Chapter 40 questions

An OTA is discussing guardianship with the parents of a teenager who is significantly physically and cognitively impaired and will be in a special education program until age 21. What is MOST important for the OTA to discuss in regard to the timing to apply for guardianship?

• File before his 18th birthday

• File on his 18th birthday

• File on his 21st birthday

• File when he graduates

An OTA is working with an adult student with cerebral palsy, which significantly impacts her ability to write. The client is cognitively intact. What can the OTA do to BEST assist with her transition into the adult health system?

• Provide handwriting drills for the client to do at home

• Help the client develop a specific mark that can serve as a signature

• Identify the best physicians for the client in the area

• Recommend that a trusted individual sign forms for her

An OTA is working with a client who sustained several broken bones after falling off a ladder.  When talking about how this injury happened, the client states that she wanted to get branches off of her roof but did not take note of the current windy weather and did not make sure that the ladder was secure. During therapy, the OTA also notes impulsivity in the client’s actions. Which of the following is this client’s MOST LIKELY condition?

• Attention deficit-hyperactivity disorder

• Autism spectrum disorder

• Anxiety

• Down syndrome

An OTA is working with a 26-year-old adult who has a condition that is not progressive. The OTA is working on training the client to use assistive technology due to spasticity in all four extremities and energy conservation to assist with pain. What condition does this individual MOST LIKELY have?

• Spina bifida

• Cerebral palsy

• Muscular dystrophy

• Down syndrome

An OTA is working with a 20-year-old adult who has a progressive condition. The OTA is teaching the client energy conservation techniques and fall prevention because the client fatigues easily, has decreased endurance, and has recently been diagnosed with osteoporosis. She is independent with her positive end respiratory pressure machine as well as chest drainage techniques. What condition does this individual MOST LIKELY have?

• Spina bifida

• Down syndrome

• Cystic fibrosis

• Cerebral palsy

An OTA is working with a 25-year-old client with spina bifida who has a stage 3 decubitus on her coccyx. What would the role of the OTA MOST LIKELY be in her treatment?

• Hand strengthening to assist self-catheterization

• Suggesting pressure relief strategies

• Working on bed mobility to assist with a bowel program

• Demonstrating proper transfer techniques

An adult with autism spectrum disorder has just started a new job at the local grocery store. The manager has noticed that the individual is unable to attend to the task of bagging groceries and instead is scratching at the back of his neck throughout the day. The worker states that the tag itches and he needs to scratch to get rid of the itching. With which of the following is this individual MOST LIKELY having difficulty?

• Self-regulation

• Sensitization

• Habituation

• Sensory awareness

An OTA is working with a client diagnosed with an intellectual disability. The client has been reported to have a high sensory threshold and is constantly touching items on the table and around the clinic. The OTA needs to give the client redirection to remain seated. What sensory processing characteristic is this client MOST LIKELY exhibiting?

• Avoiding/avoiders

• Registration/bystander

• Sensitivity/sensor

• Seeking/seeker

An OT is working with a client who has type 1 diabetes for which she self-administers insulin injections. She has also developed carpal tunnel syndrome. What can an OTA do to BEST assist the client with medical self-management?

• Provide large-handled utensils to make eating easier

• Fabricate a wrist-hand orthosis

• Teach adapted syringe filling techniques

• Evaluate the ergonomics of her workstation

An OTA is working with a client who had leukemia as a child and was treated with chemotherapy and who recently had a CVA. What occupation would be of the MOST concern to the OTA, taking into consideration both diagnoses?

• Preparing meals

• Doing laundry

• Shopping for food

• Ironing