Podcast
Questions and Answers
Celia has spina bifida at C5 level and wants to use a computer play system. What is the most appropriate recommendation for an OT to suggest?
Celia has spina bifida at C5 level and wants to use a computer play system. What is the most appropriate recommendation for an OT to suggest?
- Hand splint
- Foot pedal system
- Joystick controller
- Dorsal splint with universal cuff (correct)
What stage is Sara in recovering from a CVA with extensive motor learning intervention?
What stage is Sara in recovering from a CVA with extensive motor learning intervention?
Skill acquisition
What level can a person use overt trial and error problem solving according to Allen cognitive level?
What level can a person use overt trial and error problem solving according to Allen cognitive level?
5
What is an example of completing a list of group goals and progress after group meetings?
What is an example of completing a list of group goals and progress after group meetings?
What is the appropriate angle of pull for an outrigger on a dynamic splint?
What is the appropriate angle of pull for an outrigger on a dynamic splint?
What spinal level is a tenodesis splint used?
What spinal level is a tenodesis splint used?
What angle is the wrist left at in a splint for carpal tunnel?
What angle is the wrist left at in a splint for carpal tunnel?
What areas will an OT most likely assess for an individual with a mild TBI?
What areas will an OT most likely assess for an individual with a mild TBI?
What does a child displaying arms and legs extended on one side and flexed on the opposite side when the head is turned show?
What does a child displaying arms and legs extended on one side and flexed on the opposite side when the head is turned show?
An individual recovering from a TBI at level 8 of the Rancho Level would benefit from community re-entry activities.
An individual recovering from a TBI at level 8 of the Rancho Level would benefit from community re-entry activities.
An individual recovering from a TBI at level 3 of the Rancho Level can benefit from repetitive self-care tasks such as brushing hair.
An individual recovering from a TBI at level 3 of the Rancho Level can benefit from repetitive self-care tasks such as brushing hair.
What is Joel lacking if he frequently gets lost in his house after a TBI?
What is Joel lacking if he frequently gets lost in his house after a TBI?
What is the name of the PNF intervention that involves passive rhythmic movement followed by active participation?
What is the name of the PNF intervention that involves passive rhythmic movement followed by active participation?
According to PNF, quick stretching is used to elicit __________.
According to PNF, quick stretching is used to elicit __________.
What oral motor development skill is a 12-month-old able to demonstrate in a screening if within normal limits?
What oral motor development skill is a 12-month-old able to demonstrate in a screening if within normal limits?
___________ is the redirection of an emotion or reaction from one object to a similar but less threatening one.
___________ is the redirection of an emotion or reaction from one object to a similar but less threatening one.
__________ score is used to measure various changes in behavior.
__________ score is used to measure various changes in behavior.
What is the ability of a C8 complete injury patient to button buttons with a button hook?
What is the ability of a C8 complete injury patient to button buttons with a button hook?
What can a patient with a complete C6 injury do according to discharge documentation?
What can a patient with a complete C6 injury do according to discharge documentation?
What is the flexor synergy for scapula movement?
What is the flexor synergy for scapula movement?
What is the flexor synergy for elbow movement?
What is the flexor synergy for elbow movement?
What should the OT prioritize after ADL goals in a spinal cord injury client?
What should the OT prioritize after ADL goals in a spinal cord injury client?
One arm drive wheelchairs are easy to use.
One arm drive wheelchairs are easy to use.
_____________ involves the detection of problems in a population at risk for developing complicating conditions.
_____________ involves the detection of problems in a population at risk for developing complicating conditions.
_________ target individuals with no pre-existing conditions.
_________ target individuals with no pre-existing conditions.
At what age is a communication device possible?
At what age is a communication device possible?
What would be an appropriate activity for Sarah in stage I of cardiac recovery?
What would be an appropriate activity for Sarah in stage I of cardiac recovery?
What would be an appropriate activity for Sarah in stage IV of cardiac recovery?
What would be an appropriate activity for Sarah in stage IV of cardiac recovery?
Isometric exercises are contraindicated for all stages of cardiac rehab.
Isometric exercises are contraindicated for all stages of cardiac rehab.
Brandy, who is taking Nardil, should inform her psychiatrist of her headaches.
Brandy, who is taking Nardil, should inform her psychiatrist of her headaches.
___________ means practicing your profession correctly.
___________ means practicing your profession correctly.
_____________ refers to decision-making skills in implementing services.
_____________ refers to decision-making skills in implementing services.
_________ refers to having the patient involved in therapy decisions reflecting personal goals.
_________ refers to having the patient involved in therapy decisions reflecting personal goals.
Julia, recovering from skin grafting due to full thickness burns, has a splinting protocol of one hour on and 15 min off for the first 72 hours.
