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Boards Flashcards 2 > ADLs and IADLs > Flashcards

ADLs and IADLs Flashcards

1
Q
  1. The OT conducts a worksite visit and assesses an injured client’s workstation. The information gathered by the OT will be used to first:

A. Analyze occupational performance
B. Develop and intervention plan
C. Develop occupational profile
D. Implement an intervention plan

A

A. Analyze occupational performance

Check muna kung saan nahihirapan si cx

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1
Q
  1. A 5-year old has special needs that make it difficult for the child to participate in community activities with other children. The child’s parents are concerned that they are the only socialization agents for the child, because community social activities simply do not accommodate their child. Most social interaction are with adults, and the child has never really interacted with peers or made friends. This is a source of great stress for parents. A coping strategy that the OT would suggest is:

A. Develop friendships with other parents in similar situation and form part of a support group.
B. Discuss alternative strategies with the OT that will help the child perform daily living activities with greater skill and independence.
C. Discuss with the OT the various professional services that are available.
D. Participate in recreational and leisure activities that will expose the child to environments other than the house or school.

A

A. Develop friendships with other parents in similar situation and form part of a support group.

If ever may achievements or concerns, may mas-sharean sila

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2
Q
  1. A child has a difficulty holding a fork during self- feeding because of decreased sensory receptors in the hand. The OT will MOST likely recommend the use of:

A. A weighted cuff utensils
B. A utensil with a cuff
C. A large utensil
D. A textured utensils

A

D. A textured utensils

Keywords: Decreased sensory receptors

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3
Q
  1. A patient with fibromyalgia lives alone and is a meticulous housekeeper; however, the patient cannot hire anyone to assist with household chores because of financial resources. During a home visit, the patient requests advice on the best method to perform to perform household duties. The OT should recommend that the patient:

A. Schedule homemaking chores so that heavy tasks are alternated during the week.
B. Invite friends and neighbors to assists with some of the heavier tasks on alternating basis.
C. Seek funding from social services to hire in-home assistance for household chores.
D. Consider attending a support group to deal with the limitations of this conditions.

A

A. Schedule homemaking chores so that heavy tasks are alternated during the week.

Fibromyalgia has triggers/ episodes

A follows the principles of energy conservation

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4
Q
  1. After the evaluation, the OT recommends that the patient work on dressing skills and basic ADLs. However, the patient indicates that these are tasks that the spouse can assist with; the patient would rather concentrate on re-establishing leisure pursuits. What actions should be taken by the OT?

A. Insists the patient perform basic ADLs as this will be helpful to the spouse
B. Bargain with the patient to work on both areas
C. Switch emphasis of treatment based on the clients preferences
D. Refuse treatment because the patient and the therapist disagree

A

C. Switch emphasis of treatment based on the clients preferences

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5
Q
  1. Because of the frequent bouts of weakness, an individual requires help approximately 60%-70% of the time, getting into and out of bed and going to the bathroom. When instructing the caregiver on the level of help the person will need, the OT would recommend:

A. Minimum assistance
B. Moderate assistance
C. Maximum assistance D. Constant supervision

A

C. Maximum assistance

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6
Q
  1. The OT needs to perform a dependent transfer with a person who is too weak to move independently. The BEST technique is to:

A. Stand in front of the person and encourage standing upright, then pivot to the side.
B. Use one person technique by standing in front of the person and placing them in a forward flexed position.
C. Ask another OT to assist; both will secure the patient under the arms and will pull into standing position.
D. Secure a transfer belt around the individual and pull to stand.

A

B. Use one person technique by standing in front of the person and placing them in a forward flexed position.

Since di kaya ni px mag bear ng weight, maganda na naka forward flex si px

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7
Q
  1. An important cultural consideration when working with a child behavioral issues and the family is:

A. The family’s view of disability
B. A therapist personal views
C. societal views of the family culture
D. Societal expectations of disabled

A

A. The family’s view of disability

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8
Q
  1. An OT has begun implementing intervention strategies with an infant. One of the parents is very anxious about making sure that the strategies that the OT is utilizing are followed correctly. The best method for teaching the parents strategies is:

A. Provide written handouts
B. Model techniques in sessions
C. Gear to parent learning style
D. Provide illustrations and videos

A

C. Gear to parent learning style

We should adjust to the their learning style

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9
Q
  1. The OT is educating a caregiver on how to carry a 30 pound child with severe spasticity who is in a flexed position. It is most likely that The OT will recommend that:

A. The caregiver position the child so that both of the child’s legs wrapped around the caregiver’s waist; the caregiver should support the child with one hand under one buttock and the other hand high on the child’s back.
B. The caregiver position the child so that the child is on its side with its back up against the caregiver’s stomach coming from behind the caregiver should hold the child by positioning one arm between the child’s legs with one hand supporting the child at its stomach and the other arm wrapping around the child’s chest and the other hand supporting the child at the elbow.
C. The caregiver position the child over the caregiver’s shoulder with the child’s arms down at its sides and its legs fully extended
D. The child be carried like a cradled baby with the caregiver supporting the child with both hands under its buttocks.

