OT Practice- Incontinence Flashcards
Which factor can contribute to urinary incontinence in older adults?
A) Medication interactions
B) High protein intake
C) Physical exercise
D) Regular sleep patterns
A) Medication interactions
What would be the first clinical approach for an OT to address urinary incontinence in an elderly client?
A) Assess the client’s cognitive ability to understand bladder training
B) Provide incontinence products immediately
C) Perform pelvic floor exercises with the client
D) Teach caregivers about the importance of hydration
A) Assess the client’s cognitive ability to understand bladder training
Which clinical strategy can help older adults manage stress urinary incontinence?
A) Increasing fluid intake before bed
B) Strengthening pelvic floor muscles with exercises
C) Reducing mobility to prevent accidents
D) Avoiding physical activities
B) Strengthening pelvic floor muscles with exercises
Which type of incontinence is most likely caused by physical exertion or movement, and how can OTs intervene?
A) Stress incontinence; by recommending pelvic floor exercises
B) Overflow incontinence; by encouraging dietary changes
C) Urge incontinence; by avoiding fluid intake
D) Functional incontinence; by suggesting medication
A) Stress incontinence; by recommending pelvic floor exercises
Incontinence management often includes bladder training. What is a primary goal of this intervention?
A) Decrease fluid intake during the day
B) Extend the time between voiding and create a schedule
C) Increase the number of pads used per day
D) Encourage more frequent bathroom visits
B) Extend the time between voiding and create a schedule
Which strategy might an OT suggest to manage functional incontinence in a client with limited mobility?
A) Use of adaptive equipment such as a bedside commode
B) Reduce fluid intake during the day
C) Avoid engaging in daily activities
D) Increase the client’s physical activity level
A) Use of adaptive equipment such as a bedside commode
Which of the following conditions may contribute to overflow incontinence in older adults?
A) Urinary tract infection
B) Bowel obstruction
C) Enlarged prostate in men or constipation in both genders
D) Muscle fatigue
C) Enlarged prostate in men or constipation in both genders
Which occupational performance issue is most commonly associated with urinary incontinence in older adults?
A) Increased fall risk
B) Decreased cognitive function
C) Impaired mobility
D) Loss of social engagement
D) Loss of social engagement
How can an OT help manage incontinence in older adults living in long-term care facilities?
A) By implementing scheduled voiding programs
B) By restricting fluid intake
C) By recommending physical restraints
D) By encouraging longer bed rest
A) By implementing scheduled voiding programs
What is a key goal of pelvic floor exercises prescribed by an OT for managing incontinence?
A) Strengthening pelvic muscles to improve bladder control
B) Enhancing cardiovascular endurance
C) Reducing the need for assistive devices
D) Increasing range of motion in the lower extremities
A) Strengthening pelvic muscles to improve bladder control
What psychological impact might urinary incontinence have on older adults, and how can OTs address it?
A) Feelings of embarrassment and social withdrawal; address through emotional support and adaptive strategies
B) Improved self-esteem; focus on maintaining independence
C) Increased confidence; focus on muscle strengthening
D) Enhanced social interaction; focus on increasing activity
A) Feelings of embarrassment and social withdrawal; address through emotional support and adaptive strategies
Which environmental modification can assist older adults with incontinence in managing their condition?
A) Removing bathroom rugs to prevent slipping
B) Installing a raised toilet seat for ease of transfer
C) Limiting access to the bathroom
D) Increasing the height of the bed
B) Installing a raised toilet seat for ease of transfer
What should an OT consider when creating a toileting schedule for an elderly client with urge incontinence?
A) Encourage voiding before the urge becomes strong
B) Increase the time between bathroom visits
C) Reduce fluid intake to prevent accidents
D) Focus on voiding immediately after drinking fluids
A) Encourage voiding before the urge becomes strong
How does stress incontinence typically occur in older adults?
A) It is caused by increased pressure on the bladder during physical activities such as coughing or lifting
B) It is a result of emotional stress and anxiety
C) It is due to a lack of fluid intake
D) It is related to prolonged immobility
A) It is caused by increased pressure on the bladder during physical activities such as coughing or lifting
n a skilled nursing facility, which intervention would an OT use to improve urinary continence?
A) Introduce pelvic floor strengthening exercises
B) Recommend a high-protein diet
C) Decrease the client’s fluid intake
D) Refer the client to a urologist
A) Introduce pelvic floor strengthening exercises
What is the primary benefit of bladder training programs in older adults with incontinence?
A) Increases fluid retention
B) Promotes scheduled and controlled voiding patterns
C) Reduces the need for incontinence products
D) Encourages more frequent trips to the bathroom
B) Promotes scheduled and controlled voiding patterns
Which clinical condition commonly leads to functional incontinence in older adults?
A) Cognitive impairments such as dementia
B) Physical impairments such as arthritis
C) Both cognitive and physical impairments
D) Mental health disorders
C) Both cognitive and physical impairments
In addressing urinary incontinence in a clinical setting, which cognitive strategy can an OT employ?
A) Bladder training to increase intervals between voiding
B) Mental relaxation techniques to distract from urgency
C) Encouraging clients to avoid public restrooms
D) Limiting fluids before therapy sessions
A) Bladder training to increase intervals between voiding
What is the role of adaptive equipment in managing incontinence for older adults with limited mobility?
A) To reduce the need for physical therapy
B) To promote independence in toileting activities
C) To prevent accidents by limiting fluid intake
D) To replace physical interventions
B) To promote independence in toileting activities
Which of the following is an effective OT intervention for preventing nighttime incontinence in older adults?
A) Encouraging clients to limit fluid intake in the evening
B) Increasing activity during the day
C) Recommending medication management
D) Encouraging frequent daytime napping
A) Encouraging clients to limit fluid intake in the evening
What is a key sign that an older adult might be experiencing overflow incontinence?
A) Constant dribbling of urine without full bladder emptying
B) Strong and frequent urges to urinate
C) Complete inability to urinate
D) Incontinence only during physical activity
A) Constant dribbling of urine without full bladder emptying
Why might functional incontinence occur in an older adult with arthritis?
A) Difficulty reaching the toilet due to limited mobility
B) Loss of cognitive function
C) Increased bladder control
D) Reduced fluid intake
A) Difficulty reaching the toilet due to limited mobility
What role does pelvic floor muscle training play in the management of stress incontinence?
A) It helps strengthen the muscles that control urination
B) It reduces the frequency of bladder infections
C) It prevents dehydration
D) It limits the need for physical activity
A) It helps strengthen the muscles that control urination
Which factor increases the risk of falls in older adults with urinary incontinence?
A) Frequent rushing to the bathroom, especially at night
B) Increased fluid intake during therapy
C) Using assistive devices for mobility
D) Reduced physical activity
A) Frequent rushing to the bathroom, especially at night
How can an OT help older adults with incontinence maintain dignity and independence?
A) Provide education on bladder management techniques and adaptive equipment
B) Recommend isolation to prevent accidents
C) Limit the client’s physical activity
D) Increase reliance on caregivers for all toileting needs
A) Provide education on bladder management techniques and adaptive equipment
