Quizzes (final) Flashcards

1
Q

John is a 78 year old male with mild pain secondary to arthritis and major depression. Recent testing is WNL for all cognitive and mobility tests. He has lost interest in maintaining personal care, often decides not to eat meals, and has mentioned that his personal health and wellness have declined in the last year. As a therapist, you determine a primary reason for this decrease is likely due to:

a. cognition
b. self-neglect
c. acute pain from the arthritis
d. poor mobility

A

b. self neglect

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2
Q

The following types of models emphasize the person-environment fit in promoting competence in self-care and other activities

a. ecological models
b. psychodynamic models
c. biomechanical models
d. cognitive behavioral models

A

a. ecological models

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3
Q

when developing goals related to home management, it is most important for occupational therapists to consider:

a. decreasing the amount of care partner involvement in IADLs
b. Maximizing the client’s independence in IADLs
c. the client’s desired level of particiaption in AIDLs
d. the potential cost of environmental adaptations

A

c. The client’s desired level of participation in IADLs

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4
Q

Understanding social determinants of health and their impact on an older adult’s home management is important. Which choice is an example of a social determinant of health?

a. a safe neighborhood
b. ability to cook
c. ability to walk
d. ability to communicate

A

d. ability to communicate

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5
Q

An older adult client with sleep disturbances verbalizes requiring the television to fall asleep each night; otherwise, they are unable to sleep. In your OT session, you choose to focus on addressing their thoughts around the television, the behavior of leaving the television on, and introducing new positive strategies instead of the television. What interventions did you complete with this cllient?

a. sleep hygiene education
b. environmental modifications
c. multicomponent interventions
d. chronic disease self-management

A

a. sleep hygiene education

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6
Q

Which statement best describes how the Person-Environment-Occupation-Performance (PEOP) model and
Ecological Models guide home modifications for individuals with disabilities?

a. The PEOP model emphasizes only the person’s abilities without considering the environment, while Ecological Models focus solely on modifying the environment to improve performance.
b. The PEOP model is used exclusively for evaluating physical environments, while Ecological Models are employed only for assessing social environments.
c. Both the PEOP model and Ecological Models assess the interaction between a person’s abilities, the environment, and their occupations to determine appropriate home modifications that enhance performance and participation.
d. The PEOP model recommends home modifications that solely address the person’s preferences, whereas Ecological Models focus on adapting the home environment without considering the person’s needs.

A

C

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7
Q

An example of a primary prevention strategy to address caregiving that could be used in v occupational therapy practice would be which of the following?

A

Presenting at a local health fair to middle-aged adults about future caregiving roles

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8
Q

The relationship of a caregiver to the care recipient can vary, but most caregivers care for which of the following?

A

parent/parent-in-law

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9
Q

An older adult falls and fractures their hip, leading to a family member suddenly having to initiate a
caregiving role for them. What degree of control would there be in this situation?

A

Unpredictable

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10
Q

There is a rising prevalence of family caregivers for older adults. Which of the following trends are not affecting the rising prevalence?

A

Families have less money to pay for nursing home care

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11
Q

Which of the following is a component of the independent Living Scales (ILS)

a. communication skills
b. sub-scales for daily living tasks
c. emotional regulation
d. mobility assessment

A

B

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12
Q

Since finding his mother’s home unlocked in the evening on multiple occasions, a son is concerned about her working memory and safety. What is the best recommendation at this time?
a. Move his mother to an assisted living facility
b.Install remote door locks and cameras at his mother’s home
C.Move his mother to his own home
d.Purchase a social-care robot for his mother

A

B

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13
Q

The use of the Caregiver Hospital Assessment Tool (CHAT) to include caregivers in the hospital discharge process is best supported by which of the following state or federal policies?
a. Credit for Caring Act
b. Caregiver Advise, Record, Enable (CARE) Act
C.Family and Medical Leave Act
d.Caregivers and Veterans Omnibus Health Services Act

A

B

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14
Q

The WHO identifies healthy aging as an important goal related to health and wellness in older adulthood. It encompasses the individual’s ability to engage in meaningful occupations. Which of these is a functional ability that enables healthy aging?
a. Care for pets
b.Range of motion
c. Mobility aids
d. Contributing to society

A

D

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15
Q

The total pain model is:
a. A central organizing concept for hospice and palliative care
b. A medical model for monitoring physical pain
c. A questionnaire used in pharmacology

A

A

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16
Q

What is one of the key purposes of evaluating functional and occupational performance in older adults?

Question 1Answer

a.
To determine health literacy

b.
To diagnose medical conditions

c.
To educate on medication adherence

d.
To guide occupational therapy services

A

D

17
Q

Which assessment tool is specifically mentioned for evaluating cognitive function in older adults?

Question 2Answer

a.
Berg Balance Scale

b.
Rapid Geriatric Assessment

c.
Montreal Cognitive Assessment

d.
Functional Activities Questionnaire

A

C

18
Q

Which theoretical model focuses on the engagement and performance of individuals in their occupations?

Question 3Answer

a.
Canadian Model of Occupational Performance and Engagement

b.
Kawa Model

c.
Person-Environment-Occupation-Performance Model

d.
Model of Human Occupations

A

A

19
Q

What approach considers the overall context and occupational performance when choosing assessment tools?
Question 4Answer

a.
Functional

b.
Mixed

c.
Bottom-up

d.
Top-down

A

D

20
Q

What assessment is commonly used in Skilled Nursing Facilities (SNF) to evaluate the functional status of residents?

Question 5Answer

a.
Outcome and Assessment Information Set (OASIS-E)

b.
AM-PAC

c.
Patient Assessment Instrument (PAI)

d.
MDS – OBRA Assessments

A

C

21
Q

What specific issue related to evaluation needs to be considered due to its prevalence in older adults?

Question 6Answer

a.
Employment history

b.
Educational background

c.
Sensory changes with aging

d.
Driving history

A

C

22
Q

Considers the overall context and occupational performance when choosing assessment tools

A

Top-down approach

23
Q

A key area of functional and occupational performance to be assessed in older adults

A

leisure activities

24
Q

Focuses on the engagement and performance of individuals in their occupations

A

COPM

25
Q

Important ethical consideration in the evaluation of older adults

A

psychometric properties

26
Q

A cognitive assessment tool used for evaluating cognitive function in older adults

A

MoCA

27
Q

Which aspect of the Kettle Test is essential for understanding its overall purpose?

Question 8Answer

a.
Tasks

b.
Validity and Reliability

c.
Scoring

d.
General Information

A

D

28
Q

What is a critical consideration when administering the Cognitive Performance Test (CPT)?

Question 9Answer

a.
The patient should perform the test without any assistance or supervision

b.
The administration time should not exceed 30 minutes

c.
The props provided with the kit must not be substituted with alternative objects

d.
The test should be conducted at the patient’s bedside

A

C

29
Q

Which of the following cognitive functions does the Saint Louis University Mental Status Exam (SLUMS) assess?

Question 10Answer

a.
Language, problem-solving, social skills, and motor skills

b.
Visual-spatial skills, hearing, emotional regulation, and sensory processing

c.
Reading comprehension, writing skills, numerical reasoning, and decision-making

d.
Orientation, memory, attention, and executive functioning

A

D

30
Q

The Continuity Assessment Record and Evaluation (CARE) tool is used for assessments in which setting?

Question 11Answer

a.
All of the above

b.
Long-Term Care Hospital (LTCH)

c.
Home Health Agency (HHA)

d.
Skilled Nursing Facility (SNF)

A

A