TEST 1 Flashcards

1
Q

All of the following are diagnosis that would most likely qualify for a complex power wc
except

A

Alzheimer’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When considering cushions, all of the following are benefits of a foam cushion as
opposed to an air cushion except:

A

Wound prevention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The type of WC most likely to be used by a client with paraplegia to allow for lightweight self-transportation would be:

A

○ Rigid frame chair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Seat-to-footpalte length that is too long bilaterally will likely result in the following
posture:

A

Sacral sitting and increase risk of skin breakdown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

● Seat height for a hemi or low seat chair is _____ to allow the client more contact with the ground to assist with w/maneuvering the chair with the unaffected lower extremity

A

○ 17.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

● According to Cook and Hussey, what should be the first area addressed when positioning an individual

A

○ Pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The front edge of the wheelchair seat should end how many inches from the lower leg
when the knee is in a position of 90 degrees of flexion?

A

○ 2-3in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A client with limited ability to weight shift will benefit MOST from the following wheelchair features

A

○ Tilt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Front rigging on a wheelchair with a footplate and calf pad support is called:

A

○ Leg Rest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A non-slip surface, rolled towel, and blocks for feet are low-tech examples of assistive technology in which of the following are areas of need?

A

○ Seating and positioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which of the following BEST defines assistive technology as it relates to a student with
down syndrome?

A

○ A type of adaptation, device, equipment or material that improves the ability to
learn and complete tasks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CRTS stands for Certified rehab technology supplier and are experts in adaptive seating
and positioning

A

○ True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

An individual who has a spinal cord injury utilizes modified eating utensils and a pencil with a rubber gripper to assist with taking notes in class. These are examples of:

A

○ Low tech modifications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which of the following would be considered high tech self feeding device

A

○ Obi robotic arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which of the following would most likely be used by a client w/later stage ALS?

A

○ Tobii Dyanox

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The following AE or technique would MOST likely be beneficial for a client in a SNF with stage 2 dementia and low vision attempting to engage in self-feeding trial:

A

○ Staff education on the “clock technique”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A client w/R CVA is preparing for DC from short term rehab stay. The client presents UE
and R LE flaccid tone, pain 8/10 in R shoulder. Which devices or techniques would be
appropriate to consider recommending for this client to be able to dress himself
independently

A

○ Hemi-dressing techniques, reacher, dressing stick

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

A COTA is working toward service competency for adaptive feeding equipment
instruction. Which would the OTR BEST establish service competency?

A

○ Compare outcomes by rating the same client’s performance with the adaptive
equipment at the same level of independence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The following shows the correct progressive order of weight bearing precautions from
most to least restrictive

A

○ NWB, TTWB, PWB, WBAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When are you selecting an assistive technology tool for a student ____.

A

○ Lowest tech device possible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

You are seeing a client that is R UE dominant and recently suffered a CVA. He presents with the following: L hemiplegia, poor balance, left side neglect and pain in his left shoulder due to subluxation. Which of the following is the most appropriate consideration for this client when addressing self-feeding?

A

○ Non-slip deep-dish divided plate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

To determine the appropriate width of a standard manual wc, one should measure the
aspect of the patient’s hips or thighs and add 2 in.

A

○ True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When measuring for appropriate armrest height, the therapist should not consider the
thickness of the cushion in the measurement

A

○ False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What type of medical record in which all disciplines document in reference to determine list of client issues is termed:

A

○ SOMR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

When treating a client for the first time, you must orient the client to all of the following
except:

A

○ The cost of each procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Which of the following statements is most appropriate for the “A” section of a SOAP
note?

A

○ The client was able to ambulate 10 ft further than yesterday, based on this improvement and her reports of improvement, it is likely she will meet her expected discharge date in one week.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Doorways to accessible spaces should be a minimum of how many inches wide?

