Geri midterm quiz questions Flashcards
You are working with a client named Tom who has recently underwent a Total Hip Replacement (Posterior Approach). Keeping in mind the common THR precautions s/p the posterior approach, which of the following tasks would be contraindicated as a result of the client’s precautions?
-The client raising their affected leg up to don their pants
Seven days’ s/p cardiac surgery a client is admitted to the skilled nursing facility that you work at. The clients chart has identified that the client may participate in activities that require 3.0-5.0 METs. In wanting to provide the client with an appropriate activity to engage in, within his current abilities, which of the following interventions would you choose?
-Have the client plant flowers in the raised garden bed while standing in the facilities courtyard
You are working with a client who is performing their morning ADL routine. You bend down to assist her in washing her R lower extremity and notice that she has an area on her calf that is swollen, red, and warm to the touch. You ask her about it and she informs you that it is very painful. You look at their L lower extremity and notice the same is not present on the L side. Although you as the OT cannot make a diagnosis, what is the next step you need to take?
-Assess her for Homan’s Sign as it may be a DVT, whether or not it is negative or positive inform nursing and/or the MD
Patient performs UB bathing with Max A secondary to decreased activity tolerance of 3-5 minutes.
PLOF for UB bathing: Independent
Using the information above, which of the following would be an appropriate STG for the patient:
- In 2 weeks patient will perform UB bathing with Mod A.
Mr. King whose stay is covered by Medicare Part A starts his day with an occupational therapist in his room to perform his morning ADL routine for 30 minutes. After 30 minutes Mr. King and the therapist go to the rehab gym to participate in a puzzle to address static standing balance for 15 minutes. *The skill of the therapist is required through the entire session.
Using the information above, how would you bill this session:
- 45 minutes of individual treatment: 30 minutes of Self-care/Home management: 97535 and 15 minutes of Therapeutic activities: 97530
Patient performs toilet transfer with Max A secondary to poor dynamic standing balance.
Toilet transfers PLOF: Supervision
Using the information above, which of the following would be an appropriate LTG for the patient:
- Patient will perform toilet transfers with Supervision in 4 weeks.
An Occupational Therapist provides therapy to Mr. Smith for 30 minutes. An occupational therapy graduate student out on Level II fieldwork (supervised by the occupational therapist), is treating Mr. Right at the same time for the same 30 minutes but Mr. Smith and Mr. Right are not doing the same or similar activities. Both Mr. Smith and Mr. Right’s stays are covered under the Medicare Part A benefit.
Using the information above, what therapy mode would you bill under for Mr. Smith:
- concurrent
You bring a client into a busy rehab gym to work on fine motor skills through the use of stringing beads. The client continually looks around the gym and comments on what the others are doing. In addition she asks you several times to repeat the directions. The client most likely has a deficit in this Basic Cognitive Process:
- Selective Attention
You are working with a client who is 74 years old who recently had a fall resulting in a Colles fracture. During the evaluation the client identifies her concern about getting older. In addition to her having a fear about a possible physical decline she also fears the possibility of a cognitive decline. She wants to know if you have any advice on how to optimize her intellectual and cognitive functioning. Which of the following would be the best response given what you know about optimizing cognitive abilities as individuals age?
-“If you want to optimize your cognitive abilities as you age it is recommended that you participate in physical activities, socially engage, and perform tasks that are mentally stimulating.”
An individual at Stage 5 of the FAST assessment for dementia would most likely be capable of:
- Dressing themselves if the appropriate clothes were set out for them
Which of the following is most likely an intervention you would use with an individual at Stage 7 on the GDS scale?
- Caregiver training in proper positioning for feeding
At which stage may a person start to ask the same question several times, have an increasingly difficult time managing their finances, and often receive an accurate diagnosis of Alzheimer’s disease?
- GDS: Stage 4
The client you are working with informs you that she has Macular Degeneration, which of the following would be the most difficult task for the client to perform during a treatment session due to this visual deficit:
-Playing cards to work on fine motor with the therapist sitting directly in front of her
During a therapy session you tell your client you are going to work on Eccentric viewing. Your client is skeptical about trying this approach as she is unaware of what it is and would like to know a bit more about it. Which of the following would be the best response to help her better understand?
-It is a technique that teaches you to use your peripheral vision by looking slightly away from the object you want to see
You are working with a client who has a diagnosis new of Glaucoma. Her husband comes in for a visit and wants to know more about the diagnosis. He asks you to provide examples as to what might be challenging for his wife upon her return home. Which of the following would be the best example to provide?
-She may have trouble seeing the dog come up along side her which may potentially cause a fall risk
