Chapters 16, 24, & 25 Flashcards
Humor and laughter __.
may be used to build relationships, help clients cope, promote health, and comply with treatment.
Adults with physical disabilities may give up leisure activities for which of the following reasons?
a.
Because their clinical setting does not employ a recreational therapist.
b.
Because they all prefer watching television.
c.
Because they are not aware of ways to adapt valued activities so that they may participate in them again.
d.
Because they do not wish to learn new hobbies or crafts.
c.
Because they are not aware of ways to adapt valued activities so that they may participate in them again.
Which group did the Centers for Disease Control identify as engaging in the least amount of physical activity?
Women in all cultures
Jeri’s story was used as the case study in the Leisure Occupations chapter. Jeri was described as a 29-year-old, newly married woman who was in a traffic accident that resulted in a traumatic head injury, a broken wrist, and a broken leg. Before the accident she enjoyed scrapbooking, going to the nearby lake to boat and fish, playing with and caring for her dogs, and shopping. Jeri continues rehabilitation as an outpatient for the residual problems resulting from her head injury as well as for continuing problems using her dominant hand because of the healed wrist fracture (cast removed 2 weeks ago). She needs minimal assistance for safety because of poor balance and decreased judgment. Which intervention would be the best occupational therapy choice to assist her in engaging in her favorite leisure occupations?
a.
A large-button switch to listen to music
b.
Use of adapted scissors to cut shapes that were glued to sturdy paper
c.
Instruction in using a rocker knife with her nondominant hand to cut meat
d.
Teaching her to ride a hand-cycle racing bike
b.
Use of adapted scissors to cut shapes that were glued to sturdy paper
As an Area of Occupation, leisure is defined in the Occupational Therapy Practice Framework (2002) as __.
a nonobligatory activity that is internally motivated and engaged in during an individual’s free time
Which of the following is not a benefit of leisure occupations for adults with physical disabilities?
a.
Increased sense of self-worth
b.
Increased ability to chew and swallow without aspirating
c.
Improved or maintained perceptual abilities
d.
Experience of intellectual stimulation
b.
Increased ability to chew and swallow without aspirating
Which of the following capabilities does a client with a left hemianopsia possess that a client with neglect does not?
a.
The ability to utilize attention to compensate for the visual field deficit
b.
The ability to perceptually complete the left visual field
c.
The ability to make eye movements toward the left half of the field
d.
The ability to scan toward the left
a.
The ability to utilize attention to compensate for the visual field deficit
Captain Hatrack woke up one morning feeling funny and not seeing too well. He went to the ophthalmologist, Dr. Eye, who told him that he experienced a small stroke and has developed a left hemianopsia. Dr. Eye told the Captain that he had to stop driving immediately. The Captain is very upset because he feels as if he is seeing everything in his field and that all he needs is a better pair of glasses; he thinks the doctor is a quack and he can drive just fine. Which one of the following provides the best explanation for why the Captain does not realize he has a field deficit?
a.
The Captain has cataracts.
b.
The Captain has a relative visual field loss on the left.
c.
The Captain is exercising perceptual completion.
d.
The Captain is experiencing confusion because of the stroke.
c.
The Captain is exercising perceptual completion.
Why might changes in visual processing cause a corollary change in cognitive performance?
Because the visual system is the primary system we use to acquire information about our environment and guides our decision making process
Fred Farckle has a right hemianopsia. He reports that when he goes on community outings, he often bumps into people and other objects. This makes him anxious and uncomfortable, and he has stopped going out. Which of the following interventions would you use to address this limitation in mobility?
a.
Have him play card games that have a wide field of view (Solitaire) with his wife to increase his scanning.
b.
Teach him to use a long cane to provide additional tactual input when ambulating.
c.
Teach him to orient to his environment by identifying and sequencing landmarks.
d.
Use narrated ambulation to teach him to be more observant of his environment.
d.
Use narrated ambulation to teach him to be more observant of his environment.
Major Peanut is lost in space. After his stroke, he is unable to find his way from his hospital room to the nurse’s station, the visitor area, or the therapy clinic even though each destination is straight down the hall from his room. He frequently winds up in another client’s room and requires assistance to return to his room. On the basis of this behavior, which area of the cortex was most likely affected by his brain injury?
Right posterior parietal lobe
Colonel Pickle sustained a right posterior cerebral artery lesion. After the stroke the Colonel experienced difficulty reading and would often lose his place in the text or find that the sentence he was reading did not make sense. He also experienced a change in depth perception wherein an object, usually the arm of a chair or a table edge on the left, would suddenly appear in front of him. The Colonel scheduled an evaluation with his ophthalmologist. Which of the following diagnoses did the ophthalmologist most likely make?
a.
Glaucoma
b.
Presbyopia
c.
Left homonymous hemianopsia
d.
Hemi inattention
c.
Left homonymous hemianopsia
All but which of the following could directly or indirectly result from a head injury?
a.
Cataract
b.
Diabetic retinopathy
c.
Corneal scarring
d.
Vitreous hemorrhage
b.
Diabetic retinopathy
Which of the following conditions could create cloudy vision in one eye after a traumatic brain injury?
a.
Vitreous hemorrhage
b.
Cataract
c.
Optic nerve injury
d.
Retinal detachment
b.
Cataract
Why do persons with hemianopsia often experience difficulty reading?
a.
Because they lose their place on the line
b.
Because their acuity is diminished by the visual field deficit
c.
Because the perceptual span they use in reading has been reduced on one side by the hemianopsia
d.
Because they experience language deficits secondary to the brain injury
c.
Because the perceptual span they use in reading has been reduced on one side by the hemianopsia