A

○ 32in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

You have just seen a rather difficult patient for a dressing skills group, the patient did not
like you and was not cooperative. He was unable to complete any of the tasks because
he did not want to work with you. Based on this information your best course of action
would be:

A

○ Engage in active listening and attempt to redirect and then refer to another
therapist.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

You have just received a referral to evaluate and treat for “walker usage and ADL’s” for a
client following a fracture, she is to be non-weight bearing on the right hip for 3 weeks.
During the interview process the client explains that she does not want to use a walker
and “look like an old lady.” Which of the following is the best response/

A

Explain to her that you have to follow the doctor’s order and she could endanger
her surgical success if she doesn’t use the walker

30
Q

All of the following are part of the patient/client management process except:

A

○ Assessment

31
Q

You are treating a client following a spinal cord injury, he brings his gf w/him to therapy
today. You have some test results you need to give him, which of the following is the
appropriate way to handle the situation:

A

○ Ask the client in private, if he would like to share the results w/the girlfriend

32
Q

While sitting in the cafeteria, you over hear 2 PT’s discussing a case. They are
concerned the client is not giving full effort and may be attempting to defraud the
insurance company. The two spend about 30 mins discussing strategies to deal with this
client and assess consistency, based on your knowledge of HIPPA, which of the
following statements is TRUE:

A

○ These two are not in violation as they did not discuss any information that would
identify the client

33
Q

You are treating a client on an out-patient basis with a history of IV drug use. His wife
calls you and inquires as to his most current blood test (is it clean or not). She explains
that they are legally married and she has a power of attorney. Which of the following is
the appropriate response?

A

○ Have her bring the paperwork in to the office before you give the results.

34
Q

You are treating a client following a severe CVA, in which he was unconscious for 2
weeks. During that time, his wife placed a DNR order on the client. The client is now
aware and conscious but still at risk for another stroke. The client tells you that he wants
the DNR removed based on this information you should:

A

○ Contact administration to complete the appropriate paperwork to withdraw the
order

35
Q

A patient you saw 6 months ago has asked to see his medical record. The last note you
wrote states that “the client was able to lift 30lbs using good body mechanics and no
complaints of pain.” The client insists he was in terrible pain and he told you at least 10
times, he further demands that you change the record. You really don’t remember that
particular day, but based in this scenario you would:

A

○ Consider the client’s demands and make changes ONLY if you feel they were
warrented

36
Q

Due to the death of “bird” the bird, Ryan’s dad has been experiencing chest pain. He
goes to his cardiologist who suggests he a cardiac program where you will monitor his
heart rate at 80% max target. Ryan’s dad is 76 years young. What is his target heart
rate?

A

○ 115bpm (220-age x%)

37
Q

During an initial evaluation, a client who is in the early stages of spinal muscular atrophy
reports that engaging in daily routines causes exhaustion. The client’s goal is to remain
independent with his outdoor activities (father and friend). Which of the following should
the OTR do FIRST as part of the evaluation?

A

○ Complete a client centered occupational profile

38
Q

HIPPA was designed to do all to do all the following except:

A

○ Increase the ease of attaining the flow of medical information

39
Q

Look at the following statements. You and two nurses are riding the elevator. You can’t
help but over hear their conversation regarding a client you are NOT seeing, based on
their conversation which of the following is NOT protected information

A

○ “I have a new Pt from Wetumpka w/severe edema, should we refer them to
therapy services?”

40
Q

Which of the following is an example of indirect contact in regards to pathogen
transmission?

A

○ Using a computer in the common space

41
Q

You are on your geriatric rotation and your CI tells you the next patient in your schedule
has C-diff. You should prepare to implement the following precautions:

A

○ Contact precautions

42
Q

Precautions designed for the care of all patients, particularly hospitalized patients…. Of
their diagnosis or presumed infectious status are termed transmission-based
precautions…

A

○ False

43
Q

When working w/a client with HIV, you must sterilize any equipment they … contact with

A

○ False

44
Q

Washing your hands with soap for 30 seconds, cold water is just as good as hot water

A

○ False

45
Q

Protective isolation is the most common type of isolation used with tuberculosis

A

○ false

46
Q

The following is the most important and frequent mode of healthcare infection
transmission:

