Which option BEST represents instructions an OTR should provide an inpatient who had a total hip arthroplasty 2 days ago and post-operative precautions include non-weight-bearing?

A school based OTR is working with a high school student with autism. The student has a high-level of auditory sensitivity that limits the ability to successfully transition between classes. Which recommendation would support the client’s ability to transition successfully to the next class?

During the initial evaluation, the OTR brings a seven-year-old child with autism to the sensory gym to observe the child’s play skills. The OTR demonstrates of variety of play equipment and tells the child, “I want to see you playing in the gym. What would you like to do?” The child is unable to figure out which equipment to use and how to use it. The OTR suspects that the child may have difficulties in one aspect of play?

A client who had a CVA one month ago now has moderate-severe flexor spasticity and scapular immobility of the involved upper extremity. Which technique is CONTRAINDICATED to use for minimizing the impact of spasticity on passive mobility for dressing and hygiene?

An OTR, who works with children who have cerebral palsy, wants to stay abreast of research relevant to the practice area but is overwhelmed by the amount of evidence available. What is the MOST BENEFICIAL strategy for the OTR to use to integrate evidence into practice-based decisions?

An OTR who works in an inpatient rehabilitation unit is completing an evaluation of a patient who had bilateral total knee arthroplasties 3 days ago. The patient is in generally good health, plans to live independently at home, and wants to resume volunteer work in the community. The patient currently requires OT services to increase independence in bathing, dressing, and toileting. What MUST the OTR consider when scheduling the patient for OT?

A young adult client with high functioning autism attends a community-based day program. The client goes to a restaurant for lunch twice per week with staff and other clients from the program. The client enjoys this activity but becomes extremely anxious and engages in negative self-stimulation behaviors when it is time to transition from center activities to go to the restaurant. One of the intervention goals is to help the client learn to manage these behaviors during this transition time. Which strategy would be MOST EFFECTIVE to include as part of the intervention for supporting this goal?

An OTR who works in an outpatient pediatric clinic is preparing to fabricate an orthosis for a 4-year-old child who has cerebral palsy and a wrist flexion contracture. The child is crying and is visibly distressed in anticipation of the pending procedure. What action should the OTR take prior to starting the fabrication procedure to provide a positive experience for the child?

An OTR is teaching stand-pivot transfers to a client who has stage two Parkinson’s disease and uses a wheelchair for mobility. After instructing the client to properly position the chair in relation to the transfer surface and asking the client to lock the wheelchair brakes, what should the OTR ask the client to do NEXT?

A client in a home health setting had bilateral lung transplants one month ago and is participating in OT to improve activity tolerance for completing home management tasks. The client is currently able to perform laundry tasks but develops shortness of breath when standing for longer than 2 minutes. The client has a stacked washer and dryer located in the hallway between the kitchen and the main bedroom. Which energy conservation technique should the OTR teach this client to use to MOST EFFECTIVELY improve the client’s activity tolerance during this home management task?

An OTR is working with a client who has Stage 5 Alzheimer's disease and lives with a full-time caregiver. Based on this stage of the disease process, which option would be the MOST BENEFICIAL recommendation for the OTR to make to the caregiver?

An OTR who works in an outpatient hand therapy clinic fabricated a forearm orthosis for a client. The OTR is providing instructions to the client on the wearing schedule and care of the orthosis. Which is the MOST EFFECTIVE method for the OTR to use in the education session to promote the client’s understanding of the information presented?

An OTR is planning an intervention session for a 6-year-old child who has fetal alcohol syndrome. The child has difficulty coping when frustrated and frequently refuses to speak in social situations and during therapy. The OTR has attempted to engage the child using play therapy and sensory-based approaches, but the child refuses to participate. How should the OTR modify the intervention approach based on the child’s responses during previous interventions?

An OTR working in an acute care setting is contributing to the discharge recommendations for an older adult inpatient. The patient has mild cognitive impairment and was admitted to the hospital 4 days ago due to a syncopal event with a diagnosis of atrial fibrillation and hypertension. The patient lives with family who are available to provide care as needed, but the patient wants to be independent in ADL. Currently, the patient completes ADL with supervision but occasionally relies on physical assistance from a caregiver to stand up from the toilet. Which discharge setting would be MOST BENEFICIAL for the OTR to recommend for the patient's next level of care?