OTA 164 final exam

There should be ________ layers of towel between the patient's skin and a moist heat pack. - 1-3 layers - 2-4 layers - 6-8 layers - 3-5 layers

6-8 layers

A client who has C5 complete tetraplegia will need to access his environment from hi power wheelchair at home, at college, and with friends. Which is important to consider first when choosing assistive technology for this client? A. Client's needs in all environments B. Cost C. Bulkiness D. User abandonment

A. Client's needs in all environments

A young adult who had a traumatic transradial amputation of her dominant hand wants to go to culinary school. The OTA working with the client identified culinary prosthetic terminal devices that are interchangeable with her hook terminal device. What funding source would be the BEST to approach to assist with payment? A. Vocational rehabilitation B. private fundraising C. the cooking school D. private health insurance

A. Vocational rehabilitation

An OTA is working with the parent of several young children who is experiencing an exacerbation of rheumatoid arthritis. The client is so depressed that he is unable to bake cookies for his children. What can the OTA suggest as the best option to assist the client? A. brainstorm ways to include the children in baking the cookies B. tell the client he can bake cookies when he is feeling better C. take the children to a bakery and let them buy their cookies D. purchase store-bought cookies

A. brainstorm ways to include the children in baking the cookies

An OTA is working as part of a team that cares for clients before and after bariatric surgery. What will the OTA MOST LIKELY address for these clients? choose 3 A. coping strategies B. initial activity clearance C. meal preparation D. food log journal E. properly portioned meals F. nutritional counseling

A. coping strategies C. meal preparation D. food log journal

An OTA is working with a client who sustained a severe electrical burn at work. The client appears with skin that is slightly moist and will blanch when touched, but the capillary refill is slow. The individual states he has very little pain. Which type of burn has this individual most likely experienced? A. deep partial-thickness B. superficial partial-thickness C. full-thickness D. superficial

A. deep partial-thickness

Which orthotic would be used after a flexor tendon repair? A. dorsal blocking B. volar wrist C. resting hand D. finger gutter

A. dorsal blocking

An OT practitioner is working with a client after surgery for a flexor tendon repair. What would the OT practitioner do first as part of the intervention program? A. early protected motion B. scar massage C. strengthening D. AROM

A. early protected motion

An OTA is assisting a client who had a sternotomy with bed mobility. What instruction would the OTA give the client to follow his sternal precautions? A. log roll, moving your trunk and legs at the same time B. roll segmentally allowing your trunk to move first C. keep your legs straight D. pull on the bedrail towards the side you are rolling

A. log roll, moving your trunk and legs at the same time

An OTA is educating the nursing staff in a long term care facility about wheelchair care and how to help prevent pressure injuries. What is one fact that will be most beneficial to teach the staff? A. multiple layers between the client and cushion may decrease the effectiveness of the cushion B. if the client is unhappy with their device, contact the therapist to exchange it C. they must have clean wheelchairs to demonstrate that the clients are receiving appropriate care

A. multiple layers between the client and cushion may decrease the effectiveness of the cushion

A client is experiencing an inflammation of osteoarthritis and has a lot of pain in the mornings. What can the OTA suggest for the client to prepare for his ADL routine? A. perform slow movements in the pain-free range while in bed before beginning tasks B. take a pain reliever and wait 90 minutes before beginning tasks C. fabricate a splint to position the joints in the pain-free range

A. perform slow movements in the pain-free range while in bed before beginning tasks

Mary has a T10 AIS B SCI/D. Which three of the following would the OTA expect to be preserved based on this level of classification? A. sensation in her legs B. strength in her thighs C. the ability to walk D. normal bladder function E. sensation in her feet F. independent breathing

A. sensation in her legs E. sensation in her feet F. independent breathing

A client who has recently had a CVA is making good progress and is referred to a driving rehab specialist for an appointment in 3 weeks. The client continues to show issues with visual perceptual skills. What should the OT practitioner do? A. share the information with the driving specialist B. recommend the client use the driving simulator C. recommend the client use hand controls D. cancel the driving specialist assessment

A. share the information with the driving specialist

During a home assessment, and OTA is suggesting that some furniture be rearranged to allow adequate turning radius for the client's standard wheelchair. How much space does a standard wheelchair require to turn? A. 6 foot radius B. 5 foot radius C. 4 foot radius D. 3 foot radius