A

○ Contact transmission

47
Q

As healthcare workers, we are more likely to contract hepatitis or tuberculosis than HIV
or AIDS

A

○ True

48
Q

When dealing with bodily fluids it is only necessary to use barriers when you know the
client is infectious

A

○ False

49
Q

In regards to hospitals and clinics, they are inherently dangerous places….. You are
seeing a client who has a 3yo and runs around the clinic…the best thing you should do
is:

A

○ Explain to the client that no children are allowed and refuse to treat her with her child in the clinic again

50
Q

Your pt is working on stand and pivot transfers, when he goes from sit to stand he
complains of lightheadedness, this is most likely:

A

○ Orthostatic hypotension

51
Q

In regards to the client above, what would be the most appropriate action?

A

○ Have the client move slowly and attempt to adjust to the light headedness

52
Q

You are on your way home and remember that you forgot to document the pain level of
your last client for the day, the best thing to do is:

A

○ The next time you are at work, write an addendum to yesterday’s note

53
Q

Which of the following arteries is NOT an acceptable location for assessing pulse:

A

○ Axillary

54
Q

Millie wakes up for OT school and is experiencing a temp of 99.5. This is considered

A

○ Afebrile

55
Q

You have a client, you notice the nurses reported symptoms of vertigo and diaphoresis
when getting out of bed, this potentially indicates:

A

○ He is experiencing hypotension

56
Q

You have a client with an oral temp of 99.1, based on normal parameters, this is:

A

○ Normal

57
Q

Temp is commonly taken orally but_____ is most accurate

A

○ Rectal

58
Q

Which of the following is NOT correct parameter for normal resting heart rate ?

A

○ Adults 60-120

59
Q

You have a 25 yo client with a BP of 120/94, this would best be described as:

A

○ Stage 1 hypertension

60
Q

According to Michon’s hierarchy of driving behavior, level 2 is indicated by the ability to
make decisions on when to slow down, speed up, how much room to give and is
represented in the driving history of the client. This is known as:

A

○ Tactical level

61
Q

All of the following are components of the driving evaluation except:

A

○ All of the above are components of the driving evaluation

62
Q

The following techno-ethical considerations including information dissemination and in
service training are components of ethical level:

A

○ Level 2 clinical/interdisciplinary; practitioner-practictioner

63
Q

You are recommending a ramp for a client and note the ramp needs to be 36 ft long.
Due to the length necessary, you advise the ramp should also meet the following:

A

○ The ramp should have vertical grade of 1:12 as well as 5 ft landing

64
Q

Which of the following is NOT a title of the ADA?

A

○ Title 3 private venues

65
Q

You are working w/a client on the omni cycle and notice he is becoming increasingly confused, anxious and appears cyanotic. Your first action should be to

A

○ Have him rest and check his O2 sat as he is likely experiencing hypoxia

66
Q

The ADA was signed into law in 1996

A

○ false

67
Q

RADNA is the professional organization dedicated to promoting the health and well-being of people with disabilities through increasing access to AT

A

○ False

68
Q

● Little johnny is in the 2nd grade and was injured playing with his dad’s table saw and unfortunately lost his dominant distal FA as a result. He did not want to be laughed at by is friends for using a prosthetic “claw hand” but loves technology. Which of the following
is the MOST important consideration you should make before recommending a bionic arm?

A

○ Johnny’s age

69
Q

● When initially assessing ryan’s pulse, you note that it is considered “normal.” this correlates to an amplitude of ____ in the subjective scale used to measure pulse

A

○ 2+

70
Q

● Ryan is upset at the death of bird, his HR is elevated and you implement some deep
breathing strategies to calm his anxiety. Before the end of your session, you assess his
vitals and note his BP is 142/98. This would be considered:

A

○ Stage 1 hypertension

71
Q

● Which is the following is the correct order to doff PPE?

A

○ Gown, gloves, goggles, mask

72
Q

● Which of the following is the correct order of PPE

A

○ Hand hygiene, gown, mask, goggles, gloves