precautions d) UB and LB strengthening activities
c) assuring she can complete activities following WB precautions
A client with Parkinson's disease complains of difficulty with bed mobility resulting in difficulty changing position during the night. Which environmental modifications BEST addresses this client's difficulties with bed mobility? a) put pillows on one side of client to position in side lying b) place a nightlight in the bedroom to improve ability to see during bed mobility c) change to lighter bedding to decrease resistance during bed mobility d) move the bed closer to the wall to provide stability during bed mobility
c) change to lighter bedding to decrease resistance during bed mobility
An individual is referred by a physician to an outpatient OT program for initial evaluation. The person's insurance does not cover outpatient OT services. Which action is the best action for the therapist to take in this situation? a) follow the physicians order and let the person pay the bill when it is received b) refuse to accept the referral and advise the person to seek additional insurance coverage c) explain the limitation of the insurance coverage and let the person decide whether to complete the evaluation d) request the billing department to submit a bill using the code that is covered by insurance company
c) explain the limitation of the insurance coverage and let the person decide whether to complete the evaluation
A mother of four who was diagnosed with the right CVA is receiving home care OT services to improve left upper extremity function and sitting and standing balance. The most appropriate activity to recommend would be: a) stacking cones b) door pulley c) folding laundry d) throwing a ball
c) folding laundry
All of the following are considered principles of joint protection EXCEPT: a) use the largest and strongest joint available for the job b) respect pain as a signal to stop the activity c) increase force to avoid prolonged activities d) use each joint in its most stable anatomical and functional plane
c) increase force to avoid prolonged activities
All of the following are considered principles of joint protection EXCEPT: a) use the largest and strongest joints available for the job b) Respect pain as a signal to avoid prolonged activities c) increase force to avoid prolonged activities d) use each joint in its most stable anatomical and functional plane
c) increase force to avoid prolonged activities
A client with Parkinson's disease has experienced a significant decrease in participation in activities in the home. The OTR finds that this decrease in activities related to the clients postural instability and the caregivers fear that the client will fall. Which intervention is best to restore this clients participation in home activities? a) assist the client in finding new activities to be involved with at home b) train the client in energy conservation techniques to improve posture c) instruct the caregiver in ways to assist the clients participation in activities d) refer the client to another profession to address mobility
c) instruct the caregiver in ways to assist the clients participation in activities
Which one of the following is not an indication of Reverse shoulder arthroplasty? a) previous failed arthroplasty b) proximal humeral fracture c) intact rotator cuff tendon d) torn rotator cuff
c) intact rotator cuff tendon
When working with older adults who are experiencing mental health conditions, what should be the focus of treatment? a) skills training b) occupational performance c) occupational engagement d) environmental modifications
c) occupational engagement
You are working with a 67 year old female who had rotator cuff surgery yesterday. Which of the following would be the best intervention choice for today's session? a) overhead pulleys b) passive ROM to the shoulder in all ranges c) one-handed dressing techniques d) waist-level to shoulder level activities
c) one handed dressing techniques
Which one of the following may not be a risk factor for intrinsic risk factor for falls? a) poor vision b) dizziness c) poor lighting d) poor balance
c) poor lighting
Which one of the following is an example of primary prevention intervention? a) education to individual with arthritis diagnosis about how to manage their lives despite their disease process b) improving self care for a client after a cerebral hemorrhage c) promoting a new technique for breast self-examination to improve women's abilities in early cancer detection d) fall prevention after a hip fracture due to a fall
c) promoting a new technique for breast self-examination to improve women's abilities in early cancer detection
Pill rolling is an example of what kind of tremor? a) intention b) action c) resting d) spastic
c) resting
An individual with Parkinson disease exhibits difficulty moving from sitting in a chair to standing. Which technique would you recommend? a) rise from the chair while sitting with buttocks against the back of the chair b) extend both legs so the feet are in front fo the chair while rising c) sit at the edge of the chair and rock back and forth before rising d) rise while weight bearing on one foot and pushing up with both arms
c) sit at the edge of the chair and rock back and forth before rising
Jen is a 90 year old who has recently had a hop ORI as a result of a fall. She is moderately confused and was previously living with her daughter, who works during the day. Jen's doctor has written discharge orders for her to leave the hospital and the social worker approaches you, the OT, as to what setting she should discharge to. Jen is max A for all bed and functional mobility and has low activity tolerance. Her LB ADLs are totally dependent. What setting would you recommend as a next level of care for Jen? a) home with home health b) acute rehab unit c) skilled nursing facility d) adult day care center
