Summary Questions Flashcards
An individual consistently confuses white glue with white grout during an activity. Which of the following actions would the COTA implement to remain consistent with an activity adaptation approach?
Replace the white glue for blue glue.
An individual with the goal of increasing attn span is frequently observed watching the person next to her instead of performing the assigned task. This behavior MOST likely indicates a problem with?
Distractibility
A COTA is working with a group of pts who have orientation deficits resulting from TBI. Using an adaptive or compensatory approach, the MOST appropriate interventions would be to?
Provide verbal cues, external aids such as calendars/family pics, and opportunities to practice using external aids.
Which of the following is the MOST effective way for a COTA to structure the intervention environment for a pt who exhibits seductive or sexual acting out behavior?
Provide a large area of personal space where the person is protected from physical contact with others.
The COTA is working with a pt after a TBI at RLA Level IV in Acute Rehab. The pt is agitated and confused as well as confrontational. The pt participates for only a few sec or min in basic ADLs such as oral/facial hygiene, hair grooming, and dressing. They are not thorough in their efforts. What is the BEST way for the COTA to present OT interventions for this pt?
Structure the tasks one at a time, with break betw each one, in a distraction-free space, using single-step commands and allow for increased processing time.
When working with pts after a TBI the COTA must be aware of any visual impairments. The pt can undergo a vision “screening” which should include which of the following?
Visual attn, near/far acuity, ocular movements, convergence, accommodation, ocular alignment, depth perception, and visual field function.
When working with individuals with TBI it is common to encounter varying muscle tone; hypotonicity in the shoulder and hypertonicity in the elbow, wrist and hand. What can the COTA do to prevent muscle CONTRACTURE?
Daily PROM, positioning and splinting.
Which of the following is one of the most difficult psychosocial sequelae of TBI?
Self-concept.
An individual the COTA is treating with a TBI needs only one verbal cue to initiate oral hygiene. That individual continues to brush his teeth in only one area until told to move to another, and another. This impairment is called?
Perseveration.
The pt you are treating in the Acute Rehab Brain Injury Unit demonstrates poor safety awareness and impaired judgement. These are often the result of damage to which area of the brain?
Frontal Lobe.
You are treating an individual after a femur fracture and the physician’s orders state “non-weight bearing RLE.” This individual has only a tub/shower in the home. What adaptive equipment is NECESSARY for independence in bathing?
Tub Transfer Bench.
After spine surgery, such as lumbar laminectomy, OTPs will alter methods for ADLs by teaching adaptive techniques. We may also choose to use adaptive equipment. Please select the best possible choice given the example of a 55 year old male, plumber, and tennis player, married with 3 young children, and active in his community.
Use figure 4 technique to don socks and shoes.
What should OTP include in pt education for the scenario of a 55 year old male post laminectomy, who was a plumber, tennis player, married father of 3, and active in his community?
Proper Body Mechanics.
You have a pt that is post-op total hip replacement with a very large body habitus (bariatric). The physician’s orders state “no hip flexion beyond 90 degrees, no internal rotation, and no crossing legs.” What is the BEST method to complete toileting and peri hygiene?
Set up commode over the toilet and recommend a toilet tissue holder or bidet.
An individual in the hospital after a total knee replacement has physician’s orders to “weight bear as tolerated, encourage AROM, and no brace.” What is the BEST method for lower body bathing and dressing?
Prop the operated leg on a stool and have the pt don underwear, pants, and socks, then stand to pull up over hips.
The OTP is treating an individual after THR in a SNF. The individual’s goal is to return to cooking once d/c from the facility. What modification is BEST for safe return to cooking?
Keep commonly used items at counter top level to avoid reaching into low cabinets and drawers.
The OTP is working with a pt after a lumbar laminectomy and educated on no bending, lifting, or twisting during ADL participation. How will the OTP KNOW when the pt has sufficiently learned these concepts?
Demonstration of ADL participation within the stated precautions.
An individual in the hospital has a LLE femur fracture and left distal radius fracture (Colles) after a fall. The physician’s orders state “non-weight bearing left wrist and LLE.” What device is BEST to use when engaging in functional mobility?
Platform walker on left side.
An individual is seen by OT after a THR. The individual has beginning stages of dementia. What is the MOST effective way of ensuring they can follow their precautions?
Place a handout with pictures and text of what to do and what to avoid.
The goals of an elective total knee replacement are to decrease pain, increase AROM and strength, and return to independence with ADL and IADL participation. What MUST the OTP complete to ensure the individual’s goals are addressed?
Occupational Profile.
A person status post CVA has difficulty using his left upper extremity for reaching activities because of fluctuating muscle tone. According to the NDT approach, one of the MOST effective ways to teach the pt how to normalize tone prior to engaging in occupations is by:
Weight bearing through the UE in sitting or standing.
You are seeing a pt post-stroke in the home and she is progressing well with functional reach using the left arm. What are the BEST activities to include in the home exercise program to ensure continued progress?
Folding laundry and putting away in the linen closet shelf just above shoulder height.
A pt who suffered a stroke is copying a picture of a clock. The drawing appears as a lopsided circle with a flat side on the left. The numbers one-eight are written in numerical order around the right side. The hands are correctly drawn to represent 3:00. The pt appears to demonstrate:
Left unilateral neglect.
You are seeing a hospitalized pt post hemorrhagic stroke with a flaccid left hemiplegia, left neglect, and absent sensation throughout the affected LUE. The pt is right-handed. What is the BEST method for self-feeding to ensure success and include the affected limb?
Long sitting in bed with a tray table positioned in midline with the LUE acting as a stabilizer.
