Exam 2 - textbook reading

Question 1

active motion goniometry

Answer 1

the amount of movement possible at a joint when it is voluntarily moved by muscle contraction

Question 2

passive motion goniometry

Answer 2

the amount of movement possible at a joint when an outside force moves the limb

Question 3

strengths of goniometry

Answer 3

Relatively fast and inexpensive measure
Measurements are consistently more accurate when done by the same therapist with the patient in the same position from test to test

Question 4

weaknesses of goniometry

Answer 4

inter-rater reliability is consistently lower than intrarater reliability
Accuracy of measurement is dependent on the consistent placement of the goniometer

Question 5

proprioception

Answer 5

perception of joint position

Question 6

kinesthesia

Answer 6

perception of joint motion

Question 7

purposes of sensory testing

Answer 7

Assess the type and extent of sensory loss
Evaluate and document sensory recovery
Assist in diagnosis
Determine impairment and functional limitation
Provide direction for occupational therapy intervention
Determine time to begin sensory re-education
Determine need for education to prevent injury during occupational functioning
Determine need for desensitization.

Question 8

safer home safety assessment

Answer 8

measures intervention effectiveness and changes in safety intervention over time in 12 domains (living situation, mobility, environmental hazards, kitchen, household, eating, personal care, bathroom and toilet, medication, addiction and abuse, leisure, communication and scheduling, and wandering)

Question 9

time to administer safer home safety assessment

Answer 9

45-90 minutes

Question 10

what does the safer home safety assessment take into account

Answer 10

client ability, physical support, social support, client willingness to use supports

Question 11

strengths of safer home safety assessment

Answer 11

Comprehensive coverage of home safety
Both tools developed and tested rigorously
Comprehensive training manual provided

Question 12

weaknesses of safer home safety assessment

Answer 12

Length of administration may be problematic in some clinical situations
Further research on responsiveness to change needed

Question 13

universal design

Answer 13

design features of the built environment that enhance optimal function and convenience for all individuals, regardless of their ability

Question 14

barrier free design

Answer 14

design features of the built environment that remove physical barriers to full and equal accessibility for all persons with disability

Question 15

FIM addresses areas of

Answer 15

Self-care – eating, grooming, bathing, dressing UB/LB, toileting
Sphincter control – bladder/bowel management
Transfers – bed, chair, wheelchair, toilet, tub, shower
Locomotion – walk/wheelchair, stairs
Communication – comprehension, expression
Social cognition – social interaction, problem solving, memory
Helps to assess the client’s abilities

Question 16

things that should be therapeutic

Answer 16

engagement in positive occupations

occupations should invoke creativity, satisfaction, accomplishment, within limits

Question 17

therapeutic occupation definition

Answer 17

the use of positive, relevant, meaningful, and purposive activities to improve a person’s ability to participate in life, or to improve abilities and capacities to enable improved occupational functioning

Question 18

occupation as a means

Answer 18

• as a treatment to improve a person’s impaired capacities and abilities to enable eventual occupational functioning (change agent)
• effective when activity has a purpose or goal the makes it challenging

Question 19

occupation as ends

Answer 19

Change task demands or environment to perform occupation

Restores self-maintenance, enhancement, advancement

Question 20

lever arm

Answer 20

The amount of work a muscle does is dependent on the pull of gravity on the limb and the implements the patient is using, which together act as the resistance lever arm

Question 21

the longer the resistance arm,

Answer 21

the greater force required to counterbalance it

Question 22

shortened limb requires ___

Answer 22

less involvement of muscles than if limbs are lengthened

ex) carrying something close to body requires less back mx involvement than if the object is carried at arms length

Question 23

rapport

Answer 23

• A function of the mutual experience and behavior of the client and therapist as they interact with each other and the outcome of the interaction for the client.
• An optimal interpersonal experience for both the client and the therapist that involves concentration, masterful communication, and enjoyment
• Occurs with behavior that reflects high levels of mutual attentiveness, interpersonal coordination, and mutual positivity