c) skilled nursing facility
An individual is learning how to perform transfers into a bathtub 2 weeks, after a TKA, but is still unable to extend or flex the knee more than 20 degrees because of 7/10 pain and fear of falling. Which of the following would most likely allow for safe tub transfers? a) wait another 2 to 4 weeks, because tub transfers are contraindicated until 4 to 6 weeks after surgery b) use a handrail attached to the side of the tub c) use a tub transfer bench d) use a low kitchen stool with rubber tips
c) use a tub transfer bench
The five stages of dementia due to Alzheimer's Disease generally progress from pre-dementia to terminal over the span of: a) 15-20 years b) 2-4 years c) 11-14 years d) 5-8 years
d) 5-8 years
1There are different types of cognitive decline with older adults. Which type may not have an impact on one's ability to live independently? a) MCI b) AD c) FTD d) ARCD
d) ARCD
The home health client has hemiplegia secondary to having had a CVA one month ago. The client completes BADL using assistive devices and ambulate in the home with a quad cane. The client requires standby assistance for balance when walking outdoors on uneven surfaces. One of the clients goals is to resume a favorite leisure activity of gardening and a small backyard vegetable garden. Which task would be most beneficial to have the client complete as a part of the initial intervention for progressing toward the clients goal? a) participate in building planter boxes to establish a raised garden bed. b) Practice mobility skills were going to and from a community gardening class. c) Set up a routine maintenance schedule to care for indoor flowers and plants. d) Apply adaptive strategies during graded outdoor gardening tasks.
d) Apply adaptive strategies during graded outdoor gardening tasks.
OT is providing intervention for an individual recovering from CAVA who has residual body neglect what type of activities is Best for the therapist to use with this client? a) unilateral using the affected upper extremity. b) Unilateral using the non-affected upper extremity. c) Task that requires right and left discrimination. d) Bilateral using both upper extremities.
d) Bilateral using both upper extremities.
A client who has Parkinson's disease reports increased tremors, problems knocking over items while eating, and poor articulation, leading to recent social isolation. Which intervention strategy would be most effective for this client? a) train and facial exercises to improve speech quality in communication. b) Provide utensils with built up handles during meal times to decrease spells. c) Suggest a community support group to provide a social outlet. d) Educate about timing social activities with medication is most effective
d) Educate about timing social activities with medication is most effective
Which form of dementia is characterized by dramatic alterations in self-identity, socially inappropriate behaviors, personality changes, overeating (especially carbs), and does not show memory loss until later in the disease? a) Delirium b) Vascular dementia c) Dementia with lewy bodies d) Frontotemporal dementia
d) Frontotemporal dementia
Which community mobility service provides rides with door-to door, arm through arm service to thousands of seniors nation wide by allowing older people to trade their own cars to pay for rides? a) Uber b) Medical transportation management c) Area agency on Aging d) Independent Transportation Network America
d) Independent Transportation Network America
7.Which one of the following may NOT be associated with driving cessation in a community-dwelling older adult? a) Visual impairment b) Memory loss c) Parkinson's disease d) Left THR
d) Left THR
You are a 70 year old individual who suffers from Type 2 Diabetes. Your doctor has prescribed multiple drugs, what will be your insurance coverage? a) Medicare A b) Medicare B c) Medicare C d) Medicare D
d) Medicare D
You are a 70 year old individual who suffers from Type-2 Diabetes. Your doctor has prescribed multiple drugs, what will be your insurance coverage? a) Medicare A b) Medicare B c) Medicare C d) Medicare D
d) Medicare D
The ________ model uses a holistic perspective to look at the interaction between the person, their occupation, performance outcomes and the environment. a) MOHO b) CMOP-E c) occupational adaptation d) PEOP
d) PEOP
John is a 82 year-old- man, who has difficulty reading signs including street names, has impaired orientation to objects and ability to judge the distance between objects while driving.What type of visual impairment John might have which will make him an unsafe driver? a) Decreased glare recovery time b) Decreased peripheral vision c) Decreased contrast sensitivity d) Poor vision
d) Poor vision
Which one of the following conditions is not a risk factor for driving? a) Neurological disorder b) Alzheimer's disease c) Cardiovascular disorder d) RSV (Respiratory Syncytial Virus)
d) RSV (Respiratory Syncytial Virus)
A client with Parkinson's disease is experiencing difficulty in executive functioning. The client's spouse would like the client to continue participating in leisure activities. Which intervention would be the most appropriate for this client? a) recommend environmental modifications. b) Provide a facial exercise program. c) Provide communication aid training. d) Recommend that the spouse use simple verbal instructions.
