Adult POP Pt.2

True Learn Question: 

 An occupational therapy practitioner is working with a resident of an assisted living facility who enjoys card and board games. The client begins to complain of bilateral hand pain from moderate to severe rheumatoid arthritis. As a result, the client has been unable to participate in the leisure activities. The rheumatologist referred the client to occupational therapy to address the progression of the arthritis. What is the MOST appropriate intervention that an entry-level occupational therapy practitioner can provide for the client?

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  Use physical agent modalities (PAMs) to help alleviate the pain and maintain range of motion

  
  

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  Provide the client with a prefabricated resting hand splint to provide positioning and comfort

  
  

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  Provide the client with resistive exercises to strengthen the intrinsic muscles of the hand and improve grip

  
  

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  Observe the card and board games the client enjoys and carefully grade or modify the activity

  
  

True Learn Question: 

A client with osteoarthritis is experiencing difficulty managing day-to-day work tasks and home tasks. Which of the following should the OTR recommend to address this issue?

• importance of balancing rest and activity

• talk to the client's employer about decreasing the client's workload

• importance of continuing to manage all tasks

• avoid range-of-motion and strength activities

True Learn Question:

An occupational therapy practitioner is developing an intervention plan for an 80-year-old client with stage III rheumatoid arthritis. The client has unstable joints in the hand, which prevent the client from performing grip-strengthening exercises. Due to the nature of the condition, the occupational therapy practitioner decided to recommend adaptive equipment to support the client's engagement in activities of daily living (ADLs). Which of the following adaptive equipment is CONTRAINDICATED for the client?

• elastic laces

• t-handled mug

• reacher

• bottle opener

True Learn Question: 

A client is referred for inpatient occupational therapy following hip surgery. What is the FIRST thing the OTR must do prior to evaluating a client’s activities of daily living (ADLs) and functional ambulation?

• Confer with the client’s physical therapist regarding the client’s ambulatory status

• Review the client’s most recent vital signs with the attending nurse

• Review the client's medical record for demographics, current status, and precautions

• Ask the client about the prior level of function, ambulation, and community mobility

Occupational therapy services can promote community environmental modifications by providing input such as:

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  finalize budgets to make environmental modifications in a community.

  
  

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  making an plea for a particular candidate to win an election.

  
  

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  working with city officials to modify school hours to increase learning opportunities.

  
  

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  seek community residents’ input to make intervention suggestions to promote walking, socializing, safety, and intellectual stimulation.

  
  

One of the first assessments an OT practitioner must conduct as part of the process of the home assessment is:

• history and physical

• occupational profile

• home exterior assessment

• entryway assessment

The concept of environmental design relates to Aging in Place because environmental modifications: 

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  are relevant only to older adults who desire to age successfully and do not impact other populations of individuals.

  
  

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  allow older adults to remain in their own homes and perform ADLs and IADLs safely and independently.

  
  

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  cannot compete with assisted living for help with ADL needs for healthy older adults.

  
  

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  cannot provide the safety needed for older adults to age successfully and live independently.

  
  

Your client is diagnosed with a right CVA.  What is the best method to instruct your client to cut his/her food?

• delegate the task of cutting food to someone else.

• rocker knife with left hand

• pizza cutter with left hand

• teach hand over hand assistance

Family members expressed concerns about their mother having difficulty feeding herself due to low vision.  What is the best intervention for the OT to suggest?

• provide each food at different intervals

• teach family present the food on the plate using the clock method

• make certain plates and linens are the same color

• recommend pureed food

What adaptation for bathing/showering would you make for a client who presents with intention tremors?

• faucet controls at waist level

• hand-held shower hose

• soap on a rope and bath mitt

• long-handled sponge