Julia, recovering from skin grafting due to full thickness burns, has a splinting protocol of one hour on and 15 min off for the first 72 hours.
__________ provides services in a fair and equitable manner; OT has concern for patient safety.
__________ provides services in a fair and equitable manner; OT has concern for patient safety.
________ OT personnel shall take reasonable precaution to avoid imposing or inflicting harm.
________ OT personnel shall take reasonable precaution to avoid imposing or inflicting harm.
_________ OT personnel shall achieve and continually maintain high standards of competence.
_________ OT personnel shall achieve and continually maintain high standards of competence.
_________ OT personnel shall provide accurate information when representing the profession.
_________ OT personnel shall provide accurate information when representing the profession.
_________ OT personnel shall treat colleagues with respect, fairness, discretion, and integrity.
_________ OT personnel shall treat colleagues with respect, fairness, discretion, and integrity.
Study Notes
Spina Bifida and Assistive Technology
- Recommendation for Celia with spina bifida at C5 level: use a dorsal splint with a universal cuff for computer play.
Motor Learning Stages
- Sara, recovering from a CVA, is in the skill acquisition stage due to frequent errors and inconsistent performance.
Cognitive Levels
- Overt trial and error problem solving indicates an Allen cognitive level of 5.
Therapy Evaluation and Documentation
- Example of concurrent review: submitting a list of group goals and progress after meetings.
Dynamic Splinting
- The appropriate angle of pull for an outrigger on a dynamic splint is 90 degrees.
Spinal Injuries and Tenodesis Splints
- Tenodesis splint is applicable for C6-C7 spinal level injuries.
Carpal Tunnel Splinting
- Wrist angle for a carpal tunnel splint: 0-15 degrees in extension.
Cognitive Assessments Post-TBI
- Areas assessed post mild TBI: orientation, attention, and memory.
Reflexes in Infants
- ATNR (Asymmetric Tonic Neck Reflex) observed when an infant extends limbs on the side they're turned toward.
Rancho Levels and Interventions
- Level 8 on the Rancho scale allows for community re-entry activities.
- Level 3 on the Rancho scale requires sensory stimulation activities, not self-care tasks.
Orientation and TBI
- Lack of topographical orientation noted in TBI patients who get lost in familiar environments.
Proprioceptive Neuromuscular Facilitation (PNF)
- Rhythmic initiation involves passive rhythmic movement followed by active participation.
PNF Techniques
- Quick stretching in PNF is utilized to elicit muscle contraction.
Developmental Milestones
- At 12 months, children should demonstrate cup drinking with a firm jaw and rotary chewing.
Psychological Concepts
- Displacement is the redirection of an emotion from one object to a less threatening one.
Behavioral Assessment
- Scaled scores measure changes in behavior effectively.
Spinal Cord Injury and ADL Capabilities
- C8 level patients are typically capable of tying shoes.
Synergies in Upper Extremity
- Scapula synergy: Flexor - elevation and retraction; Extensor - depression and protraction.
- Shoulder flexor synergy: abduction and lateral rotation; Extensor - medial rotation and adduction.
- Elbow flexor synergy: flexion; Extensor - extension.
- Forearm flexor synergy: supination; Extensor - pronation.
Motor Learning Principles
- The motor learning approach incorporates random practice of multiple tasks in varying orders.
Accessibility in Design
- Pharmacy customer service area counter height should not exceed 31 inches.
Therapeutic Approaches
- Selecting an approach considers the client’s auditory processing skills.
Cardiac Rehabilitation Guidelines
- Isometric exercises are contraindicated at all stages of cardiac rehab.
Communication Development
- Communication devices can be anticipated around 12-18 months of age.
Occupational Therapy in Community Reintegration
- Post attainment of ADL goals, focus shifts to community reintegration for spinal cord injury clients.
Wheelchair Considerations for TBI
- A lightweight, standard-size wheelchair is appropriate for individuals with flaccid hemiparesis due to TBI.
Prevention Strategies
- Secondary prevention aims at detecting problems in populations at risk for complications.
Ethics in Occupational Therapy
- Beneficence involves providing services equitably and ensuring client safety.
- Nonmaleficence refers to avoiding harm to clients and their property.
- Veracity is the commitment to provide accurate information regarding qualifications and the profession.
- Fidelity emphasizes respect and integrity among colleagues, safeguarding confidential information.
Studying That Suits You
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Description
Test your knowledge with these flashcards designed for NBCOT exam preparation. Each card presents a clinical scenario relevant to occupational therapy, covering important concepts and interventions. Perfect for students and professionals looking to reinforce their understanding.
