Occupational Therapy Quiz - Burns & Interventions

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Questions and Answers

What is a primary consideration for AAC systems in occupational therapy for clients with severe speech impairments?

  • Visibility (correct)
  • Sensibility
  • Immobility
  • Portability

During the emergent phase of treatment for a patient with severe burns, what should the focus of intervention be?

  • Splinting and muscle strength
  • Skin conditioning and ADLs
  • Wound dressing and managing pain (correct)
  • Relaxation techniques and community reentry

If a client's telehealth services are denied reimbursement, what should be the OT's initial action?

  • Discontinue telehealth services
  • Explain that telehealth is not covered by insurance
  • Confirm payer policies and ensure accurate documentation (correct)
  • Recommend switching insurance providers

Which intervention is most effective for reducing hypertrophic scars after a burn injury?

<p>Using compression garments and silicone sheets (A)</p> Signup and view all the answers

What strategy should the OT recommend to a client with COPD experiencing fatigue?

<p>Pace activities and simplify movements (D)</p> Signup and view all the answers

Which intervention is most appropriate for a client recovering from a distal radius fracture during the subacute stage?

<p>Passive stretching to restore wrist extension (B)</p> Signup and view all the answers

Which of the following is crucial in managing hypertrophic scars after a burn?

<p>Applying compression garments regularly (D)</p> Signup and view all the answers

What is the primary goal during the emergent phase of treatment for burn victims?

<p>Controlling infections (D)</p> Signup and view all the answers

Under which part of the Individuals with Disabilities Education Act (IDEA) would a 2-year-old child with developmental delays be eligible for services?

<p>Part C (D)</p> Signup and view all the answers

When should splinting be initiated for a patient who has sustained a burn injury?

<p>In the emergent phase, 24--48 hours after the injury, to prevent contractures. (C)</p> Signup and view all the answers

Which activity corresponds to approximately 3 METs in a cardiac rehabilitation setting?

<p>Taking a warm shower. (A)</p> Signup and view all the answers

What anatomical structure is most likely contributing to the compression in the costoclavicular space for a patient with Thoracic Outlet Syndrome?

<p>Brachial plexus (D)</p> Signup and view all the answers

What is the most likely cause of diplopia in a patient suspected of having a convergence issue?

<p>Ocular misalignment (B)</p> Signup and view all the answers

Which goal should be prioritized for the initial IEP of a child?

<p>The child will form all uppercase and lowercase letters legibly and consistently with 75% accuracy within 3 months. (A)</p> Signup and view all the answers

How might recent social and political shifts most directly affect access to behavioral health services for adults in underserved populations?

<p>Changes in insurance coverage and eligibility requirements (B)</p> Signup and view all the answers

During an evaluation, a child diagnosed with ASD exhibits behaviors such as climbing on objects and running to a parent with force. What might these behaviors indicate?

<p>Sensory processing issues (A)</p> Signup and view all the answers

Which goal should be prioritized in a cardiac rehabilitation program after a heart attack?

<p>The client will demonstrate the ability to use energy conservation techniques during daily activities with minimal fatigue within 4 weeks. (A)</p> Signup and view all the answers

What is the most immediate goal for a child struggling with handwriting as per the initial IEP?

<p>The child will form all letters legibly and consistently with 75% accuracy within 3 months. (A)</p> Signup and view all the answers

What is the best approach for an occupational therapist when addressing a child who is squeezing into small spaces?

<p>To explore the underlying reasons for the behavior (A)</p> Signup and view all the answers

In post-heart attack rehabilitation, which option best supports gradual recovery?

<p>The client will demonstrate effective stress management techniques to help during recovery. (C)</p> Signup and view all the answers

What goal would be least suitable for a child with significant handwriting difficulties?

<p>The child will write a full paragraph independently without errors within 2 weeks. (C)</p> Signup and view all the answers

Which resource should an occupational therapy practitioner consult first when determining if a specific intervention is within their scope of practice?

