Human Occ II Final Flashcards
The nervous system, muscular system, and skeletal system interact to influence and produce movement. Disruption to any of these may result in motor control
dysfunction.
Answers.
True
False
true
The presence of tonus or muscle tension in the neck, trunk, and limbs is referred to as
Answer:
a. Postural tone
b. Primitive reflex
c. righting reaction
a. Postural tone
When muscles feel soft, there is no resistance to passive movement, and PROM is excessive, how is its tone best described?
Answers:
a. Hypertonic
b. Hypotonic
c. Rigidity has set in
d. Normal muscle tone
b. Hypotonic
Stereognosis is defined as:
Answers
a. The ability to identify objects through proprioception, cognition, and touch.
b. The ability to recognize numbers, letters, or forms written on the skin.
c. Awareness of body parts + position of the body and its parts in relation to themselves and the environment.
d. Unconscious information about joint position and motion arising from receptors in muscles, joints, ligaments, and bone.
a. The ability to identify objects through proprioception, cognition, and touch.
Because certain cognitive skills depend on others, they are evaluated in a particular order. Which of the following is listed in order of recommended progression of
Answers:
a. Attention, reasoning and problem solving, orientation
b. Orientation, attention, memory.
c. Memory, attention, orientation.
d. Executive functioning, orientation, memory.
b. Orientation, attention, memory.
During a hygiene activity, the OTA observes the patient overreaching for the toothpaste and knocking over the mouthwash. The OT should inform the OT supervisor that
the individual may have deficits related to:
Answers:
a, Dyssenergia
b Ataxia
c. Dysmetria
d. Atheoid movements
c. Dysmetria
An OTA is working in a home health setting and is teaching a patient’s family member about safe positioning and joint protection for an individual with hypotonia. The OTA
should emphasize the importance of:
Answers:
a. Adding a weight to the hypotonic U to improve muscle strength.
b. Stimulating specific muscle groups.
c. Using a sling or static splint at all times to prevent contractures from forming.
d. Preventing trauma to joint structures.
d. Preventing trauma to joint structures.
An OTA with 20 years of experience is asked to use neuromuscular electrical stimulation before having an individual prepare a light meal. The OTA should
Answers:
a. ask the occupational therapist to observe the treatment.
b. provide the procedure only if service competency has been established.
c. provide the procedure and document the results after the intervention.
d, ask the PT to administer the procedure.
b. provide the procedure only if service competency has been established.
During a meal preparation activity, the OTA observes that a patient cannot reach into a bag of potato chips without crushing the contents. The OTA should document problems related to:
Answers:
a. Atheoid movements
b. Incoordination
c. Dyssenergia
d. Ataxia
d. Ataxia
An OT is working with a patient who lacks thermal sensation and will be living alone. The OTA should plan intervention with a focus on:
Answers.
a. Compensatory strategies to avoid bums and precautions against injury in ADLs.
b. Ways to check water temperature before bathing.
c. Compensatory techniques to account for the loss.
d. Ways to monitor changes in sensation
a. Compensatory strategies to avoid bums and precautions against injury in ADLs.
An individual who uses a wheelchair is unable to detect pain sensations. The OTA should:
Answers:
a Encourage the individual to ambulate using a rolling walker to relieve pressure and avoid skin integrity issues
b. Educate and train the patient about the importance of repositioning and checking the skin for breakdown.
c. Suggest that the individual transfer to a sturdy chair with a back and armrests during meals.
d. Ask a family member to remind the individual to do pressure relief every 30 minutes.
b. Educate and train the patient about the importance of repositioning and checking the skin for breakdown.
An OT is developing a presentation for a head injury support group with a focus on sensory loss. The OTA should:
Answer
1. Educate the group about foods that are high in salt that may be easy to detect taste
2. Define hyposmia and parosmia to assist in identifying deficits.
3. Be aware that perceiving odors that do not exist may be an indicator of psychological problems.
4. Educate participants about safety issues related to diminished/absent smell and taste.
- Educate participants about safety issues related to diminished/absent smell and taste.
