aop older adults final q and a Flashcards
In-patient acute rehabilitation is suitable for patients who:
a) Require only 1 hour of therapy per day.
b) Are medically stable and can handle 3 hours of therapy.
c) Can only tolerate minimal therapy.
d) Are not medically stable.
b) Are medically stable and can handle 3 hours of therapy.
Subacute rehabilitation differs from long-term care primarily in:
a) The philosophy of care and the role of occupational therapists.
b) The type of patients admitted.
c) The length of the rehabilitation process.
d) The absence of occupational therapy services.
a) The philosophy of care and the role of occupational therapists.
Which of the following settings provides care for medically complex patients who may be ventilator-dependent?
a) Acute rehabilitation
b) Subacute rehabilitation
c) Long-term acute care
d) Assisted living
c) Long-term acute care
In a skilled nursing facility, the main goal for short-term patients is to:
a) Maintain quality of life.
b) Function safely and effectively in valued tasks.
c) Return to the community.
d) None of the above.
c) Return to the community.
Which aspect is part of the evaluation process in subacute rehabilitation and long-term care?
a) Medical work-up only
b) Evaluating home for modifications
c) Training CNA to interpret assessments
d) None of the above
b) Evaluating home for modifications
Which model is used in skilled nursing facilities to address medical needs?
a) Biomedical model
b) Biopsychosocial model
c) Cognitive-behavioral model
d) Medical model
b) Biopsychosocial model
The Resident Assessment Protocol (RAPS) is used to evaluate which of the following areas?
a) ADL function
b) Cognitive loss/dementia
c) Psychosocial well-being
d) All of the above
d) All of the above
The Patient-Driven Payment Model (PDPM) in LTC focuses on:
a) The number of patients seen.
b) Therapy minutes clocked.
c) Patient characteristics and functional levels.
d) Cost of care provided.
c) Patient characteristics and functional levels.
Which of the following is NOT a factor contributing to positive cognitive health?
a) Increased physical activity
b) Social interaction
c) Substance use
d) Intellectual pursuits
c) Substance use
Which type of memory remains largely intact with age?
a) Episodic memory
b) Prospective memory
c) Semantic memory
d) Short-term memory
c) Semantic memory
t/f n-patient acute rehabilitation is suitable for patients who are medically stable and can handle 3 hours of therapy.
true
t/f Subacute rehabilitation has the same philosophy of care as long-term care.
False
t/f Patients in long-term acute care are typically ventilator-dependent or have multi-system complications.
True
t/f Assisted living and independent living settings provide no rehabilitation services.
False
t/f The biopsychosocial model is used in skilled nursing facilities to address residents’ needs.
True
t/f The goal of short-term care in a skilled nursing facility is to maintain the quality of life, not necessarily to return the patient to the community.
False
t/f In long-term care, occupational therapy evaluations consider home environment, social supports, and prior functioning.
True
t/f COTAs can interpret assessment results independently.
false
t/f The Patient-Driven Payment Model in LTC bases reimbursement rates on therapy minutes clocked.
False
t/f Semantic memory, which involves factual knowledge, generally remains intact with age.
true
Primary healthcare initiatives refer to:
a) Integrated accessible healthcare services by clinicians accountable for addressing a large majority of healthcare needs.
b) Only in-patient care services.
c) Emergency medical services.
d) Outpatient surgical services.
a) Integrated accessible healthcare services by clinicians accountable for addressing a large majority of healthcare needs.
Primary care within primary health care focuses on:
a) Population-level functions only.
b) Health care services, including health promotions, illness and injury prevention, and diagnosis and treatment.
c) Only preventive care.
d) Non-medical interventions.
b) Health care services, including health promotions, illness and injury prevention, and diagnosis and treatment.
Which of the following is NOT a model of care in primary healthcare?
a) Clinic
b) Acute rehabilitation
c) Self-management
d) Case Management
b) Acute rehabilitation
The role of occupational therapy (OT) in working with older adults with chronic diseases includes all EXCEPT:
a) Self-management training
b) Pain management
c) Emergency medical care
d) Driving and community mobility
c) Emergency medical care
Which of the following strategies can be used by OT in medication management?
a) Pill counts
b) Patient diaries
c) Electronic medication monitors
d) All of the above
b) Patient diaries
Technology can enhance health management tasks by all the following EXCEPT:
a) Telehealth
b) Vital sign monitoring
c) In-person consultations only
d) Pain management
c) In-person consultations only
Effective teaching strategies for community-based settings include:
a) Use of contrast and bullet points/lists
b) Avoiding visual aids
c) Using complex tables and charts
d) Relying solely on oral communication
a) Use of contrast and bullet points/lists
The Hill-Burton Act was designed to address:
a) The design of federally funded hospitals.
b) Employment rights of healthcare workers.
c) School accessibility for disabled children.
d) Digital accessibility.
a) The design of federally funded hospitals.
Which home safety assessment tool is most common and assesses the client’s ability to carry out functional activities?
a) COUGAR Home Safety Assessment
b) SAFER-HOME V3
c) HOME FAST
d) Westmead Home Safety Assessment (WeHSA)
b) SAFER-HOME V3
universal design principles include all the following EXCEPT:
a) Equitable Use
b) Design for only one individual
c) Flexible Use
d) Low physical effort
b) Design for only one individual
t/f Primary care is a component within primary health care that includes health promotion, illness, and injury prevention.
true
t/f Shared care is NOT a model of care in primary healthcare.
False
t/f The role of rehabilitation in primary care settings includes community education and inter/intraprofessional opportunities.
true
OTs do not play a role in medication management for older adults.
False
t/f Social supports like pharmacists, family, and friends can improve medication adherence.