B. 5 foot radius

Which layer of skin is comprised of collagen, houses blood capillaries, and is the origin of hair follicles, sweat glands, and nerve endings? A. epidermis B. dermis C. hypodermis

B. Dermis

Which layer of skin is composed of fat to provide cushioning, helps regulate body temp, and connects skin to muscles and bones? A. epidermis B. hypodermis C. dermis

B. Hypodermis

OTA is working with a client with a healing elbow fracture who presents with numbness and tingling to the ring and small fingers while using the computer mouse and performing data entry at work. He suspects that the client may be MOST LIKELY developing compression over what nerve? A. Median B. Ulnar C. Radial D. Posterior interosseous

B. Ulnar

An OTA is working with a client who has received a total hip replacement and has limited balance and hip-flexion precautions. What is the BEST recommendation for the OTA to make in relation to showering? A. a built-in shower seat B. a higher shower chair C. a lower shower stool

B. a higher shower chair

A client has no use of her arms, but has fairly strong legs, and wants to press the TV remote herself. What easy and practical way could the OTA suggest to meet his need? A. an eye gaze environmental control unit B. a toe splint with a pointer attachment, to press the buttons with her foot C. a mobile arm support attached to the recliner D. a large button remote to press with her nose

B. a toe splint with a pointer attachment, to press the buttons with her foot

An OTA is working with a client in an acute care setting after a diagnosis of myocardial infarction. What is the MOST important thing the OTA should do during intervention? A. have the client perform resistive exercises B. assess the clients heart rate before, during, and after activity C. count heartbeats for 10 seconds for an irregular heartbeat D. utilize a pulse oximeter only when there is shortness of breath

B. assess the clients heart rate before, during, and after activity

A client has been determined to be unable to return to her job working on a factor assembly line. How can the OT practitioner best assist the client during her return-to-work program? A. discharge the client from therapy due to lack of progress B. explore other employment opportunities and make a referral to vocational rehabilitation C. convince the client that a sedentary job will be best D. refer the client to unemployment and disability services

B. explore other employment opportunities and make a referral to vocational rehabilitation

A client needs a piece of assistive technology; however, her insurance is unwilling to cover the cost of the device. The client wants this particular device. What is the BEST way for the OTA to assist the client as she continues to pursue funding? A. talk with the caregiver about bank loan options B. explore other options such as grants, loans, and fundraising C. search the internet for a fundraising site to use

B. explore other options such as grants, loans, and fundraising

An OT practitioner suspects that a client has carpal tunnel syndrome. What would the OT practitioner do to determine if the suspicion is accurate? A. use gentle compression and rotational force to the client's CMC joint B. hold the client's wrist in maximal flexion for 1 minute to elicit symptoms C. ask the client to flex her thumb into the palm and then move the wrist into ulnar deviation D. have the client make a fist then apply pressure over the radial and ulnar arteries

B. hold the client's wrist in maximal flexion for 1 minute to elicit symptoms

An OTA just learned his client is no longer going to be able to drive. What should the OTA do FIRST? A. help him arrange a list of friends to assist B. listen compassionately about his loss C. collect information about the bus service D. provide a list of ride-share services

B. listen compassionately about his loss

A client sustained a burn to the anterior neck in a gas grill explosion. Which is the best position in bed for the client? A. on her stomach B. on her back, flat, with no pillows behind her head C. on her back, with 2 pillows behind her head on her side

B. on her back, flat, with no pillows behind her head

The OTA is treating a client in the work rehabilitation program who has had a prolonged period of being off from work following shoulder surgery. The OTA believes the client may be magnifying his symptoms. Which three pain symptoms would lead the OTA to believe this is occurring? A. pain that increases following activities B. paint that is spread over the whole UE C. pain that causes the client to scream out during tasks D. pain that is always reported as high E. pain reported when lifting overhead F. pain that can be decreased with modalities

B. paint that is spread over the whole UE C. pain that causes the client to scream out during tasks D. pain that is always reported as high

Three complications of a poorly fit wheelchair can include: A. independent ADL performance B. pressure injuries C. loss of function D. pain C. functional mobility D. independent control over the power features

B. pressure injuries C. loss of function D. pain

An OTA is working with a client in the hospital after an exacerbation of COPD. While working with the client, the OTA notes the client's oxygen saturation drops below 90%. What should the OTA do first in response to this information? A. take the client back to bed and call the physician B. return the client to a resting position C. request that the client receive oxygen D. restrict the client from additional activity

