Chapter 18 Review Questions

A client has had a mild CVA but still has mild right-sided weakness and inattention to the right. The OTA knows the client drove to her outpatient appointment, and when asked, the client says she was fine to drive. What is the first step the OTA should take?

• Call the client's family

• Call the client's medical doctor

• Ask the occupational therapist to assess the client further

• Refer the client to a driving evaluator

The OTA is observing a client having difficulty making a sandwich for lunch. The client planned to use ham but instead made a peanut butter and jelly sandwich when he saw the jar of jelly. The client then comments that his wife is happy he is being discharged because she does not like to drive, and he will take over driving again when he is discharged tomorrow. Which three of the following should the OTA do?

• Talk to his wife about not allowing him to drive

• Investigate whether cognitive impairment has been identified with the client

• Ignore the comment, as the OTA was not asked to evaluate his driving ability

• Document the observations

• Speak with the supervising occupational therapist or team member about the observations

The hospital is considering getting a driving simulator. The occupational therapist asks the OTA to read up on how to use the simulator for intervention. Which three things should the OTA do?

• Investigate the types of simulators available on the internet

• Seek training for use of the driving simulator through continuing education or mentorship

• Practice on the driving simulator

• Find a document to show that using a driving simulator is not appropriate for the OTA

• Call a colleague who uses simulation

The client has recovered fairly well from his CVA. He really wants to return to driving, but has some physical and visual impairments that may affect driving. A referral to a DRS is appropriate at which level?

• Basic

• Low tech

• High tech

• A referral is not appropriate

The client has progressive dementia. Both he and his spouse understand it is safer for him to cease driving, but the wife has done virtually no driving for the past 10 years. Which three of the following are the most appropriate recommendations?

• Encourage him to continue to drive, as long as the wife is able to be a passenger and direct him

• Encourage the wife to see a driving instructor to brush up on her driving abilities and skills

• Encourage the wife to see a DRS for a comprehensive driving evaluation

• Speak with the OT and/or the team about alternative methods of transportation for the couple

• Offer resources about driving safety to both the client and his spouse

For a client with a permanent disability, such as an SCI, when would be the ideal time to bring in the DRS?

• Soon, in the beginning of the rehabilitation process

• After the client has completed inpatient rehabilitation

• After the client has completed all hospital-based rehabilitation

• When the client is optimally recovered and ready to drive

A client with vascular dementia has a significant cognitive impairment that will prevent her from returning to independent driving. What would be the next intervention for the OT practitioner to do?

• Discuss options for using public transportation because the client lives near a bus line

• Work with the family on options for maximizing the client's mobility with a transportation plan

• Discuss options for learning how to use a taxi or ride sharing service

• Give a list of potential volunteer driving programs

A typical OT practitioner who specializes in driver rehabilitation provides which of the following?

• Comprehensive driving evaluations, training, and recommendations for modifications of vehicles

• Driving education, comprehensive driving evaluations, training, and recommendations for modifications of vehicles

• Comprehensive driving evaluations, training, recommendations for modifications of vehicles, and alternative transportation education

• Driving safety education, driver training, comprehensive driving evaluations, training, recommendations for modifications of vehicles, and alternative transportation education

The client is an 80-year-old man who had a mild CVA and is recovering quickly. During ADLs and IADLs, the OTA observes that his cognitive abilities do not appear to be impaired. However, his son and daughter ask the OTA to tell the client he should not drive anymore because of this CVA. What should the OTA do?

• Refer the family to the physician to speak about driving

• Discuss observations about his cognitive abilities and assure them he is likely safe to drive

• Refer the family to the occupational therapist to consider screening tests for driving

• Tell the family to make an appointment for a comprehensive driving evaluation

A client with a TBI has been using the driving simulator to regain skills necessary for driving. He continues to improve on the simulator and does well on all of the scenarios. What is the next step?

• Allow him to try driving in the parking lot in his family's car

• Refer him for a comprehensive driving evaluation

• discuss his progress with the OT to consider other driving evaluations.

• Continue with the simulator scenarios, adding difficulty with multitasking activities while driving