d) Recommend that the spouse use simple verbal instructions.
When driving a personal vehicle is not possible, the occupational therapy practitioner should work with the client to find public transportation options. Which of the following must be the most important factor to consider when assessing a client's ability to use public transportation? a) The client's income or financial resources b) If volunteer assistants are available to accompany the client c) They must be evaluated by a transportation specialist d) Using public transportation may be more demanding than driving
d) Using public transportation may be more demanding than driving
An OT completes the discharge plan for an individual with a R CVA who has completed a 3 week inpatient rehab program and can perform his BADL at supervision level. The person is right hand dominant. He exhibits residual cognitive perceptual deficits but seems unaware of these problems. The therapist recommends: a) an extension of stay b) max A with BADLs c) supervision while driving d) assistance with ADL
d) assistance with ADL
An elderly person has lost significant functional vision over the last four years and complains of blurred vision and difficulty reading. Based on these findings which visual deficit is the client exhibiting? a) glaucoma b) presbyopia c) hemianopia d) cataracts
d) cataracts
One of the theories of old age is _______ theory, which claimed that old age is a universal process of decline and mutual withdrawal. a) activity theory b) continuity theory c) disengagement theory d) productive aging
d) disengagement theory
An OTR is working with a client who has recently undergone a coronary artery bypass graft and is relearning how to perform certain tasks secondary to sternal precautions. Which adaptation or modification would be the best to ensure independence with upper body dressing? a) allow for increased time and monitor vital signs because of cardiac risk b) instruct the client with verbal cues and reduce the number of cues as the client repeats the task c) advise the client on gentle overhead shoulder stretching to ease dressing d) educate the client on adaptive positioning to eliminate overhead movements
d) educate the client on adaptive positioning to eliminate overhead movements
Which of the following is not a screening tool that OTs can use to identify potential mental health concerns of older adult clients? a) geriatric depression scale b) saint louis university mental status exam c) hospital anxiety and depression scale d) executive function performance test
d) executive function performance test
What test for rotator cuff injuries is when the shoulder and elbow are flexed to 90 following by forced internal rotation? (if the patient expresses pain, the test is positive, indicating compression and/or inflammation of the supraspinatus and long head of the biceps) a)empty can test b) drop arm test c) biceps speed test d) hawkins test
d) hawkins test
What type of residential life does it describe when community dwelling adults aged 65-74 years wish to remain in their current homes for at long as possible? a) age in place b) last move c) downsizing d) place attachment
d) place attachment
What should the OTR do for the affected upper extremity when positioning a client with hemiparesis and side lying on the affected side? a) place in adduction b) support in internal rotation c) place on the humeral head d) protract the arm forward
d) protract the arm forward
Which of the following would be the best recommendation for a client with COPD who is experiencing dyspnea or respiratory distress? a) have the client hold their breath while exerting effort b) have the client rapidly exhale after each inhale c) use visualization to increase lung capacity d) the client should lean forward and rest their arms on a table
d) the client should lean forward and rest their arms on a table
What category is the age group 55-75 come under aging? a) young adult b) old c) very old d) young old
d) young old
** know how swan neck deformity looks *** bonus points if you know trigger finger, mallet finger, boutonniere
just do it
