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Questions and Answers
Questions and Answers
What is defined as the independence, safety, and adequacy of clients' ability to care for themselves?
What is defined as the independence, safety, and adequacy of clients' ability to care for themselves?
Self-care capacity
What do work readiness programs aim to do?
What do work readiness programs aim to do?
Identify a person's skills and interests for work readiness
Girls with Rett's syndrome commonly experience which of the following?
Girls with Rett's syndrome commonly experience which of the following?
- Decline in functional skills (correct)
- Ability to talk by childhood
- Independence in meals by late childhood
- Ability to walk by late childhood
Which principle BEST contributes to a good IEP for a child with autism?
Which principle BEST contributes to a good IEP for a child with autism?
What does Medicare Part B cover regarding occupational therapy services?
What does Medicare Part B cover regarding occupational therapy services?
What does Medicare Part A cover?
What does Medicare Part A cover?
What assessment method would be appropriate to determine a child's difficulty with visual-receptive functions?
What assessment method would be appropriate to determine a child's difficulty with visual-receptive functions?
Which methods are used to assess a child's visual-cognitive functions? (Select all that apply)
Which methods are used to assess a child's visual-cognitive functions? (Select all that apply)
What adaptive equipment is MOST APPROPRIATE for a client with a C5 spinal cord injury during feeding sessions?
What adaptive equipment is MOST APPROPRIATE for a client with a C5 spinal cord injury during feeding sessions?
What are essential job functions defined as?
What are essential job functions defined as?
What may reasonable accommodations include? (Select all that apply)
What may reasonable accommodations include? (Select all that apply)
What is the responsibility of the U.S. Department of Labor? (Select all that apply)
What is the responsibility of the U.S. Department of Labor? (Select all that apply)
What is awareness training in driving for clients with visual attention deficits aimed at?
What is awareness training in driving for clients with visual attention deficits aimed at?
What strategies are suggested for clients with visual acuity impairments?
What strategies are suggested for clients with visual acuity impairments?
What musculature should an OTR focus on for a client who has recently undergone bilateral hip replacement?
What musculature should an OTR focus on for a client who has recently undergone bilateral hip replacement?
What should a client with COPD do if he/she experiences shortness of breath and panics?
What should a client with COPD do if he/she experiences shortness of breath and panics?
What is contraindicated for rheumatoid arthritis (RA)?
What is contraindicated for rheumatoid arthritis (RA)?
What can be used to initiate compression therapy for a client 2 weeks post-op skin grafting with full-thickness burns?
What can be used to initiate compression therapy for a client 2 weeks post-op skin grafting with full-thickness burns?
Where on the body is Coban™ self-adherent wrap commonly used?
Where on the body is Coban™ self-adherent wrap commonly used?
What is the focus of cognitive-behavioral therapy (CBT) when applied in mental health occupational therapy?
What is the focus of cognitive-behavioral therapy (CBT) when applied in mental health occupational therapy?
What does the psychodynamic approach involve in mental health occupational therapy?
What does the psychodynamic approach involve in mental health occupational therapy?
What is the focus of the Model of Human Occupation (MOHO) approach in mental health OT?
What is the focus of the Model of Human Occupation (MOHO) approach in mental health OT?
What does the Dynamic Interactional Model focus on in mental health OT?
What does the Dynamic Interactional Model focus on in mental health OT?
In which practice setting is the Outcome and Assessment Information Set (OASIS) completed?
In which practice setting is the Outcome and Assessment Information Set (OASIS) completed?
What does difficulty in seeing gray cars on a rainy day indicate?
What does difficulty in seeing gray cars on a rainy day indicate?
What does increased time to identify objects in the road and eye fatigue indicate?
What does increased time to identify objects in the road and eye fatigue indicate?
What does a tendency to drift out of a lane indicate?
What does a tendency to drift out of a lane indicate?
What does difficulty seeing other road users or objects inside a tunnel indicate?
What does difficulty seeing other road users or objects inside a tunnel indicate?
What is a positive Gower's sign and what does it indicate?
What is a positive Gower's sign and what does it indicate?
What may abdominal distention in an infant signify?
What may abdominal distention in an infant signify?
What may excessive bruising (not from abuse) indicate?
What may excessive bruising (not from abuse) indicate?
What does a positive Trendelenburg's sign indicate?
What does a positive Trendelenburg's sign indicate?
What do pain, swelling, stiffness, and sudomotor changes indicate?
What do pain, swelling, stiffness, and sudomotor changes indicate?
What do pain, fatigue, and tender trigger points indicate?
What do pain, fatigue, and tender trigger points indicate?
What does numbness and tingling in the thumb, index, and middle fingers indicate?
What does numbness and tingling in the thumb, index, and middle fingers indicate?