<p>The state licensure law for occupational therapy (D)</p> Signup and view all the answers

What type of graft uses skin harvested from the patient's own body during the acute phase of burn rehabilitation?

<p>Autograft (B)</p> Signup and view all the answers

What is the MOST appropriate strategy for managing exercise tolerance in a client recovering from a myocardial infarction?

<p>Using the Borg Rating of Perceived Exertion (RPE) scale during activity (D)</p> Signup and view all the answers

For a 28-year-old patient with a complete C6 spinal cord injury, which activity is MOST appropriate to improve functional independence during therapy?

<p>Independent transfers using a sliding board (C)</p> Signup and view all the answers

What is the MOST appropriate intervention for a patient with early-stage ALS who reports fatigue during activities of daily living?

<p>Educate on energy conservation techniques (A)</p> Signup and view all the answers

What should be the occupational therapist's primary focus during the initial intervention for a patient with fibromyalgia?

<p>Develop a graded activity program to build tolerance (A)</p> Signup and view all the answers

Which intervention is least appropriate for managing an individual's exercise tolerance after a myocardial infarction?

<p>Initiating high-intensity aerobic exercise within the first week post-MI (C)</p> Signup and view all the answers

What type of skin graft is characterized by using skin taken from a donor of the same species?

<p>Allograft (B)</p> Signup and view all the answers

Which Rancho Los Amigos level is characterized by confusion but the ability to follow simple commands and engage in structured tasks with assistance?

<p>Level VI - Confused, Appropriate (C)</p> Signup and view all the answers

What is the most appropriate first intervention for an occupational therapist working with a client unsure of their work capabilities?

<p>Administer a standardized work capacity evaluation (A)</p> Signup and view all the answers

Which visual skill is most essential for safe driving after a stroke?

<p>Visual acuity (C)</p> Signup and view all the answers

In preventing contractures in a client with a hand burn injury, what is the correct splinting position?

<p>Wrist in neutral, MPs in flexion, IPs in extension, thumb in abduction (B)</p> Signup and view all the answers

What therapeutic intervention is appropriate for a patient with borderline personality disorder struggling with emotional outbursts?

<p>Dialectical Behavioral Therapy (D)</p> Signup and view all the answers

What is a primary focus when working with clients recovering from injuries in a work readiness program?

<p>Job task analysis and modification (A)</p> Signup and view all the answers

Why is depth perception important for clients aiming to resume driving?

<p>It aids in judging distances between vehicles. (C)</p> Signup and view all the answers

Which splint position is least effective for preventing contractures in a burn injury to the hand?

<p>Wrist in flexion, MPs in flexion, IPs in flexion, thumb in extension (D)</p> Signup and view all the answers

What is the most appropriate initial intervention for De Quervain's tenosynovitis?

<p>Provide a thumb spica splint (B)</p> Signup and view all the answers

Which strategy is most important for occupational therapy sessions with a child diagnosed with oppositional defiant disorder?

<p>Create a positive-reinforcement reward system for sessions (A)</p> Signup and view all the answers

What is the most appropriate intervention for a client in Stage 2 of ALS?

<p>Work on energy conservation techniques and joint protection techniques during meal prep (D)</p> Signup and view all the answers

What is the BEST choice for a safe splint position following a deep partial thickness burn on the left hand and wrist?

<p>Wrist in 30 degrees extension, MCP joints in 20 degrees flexion, IP joints in full extension, thumb in radial abduction (D)</p> Signup and view all the answers

As an occupational therapist, what should be the FIRST intervention for a client post-myocardial infarction in phase 1 of rehabilitation?

<p>Monitoring vital signs during activity (C)</p> Signup and view all the answers

During rehabilitation, what should be avoided when managing a client with ALS in Stage 2?

<p>Overexertion during therapeutic activities (B)</p> Signup and view all the answers

What position is least appropriate for splinting after a burn injury to the left hand?

<p>Wrist in 90 degrees flexion, MCP joints in full extension (D)</p> Signup and view all the answers

What is NOT a common intervention for children with oppositional defiant disorder?