A

B. The caregiver position the child so that the child is on its side with its back up against the caregiver’s stomach coming from behind the caregiver should hold the child by positioning one arm between the child’s legs with one hand supporting the child at its stomach and the other arm wrapping around the child’s chest and the other hand supporting the child at the elbow.

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10
Q
  1. During an intervention session the OT stimulates the need for the client to walk up the stairs to a kitchen with a painful or weak left leg. The patient should be instructed to move the:

A. Left leg to the next step with the cane
B. Right leg up to the next step with that cane
C. Right leg up then his left leg or cane
D. Left leg up and then his right leg or cane

A

C. Right leg up then his left leg or cane

Code: Good guys go to heaven

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11
Q
  1. A child has difficulty searching for objects that have dropped from a wheelchair tray. The best method for the OT to use to adapt the child’s environment so the child can engage in play and foster independence is to:

A. Have the child play when someone is present
B. Have the child watch videos
C. Tie a string to toys that is attached to the wheelchair
D. Lower the tray and place at a slight angle

A

C. Tie a string to toys that is attached to the wheelchair

Every time the toy drops, child can pull the string

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12
Q
  1. The most appropriate piece of adaptive equipment for an individual with mild to moderate left CVA would be:

A. Button hook
B. Universal cuff
C. Card holder
D. Dressing loops

A

B. Universal cuff

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13
Q
  1. A three-year-old child is diagnosed with CP and failure to thrive, and reportedly has difficulty with drooling. chewing, and swallowing. The OT should address:

A. Oral motor deficits
B. Motor sensory deficits
C. Self-feeding
D. Vestibular input

A

A. Oral motor deficits

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14
Q
  1. The OT was asked to design a tenodesis splint but for a patient with an incomplete C6 SCI. Which therapeutic goal would this treatment most likely support?

A. Patient will be able to use the hands to perform grasp and release.
B. Patient will be independent with manipulation of fasteners
C. Patient will assist with self-feeding using adapted equipment
D. Patient will be able to put on and remove garment using overhead technique

A

A. Patient will be able to use the hands to perform grasp and release.

Wrist is slightly extended

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15
Q
  1. The most common compensation principle for a client who has weakness is:

A. Let gravity assist
B. Use adaptive equipment or methods to replace lost functions such as grasp
C. Use powered equipment
D. Use heavy utensils to increase stability

A

A. Let gravity assist

Compensation: We are not trying to rehabilitate.

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16
Q
  1. Using an adaptive approach, one way to suggest for someone to modify the home for decreased acuity would be to:

A. Use non-slip rugs
B. Increase light while minimizing glare
C. Notify neighbors of the problem
D. Encourage driving cessation

A

B. Increase light while minimizing glare

For cxs with decreased acuity

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17
Q
  1. In general, which is the most appropriate ADL accommodation for hemiplegia?

A. Weighted items
B. Lightweight items
C. Assistive equipment
D. Adapted techniques

A

D. Adapted techniques

Easier since alam ni cx kung ano goal ng technique (ex. one hand dressing)

C: Cx with hemiplegia may also have perceptual problem kaya hindi pwede

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18
Q
  1. While an OT is working with a patient during an ADL session, the patient begins to dress the OT’s arms instead of the patient’s arms. This can be described as:

A. Somatagnosia
B. Difficulty with sequencing
C. Spatial neglect
D. None of the above

A

A. Somatagnosia

C: Ignoring one side of the body

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19
Q
  1. A patient with C5 SCI has been admitted to the inpatient rehab unit for therapy. To teach self-feeding the OT might use adaptive equipment such as:

A. Built up handle utensils
B. Mobile arm support
C. Dynamic tenodesis splints
D. Short opponens splint

A

B. Mobile arm support

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20
Q
  1. A seven year old with motor limitations gets tired doing writing assignments and has poor handwriting. The OT feels that making a transition from handwriting to text generation would help the child. A software program that would help the child is:

A. Imagination letter series
B. Abbreviation expansion
C. Talking word processor
D. Early learning house series

A

C. Talking word processor

21
Q
  1. Which patient should the OT recommended to use a sliding board?

A. An elderly patient with a history of falls
B. A patient wearing a leg cast
C. A patient with lower extremity weakness
D. A patient who fatigues easily

A

C. A patient with lower extremity weakness

22
Q
  1. An OT is working with a client who exhibits deficits with upper extremity coordination. During a cooking activity, the OT might recommend that the individual:

A. Used lightweight utensils, pots, and pans
B. Place items within easy reach for greater control C. Use one extremity at a time
D. Used heavy weighted utensils, pots, and pans

A

D. Used heavy weighted utensils, pots, and pans

When a px has a coordination problem, heavy weighted objects will help px have a smoother movement

23
Q
  1. An OT is training a patient in the principles of joint protection techniques before they are discharged. Education would focus on:

A Massaging a joint before exercise
B. Using the strongest joints and avoiding positions of deformity
C. Practicing vivid imagery and relaxation during difficult activities
D. Applying heat before treatment and cold after ROM

A

B. Using the strongest joints and avoiding positions of deformity

24
Q
  1. A patient with intention tremors is having difficulty with
    grooming activities. To promote functional performance, the OT should incorporate:

A. Using long handles on equipment used for grooming
B. Using weighted cuffs on wrist while performing grooming tasks
C. Sitting at the table to perform the grooming tasks
D. Having patient take medication prior to engaging in the activity

A

B. Using weighted cuffs on wrist while performing grooming tasks

25
Q
  1. During treatment, what approach should the OT follow when working with an individual that has a history of orthostatic hypotension?

A. Keep the individual in a sitting position during therapy
B. Assist the individual in slowly changing positions C. Place the individual in reclined position during therapy
D. In therapy, alternate between periods of work and rest

A

B. Assist the individual in slowly changing positions

26
Q
  1. You have a patient who has a memory problem. Which of the following would you most likely use?

A. A written schedule of daily activities to remind the patient where they need to be
B. A daily log for the patient to express himself in writing
C. A picture board to help communicate the patient’s needs
D. Flashcards to help the patient practice new words

A

A. A written schedule of daily activities to remind the patient where they need to be

27
Q
  1. Which ADL would the OT caution the patient with a recent hip replacement to avoid?

A. Tying shoes
B. Pulling up pants
C. Putting on a shirt
D. Bathing the back

A

A. Tying shoes

Not allowed to move the hip beyond 90 degrees

28
Q
  1. A patient with intention tremors is observed to have frequent spills of food and drink while eating. To facilitate greater control during the meal time, the OT should:

A. Provide a large long handled tablespoon for eating
B. Use a weighted cuff on the wrist to assist patient during meals
C. Train a caregiver to assist the patient during meals
D. Raise the eating surface closer to the face

A

B. Use a weighted cuff on the wrist to assist patient during meals

29
Q
  1. A patient diagnosed with arthritis complains of pain on the elbows and forearms and has difficulty with self- feeding. ROM assessment reveals limitation in pronation and supination, But elbow flexion and extension or within functional limits. The best piece of adapted equipment to use for independence and self- feeding is:

A. Long handled lightweight utensils
B. Built up handled utensils
C. Utensils placed in a universal cuff
D. Swivel spoon or fork

A

D. Swivel spoon or fork

To compensate for the limitation of supination and pronation

30
Q
  1. An OT is working in a rehab setting with an individual who has emphysema and is dependent on oxygen. While providing interventions to improve home management, the OT should:

A. Monitor activity tolerance using a pulse oximeter
B. Limit activity until oxygen is discontinued
C. Request oxygen by discontinued during activities
D. Keep treatment session short no more than 15 minutes

A

A. Monitor activity tolerance using a pulse oximeter

To ensure the cx’s safety and know when to stop the ax

31
Q
  1. A patient presents with morning stiffness, joint inflammation, muscle weakness, and difficulty with community mobility and ADLs. The OT’s initial goals should be:

A. Preservation of muscle strength
B. Maintenance of lifestyle
C. Relief of pain and inflammation
D. Education to patient to use adapted equipment

A

C. Relief of pain and inflammation

If may pain sa choices, lagi unahin si pain

32
Q
  1. What type of spoon should be used to feed a child with reflex biting?

A. A traditional teaspoon for normal eating
B. A traditional soup spoon to hold more food
C. A narrow, shallow, firm plastic or rubber coated spoon
D. A square shaped spade spoon with open front

A

C. A narrow, shallow, firm plastic or rubber coated spoon

Di masisira agad

33
Q
  1. During a home visit with a young mother who recently injured herself in a fall, you overhear her husband hitting their son repeatedly upstairs. Your client begins to cry and suddenly appears frightened. She asks you to leave because she does not want her husband to see you. What should you do?