What does an area that is hypersensitive and painful to touch indicate?
What does an area that is hypersensitive and painful to touch indicate?
What does a FIM score of '3' indicate?
What does a FIM score of '3' indicate?
Name the stages and characteristics of Tuckman's theory of group development.
Name the stages and characteristics of Tuckman's theory of group development.
What is an intervention strategy that modifies or adapts task tools?
What is an intervention strategy that modifies or adapts task tools?
Movement-based activities are a strategy used in?
Movement-based activities are a strategy used in?
Strategies to develop mastery are part of the?
Strategies to develop mastery are part of the?
Strengthening hand muscles is part of a?
Strengthening hand muscles is part of a?
What indicates that a client is moving his wheelchair forward by gripping the front of the pushrim?
What indicates that a client is moving his wheelchair forward by gripping the front of the pushrim?
What are the principles of Motivational Interviewing?
What are the principles of Motivational Interviewing?
What does a Type III fracture of the radial head require?
What does a Type III fracture of the radial head require?
What can the BOT-2 assess?
What can the BOT-2 assess?
What does the SIPT provide information about?
What does the SIPT provide information about?
What can the Sensory Profile be used to understand?
What can the Sensory Profile be used to understand?
What characterizes tachydysrhythmia?
What characterizes tachydysrhythmia?
What characterizes bradydysrhythmia?
What characterizes bradydysrhythmia?
What is Donepezil and one of its side effects?
What is Donepezil and one of its side effects?
A client with low-level (T1) spinal cord injury should be?
A client with low-level (T1) spinal cord injury should be?
Attendant care 24 hours a day may be indicated for clients with?
Attendant care 24 hours a day may be indicated for clients with?
What level of spinal cord injury indicates 12 hours of attendant care?
What level of spinal cord injury indicates 12 hours of attendant care?
What would be the primary role of the OTR when dealing with clients who have dementia?
What would be the primary role of the OTR when dealing with clients who have dementia?
What perspective is more effective for supported employment programs?
What perspective is more effective for supported employment programs?
What fatigue assessment does the National Multiple Sclerosis Society recommend?
What fatigue assessment does the National Multiple Sclerosis Society recommend?
What does the Multiple Sclerosis Functional Composite measure?
What does the Multiple Sclerosis Functional Composite measure?
During Type 1 CRPS, what should the treatment focus on?
During Type 1 CRPS, what should the treatment focus on?
What is contraindicated during Type 1 CRPS?
What is contraindicated during Type 1 CRPS?
How should a COTA discharge a client who no longer needs services?
How should a COTA discharge a client who no longer needs services?
Where is a decubitus ulcer most likely to occur on a client's body?
Where is a decubitus ulcer most likely to occur on a client's body?
TRICARE provides health coverage for?
TRICARE provides health coverage for?
What does the Children's Health Insurance Program provide coverage for?
What does the Children's Health Insurance Program provide coverage for?
What does the Federal Employees Health Benefit Program provide coverage for?
What does the Federal Employees Health Benefit Program provide coverage for?
What is indicated for De Quervain's tenosynovitis?
What is indicated for De Quervain's tenosynovitis?
What established the mandate to provide complementary paratransit services?
What established the mandate to provide complementary paratransit services?
What eliminated unnecessary segregation of people with disabilities?
What eliminated unnecessary segregation of people with disabilities?
What authorized federal surface transportation programs but did not address transportation rights?
What authorized federal surface transportation programs but did not address transportation rights?
What expanded civil rights for people with disabilities but did not mandate access to paratransit services?
What expanded civil rights for people with disabilities but did not mandate access to paratransit services?
What is characteristic of early-stage dementia?
What is characteristic of early-stage dementia?
What are common behavioral symptoms of middle-stage dementia?
What are common behavioral symptoms of middle-stage dementia?
What can a volar antispasticity hand splint do?
What can a volar antispasticity hand splint do?
What can a C bar splint maintain?
What can a C bar splint maintain?
What can a knee extension splint decrease?
What can a knee extension splint decrease?
When can a boney block only be removed?
When can a boney block only be removed?
What strategy might an OTR recommend for caregivers of clients with Alzheimer's disease?
What strategy might an OTR recommend for caregivers of clients with Alzheimer's disease?
What does the Modified Ashworth Scale measure?
What does the Modified Ashworth Scale measure?
What does trigger point evaluation measure?
What does trigger point evaluation measure?
What does the FIM measure?
What does the FIM measure?
What is the most effective intervention for a client with Huntington's disease and decreased motor planning?
What is the most effective intervention for a client with Huntington's disease and decreased motor planning?
Healing of the heart muscle takes how many weeks?
Healing of the heart muscle takes how many weeks?
