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Questions and Answers
What is a primary consideration for AAC systems in occupational therapy for clients with severe speech impairments?
What is a primary consideration for AAC systems in occupational therapy for clients with severe speech impairments?
During the emergent phase of treatment for a patient with severe burns, what should the focus of intervention be?
During the emergent phase of treatment for a patient with severe burns, what should the focus of intervention be?
If a client's telehealth services are denied reimbursement, what should be the OT's initial action?
If a client's telehealth services are denied reimbursement, what should be the OT's initial action?
Which intervention is most effective for reducing hypertrophic scars after a burn injury?
Which intervention is most effective for reducing hypertrophic scars after a burn injury?
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What strategy should the OT recommend to a client with COPD experiencing fatigue?
What strategy should the OT recommend to a client with COPD experiencing fatigue?
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Which intervention is most appropriate for a client recovering from a distal radius fracture during the subacute stage?
Which intervention is most appropriate for a client recovering from a distal radius fracture during the subacute stage?
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Which of the following is crucial in managing hypertrophic scars after a burn?
Which of the following is crucial in managing hypertrophic scars after a burn?
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What is the primary goal during the emergent phase of treatment for burn victims?
What is the primary goal during the emergent phase of treatment for burn victims?
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Under which part of the Individuals with Disabilities Education Act (IDEA) would a 2-year-old child with developmental delays be eligible for services?
Under which part of the Individuals with Disabilities Education Act (IDEA) would a 2-year-old child with developmental delays be eligible for services?
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When should splinting be initiated for a patient who has sustained a burn injury?
When should splinting be initiated for a patient who has sustained a burn injury?
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Which activity corresponds to approximately 3 METs in a cardiac rehabilitation setting?
Which activity corresponds to approximately 3 METs in a cardiac rehabilitation setting?
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What anatomical structure is most likely contributing to the compression in the costoclavicular space for a patient with Thoracic Outlet Syndrome?
What anatomical structure is most likely contributing to the compression in the costoclavicular space for a patient with Thoracic Outlet Syndrome?
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What is the most likely cause of diplopia in a patient suspected of having a convergence issue?
What is the most likely cause of diplopia in a patient suspected of having a convergence issue?
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Which goal should be prioritized for the initial IEP of a child?
Which goal should be prioritized for the initial IEP of a child?
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How might recent social and political shifts most directly affect access to behavioral health services for adults in underserved populations?
How might recent social and political shifts most directly affect access to behavioral health services for adults in underserved populations?
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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?
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?
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Which goal should be prioritized in a cardiac rehabilitation program after a heart attack?
Which goal should be prioritized in a cardiac rehabilitation program after a heart attack?
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What is the most immediate goal for a child struggling with handwriting as per the initial IEP?
What is the most immediate goal for a child struggling with handwriting as per the initial IEP?
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What is the best approach for an occupational therapist when addressing a child who is squeezing into small spaces?
What is the best approach for an occupational therapist when addressing a child who is squeezing into small spaces?
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In post-heart attack rehabilitation, which option best supports gradual recovery?
In post-heart attack rehabilitation, which option best supports gradual recovery?
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What goal would be least suitable for a child with significant handwriting difficulties?
What goal would be least suitable for a child with significant handwriting difficulties?
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Which resource should an occupational therapy practitioner consult first when determining if a specific intervention is within their scope of practice?
Which resource should an occupational therapy practitioner consult first when determining if a specific intervention is within their scope of practice?
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What type of graft uses skin harvested from the patient's own body during the acute phase of burn rehabilitation?
What type of graft uses skin harvested from the patient's own body during the acute phase of burn rehabilitation?
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What is the MOST appropriate strategy for managing exercise tolerance in a client recovering from a myocardial infarction?
What is the MOST appropriate strategy for managing exercise tolerance in a client recovering from a myocardial infarction?
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For a 28-year-old patient with a complete C6 spinal cord injury, which activity is MOST appropriate to improve functional independence during therapy?
For a 28-year-old patient with a complete C6 spinal cord injury, which activity is MOST appropriate to improve functional independence during therapy?
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What is the MOST appropriate intervention for a patient with early-stage ALS who reports fatigue during activities of daily living?
What is the MOST appropriate intervention for a patient with early-stage ALS who reports fatigue during activities of daily living?
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What should be the occupational therapist's primary focus during the initial intervention for a patient with fibromyalgia?
What should be the occupational therapist's primary focus during the initial intervention for a patient with fibromyalgia?
