ALS, AD, PD Quiz Flashcards
Martin is a 54 y/o male who was recently dx with ALS. As the ALS progresses, your role as his occupational therapist should focus on all of the following EXCEPT:
a. Maximizing Martin’s function
b. Periodic reassessment
c. Modification of the environment, roles and tasks
d. Developing a treatment plan that focuses on building strength and endurance
D
Martin is a 54 y/o male who was recently diagnosed with ALS progresses As part of your intervention Martin, you have a developed a plan to improve computer access so Martin can independently write and send emails. This approach to intervention is primarily:
a. Restorative
b. Both restorative and compensatory
c. Compensatory
d. Palliative
C
Betty is an 85 y/o female with Alzheimer’s Disease. As you are working with Betty and her family, you are trying to establish strategies to help decrease disorientation and agitation. What other strategies/intervention can help to decrease disorientation/agitation?
a. Recommend strategies to improve concentration/focus
b. Provide counseling and emotional support to family/caregivers
c. Screen for visual acuity and be sure patient has glasses and hearing aid if indicated
d. Play board games and cognitively stimulating activities
C
In Stage III of ALS, what would be the most appropriate intervention?
a. PROM and positioning
b. Provision of bathroom DME and adaptive equipment
c. UE strengthening-theraband exercises and weight training
d. Aerobic exercises, stationary bike and treadmill
B
Occupational therapy interventions with individuals with emphasis should focus on all of the following EXCEPT:
a. Keeping the client engaged in meaningful activity
b. Teaching the client new adaptive techniques to be more independent with self-care
c. Decreasing caregiver stress
d. Keeping the individual in the least restrictive environment for as long as possible
B
Eloise is a 77-year-old woman with stage III Alzheimer’s disease. She currently resides in her daughter’s home. She receives services from a home health aide 4 hours per day. Betty can be combative at times and has now been recently admitted to the hospital due to a UTI. Based on Eloise’s presenting condition which of the following approaches would you recommend her caregivers to utilize when working with Eloise?
a. Encourage strengthening exercises
b. Encourage the use of calendars and appoint books to help Eloise be independent in daily routines
c. Encourage strengthening exercises Encourage the use of calendars and appoint books to help Eloise be independent in daily routines encourage Eloise to eat a variety of tastes and food textures
d. Use simple one step commands during ADLs
D - simple one step commands during ADLs
Dwayne is a 65 y/o male with a hx of PD x5 years. He really enjoys playing chess but is having difficulty due to an intention tremor. Dwayne is also experiencing episodes of akinesia and often has difficulty with transitional movements. Which of the following would be considered an intervention to assist with sit →stand transfers?
a. Utilizing a rocking motion and facilitate nose over toes
b. Shift weight posteriorly
c. Utilize a gait belt
d. Use of an electronic lift system
A - utilizing a rocking motion & facilitates nose over toes
Dwayne is a 65 y/o male with a hx of PD x5 years. He really enjoys playing chess but is having difficulty due to an intention tremor. He is also experiencing difficulty with eating with frequent spillage while eating meals such as soup or stew. All of the following are interventions/strategies for management of tremors EXCEPT
a. Proximal stabilization
b. Increase caffeine intake
c. Manage stress, anxiety, and frustration
d. Understand pattern of day when symptoms occur, medication cycle
B - increase caffeine intake
Which of the following is an intervention of micrographia for individuals with PD?
a. Lined paper, pens with broad nibs
b. Draw freely making large strokes
c. Auditory external cues
d. All of the above
D - all the above
- lined paper
- pens w/ broad nibs
- draw freely making large strokes
- auditory external cues
Martin is a 76 y.o male with PD. Most recently he has been experiencing akinesia, or freezing episodes when attempting to walk through doorways. Which of the following is a strategy to help the client initiate the movement?
a. Provide deep proprioceptive feedback
b. Have the patient utilize a wheelchair to avoid falls
c. Provide verbal cue of “1, 2, 3”
d. Provide no cues, but allow increased time for patient to respond
C - provide verbal cue of 1. 2, 3
