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Acute Quiz 4 Review

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

Your client has MS and they are in a lot of pain during your tx session. Their care partner asks if they should use a heating pad since they heard it can help with pain. As the OTR working with this client and care partner, what should you do?

a)

listen to the care partner, they know their loved one better than you

b)

educate on the negative side effects heat can have on someone with MS

c)

educate on the positive side effects heat can have on someone with MS

d)

apply heat for 10 minutes and check in regularly

2.

A 60-year-old patient with MS is experiencing progressive weakness and fatigue. The patient has difficulty maintaining posture during seated activities and often requires frequent breaks. Which intervention is MOST appropriate to address these symptoms? 

a)

encourage the client to engage in frequent stretching exercises

b)

introduce energy conservation techniques and frequent rest periods

c)

recommend aerobic exercises to increase stamina

d)

provide an orthosis to improve LE positioning

3.

Your client has been showing signs of bradykinesia, rigidity, and frequent tremors. Although, as the OTR, you cannot officially diagnose, what do these symptoms often correlate with? 

a)

MS

b)

ALS

c)

Parkinson's

d)

Alzheimer's

4.

After a CVA, your client has developed homonymous hemianopsia. They are very confused and have not been able to comprehend this new diagnosis. What does this diagnosis entail? 

a)

loss of central vision

b)

impaired coordination

c)

inability to judge distance

d)

loss of vision in same halves of both eyes

5.

Your client who just had a CVA is experiencing some neurological impairments. In your session, when working on ADLs, your client cannot comprehend why you are there and why he needs help with dressing and getting out of bed. He does not remember his CVA and thinks he is perfectly fine. What neurological impairment is this client experiencing? 

a)

agnosia

b)

anomia

c)

anosognosia

6.

When discharging your client with Parkinsons, you want to educate the family on different ways they can ensure their loved one is going to be safe and functional while at home. What are some ways you would educate the family? 

a)

fall prevention

b)

adaptive techniques

c)

safety risks at home

d)

have the family show any techniques they learned to show competency

7.

You are meeting your client for the first time in the acute setting. They have been admitted due to a recent CVA, but as of right now they are safe and aware of their surroundings. You take this time to go and introduce yourself and take an evaluation. What are the 3 BEST initial things to do when meeting this client for the FIRST time? 

a)

take an occupational profile

b)

measure their grip strength and MMT

c)

have them perform basic ADLs

d)

give them adaptive equipment to assist in ADLs

e)

ask about their home and supporting factors

8.

You have been working with Roger, a 32 y/o client who sustained a complete SCI resulting in paraplegia following a motor vehicles accident. As discharge approaches, Roger expresses a desire to gradually return to his role as an accountant. As the OTP working with Roger, what key areas (2) should you address to support his transition back to work? 

a)

instruct Roger on adaptive leisure activities to promote community mobility and social engagement

b)

provide training on safe transfers to and from office seating and work surfaces

c)

educate on repositioning at least every hour to prevent pressure sores

d)

educate on managing UE spasticity during extended computer use

9.

You are the OTP working with a client diagnosed with Parkinson’s disease. During a session, the client reports their symptoms, including tremors and rigidity have become more profound. The client expresses a strong desire to maintain independence and continue participating in her ADLs such as eating. Which of the following would be MOST appropriate to support this client’s goals? 

a)

recommend increase reliance on caregiver support for all ADLs to reduce physical and mental strain

b)

advise the client to limit activity levels to prevent symptoms from getting worse

c)

introduce compensatory strategies such as weighted utensils and AE

d)

refer to the neurologist for medication management to prevent symptoms

10.

A client with a c6 SCI is participating in today’s OT session and her goals include improving independence in ADLs. Which of the following devices would BEST support this client’s ability to complete grooming tasks? 

a)

universal cuff

b)

weighted equipment/ utensils

c)

mobile art support (orthosis)

d)

long handled sponge

11.

Which of the following Glasgow Coma Scale (GCS) scores would MOST LIKELY indicate a severe TBI? 

a)

14

b)

7

c)

12

d)

9

12.

An OTR is reviewing the chart of a newly admitted client with a GSC score of 6. What is the MOST appropriate initial OT focus? 

a)

cognitive retraining and community re-entry

b)

ADLs with minimal cues

c)

sensory stimulation and positioning education

d)

vocational rehabilitation and job site assessment

13.

Rancho Los Amigo score of I means ___ 

a)

no response

b)

generalized response; non-purposeful

c)

localized response; purposeful

d)

confused and agitated

14.

Rancho Los Amigo score of II means ___ 

a)

no response

b)

generalized response; non-purposeful

c)

localized response; purposeful

d)

confused and agitated

15.

Rancho Los Amigo score of III means ___ 

a)

no response

b)

localized response; purposeful

c)

confused and agitated

d)

generalized response; non-purposeful

16.

Rancho Los Amigo score of IV means___ 

a)

confused and agitated

b)

generalized response; non-purposeful

c)

no response

d)

localized response; purposeful

17.

When working with a client who has MS, they express significant fatigue during afternoon and nighttime tasks. What is the BEST strategy for you as the OTP to recommend?

a)

perform tasks standing up to improve endurance throughout the day

b)

use energy conservation techniques during morning and afternoon tasks

c)

engage in more challenging activities in the afternoon to workup endurance

d)

eliminate the use of AE to reduce dependence and increase endurance

18.

A client recovering from a moderate TBI demonstrates impulsivity and poor safety awareness during functional mobility. What is the MOST appropriate intervention strategy to utilize?

a)

use step-by-step verbal cues with close supervision

b)

provide detailed verbal instructions and standby assistance

c)

encourage the client to complete the task on their own

d)

focus on strengthening exercises to improve overall performance

19.

A client is recovering from a severe TBI and is confused, easily agitated, and demonstrates poor attention. As the OTP working with this client, what is the MOST appropriate setting for an initial OT intervention?

a)

group therapy focused on social interactions and relationship building

b)

community integration with distractions to re-train the client's mind

c)

high-level cognitive activities with minimal assistance

d)

one-on-one sessions in a quiet environment

20.

A client post-right CVA is having difficulty with spatial awareness and left-sided neglect. During meal prep, what should the OTP focus on FIRST?

a)

strengthening the client's R side and train this side only

b)

encourage visual scanning on the left side

c)

strengthen the L side only

d)

educate the client on proper nutrition so they know how important it is