<p>Focusing sessions on sensory integration (C)</p> Signup and view all the answers

Flashcards

Under which part of IDEA is a 2-year-old with developmental delays eligible?

Part C of the Individuals with Disabilities Education Act (IDEA) provides services to children with developmental delays from birth to age 3. It focuses on early intervention and supports families in promoting the child's development.

When should splinting be initiated after a burn injury?

Splinting after a burn injury should be initiated during the emergent phase, 24-48 hours after the injury, to prevent contractures and promote healing in the optimal position.

What activity corresponds to approximately 3 METs?

Shoveling snow corresponds to an activity level of approximately 3 METs. This means it requires moderate exertion and increases the heart rate and breathing.

What anatomical structure is most likely compressed in the costoclavicular space contributing to Thoracic Outlet Syndrome (TOS)?

The brachial plexus is a network of nerves that originates in the neck and travels down the arm. Compression of the brachial plexus in the costoclavicular space can cause pain, numbness, and tingling in the arm and hand, often aggravated by specific positions like arm extension or tilting the head back, as seen in Thoracic Outlet Syndrome (TOS).

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What is the most likely cause of diplopia (double vision) when focusing on near objects?

Convergence insufficiency is a common cause of diplopia (double vision), especially when focusing on near objects like reading. The eyes have difficulty working together to turn inwards and focus on a single point.

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How can social and political shifts affect access to behavioral health services for underserved populations?

Recent social and political shifts can impact access to behavioral health services by influencing insurance coverage, eligibility requirements, and funding for community support services. These changes may directly affect underserved populations who often face greater barriers to accessing mental health care.

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What might the child's behaviors indicate during the evaluation?

The child's behaviors indicate sensory processing differences. They might be seeking sensory input through climbing, running, and squeezing. These activities could be providing proprioceptive input and pressure to regulate their sensory system.

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What is ASD?

ASD (Autism Spectrum Disorder) involves a wide range of developmental differences which can affect social interaction, communication, and sensory processing. The child's behaviors are common in individuals with ASD.

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Client-Centered AAC

Considering the client's needs and abilities when choosing an AAC system. It ensures the system is visible, accessible, and meets the individuals' specific communication needs.

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Emergent Phase Burn Treatment

In the immediate aftermath of a burn injury, the primary focus is on wound management, infection control, and pain relief. This ensures optimal healing and minimizes complications.

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Insurance Denial for Telehealth

When a client's insurance denies telehealth coverage, the OT must verify payer policies and make sure documentation and billing codes are accurate to ensure proper reimbursement.

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Hypertrophic Scar Management

Compression garments and silicone sheets are effective in reducing the appearance and severity of hypertrophic scars, improving the skin's texture and minimizing contractures.

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Managing Fatigue in COPD

To manage fatigue in COPD clients, pacing activities, prioritizing tasks, and simplifying movements are essential. This helps reduce exertion and improve stamina.

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Subacute Distal Radius Fracture Intervention

Active range of motion exercises are paramount in the subacute stage of a distal radius fracture recovery, as they improve functional mobility and facilitate regaining wrist motion.

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Passive Stretching for Wrist Extension

Passive stretching is useful for improving wrist extension by gradually increasing the range of motion within a safe, controlled environment.

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Resistance Strengthening for Distal Radius Fracture

Resistance strengthening exercises are gradually introduced in the subacute stage of distal radius fracture recovery to rebuild muscle strength and improve functional performance.

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Which resource would an occupational therapist consult FIRST to determine if a specific intervention is within their scope of practice?

The AOTA Code of Ethics outlines ethical principles and standards for occupational therapists, but it does not provide specific guidance on the scope of practice.

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What type of graft uses skin harvested from the patient's own body?

An autograft is a skin graft taken from a patient's own body, making it the most appropriate choice for minimizing the risk of rejection.

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What is the most appropriate strategy for managing exercise tolerance in a client recovering from a myocardial infarction?

