Chapters 18, 19, & 20 Flashcards
Which of the following would be considered client factors as defined in the OTPF-3?
a.
Reaching with upper extremities
b.
Cardiac function during exercise
c.
Looking where someone is pointing
d.
Balance while walking
b.
Cardiac function during exercise
Assessing a client’s __ allows OT practitioners to evaluate and then address functional deficits.
occupational performance
In what manner should an occupational therapist (OT) assess and track spasticity when treating a client to obtain the most objective results possible?
Assess spasticity at the same time of day, with the client in the same position, on the same surface to obtain consistent measurements.
Which of the following are signs an occupational therapist (OT) may observe that are consistent with upper motor neuron (UMN) damage?
a.
Positive Babinski’s sign
b.
Hyperreflexia
c.
Abnormal nerve conduction study results
d.
Only A and B
e.
All of the above.
d.
Only A and B
What are the necessary components of motor control an occupational therapist (OT) must consider when assessing a client following a neurological injury?
Muscle tone, postural tone and mechanisms, selective movements, and coordination
A client who is able to perform most basic activities of daily living and instrumental activities of daily living independently but who experiences low endurance and fatigue somewhat easily during upper extremity tasks will most likely have which of the following?
Fair plus muscle strength
Which of the following is a reason that assumptions can be made regarding lower extremity strength during functional activities?
a.
The dependency of the distal joints on the more proximal joints for positioning
b.
The complexity of motor patterns requiring gross and fine motor skill
c.
The stereotypical movement patterns that occur due to the joints and relative arrangement of the muscle
d.
The variety of patterns of movement that can be assumed
c.
The stereotypical movement patterns that occur due to the joints and relative arrangement of the muscle
Which of the following is most important for the practitioner to keep in mind during the clinical observation when administering the occupation-based motion assessment?
a.
The role that scapulohumeral rhythm will play in the client’s success in completing these tasks
b.
The possibility that loss of ROM and pain may be the greatest contributors to the client’s inability to complete tasks successfully
c.
The fact that people perform the same activity in a variety of ways depending on habits and learned experiences
d.
The fact that the client may be using compensatory movements to complete tasks because of poor endurance and muscle weakness
c.
The fact that people perform the same activity in a variety of ways depending on habits and learned experiences
Which of the following is not an expected outcome of an occupation-based functional motion assessment?
a.
The OT practitioner conducting interviews with the client to determine the problems encountered during performance of functional activities
b.
The OT practitioner having the client perform other tasks associated with his or her habits while interacting in varied environmental contexts
c.
The OT practitioner making the decision to conduct formal assessments of performance skills or body function
d.
Meaningful intervention goals relative to improving occupational performance will be selected.
a.
The OT practitioner conducting interviews with the client to determine the problems encountered during performance of functional activities
An advantage of the occupation-based functional motion assessment is that the OT practitioner as the opportunity to do which of the following?
a.
Measure muscle strength.
b.
Observe complex motor patterns required to fully engage in occupations.
c.
Gain information about movement of a specific limb.
d.
Measure flexibility of joint components.
b.
Observe complex motor patterns required to fully engage in occupations.
While observing the client at work in her kitchen retrieving items to make a sandwich, cutting bread, reaching for dishes, loading the dishwasher, and opening and closing drawers, the therapist noticed that the client often grimaced when applying pressure to knives, lifting dishes, and opening the refrigerator. The therapist also observed that the client sometimes appeared confused, left out ingredients, and put dirty dishes in the cabinet instead of the clean ones she had set aside. When the client noticed some of her mistakes, she said, “Oh well, I live alone; who cares if the dish is a little dirty?” The occupation-based functional motion assessment allowed the practitioner to assess which of the following?
a.
ROM, muscle strength, pain, endurance
b.
Cognitive deficits, pain, perceptual deficits, endurance
c.
Muscle strength, task importance, endurance
d.
Task importance, cognitive deficits, pain, perceptual deficits
d.
Task importance, cognitive deficits, pain, perceptual deficits
Which of the following is an advantage of the occupation-based functional motion assessment?
a.
The client will perform these tasks in contexts that are meaningful.
b.
The occupational therapy (OT) practitioner can guide the movement patterns of the client to enhance performance.
c.
The OT practitioner will provide a structured environment in which the assessment will occur.
d.
The OT practitioner can provide verbal cues to direct the client in completion of the task.
a.
The client will perform these tasks in contexts that are meaningful.
Which of the following cannot be assessed using the occupation-based functional motion assessment?
a.
Motor control
b.
Sensation
c.
Range of motion (ROM)
d.
Muscle strength
b.
Sensation
The advantage of an occupation-based assessment over a functional motion assessment is that the occupation-based assessment affords the therapist the opportunity to do which of the following?
a.
Observe movement patterns.
b.
Observe compensatory motions.
c.
Observe the effect of added resistance unto body structures.
d.
Observe muscle strength and muscle imbalance.
c.
Observe the effect of added resistance unto body structures.
A 75-year-old woman with rheumatoid arthritis reports having some difficulty managing in her kitchen during meal preparation and cleanup. The client lives alone, is fiercely protective of her independence, and works 3 days a week at the local library’s reading program for children. The OT practitioner arranges a home visit and decides the best sequencing of assessments to determine the problems would be which of the following?
a.
Occupation-based functional motion; manual muscle testing; functional ROM
b.
Functional motion; ROM; manual muscle testing; occupation-based functional motion
c.
Functional motion; occupation-based functional motion; manual muscle testing
d.
ROM; occupation-based functional motion; functional motion
c.
Functional motion; occupation-based functional motion; manual muscle testing