An OTA is working with an individual with a brain injury in a rehabilitation setting. During a homemaking activity, the individual puts the blankets on before the sheets and
laid the pillowcases on top of the pillows. This would indicate a deficit in:
Answers:
a. Body scheme
b. Right/Left discrimination
c. Agraphesthesia
d. Constructional apraxia
d. Constructional apraxia
An OT is contributing to evaluating and individual with cognitive deficits. During the evaluation, the individual has difficulty identifying family members and what state they
reside in. The OTA should:
Answers:
a. Provide multiple cues to assist in orienting the patient
b. Ask the occupational therapist to reevaluate the individual to ensure accuracy
c. Document the disorientation observed and provide assistance only when needed
d. Withhold cues even if the individual becomes frustrated
c. Document the disorientation observed and provide assistance only when needed
An individual with stroke is not able to complete the task of looking up a number in the telephone book while the OT asks her a question. This individual may have
deficits in
Answers:
a. Focused attention
b. Declarative memory
c. Divided attention
d. Executive functioning
c. Divided attention
An OT is working with an individual in a rehabilitation setting. While in the cafeteria, the patient cuts in line in front of other people. This individual may be experiencing
deficits in:
Answers
a. selective attention
b. Declarative memory
c. Problem solving
d. Semantic memory
d. Semantic memory
An OTA is working with an individual in a home health setting. The family reports that the individual can remember details from a fishing trip from 2 years ago but, cannot
remember the names of family members. The OTA suspects that the individual may have deficits in:
Answers:
a. Working memory but, long-term memory is intact
b. Both declarative and semantic memory
c. Everyday memory but, long-term memory is intact
d. Long-term memory but, perspective memory is intact
a. Working memory but, long-term memory is intact
An individual with a head injury is nearing their discharge date and has consistently exhibited unsafe behavior and is unable to make decisions in response to the environment. The OTA should:
Answers:
a Notify the occupational therapist, who will perform appropriate evaluations to determine deficits
b. Document the observations and continue observing the individual during functional tasks
c. Simulate unsafe situations and monitor the individual closely during treatment
d. Discuss with the family the patient’s potential need for 24 hour supervision in the home environment for safety
d. Discuss with the family the patient’s potential need for 24 hour supervision in the home environment for safety
An OTA is working with an individual who enjoys listening to music. The individual is able to turn on a CD player and insert a CD but does not attempt to find a solution when there is no music. This individual may have deficits in:
Answers:
a. Sequencing
b. Problem solving
c. Impulsivity
d. Abstract thinking
b. Problem solving
Clients in this stage may “talk through” motor steps
Matching:
A. Autonomous
B. Cognitive
C. Associative
B. Cognitive
Clients in this stage do not consciously think about steps in the motor sequence
Matching
A. Autonomous
B. Cognitive
C. Associative
A. Autonomous
Clients in this stage make connections between current motor tasks and prior experiences
Matching
A. Autonomous
B. Cognitive
C. Associative
C. Associative
Which of the concepts or stages noted above is seen first in an individual laming or relearning a motor skill?
Answer:
A Associative
B. Autonomous
c. Cognitive
c. Cognitive
Which concept or stage is seen as the next progression?
Answers:
A. Associative
B. Autonomous
C. Cognitive
A. Associative
What is the final stage of this progression?
Answers:
A. Associative
B. Autonomous
C. Cognitive
B. Autonomous
The client practices the entire task at one time.
Matching:
A. Whole learning
B. Pure part learning
C. Whole to part to whole learning
D. Progressive part learning
A. Whole learning
The client practices a part of the task within the context of the entire task.
Matching:
A. Whole learning
B. Pure part learning
C. Whole to part to whole learning
D. Progressive part learning
C. Whole to part to whole learning
The client practices a motor skill that generalizes to other tasks or areas of performance.
Matching:
A. Whole learning
B. Pure part learning
C. Whole to part to whole learning
D. Progressive part learning
B. Pure part learning
The client practices procedural programs or steps to complete the task.