The Borg Rating of Perceived Exertion (RPE) scale allows the patient to subjectively report their exertion level during activity, facilitating safe and individualized exercise progression.

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Which activity would be most appropriate to address in therapy for a 28-year-old patient with a complete C6 spinal cord injury working on improving functional independence?

Independent transfers using a sliding board require upper body strength and coordination, which are typically preserved with a C6 spinal cord injury.

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What is the most appropriate intervention for a patient with early-stage ALS reporting difficulty with fatigue during activities of daily living (ADLs)?

Educating on energy conservation techniques helps manage fatigue by optimizing energy expenditure and promoting efficient performance of ADLs.

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What should be the OT's primary focus during initial intervention for a 42-year-old patient with fibromyalgia reporting widespread pain and difficulty engaging in daily routines?

Developing a graded activity program to build tolerance allows the patient to gradually increase activity levels without causing pain flare-ups.

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What should be the OT's primary focus during initial intervention for a 42-year-old patient with fibromyalgia reporting widespread pain and difficulty engaging in daily routines?

The OT's primary focus in fibromyalgia treatment should be pain management and functional improvement. While strengthening exercises may be helpful later, the primary focus initially is to build tolerance and manage pain.

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Rancho Los Amigos Level III

A client at this level needs assistance to complete tasks and may show confusion, but can follow simple instructions.

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Work Readiness Program

This level focuses on the client's ability to return to work. It involves assessing their physical and cognitive skills to create a plan for a safe and successful work return.

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Most Important Visual Skill for Driving

Depth perception is crucial for judging distances, which is vital for safe driving.

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Splinting for Burn Injury

This position promotes healing in a functional hand position, minimizing contractures and aiding in regaining hand use.

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Mindfulness Skills for BPD

Mindfulness is used to help the client develop emotional regulation skills. Techniques focus on present-moment awareness and acceptance.

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Therapeutic Origin of Mindfulness Skills

Cognitive Behavior Therapy (CBT) helps clients manage their thoughts and behaviors by identifying triggers and developing coping skills.

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Subacute Stage after Injury

This stage after an injury focuses on rebuilding movement and strength, preparing the client for functional activities.

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What is the most appropriate initial intervention for De Quervain's tenosynovitis?

De Quervain's tenosynovitis is an inflammation of the tendons that control the thumb's movement. The initial phase focuses on reducing inflammation and pain. Resting the affected area helps reduce stress on the inflamed tendons, thus decreasing pain and inflammation.

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What is the most important strategy for OT sessions with a child diagnosed with ODD?

Oppositional Defiant Disorder (ODD) is characterized by persistent patterns of negative, defiant, and hostile behavior. Creating a positive environment with rewards for desired behavior helps encourage cooperation and improve emotional regulation.

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What intervention is most appropriate for a client in Stage 2 of ALS?

Stage 2 of ALS involves significant limitations in mobility, often requiring adaptive equipment. Energy conservation techniques and joint protection strategies help maintain functional independence and prevent further decline.

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What is the BEST splint position for a client with a deep partial thickness burn on the left hand and wrist?

A deep partial thickness burn can affect the skin, tendons, and nerves. This splint position helps maintain hand function and prevent contractures by keeping the hand in a functional position.

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What is the FIRST intervention for a client in phase 1 of cardiac rehabilitation?

Phase 1 of cardiac rehabilitation focuses on managing symptoms and promoting a safe return to activity. A home exercise program helps gradually increase activity levels and improve cardiovascular function.

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Prioritize an IEP goal for a child with handwriting difficulties.

Focus on improving hand strength and legibility through exercises and practice. The goal should be achievable within a reasonable timeframe. "75% accuracy within 3 months" creates a measurable outcome.

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What's the most important goal for a cardiac rehab client?

The occupational therapist should prioritize energy conservation techniques as a primary goal during cardiac rehabilitation, focusing on reducing fatigue and preventing overexertion. This approach helps the patient develop strategies for managing daily activities safely and promotes autonomy and independence.