B. return the client to a resting position

Following a CVA, a client has minimal use of her right upper extremity. The client values her independence and does not want anyone cutting her food. What is the BEST piece of adaptive equipment for the OTA to recommend to this client? A. divided plate B. rocker knife C. electric feeder D. nonstick placemat

B. rocker knife

A client who is awaiting her first lower extremity prosthesis is experiencing hypersensitivity of her incision site. What is the primary reason to incorporate a desensitization program? A. to increase tolerance to wearing a prosthesis B. to increase tolerance to wearing a shrinker C. to promote increased ROM D. to increase engagement in occupations

B. to increase tolerance to wearing a shrinker

An OTA is working on a strength training program for a cancer survivor. Which program would most likely benefit this individual? A. three to four times per week for aerobic exercise only B. two to three times per week for stretching and strengthening C. one to two times per week for stretching and swimming

B. two to three times per week for stretching and strengthening

A client with a T3 complete SCI complains of dizziness and seeing spots when transitioning from supine to sitting. What condition is this client most likely experiencing? A. urinary sepsis B. autonomic dysreflexia C. deep vein thrombosis D. orthostatic hypotension

D. orthostatic hypotension

A client is presenting with a thick, raised scar after a surgical repair of carpal tunnel syndrome. What would the OTA most likely instruct the client to do as part of her treatment? A. fabricate an orthosis to protect the area during healing B. complete AROM exercises several times a day C. measure for a compression garment D. perform scar massage several times a day

D. perform scar massage several times a day

An OTA is designing an activity program for a client in cardiac rehab. The client is 75 years old. What is the client's maximum age-adjusted heart rate? A. 130 B. 135 C. 145 D. 140

C. 145

When applying a heat modality, skin and tissue reach therapeutic temperature after ______ minutes. A. 2 B. 4 C. 6 D. 8

C. 6

The layer of skin contains cells that produce pigment, fight infections, and makes new skin cells about once every month. A. hypodermis B. dermis C. epidermis

C. Epidermis

An OTA is working with a client who has a T1 SCI. The client requires the use of a manual wheelchair. What would the OTA most likely address with the client as part of basic mobility training? A. use of patient lift to get out of bed B. stand pivot transfers C. sliding transfers

C. Sliding transfers

A married, 65 year old client has had a CVA resulting in mild right-sided weakness. He can ambulate with a walker with supervision. He and his spouse live in an older home with four steps to enter, a small bathroom with tub/shower combination, a sunken living room, and a four-poster high bed. Which three of the following home modifications might the OTA suggest be completed before discharge? A. Renovate the bathroom to be a roll-in shower B. Bring the living room to the height of the rest of the home C. Widen the bathroom door to accommodate the walker D. Ramp for the four-step entrance E. Remove the box springs to lower the bed height F. Install a rail for the hallway

C. Widen the bathroom door to accommodate the walker D. Ramp for the four-step entrance E. Remove the box springs to lower the bed height

A young adult has recently experiences a SCI resulting in paraplegia. The client is very active in the community and plans to resume all her roles after treatment is finished. What wheelchair feature would BEST meet the needs of this client? A. a foam cushion B. a standing option C. an ultralightweight frame D. a one-arm drive mechanism

C. an ultralightweight frame

A client has been unable to work or provide for her family for the past year due to a work-related injury. What psychosocial factor will this client MOST LIKELY experience? A. denial B. fear C. depression D. anger

C. depression

An OTA is working with a client who recently underwent a vertical sleeve gastrectomy. During the treatment session the client begins sweating, becomes lightheaded, has an irregular heart rate and palpations, experiences upper abdominal fullness and cramping, and has audible bowel sounds. What is the client most likely experiencing? A. malabsorption syndrome B. biliopancreatic diversion C. dumping syndrome D. vagal nerve simulation

C. dumping syndrome

A client is being treated for burns sustained during a gasoline explosion. He presents with brown, white, and red skin that is dry and leather-like and does not blanch to the touch. The client has no complaints of pain. Which type burn has this client most likely experienced? A. deep partial thickness B. superficial partial thickness C. full-thickness D. superficial

C. full-thickness

An individual with spina bifida would like to begin driver's training. In addition to drivers education, which feature would most likely increase safety for this individual? A. adapted seats B. left-foot accelerator C. hand controls D. a small steering wheel

