FINAL EXAM - Extra Questions

Question 1

Grading Body Scheme Disorder?

lack of awareness of the body

Answer 1

Have client identify body parts on unaffected side;
Have them put a body puzzle together,
Have them identify body parts on me or the puzzle.

Grading up from here may include:

• Having client identify body parts on the contralateral side [crossing midline],
• Have them identify parts on the affected side,
• Have them do something bilateral (eg. march with both feet, clap hands) where both sides need to work together.

Question 2

Grading Topographical Orientation?

unaware of ones environment & orientation

Answer 2

Have client get around his room/unit,

Grade up with increasing the area in which to get around…to the building/community;

Grade down by naming and describing landmarks along the way, writing them down or marking them on a map.

Question 3

Grading Ideational Apraxia?

Inability to carry out motor plan sequence

Answer 3

Start with very simple motor sequences [eg. pouring, clapping] and evolve to more complex motor sequences like feeding [requires reach, scoop, target mouth, return to plate].

When they start to perseverate, or get the sequence wrong provide physical or verbal cuing to correct and move onto next motion.

Grade down further, by asking them to only do part of the task.

Question 4

Grading Ideomotor Apraxia?

Inability to carry out motor plan

Answer 4

Have client attempt to complete task on command,

When unable to initiate task, verbally or physically cue them to assist with the start of the task.

To grade down, start with simple movements, start with movements that are initiated to a beat or a count.

Question 5

Assessment with the strongest ecological validity?

Answer 5

Performance based

Question 6

Visual Agnosia?

Answer 6

Pattern recognition problem

Cannot recognize an object

Question 7

Personal Neglect vs Spatial Neglect?

Answer 7

Personal neglect = will not SELF care on one side

Spatial neglect = will ignore one side of the WORLD within arms reach

Question 8

Purposeful activity to treat Environmental Neglect?

Answer 8

Scan on affected side, beyond arms reach

Eg) Looking for a clock on the wall

Question 9

Personal Neglect signs?

Answer 9

One sided injuries
Pushing to other side
Body scheme disorders
Decreased motor sensation

Question 10

Extinction?

Answer 10

They know each side seperately, but if touch together strong side dominates

Question 11

Treatment most encouraged for use by OTA’s?

Answer 11

Functional

Question 12

Remedial Treatment for Encoding?

Answer 12

Describe it
Make connections
Draw a picture about it

Question 13

Enabling activity for Long Term Memory?

Answer 13

Looking at pictures to see what is needed for the task

Question 14

Purposeful Activity for Long Term Memory?

Answer 14

Repeating the same task over & over

Question 15

Enabling activity for Planning?

Answer 15

Put pictures of task in order

Question 16

Purposeful Activity for Planning?

Answer 16

Make a checklist of what is needed for the task

Question 17

Enabling activity for Problem Solving?

Answer 17

Play a game

Question 18

Purposeful Activity for Problem Solving?

Answer 18

Come up with solutions for multiple problems

Question 19

Enabling activity for Inductive Reasoning?

Answer 19

Ask what is wrong with a picture of a scene

Question 20

Purposeful Activity for Inductive Reasoning?

Answer 20

Ask questions about why we do parts of the task

Question 21

Treatment for Insight?

Answer 21

Ask them:

• If they think they can do it
• How are they doing during it
• Did they do as well as they thought afterwards