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Neurological Interventions in OT

Total questions: 10

Worksheet time: 7mins

Name
Class
Date
1.

A client presents with decreased memory resulting from dementia. What is the MOST EFFECTIVE strategy for a COTA® to implement to intervene with this cognitive impairment?

a)

Chunking or grouping similar items together

b)

Repeating information over and over again to oneself

c)

Rhyming strategies to recall information

d)

Cuing through cards or signs in key places

2.

A client presents with decreased orientation. What is the most effective strategy for a COTA® to implement to assist with this cognitive impairment?

a)

Use an orientation poster in a common area with personal and daytime information listed.

b)

Provide auditory reminders throughout the day that provide basic personal and daytime information.

c)

Provide the client with orientation information only when requested to prevent undue anxiety.

d)

Allow the client to establish their own routine, even if that means allowing the client to dress for the day in the middle of the night.

3.

Orthostatic hypotension is a common complication of spinal cord injury (SCI). What should the COTA® do for the client when it occurs? (a)  

Choose from the below words
Sit the client up.
Lean the client back.
Call the nurse.
Nothing; the client is not
4.

A COTA® is performing wheelchair training with a client with T1 spinal cord injury (SCI). What is the BEST method to instruct the client in pressure relief techniques?

a)

Perform weight shift by pushing up on armrests with upper extremities.

b)

Perform weight shift by leaning toward the feet.

c)

Perform weight shift by enlisting aide or caregiver assistance.

d)

Perform weight shift by grabbing a door handle and standing.

5.

To prevent skin breakdown in a client with an incomplete spinal cord injury, which method is BEST for preventing pressure sores?

a)

Removing cushioning from wheelchair

b)

Applying moist heating pads to areas of discomfort

c)

Encouraging the client to remain still in bed

d)

Teaching the client to inspect the skin on a daily basis

6.

While reviewing the chart of a client with spinal cord injury, the COTA® notices that the client has experienced past episodes of autonomic dysreflexia in the hospital. What is the BEST recommendation the COTA® can make to the client concerning dysreflexia?

a)

Suggest that the OTR® treat the client because the COTA® is unfamiliar with the condition.

b)

Suggest the client carry an emergency card describing the condition for medical personnel and others.

c)

Suggest the client wear elastic stockings and abdominal binders to increase blood pressure.

d)

Suggest the client leave sessions early if experiencing symptoms.

7.

What is an appropriate intervention for improving motor planning in a client with a CVA? (a)  

Choose from the below words
Graded finger movements
Sensory stimulation
Mirror therapy
Task-oriented training
8.

Which of the following is an effective intervention for addressing hemiparesis in CVA patients? Select the 3 best responses.

a)

Weightbearing on the affected side

b)

Mirror therapy

c)

Constraint-induced movement therapy

d)

Joint Protection Techniques

e)

Visual Scanning exercises

9.

What is the goal of NDT (Neurodevelopmental Treatment) for CVA patients?

a)

To improve overall strength and coordination

b)

To facilitate recovery of normal movement patterns

c)

To improve cognitive skills

d)

To decrease spasticity

10.

Which of the following interventions would be the most appropriate to do FIRST with a client with ataxia?

a)

Balance exercises on unstable surfaces

b)

Bilateral fine motor activities

c)

Joint mobilization

d)

Trunk stabilizing exercises