C. hand controls

An OTA is treating a patient with gout. What recommendations might the OTA make to the client to best address the symptoms? A. perform ADLs to improve fatigue management B. learn how to use a meal-delivery service C. implement a recommended died D. use built-up handles for kitchen utensils

C. implement a recommended diet

A client is complaining about upper extremity phantom limb pain. Which intervention would be most helpful in relieving this pain and promoting a better quality of life? A. teaching strategies to ignore the discomfort B. consulting the physician for medication C. instructing the client in mirror therapy D. bathing of the residual limb

C. instructing the client in mirror therapy

An OTA is treating a client in the outpatient burn clinic. The client has autografts to her right hand from a grease burn sustained a month ago, and today she is complaining of increased tightness. Which three of the following options should the OTA suggest that she should do to increase ROM? A. use a contrast bath B. use overhead pulleys C. massage the hand D. apply ice packs to the hand E. continue home exercise programs for ROM and strength F. rub moisturizing cream on the hand

C. massage the hand E. continue home exercise programs for ROM and strength F. rub moisturizing cream on the hand

An individual diagnosed with breast cancer is presenting with additional tumors in other parts of her body. What is the most accurate term for these tumors? A. benign B. malignant C. metastases D. melanoma

C. metastases

An OTA is performing a home assessment for a wheelchair client. The wheelchair is about an inch wider than her bathroom door when it is fully opened. The client can transfer to the toilet independently once she gets inside the bathroom. What is the BEST recommendation the OTA should make? A. remove the door and replace it with a curtain B. use a bedside commode C. replace the current door hinges with swing-clear hinges D. use a walker to gain access with maximal assistance

C. replace the current door hinges with swing-clear hinges

When working on skills for ADLs with a client, what is the BEST way for the OTA to consider equipment for the client? A. prescribe the most commonly used tools for the condition B. ask the client what he would like to use C. select tools based on the client's strengths and weaknesses

C. select tools based on the client's strengths and weaknesses

A client has recently had shoulder surgery and is currently in an immobilizer. What is the most important reason for an OT practitioner to address sleep hygiene at this stage in the recovery process? A. it is important for clients to be well rested for therapy sessions B. sleeping with the device can lead to other orthopedic issues C. sleep is an occupation that often gets disturbed after a procedure

C. sleep is an occupation that often gets disturbed after a procedure

An OTA is teaching joint protection principles to a client with rheumatoid arthritis. What is the best type of purse for a client to use and how should it be carried? A. use a small clutch holding it with the hands B. use a large tote bag with the strap over the shoulder C. use a small shoulder bag with the strap over the shoulder D. use a medium size purse holding the handle with the fingers

C. use a small shoulder bag with the strap over the shoulder

An OTA is assisting a client in preparing for lower extremity prosthesis. What would the OTA most likely incorporate into the intervention to assist with the healing phase? A. strength training B. proportional control of the device C. endurance training D. shrinker to shape the residual limb

D. shrinker to shape the residual limb

An OTA is working with a client who is morbidly obese. The client is mobile but has difficulty cleansing himself after defecation. What is the least costly piece of adaptive equipment that the OTA could recommend to increase the client's indpenedence? A. bedside commode B. bed pan C. bidet D. toilet tissue aid

D. toilet tissue aid

An OT practitioner is preparing a client for paraffin treatment. The OTA instructs the client to wash and dry her hands completely before dipping into the hot paraffin. Why is it important to dry the hand completely? -the paraffin will not stick to a wet hand -excess water can cause burns -excess water can cause the paraffin to cool it is hygienic practice

excess water can cause burns

When educating a total hip arthroplasty client with partial weight bearing (PWB) precautions, which of the following would you NOT advise the client to do at home? -remove throw rugs from the floor -add nonslip mats to the tub or shower -get up quickly from supine to sit to stand -encourage the client to use the assistive mobility device recommended by PT

get up quickly from supine to sit to stand

Jon has a T4 AIS A SCI/D. As a result of this condition, where would you suggest he check for water temperature when bathing? A. His feet B. His hands C. His thighs D. His stomach

his hands

A client who has experienced a shoulder fracture has undergone surgery to repair the fracture and is now immobilized in a sling. The physician has written an order to begin OT services. What is the MOST important question to ask the physician before starting therapy? -When can weight-bearing begin? -how much pain is expected? -What structures were repaired? -How much PROM can be tolerated?

What structures were repaired?