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Which intervention is least appropriate for managing an individual's exercise tolerance after a myocardial infarction?
Which intervention is least appropriate for managing an individual's exercise tolerance after a myocardial infarction?
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What type of skin graft is characterized by using skin taken from a donor of the same species?
What type of skin graft is characterized by using skin taken from a donor of the same species?
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Which Rancho Los Amigos level is characterized by confusion but the ability to follow simple commands and engage in structured tasks with assistance?
Which Rancho Los Amigos level is characterized by confusion but the ability to follow simple commands and engage in structured tasks with assistance?
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What is the most appropriate first intervention for an occupational therapist working with a client unsure of their work capabilities?
What is the most appropriate first intervention for an occupational therapist working with a client unsure of their work capabilities?
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Which visual skill is most essential for safe driving after a stroke?
Which visual skill is most essential for safe driving after a stroke?
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In preventing contractures in a client with a hand burn injury, what is the correct splinting position?
In preventing contractures in a client with a hand burn injury, what is the correct splinting position?
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What therapeutic intervention is appropriate for a patient with borderline personality disorder struggling with emotional outbursts?
What therapeutic intervention is appropriate for a patient with borderline personality disorder struggling with emotional outbursts?
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What is a primary focus when working with clients recovering from injuries in a work readiness program?
What is a primary focus when working with clients recovering from injuries in a work readiness program?
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Why is depth perception important for clients aiming to resume driving?
Why is depth perception important for clients aiming to resume driving?
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Which splint position is least effective for preventing contractures in a burn injury to the hand?
Which splint position is least effective for preventing contractures in a burn injury to the hand?
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What is the most appropriate initial intervention for De Quervain's tenosynovitis?
What is the most appropriate initial intervention for De Quervain's tenosynovitis?
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Which strategy is most important for occupational therapy sessions with a child diagnosed with oppositional defiant disorder?
Which strategy is most important for occupational therapy sessions with a child diagnosed with oppositional defiant disorder?
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What is the most appropriate intervention for a client in Stage 2 of ALS?
What is the most appropriate intervention for a client in Stage 2 of ALS?
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What is the BEST choice for a safe splint position following a deep partial thickness burn on the left hand and wrist?
What is the BEST choice for a safe splint position following a deep partial thickness burn on the left hand and wrist?
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As an occupational therapist, what should be the FIRST intervention for a client post-myocardial infarction in phase 1 of rehabilitation?
As an occupational therapist, what should be the FIRST intervention for a client post-myocardial infarction in phase 1 of rehabilitation?
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During rehabilitation, what should be avoided when managing a client with ALS in Stage 2?
During rehabilitation, what should be avoided when managing a client with ALS in Stage 2?
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What position is least appropriate for splinting after a burn injury to the left hand?
What position is least appropriate for splinting after a burn injury to the left hand?
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What is NOT a common intervention for children with oppositional defiant disorder?
What is NOT a common intervention for children with oppositional defiant disorder?
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Study Notes
Occupational Therapy
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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.
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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.
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Metabolic Equivalent (MET) Levels: Shoveling snow equates to roughly 3 METs during cardiac rehabilitation.
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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).
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Diplopia (Double Vision): Ocular misalignment is the most likely cause of double vision in adults, not macular degeneration, glaucoma, or retinal detachment.
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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
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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.
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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.
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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.
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Huntington's Disease: Occupational therapy for Huntington's Disease focuses on compensation, developmental milestones and sensorimotor skills.
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AAC System Concerns: Considerations for AAC systems with clients with speech impairments should prioritize visibility, sensibility, portability.
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Burn Injury Treatment: Second and third-degree burn treatment in the emergent phase focuses on splinting, edema management, muscle strengthening. pain and infection management.
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Medicare Part D Coverage: Medicare Part D covers prescription medications not inpatient stays/occupational therapy.
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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.
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Skier's Thumb Treatment: Immobilization and splinting is best suited to treat Skier's thumb after fracture in a sub-acute setting.
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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.
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Macular Degeneration: Instructing macular degeneration patients to avoid glare is important and consider eccentric viewing exercises;
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Visual Deficits: Individuals with glaucoma should use adaptive aids such as large print and magnification to improve safety concerns
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ALS Management: For clients with ALS, focusing on energy conservation is important for maintaining independence
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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.
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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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Description
This quiz focuses on key considerations and interventions in occupational therapy for clients with severe speech impairments and burn injuries. Explore the best practices for managing hypertrophic scars and other conditions in therapy settings. Test your knowledge on telehealth services and children's eligibility under IDEA.