Which test assesses a client's ability to visually select features that differentiate objects?
Which test assesses a client's ability to visually select features that differentiate objects?
What position should a custom resting hand orthosis keep the wrist and MCPs for a client with hemiplegia?
What position should a custom resting hand orthosis keep the wrist and MCPs for a client with hemiplegia?
What condition leads to heart failure and inadequate oxygenation of the brain?
What condition leads to heart failure and inadequate oxygenation of the brain?
What condition can lead to increased blood pressure and rapid heart rate?
What condition can lead to increased blood pressure and rapid heart rate?
What condition can lead to difficulties with feeding and shortness of breath?
What condition can lead to difficulties with feeding and shortness of breath?
What does job coaching provide?
What does job coaching provide?
What does functional capacity evaluation provide?
What does functional capacity evaluation provide?
What do job site evaluations assess?
What do job site evaluations assess?
When is prework screening done?
When is prework screening done?
Desensitization begins with?
Desensitization begins with?
Desensitization is best used for?
Desensitization is best used for?
If desensitization is poorly tolerated, what can be done?
If desensitization is poorly tolerated, what can be done?
What condition is most likely the cause when a client reports pain at both elbow and median nerve area?
What condition is most likely the cause when a client reports pain at both elbow and median nerve area?
Thoracic outlet syndrome involves what region?
Thoracic outlet syndrome involves what region?
Ulnar tunnel syndrome involves what nerve?
Ulnar tunnel syndrome involves what nerve?
Cubital tunnel syndrome involves which nerve?
Cubital tunnel syndrome involves which nerve?
What does the Role Checklist assess?
What does the Role Checklist assess?
What does the Comprehensive Occupational Therapy Evaluation assess?
What does the Comprehensive Occupational Therapy Evaluation assess?
What does the Performance Assessment of Self-Care Skills measure?
What does the Performance Assessment of Self-Care Skills measure?
Questions and Answers
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Study Notes
Study Notes
COPD Management
- When experiencing shortness of breath and panic, clients should rest their arms on their thighs, which releases the diaphragm for easier breathing.
- Pursed lip breathing is beneficial for slowing breathing and reducing anxiety.
Rheumatoid Arthritis
- Increasing Active Range of Motion (AROM) is contraindicated.
Compression Therapy Post-Surgery
- Spandex bicycle pants can initiate compression therapy for clients two weeks post-op skin grafting on thighs, providing gentle pressure without shear.
- Custom-made Jobst garments are suitable in later stages.
- Thigh-high TED stockings are contraindicated due to potential shear.
Coban™ Wrap Usage
- Commonly used on smaller body areas, such as fingers.
Cognitive Behavioral Therapy (CBT)
- In Mental Health Occupational Therapy, CBT focuses on improving social and life skills through observational learning and modeling.
Psychodynamic Approach
- Involves clients expressing unacknowledged feelings through artistic activities, facilitating emotional expression.
MOHO Approach
- Emphasizes skilled performance of activities within a contextual framework.
Dynamic Interactional Model
- Concentrates on tasks with environmental conditions that resonate with clients and applies cognitive strategies for skill transfer across contexts.
OASIS in Home Health
- The Outcome and Assessment Information Set is used to identify payers for services in home health settings.
Visual Sensitivity Issues
- Difficulty seeing gray cars in rain indicates impaired contrast sensitivity.
- Increased time identifying objects and eye fatigue signals impaired ocular motor skills.
- Tendency to drift out of lanes suggests neglect or visual attention deficits.
- Problems seeing users or objects in tunnels indicate visual acuity impairments.
Pediatric Signs
- A positive Gower's sign indicates potential Duchenne Muscular Dystrophy (DMD).
- Abdominal distention in infants may suggest cystic fibrosis.
- Excessive bruising (non-abuse-related) may indicate hemophilia.
- Positive Trendelenburg's sign could relate to hip dysplasia.
- Symptoms like pain, swelling, and stiffness may indicate complex regional pain syndrome.
Chronic Pain Conditions
- Pain, fatigue, and tender points may suggest fibromyalgia.
- Numbness and tingling in fingers suggest carpal tunnel syndrome.
- Area hypersensitive and painful to touch indicates a neuroma.
Functional Independence Measure (FIM)
- A FIM score of "3" indicates moderate assistance (Mod A).
Tuckman's Theory of Group Development
- Forming: Dependence.
- Storming: Conflict and competition.
- Norming: Initiation of cohesion.
- Performing: Group productivity and trust.
Task Tool Modification
- Adapting task tools is a core intervention strategy in the Ecology of Human Performance Model.
Sensory Integration
- Movement-based activities are a strategy in Sensory Integration (SI).
- Occupational Adaptation Model emphasizes developing mastery.