An OT practitioner has just received an order from a physician to utilize hot packs on a client who is in the acute phase of injury. What should the OT practitioner do in response to this order? -ignore the physician and do the correct treatment the client needs -remind the physician of the contraindications for this PAM and request cryotherapy instead -ask the client if he thinks he will be able to tolerate the treatment -carry out the treatment with half as much heat as normal

remind the physician of the contraindications for this PAM and request cryotherapy instead

The OT practitioner has received a report that his postoperative client has developed a pulmonary embolism (PE). What is the best way to modify the therapy program for this client? -request orders to place therapy on hold -perform only sedentary activities -make no changed at this time -provide treatment at the bedside

request orders to place therapy on hold

Regarding OT and total knee replacements (TKR), which of the following statements is accurate? -the OTA can assist with encouraging knee mobility during ADLs -TKR clients should not move their knee joint the first 6 weeks after surgery -only PT works with TKR clients -clients will have a urinary catheter to avoid going to the toilet

the OTA can assist with encouraging knee mobility during ADLs

A client presents with a scaphoid fracture and requires and orthosis to promote immobilization. Which of the following would most likely be made for this client? -thumb spica -resting hand -ulnar gutter -volar wrist

thumb spica

An OT practitioner is fabricating a dynamic volar forearm-based orthosis with palmar outriggers for an individual who has MCP joint stiffness after a metacarpal fracture. What is the primary purpose of the orthosis? -to improve strength and endurance -to compensate for lack of motion -to help gain passive ROM -to position against deformity

to help gain passive ROM

An OT practitioner is fabricating an orthosis for an individual who has rheumatoid arthritis. What is the primary purpose of this orthosis? -to improve strength and endurance -to position against deformity -to compensate for lack of motion -to relieve pressure on affected nerves

to position against deformity

An OT practitioner is fabricating an orthosis for an individual who had surgery to repair a tendon laceration. What is the primary purpose of this orthosis? -to compensate for lack of motion -to protect anatomical structure -to relieve pressure on the affected nerves -to improve strength and endurance

to protect anatomical structure

An OTA is working with a client who has touch-down weight-bearing (TDWB) precautions after undergoing a hip arthroplasty. What is the best way to explain to the client how much weight he can put on the involved leg? -how much you touch the floor will be determined by your pain level -your foot can touch the floor, but no weight can be put through the leg -only put 50% of your weight through your leg -your leg much not touch the floor at any time

your foot can touch the floor, but no weight can be put through the leg

A client is referred to OT with a diagnosis of shoulder pain due to impingement syndrome. If the client asks what is wrong with her shoulder, the most appropriate response would be: -"your doctor diagnosed you with shoulder pain as a result of impingement syndrome." -"your doctor diagnosed you with shoulder impingement, which means there are inflamed soft tissues that are getting pinched when you move your shoulder in certain ways." -"i'm just an OTA and can't answer that question." -"you should ask your doctor."

"your doctor diagnosed you with shoulder impingement, which means there are inflamed soft tissues that are getting pinched when you move your shoulder in certain ways."

A client is 2 weeks status post lumbar spine surgery. Which three of the following actions incorporate back precautions that the OTA would recommend? -reaching in the back seat of a car -crossing your legs to put on socks and shoes -log-rolling to the side to push up to sit at the edge of the bed -lifting a 2-year-old child from a swing -bending over to tie one's shoes -sitting in a dining room chair with arm rest

-crossing your legs to put on socks and shoes -log-rolling to the side to push up to sit at the edge of the bed -sitting in a dining room chair with arm rest

Which three of the following are universal precautions applicable to all physical agent modalities? -decrease cognitive function -decrease sensory status -pain -decrease expressive language skills -body temperature -cardiac problems

-decrease cognitive function -decrease sensory status -decrease expressive language skills

A client is in the immobilization phase of recovery following a shoulder arthroplasty. What exercises would the surgeon most likely allow during this phase? -extension -passive flexion to 180 degrees -pendulum -shoulder shrugs -active low intensity -passive flexion to 90 degrees

-pendulum -shoulder shrugs -passive flexion to 90 degrees

After going through 6 weeks of short-term rehabilitation, a client who underwent shoulder arthroplasty was discharged home with home health services. The client's therapy protocol transitions to the mobilization phases. Which three of the following interventions are appropriate at this stage? -return to work -restorative range of motion exercises -cryotherapy and moist heat, as needed -return to driving -light self-care and home management activities -zumba classes for aerobic activity