Matching:
A. Whole learning
B. Pure part learning
C. Whole to part to whole learning
D. Progressive part learning
D. Progressive part learning
Motor learning skills occur in the following sequence:
Answers:
A Refinement, retention, acquisition
B. Acquisition, refinement, retention
C. Retention, refinement, acquisition
B. Acquisition, refinement, retention
This stage of motor learning is characterized by the client demonstrating inconsistent and inefficient motor behavior.
Answers:
A. Refinement
B. Acquisition
C. Retention
B. Acquisition
The block (massed) practice method of motor learning
Answers.
A Provides limited learning and generalization
B. Improves motor performance quickly
C. Requires the client to repeat patters of movement
D. All of the above
D. All of the above
Which of the following concerning practice methods is correct?
Answers:
A. Blocked practice leads to slower motor learning with less functional gain
B. Blocked practice leads to faster motor learning with more functional gain
C. Random sequence practice leads to slower motor learning with more functional gain
D. Random sequence practice leads to faster motor learning with less functional gain
C. Random sequence practice leads to slower motor learning with more functional gain
The two types of extrinsic feedback are knowledge of:
Answers:
A Task and performance
B. Performance and results
C. Results and skills
D. Task and skills
B. Performance and results
In a physical dysfunction setting, the main purpose of an instructional group is to:
Answers:
A. Encourage social interaction and group dynamics
B. Focus on task performance with others with similar deficits
C. Improve psychosocial skills for group interaction
D. Provide individual feedback for problem solving
B. Focus on task performance with others with similar deficits
During an initial dressing session with a hemiplegic patient, the OT practitioner has the patient adjust his shirt himself after donning with assistance from the OTA
throughout all preceding steps. The practitioner is using:
Answers:
A Backward chaining
B. Forward chaining
C. Hemi-dressing technique
D. Just right challenge
A Backward chaining
In order of occurrence, 4 steps of instruction are:
Answers:
A. Preparation, demonstration, return demonstration, follow up
B. Demonstration, return demonstration, follow up, preparation
C. Follow up, demonstration, return demonstration, preparation
D. Return demonstration, demonstration, preparation, follow up
A. Preparation, demonstration, return demonstration, follow up
The purpose of guiding during motor learning is to:
Answers:
A Correct mistakes in coordination
B. Provide familiar sensory input
C. Provide verbal cues
D. Teach compensatory motor patterns
B. Provide familiar sensory input
ADL’s
Matching
A. meal preparation, shopping, managing finances, etc.
B. Engaging in the community and among friends, family, peers, and coworkers
C. grooming, bathing, dressing, etc.
D. elements of choice and creativity that are done for personal pleasure, relaxation, and amusement
E. employment for pay and other productive activities
F. Sleep, rest, and overall health
C. grooming, bathing, dressing, etc.
lADL’s
Matching
A. meal preparation, shopping, managing finances, etc.
B. Engaging in the community and among friends, family, peers, and coworkers
C. grooming, bathing, dressing, etc.
D. elements of choice and creativity that are done for personal pleasure, relaxation, and amusement
E. employment for pay and other productive activities
F. Sleep, rest, and overall health
A. meal preparation, shopping, managing finances, etc.
Occupations of work
Matching
A. meal preparation, shopping, managing finances, etc.
B. Engaging in the community and among friends, family, peers, and coworkers
C. grooming, bathing, dressing, etc.
D. elements of choice and creativity that are done for personal pleasure, relaxation, and amusement
E. employment for pay and other productive activities
F. Sleep, rest, and overall health
E. employment for pay and other productive activities
Play and leisure
Matching
A. meal preparation, shopping, managing finances, etc.
B. Engaging in the community and among friends, family, peers, and coworkers
C. grooming, bathing, dressing, etc.
D. elements of choice and creativity that are done for personal pleasure, relaxation, and amusement
E. employment for pay and other productive activities
F. Sleep, rest, and overall health
D. elements of choice and creativity that are done for personal pleasure, relaxation, and amusement