Biomechanical Approach
- Strengthening hand muscles is part of a biomechanical rehabilitation approach.
Wheelchair Mobility
- Gripping the front of the pushrim and giving tiny pushes indicates a seat back that is too high, restricting shoulder extension.
Motivational Interviewing Principles
- Rolling with resistance and expressing empathy.
- Developing discrepancies and supporting self-efficacy.
Radial Head Fracture
- Type III fractures require removal of fragmented bone and casting for 3-4 weeks.
BOT-2 Assessment
- Assesses fine and gross motor functioning affected by dyspraxia.
Sensory Profile
- Used to understand how sensory issues affect a child's daily activities.
Heart Rhythm Conditions
- Tachydysrhythmia: Fast heart rate (200-300 bpm), common in children with cardiac conditions.
- Bradydysrhythmia: Heart rate <60 bpm, may require a pacemaker.
Drug Therapy
- Donepezil improves memory and cognition but can cause dizziness.
Spinal Cord Injury Care
- Low-level (T1) SCI clients should be independent in personal care with minimal homemaking assistance upon discharge.
- Higher-level SCI (C1-C4) may need 24-hour attendant care, while C5-C6 may require 12 hours.
Caregiver Burden in Dementia
- OTR's primary role is to recommend home modifications to support clients and reduce caregiver burden.
Supported Employment Programs
- Place-and-train approaches yield better employment outcomes compared to train-then-place methods.
Health Insurance Coverage
- TRICARE: Coverage for military personnel.
- CHIP: Coverage for children and families not qualifying for Medicaid.
- FEHBP: Coverage for federal employees.
- Medicare insurance programs cover different service areas, with Part B covering outpatient therapy.
Visual Assessment
- Assessing visual-receptive functions involves observing how a child's eyes work together.
Assessment of Child's Visual-Cognitive Functions
- Various methods can be employed to evaluate visual cognitive abilities in children.
Desensitization Techniques
- A method that starts with less irritating textures in sensitive areas, recommended for short periods.
- Can be combined with TENS units if poorly tolerated.
Carpal Tunnel Symptoms
- Dual site impingement likely indicates double crush syndrome.
Nerve Conditions
- Thoracic outlet syndrome and ulnar tunnel syndrome involve respective anatomical regions and specific nerves.
Role Assessments
- Tools like the Role Checklist and Comprehensive Occupational Therapy Evaluation assess clients' roles and behaviors related to performance.
Job Preparedness Programs
- Aimed at identifying skills for workplace readiness, leading to referrals for vocational rehabilitation.
Rett's Syndrome Occurrences
- Girls with Rett's experience a decline in functional skills, often losing ability to walk or communicate in later childhood.
Individualized Education Programs (IEP)
- IEP should enable maximum education alongside non-disabled peers, including strengths and needs, and focus on transitional planning.### Developmental Assessments
- Developmental Test of VMI: Assesses visual-motor integration skills in children.
- BOT (Bruininks-Oseretsky Test of Motor Proficiency): Measures motor proficiency in children, including both fine and gross motor skills.
- Spelling Difficulties Assessment: Interviewing teachers can help identify if a child struggles with spelling, aiding in targeted interventions.
Feeding Session for C5 SCI Client
- Mobile Arm Support: Most suitable adaptive equipment for clients with C5 spinal cord injuries due to shoulder muscle activity (biceps and upper trapezius) while lacking wrist and finger movement.
Job Functions and Accommodations
- Essential Job Functions: Core duties critical to a job role, distinct from marginal functions that are less important.
- Reasonable Accommodations: May involve changes such as:
- Adjusted work schedules and responsibilities.
- Modifications to the physical work environment.
- Acquisition of adaptive tools or technology.
- Design changes for existing products or creation of new ones.
U.S. Department of Labor Responsibilities
- Occupational Safety: Ensures workplace safety standards are met.
- Wage and Hour Standards: Oversees compliance with labor laws regarding pay and hours worked.
- Unemployment Insurance Benefits: Manages the provision of unemployment benefits to eligible individuals.
- Reemployment Services: Offers support and services to facilitate job placement.
- Economic Statistics: Compiles and analyzes various economic data.
Driving Strategies for Impaired Clients
- Awareness Training: A targeted approach for clients with neglect or visual attention deficits to enhance driving safety.
- Adaptive Technology for Visual Acuity Impairments:
- Adjusting side mirrors to minimize glare from other vehicles.
- Utilizing voice-activated GPS systems to assist clients with navigation difficulties.
Rehabilitation Focus Post Hip Replacement
- Strength Training Focus: Emphasize strengthening and maintaining the motion of surrounding musculature, particularly gluteal muscles, after a bilateral hip replacement for effective recovery.
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