-restorative range of motion exercises -cryotherapy and moist heat, as needed -return to driving -light self-care and home management activities

A client who is undergoing cancer treatment has developed chemotherapy induced peripheral neuropathy in both hands. What area of OT education should be addressed first? A. bathroom equipment B. dressing adaptations C. fall prevention D. burn prevention

D. burn prevention

An OTA prescribes tendon gliding exercises for her client who has a hand injury. How would the OTA explain the purpose of tendon gliding to the client? (Choose 3) A. tendon gliding exercises offer differential glide to the tendons of the hand B. tendon gliding exercises do not include straightening the fingers C. tendon gliding exercises allow for joint ROM of the fingers D. tendon gliding exercises allow for joint ROM of the wrist E. tendon gliding exercises are performed as a sequence of exercises

A. tendon gliding exercises offer differential glide to the tendons of the hand C. tendon gliding exercises allow for joint ROM of the fingers E. tendon gliding exercises are performed as a sequence of exercises

What is NOT a use of an orthotic for a client? A. to improve strength B. positioning C. improve movement D. protection after a trauma

A. to improve strength

An OTA is working with a client who had an amputation below the elbow but proximal to the wrist. What is the most accurate way to describe this type of amputation? A. transradial B. radial disarticulation C. transulnar D. wrist disarticulation

A. transradial

An OTA is working with a client who complains that her ring finger gets stuck in a bent position, and she has to use her other hand to straighten it back out again. Which condition was this client most likely diagnosed with? A. trigger finger B. Dupuytren's contracture C. ganglion cyst D. de Quervain's tendinopathy

A. trigger finger

Your client has a C6 incomplete SCI/D. She can bring her hands to her mouth with control of her wrist. She does not have strength in her hands to hold a utensil. What piece of adaptive equipment should the OTA recommend to assist with eating? A. universal cuff B. mobile arm support C. universal cuff with wrist support D. mouth stick

A. universal cuff

When is MOST appropriate to refer a client to a driver rehab specialist> choose 3 A. when specialized equipment is needed B. when NO specialized equipment is needed C. when the condition preventing the client from driving is temporary D. when additional training will be needed for the equipment E. when the condition preventing the client from driving is permanent

A. when specialized equipment is needed D. when additional training will be needed for the equipment E. when the condition preventing the client from driving is permanent

When would it be MORE beneficial for a client to be evaluated by a seating and mobility specialist instead of going directly to a wheelchair supplier to get a wheelchair? A. when the client's needs a complex mobility device B. when the client needs a scooter for long distance C. when the specialist has loaner mobility devices

A. when the client's needs a complex mobility device

A client who had burns to the dorsum of her hands and wrist is working with an OTA to increase her ROM. How should ROM be performed to get the maximal benefit? -AAROM of the wrist only -AAROM of the fingers and wrist separately -AAROM of the fingers only -AAROM of the fingers and wrist at the same time

AAROM of the fingers and wrist at the same time

A client who is undergoing cancer treatment has developed peripheral neuropathy in both feet. What area of OT education should be addressed first? A. burn prevention B. dressing adaptations C. bathroom equipment D. fall prevention

D. fall prevention

Jake experienced a T4 complete AIS A SCI/D after a motorcycle accident, and during an OT session feels a sudden, intense headache; has goose bumps above his level of injury; and he is sweating. The OTA checks his blood pressure, and it's 20mmHg above his baseline blood pressure of 95/60. What is the first thing the OTA should suspect? A. Orthostatic hypotension B. Neurogenic heterotopic ossification C. The Flu D. Autonomic dysreflexia

Autonomic dysreflexia

In the middle of the OT session, the client with fibromyalgia starts crying and says, "I can't stand this pain anymore. When I get home from work I am so miserable and tired that sometimes I can't remember what I'm doing when I'm making dinner. I hope I don't burn the house down." What is the best response for the OTA? A. "I know just how you feel. It's horrible to be in so much pain." B. "You think you have it bad? Mrs. Smith over there can't even dress herself." C. "Why are you still doing all of the cooking? What about your husband or kids?" D. "It must be frustrating when you feel like this. Let's discuss some ways to lighten your load."