True
t/f Telehealth can be used for chronic disease management and fall detection.
true
t/f Older adults as lifelong learners can benefit from strategies like health literacy and social connectedness.
true
t/f Shouting is an effective strategy for communicating with older adults who have hearing considerations.
false
t/f Environmental modifications for older adults should consider factors like adequate lighting and accessibility concerns.
true
t/f Universal design only benefits people with disabilities.
false
Which assessment tool is part of the Multi-context Assessment Bundle for Fall Injury Prevention?
a) MAHC 10 Fall Risk Assessment
b) Barthel Index
c) Berg Balance Scale
d) COPM
a) MAHC 10 Fall Risk Assessment
The OT Care plan for fall prevention should be:
a) Generalized and non-specific.
b) Based on best practices and specific to the individual’s risk factors.
c) Focused only on the patient’s medical history.
d) Focused only on the home environment.
b) Based on best practices and specific to the individual’s risk factors.
Which of the following is NOT a person factor in medication management?
a) Health literacy
b) Motivation and self-efficacy
c) Lighting
d) Fine motor skills
c) Lighting
For managing occupational performance in patients with chronic diseases, which assessment tool can be used?
a) COPM
b) TUG
c) PHQ-9
d) FIM
a) COPM
Which intervention is NOT typically included in improving the occupation of caregiving?
a) Adaptive equipment
b) Cognitive strategies
c) Wound care
d) Proper body mechanics
c) Wound care
Homebound status for home health care requires:
a) Assistance from another person or a two-handed walking device to leave home.
b) Daily visits from healthcare providers.
c) The ability to leave home frequently and for extended periods.
d) No limitations on mobility.
a) Assistance from another person or a two-handed walking device to leave home.
What is the typical duration for intermittent care in home health services?
a) 15 minutes
b) 40 minutes to 2 hours
c) 3 to 4 hours
d) Full-day care
b) 40 minutes to 2 hours
Which organization certifies home health agencies for Medicare/Medicaid reimbursement?
a) CMS
b) The Joint Commission
c) AOTA
d) AMA
b) The Joint Commission
t/f The MAHC 10 Fall Risk Assessment is an ecological tool that considers comorbidities, vision, cognition, and other factors.
true
t/f OT interventions for fall prevention should only focus on the physical environment and ignore caregiver engagement.
false
t/f Medication management in home health care should consider both person and environmental factors, such as lighting and social support.
true
t/f The COPM is used to assess occupational performance in patients with chronic diseases.
true
t/f Homebound status requires that the individual can easily leave home for frequent, long trips.
false
t/f Home health care documentation must show an ongoing skilled need for licensed OT services to be eligible for billing.
true
t/f The Joint Commission certifies home health agencies every 5 years to provide services reimbursed by Medicare/Medicaid.
False (Certification occurs every 3 years)
t/f Emotional regulation strategies like positive imagery and self-talk can be part of OT interventions for managing chronic disease.
true
What is a common symptom of macular degeneration?
a) Blurry vision and central field loss
b) Peripheral vision loss
c) Cloudy vision and color perception changes
d) Increased sensitivity to glare
a) Blurry vision and central field loss
Which eye condition is the leading cause of legal blindness among people aged 20-74?
a) Glaucoma
b) Cataracts
c) Diabetic retinopathy
d) Macular degeneration
c) Diabetic retinopathy
Which of the following services does Lighthouse Guild NOT offer?
a) Low vision optometry
b) Vocational rehab services
c) Inpatient surgery
d) Tele-support groups
c) Inpatient surgery
Which of the following statements is true about legal blindness?
a) It is defined by a visual acuity of 20/40 or less with best correction.
b) It is defined by a visual acuity of 20/200 with best correction or a visual field of less than 20 degrees.
c) It is defined by complete loss of vision.
d) It is the same as low vision.
b) It is defined by a visual acuity of 20/200 with best correction or a visual field of less than 20 degrees.
What type of assessment is important for understanding the impact of low vision on daily activities?
a) Low Vision Evaluation
b) Functional Independence Measure (FIM)
c) Mini-Mental State Examination (MMSE)
d) Montreal Cognitive Assessment (MoCA)
a) Low Vision Evaluation
Which intervention is NOT typically used in low vision rehabilitation?
a) Magnifying glass
b) Smart canes
c) Chemotherapy
d) Colored lens glasses
c) Chemotherapy
n the context of neurocognitive disorders, which stage of dementia is characterized by significant personality and behavior changes, incontinence, and difficulty with speech?
a) Stage 4
b) Stage 5
c) Stage 6
d) Stage 7
d) Stage 7
Which therapy involves validating the perceived reality and emotional experience of the individual with dementia?
a) Validation therapy
b) Reminiscence therapy
c) Music therapy
d) Pet therapy
a) Validation therapy
t/f Glaucoma is 90% preventable but is often diagnosed only when damage is severe and irreversible.
true
t/f Diabetic retinopathy can affect both central and peripheral vision, increase glare sensitivity, and reduce color vision.
true
t/f A person with low vision cannot accomplish visual tasks even with corrective lenses.
False (They can accomplish tasks with visual strategies/aids)
t/f Rehabilitation for daily activities in low vision includes using magnifiers, smart canes, and navigation systems.
true
t/f The Colenbrander 1-meter chart is used to assess visual acuity for distances greater than 1 meter.
False (It assesses visual acuity at a 1-meter distance)
t/f Peripheral field loss can cause mobility issues and is commonly associated with glaucoma and optic nerve disease.
True
t/f in Reisberg’s Stage 5 of dementia, individuals typically require moderate assistance with activities of daily living (ADLs).
False (Stage 5 involves some assistance, while Stage 6 involves moderate assistance)
t/f Music therapy for individuals with dementia aims to promote well-being, foster sociability, and reduce anxiety.
true