A. Leave us you are too
B. Ignore the incident until further proof
C. Run upstairs to stop the beating
D. Secure the safety of the patient and report the abuse to authorities

A

D. Secure the safety of the patient and report the abuse to authorities

34
Q
  1. When making a forearm trough splint, the splint should be what length of the forearm?

A. 1/4
B. 1/3
C. 1/2
D. 2/3

A

D. 2/3

35
Q
  1. Which ADL would the OT caution the patient with a recent hip replacement to avoid?

A. Tying shoes
B. Pulling up pants
C. Putting on a shirt
D. Bathing the back

A

A. Tying shoes

36
Q
  1. The C6 client you are working with complaints of dizziness and nausea and seems to be losing consciousness as you bring him to standing in the standing table. Your best course of action is:

A. Wait, the symptoms should pass as tolerance increases
B. Bring him down to the wheelchair again
C. Call for his nurse
D. Bring him down to the wheelchair then immediately recline him

A

D. Bring him down to the wheelchair then immediately recline him

Signs of orthostatic hypotension

37
Q
  1. Which piece of adaptive equipment is most appropriate for a patient with total knee replacement?

A. Long handled shoehorn
B. Reacher
C. Sock aid
D. None of the above

A

D. None of the above

Dapat always i-move. Bawal irestrict. Pag di ginalaw, mahihirapan ka mag gait.

38
Q
  1. Joint protection techniques include all of the following except:

A. Maintain joint in correct position
B. Use hands instead of shoulders
C. Bend hips and knees but keep back straight
D. Distribute load over two or more joints

A

B. Use hands instead of shoulders

Bigger joints > Smaller joints

39
Q
  1. When an elderly person has lost all vision, all of the following are helpful except:

A. Textured door knobs to mark exits
B. Safety pins in different arrangements to mark
clothes
C. Labels or signs in braille
D. Textured surfaces to indicate the top and bottom of stairs

A

C. Labels or signs in braille

Matanda na kasi so mahirap na turuan

40
Q
  1. Prism glasses are ideal for:

A. Patients with a halo or who are confined flat in bed
B. Magnifying book pages
C. Improving colors for low vision clients
D. Not spilling drinks when patients have hand tremors

A

A. Patients with a halo or who are confined flat in bed

When you are flat sa bed, makikita mo pa rin yung nasa harap mo

41
Q
  1. A blind or visually impaired person may have some sight. All of the following can assist the individual in his or her home environment except:

A. A dark place mat or cup on a light surface
B. Contrasting scatter rugs by the doors
C. Stair risers painted in a contrasting color
D. White tape to mark a dark object

A

B. Contrasting scatter rugs by the doors

Mas madidigrasya si px

42
Q
  1. An OT is training a patient in the principles of joint protection techniques before they are discharged. Education would focus on:

A. Massaging a joint before exercise
B. Using the strongest joints and avoiding positions of deformity
C. Practicing vivid imagery and relaxation during difficult activities
D. Applying heat before treatment and cold after ROM

A

B. Using the strongest joints and avoiding positions of deformity

Bigger > Smaller joints

43
Q
  1. A client with a C5 SCI is ready to address self-feeding. What piece of equipment would the client benefit most from?

A. Mobile arm support
B. Universal cuff
C. Electric wheelchair
D. Scoop dish

A

A. Mobile arm support

44
Q
  1. Energy conservation techniques include all of the following except:

A. Sit to work
B. Limit amount of work
C. Organize storage
D. Plan one day at a time

A

D. Plan one day at a time

Plan ahead of time para makita mo heavy tasks and di ka mapapagod

45
Q
  1. The most appropriate piece of adaptive equipment for an individual with mild to moderate left CVA would be:

A. Button hook
B. Universal cuff
C. Card holder
D. Dressing loops

A

B. Universal cuff

46
Q
  1. A child has a difficulty holding a fork during self- feeding because of decreased sensory receptors in the hand. The OT will MOST likely recommend the use of:
    A. A weighted cuff utensils
    B. A utensil with a cuff
    C. A large utensil
    D. A textured utensils
A

D. A textured utensils

47
Q
  1. A patient presents with morning stiffness, joint inflammation, muscle weakness, and difficulty with community mobility and ADLs. The OT’s initial goals should be:

A. Preservation of muscle strength
B. Maintenance of lifestyle
C. Relief of pain and inflammation
D. Education to patient to use adapted equipment

A

C. Relief of pain and inflammation

48
Q
  1. In general, which is the most appropriate ADL accommodation for hemiplegia?

A. Weighted items
B. Lightweight items
C. Assistive equipment
D. Adapted techniques

A

D. Adapted techniques

49
Q
  1. An OT has begun implementing intervention strategies with an infant. One of the parents is very anxious about making sure that the strategies that the OT is utilizing are followed correctly. The best method for teaching the parents strategies is:

A. Provide written handouts
B. Model techniques in sessions
C. Gear to parent learning style
D. Provide illustrations and videos

A

C. Gear to parent learning style

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