OTP 3 Flashcards
When fabricating an orthotic device for an individual with rheumatoid arthritis, which type of orthosis is MOST appropriate for the purpose of resting the joints, decreasing pain, and preventing contractures?
A. MP joint orthosis.
B. Wrist stabilization.
C. Ulnar drift positioning.
D. Resting hand orthosis.
D. Resting hand orthosis.
An individual with COPD has identified a long-term goal of being able to shop independently for groceries. Which statement is the BEST short-term goal for this individual?
A. Individual will purchase 10 items at the supermarket with supervision.
B. Individual will cook a one-dish meal with items purchased at the supermarket.
C. Individual will identify food items needed for developing a shopping list.
D. Individual will learn energy-conservation techniques that apply to grocery shopping.
Individual will purchase 10 items at the supermarket with supervision.
An individual with Parkinson disease is at risk for aspiration. When instructing the primary caregiver in proper positioning during feeding, the OT should recommend:
A. feeding the individual in bed in a supine position.
B. seating the individual upright on a firm surface with the chin slightly tucked.
C. positioning the individual in a semireclined position in a reclining chair.
D. providing food to the individual in bed in a side-lying position.
B. seating the individual upright on a firm surface with the chin slightly tucked.
An OT is instructing an individual how to perform stand-to-sit transfers after a total hip replacement (posterolateral approach). Prior to sitting down from a standing position, the therapist should instruct the individual to:
A. extend the operated leg forward, reach back for the armrests, then slowly sit.
B. extend the nonoperated leg forward, reach back for the armrests, and slowly sit.
C. extend the operated leg forward, hold the walker securely, and slowly sit.
D. extend the nonoperated leg forward, reach back for the armrest with one hand while holding the walker securely with the other, and slowly sit.
A. extend the operated leg forward, reach back for the armrests, then slowly sit.
An OT is instructing an individual with COPD in energy conservation techniques. Which should the OT recommend to limit the amount of energy expended during bathing?
A. Using a reacher to retrieve and place items.
B. Showering on a tub bench while incorporating rest breaks.
C. Using a bath mitt while bathing.
D. Encouraging the use of proper body mechanics.
B. Showering on a tub bench while incorporating rest breaks.
The OT is working on feeding skills with an individual with amyotrophic lateral sclerosis who is in the late stages of the disease process. Which is the MOST appropriate intervention for this individual?
A. Provide a rocker knife, plate guard, and nonskid mat.
B. Implement a pureed diet and allow adequate time for eating.
C. Emphasize upper extremity strengthening.
D. Minimize the use of adaptive equipment.
B. Implement a pureed diet and allow adequate time for eating
An individual with ALS swims three times a week to maximize strength and endurance. Initially able to swim for only 10 minutes, the individual is now able to swim 20 minutes without becoming fatigued. What is the NEXT step to take to increase endurance?
A. Continue the program of swimming 20 minutes, three times a week.
B. Decrease swimming frequency to two times a week.
C. Increase swimming time to 25 minutes or to tolerance.
D. Provide adaptive equipment that will enable the individual to swim using less energy.
C. Increase swimming time to 25 minutes or to tolerance.
A multidisciplinary team is conducting a needs assessment to develop a falls prevention program for the frail hospital population. The MOST likely section of the needs assessment for the OT to perform would be:
A. analysis of statistical data on the number of falls occurring each year.
B. environmental hazard analysis and falls risk during performance of ADL.
C. evaluation of gait and mobility device use of those at high risk for falls.
D. assessment of medication impact on fall incidence
B. environmental hazard analysis and falls risk during performance of ADL.
Evaluation results for a person with arthritis will MOST accurately reflect true functional abilities if scheduled to take place at what time of day?
A. Early morning (8:00 a.m. to 10:00 a.m.).
B. Afternoon and evening.
C. Late morning (10:00 a.m. to 11:00 a.m.).
D. Early morning and again at another time of day.
D. Early morning and again at another time of day.
An OT who needs to transfer a morbidly obese man is not confident that it can be managed by one person. The BEST action for the practitioner to take is to:
A. use proper body mechanics.
B. request that a PT perform the transfer.
C. ask another person for assistance.
D. refrain from transferring the patient.
C. ask another person for assistance.
An individual is being discharged from inpatient rehabilitation following a CVA. The individual requires minimal assistance in ADLs, is independent in transfers, demonstrates continuing improvement in RUE function, and plans on eventually returning to work. What is the MOST likely recommendation for continued OT?
A. Home health services.
B. An outpatient program.
C. A work-hardening program.
D. Discontinuation of services.
B. An outpatient program.
When evaluating an individual with dysphagia for motor problems associated with swallowing, the OT should look for:
A. coughing or choking.
B. disorientation or confusion.
C. pain while swallowing.
D. decreased smell and taste.
A. coughing or choking.
An individual in overall good health has expressed the overarching goal to remain “as functional and independent as possible” after recently being diagnosed with osteoarthritis of the upper and lower extremities. Using a client-centered approach to prevent further complications, what is the OT MOST likely to recommend to this client?
A. Lifting weights three times a week for 1 hour.
B. Listening to relaxation tapes three times a week before bedtime.
C. Vocational retraining.
D. Low-impact aerobics three times a week for 1 hour.
D. Low-impact aerobics three times a week for 1 hour
An OT is instructing an individual with arthritis how to maintain functional range of motion while performing household activities. Which activity will MOST effectively accomplish this goal?
A. Use short strokes with the vacuum cleaner.
B. Keep elbow flexed when ironing.
C. Place lightweight objects on low shelves.
D. Use a dust mitt to keep fingers fully extended.
D. Use a dust mitt to keep fingers fully extended.
An individual who had total hip arthroplasty (posterolateral approach) is working on independence in lower extremity dressing. Which instruction is MOST important to convey to this individual regarding safety?
A. Sit during dressing activities.
B. Avoid internal rotation and adduction of the involved hip.
C. Use a long-handled shoehorn and dressing stick.
D. Wear shoes with elastic laces.
B. Avoid internal rotation and adduction of the involved hip.