D. "It must be frustrating when you feel like this. Let's discuss some ways to lighten your load."

What is required by the ADA for the height-length ratio of a ramp? A. 1:15 B. 2:12 C. 1:20 D. 1:12

D. 1:12

A client has been diagnosed with Guillain-Barre syndrome. When planning for future treatment sessions, when would the OTA expect the client to be at her weakest? A. 5 days after symptoms appear B. 10 days after symptoms appear C. 2 months after symptoms appear D. 2-3 weeks after symptoms appear

D. 2-3 weeks after symptoms appear

An OTA is treating a client who is experiencing an exacerbation of rheumatoid arthritis. What activity might an OTA have the client do to best address the symptoms? A. adhere to proper body mechanics B. perform resistive exercises C. engage in gentle progressive exercises D. rest the joints and use an orthosis

D. Rest the joints and use an orthosis

A client is attending an outpatient therapy session. The OTA notes that the client has mature scars but still has hypersensitivity to touch. What can be added to his intervention plan to best alleviate neuropathic pain? -cryotherapy and superficial heat -cryotherapy and scar massage -superficial heat and applying various textures/pressures -scar massage and applying various textures/pressures

Scar massage and applying various textures/pressures

An OTA is instructing a client who has had shoulder surgery in upper body dressing. Which is the most appropriate way to teach the client to don a shirt? -Place the sleeve on the surgical arm first -place the nonsurgical arm in the sleeve first -pull the shirt over the head first -use a reacher to assist with dressing

Place the sleeve on the surgical arm first

In order to achieve heating tissue 3-5 cm deep, which modality would be most effective? -moist hot pack -fluidotherapy -ultrasound -paraffin

Ultrasound

Although outcomes and benefits will vary, the overall goal of every seating intervention is to: a. maximize the individual's function b. maintain midline alignment in the chair c. reduce contractures d. obtain the best cushion possible to minimize the risk of developing pressure ulcers

a. maximize the individual's function

After SCI/D, transmission of information from the brain to the bladder and signals from the bladder to the brain are impaired. What is the most common strategy used to manage the neurogenic bladder function? -digital simulation -indwelling catheterization -urinary diversion surgery -intermittent catheterization

intermittent catheterization

An OT practitioner is interested in incorporating PAMs into her practice. What type of activity would this most likely be considered in relation to an overall treatment session? - intervention to support isolated activity -occupation-based activity -intervention to support occupations -foundational activity

intervention to support occupations

An OT practitioner is construction an orthosis in the operating room for a client who is receiving a skin graft for a deep partial-thickness burn. What would be the most desired outcome from the construction of this orthosis? - Position the client in an antideformity position -Position the client in a comfortable position -help provide functional movement of the joint -help protect the graft site from dirt and debris

position the client in an antideformity position

A client present with soft tissue injuries to the small and ring fingers of the nondominant hand and requires an orthosis. Which of the following would be best? -volar wrist -ulnar gutter -thumb spica -resting hand

ulnar gutter

An OTA is teaching a client who has a total hip replacement safe mobility around his environment using a walker. The client stated he would like to be able to carry items as well because there will be times he will be alone. What would the OTA most likely recommend? -use a walker basket so that both hands can stay on the walker -carry items for a short distance without the walker -use a cane rather than a walker so that one hand can be free -carry items with one hand and hold the walker with the other

use a walker basket so that both hands can stay on the walker

A client presents with carpal tunnel syndrome and required an orthosis to promote positioning to relieve pressure on the median nerve. What type of orthotic would be made for this client? -volar wrist -ulnar gutter -thumb spica -resting hand

volar wrist

Upon discharge from a rehabilitation center with no weight bearing precaution's and having clearance from the surgeon to get the incision wet, the rehab team is recommending aquatic therapy lower extremity strengthening for the client who had a TKR. What is the primary reason to recommend aquatic therapy instead of traditional therapy? -exercising in water increases vasodilation of blood vessels -water has high viscosity and provides 12 times the resistance of air -it is provided in a cool pool, which helps normalize tone -the buoyancy of the water allows ease of movement

water has high viscosity and provides 12 times the resistance of air

An OT practitioner is fabricating a resting hand orthosis for a client who has experienced a burn. What position would most likely be used to place the client's fingers in the intrinsic plus position? -wrist extended 10 to 30 degrees, MCP joints flexed 20 to 60 degrees, IP joints extended - wrist extended 30 to 50 degrees, MCP joints flexed 40 to 80 degrees, IP joints extended -wrist extended between 20 and 40 degrees, MCP joints flexed 30 to 70 degrees, IP joints extended

wrist extended between 20 and 40 degrees, MCP joints flexed 30 to 70 degrees, IP joints extended