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Walking 5 miles daily within a week after an MI.

This goal is too ambitious and unrealistic. After a heart attack, a client won't be able to walk 5 miles that quickly. It could be harmful.

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What is NOT a safe goal for a cardiac rehab client?

It is crucial to avoid strenuous physical activity in the initial post-MI recovery period. The focus should be on gradual, supervised activity to avoid further injury and support healing.

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What is the role of OT in cardiac rehabilitation?

The OT's priority is promoting functional independence using the principles of client-centered care. This involves helping the client regain the ability to perform daily activities with minimal assistance and promoting adaptive strategies for managing limitations.

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Study Notes

Occupational Therapy

  • Part C of IDEA: Children with developmental delays aged 2 years are eligible for services under Part C of the Individuals with Disabilities Education Act.

  • Burn Injury Splinting: Splinting should be initiated during the emergent phase (24-48 hours after injury) to prevent contractures, not during the acute phase or after the wound heals.

  • Metabolic Equivalent (MET) Levels: Shoveling snow equates to roughly 3 METs during cardiac rehabilitation.

  • Thoracic Outlet Syndrome (TOS): A possible cause for arm/hand pain, numbness and tingling exacerbated by arm extension, head tilt is the compression of structures in the costoclavicular space (such as the brachial plexus).

  • Diplopia (Double Vision): Ocular misalignment is the most likely cause of double vision in adults, not macular degeneration, glaucoma, or retinal detachment.

  • Behavioral Health Services Access: Recent social and political shifts are impacting access to behavioral health services for vulnerable groups due to changes in insurance coverage, reductions in social stigma, and limitations in community support services.

Other Topics

  • Assessment Tools for ASD: The Infant and Toddler Sensory Profile is an appropriate assessment tool for a 6-year-old child with ASD exhibiting climbing, squeezing behaviour.

  • Amputation Rehabilitation: The most beneficial action for an OT addressing a client's concerns about loss of their limb is to acknowledge and empathize with their feelings and collaborate with them in setting goals to address these feelings.

  • Wound Healing Concerns: Low-level laser and light therapy should not be used over Vagus nerve, on clients with cancer, or on areas with infection.

  • Huntington's Disease: Occupational therapy for Huntington's Disease focuses on compensation, developmental milestones and sensorimotor skills.

  • AAC System Concerns: Considerations for AAC systems with clients with speech impairments should prioritize visibility, sensibility, portability.

  • Burn Injury Treatment: Second and third-degree burn treatment in the emergent phase focuses on splinting, edema management, muscle strengthening. pain and infection management.

  • Medicare Part D Coverage: Medicare Part D covers prescription medications not inpatient stays/occupational therapy.

  • Compartment Syndrome Suspicion: If an adult patient has distal radius fracture with pain, numbness in fingers, and difficulty moving hand suspect compartment syndrome and immediately notify the physician.

  • Skier's Thumb Treatment: Immobilization and splinting is best suited to treat Skier's thumb after fracture in a sub-acute setting.

  • Sensory Processing Disorders: Children with sensory processing disorders who exhibit excessive vestibular input (spinning, climbing) may benefit from sensory diets (jumping, swinging), weighted blankets to help calm during class to reduce these behaviours.

  • Macular Degeneration: Instructing macular degeneration patients to avoid glare is important and consider eccentric viewing exercises;

  • Visual Deficits: Individuals with glaucoma should use adaptive aids such as large print and magnification to improve safety concerns

  • ALS Management: For clients with ALS, focusing on energy conservation is important for maintaining independence

  • Post-MI Interventions: To manage exercise tolerance for a post-myocardial infarction (MI) patient, using the Borg RPE (Rating of Perceived Exertion) scale for self-monitoring is necessary.

  • Hand Splinting: For a client recovering from a burn injury to the hand, wrist should be positioned in neutral or extension. MPs and IPs in flexion are used for comfort and contracture prevention.

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