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What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a right CVA several days ago? - ANSWER - To observe the patient's oral motor control and determine a need for further evaluation. A screening is not used for diagnostics or treatment planning
- it allows the OTR to quickly detect the presence of a deficit and
determine if an in-depth evaluation is needed.
An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho Level VII. What characteristic of an individual's cognitive behavioral function is typically included in the description of this level? - ANSWER - Consistent orientation to time and space.Patients at this level frequently display robot-like behaviors and require minimal assistance for routine ADL.
While assessing the motor skills of an 8-month-old child, the OT observes him assume a quadruped position and then begin to rock back
and forth. This behavior most likely indicates: - ANSWER - normal
development
while standing and holding onto furniture, a 3-yr. old boy with delayed motor development shifts his weight onto one leg and steps to the side w the other. This movement is - ANSWER - cruising 1 / 4
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pg. 2 During an initial interview parents describe their child as having severe difficulty in communicating and interacting with other and also exhibits repetitive and ritualistic behaviors. This is most likely - ANSWER - PDD
When working with a child who is at risk for shunt malfunction, it is
MOST important for the therapist to observe for: - ANSWER -
unexplained sensory loss
For self-feeding with C5 spinal cord injury, what piece of equipment would be MOST appropriate? - ANSWER - Mobile Arm Support
When planning intervention for individuals int he acute phase of cardiac
rehab, it is most important for the OT to select activities that: -
ANSWER - Decrease the effects of prolonged inactivity, such as thromboembolism, orthostatic hypotension, and muscle atrophy
What is the MOST important when using a remotivation approach with a group of elderly individuals? - ANSWER - Use of photos, music, and discussion to encourage discussion of memories
A child with ADHD also exhibits perceptual deficits. What activity would be MOST effective intervention to train visual attention? - ANSWER - Blowing cotton balls at a target because child with ADHD have difficulty with sustained attention and effort and blowing cottons balls at a target is a short-term activity with immediate reward for successful completion rather than delayed gratification
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pg. 3 An OT is training an adult worker with a developmental disability to put a pencil in the box before putting in the score pad in the box for a game packing task in a sheltered workshop. The pt has not done this before.What type of reinforcement schedule would be BEST to achieve the goal oflearning this task sequence? - ANSWER - continuous reinforcement of correct responses - continuous reinforcement is best for learning new behaviors, intermittent reinforcement is best for maintaining behaviors.
A pt with Guillain Barre is expected to stay in hospital 3-4 weeks. When should the OT practitioner order adaptive equipment? - ANSWER - Just before discharge to accurately determine the pt's needs
For a pt at ACL 4, what is the BEST method for introducing an assembly activity? - ANSWER - Provide project samples for clients to duplicate
For a pt at ACL 3, what is the BEST method for introducing an assembly activity? - ANSWER - Provide repetitive, one-step activities. Pt will not likely produce consistent results.
For a pt at ACL 5, what is the BEST method for introducing an assembly activity? - ANSWER - Demonstrate a 3 step assembly process
For a pt at ACL 6, what is the BEST method for introducing an assembly activity? - ANSWER - Provide written directions for the individuals to follow
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pg. 4 What is the ONLY activity that will facilitate hand function in the preparation phase? - ANSWER - Weight-bearing on hands
What help improve the ability of someone with a C6 or C7 SCI to hold something? - ANSWER - Wrist splints to promote development of tenodesis by allowing the finger flexors to shorten so the person will have a functional grasp when the wrist is extended.
An OT is positioning a child with poor muscle tone and postural instability into a prone stander to develop head righting. The child rapidly shows fatigue. How can the therapist BEST adjust the stander to decrease these reactions while continuing to address the goal of head righting? - ANSWER - Position the stander at 75 to 90 degrees from the floor so that the child doesn't have to work against gravity a lot, but isn't standing up straight which would be the easiest.
What is an effective strategy for increasing attention to the left for a person who has a diagnosis of unilateral neglect? - ANSWER - Encouraging available hemiplegic limb movements before or during a task because any movement will activate additional motor units which will then increase attention to the Left
What is the best height for a toilet for someone with lower extremity paralysis in a standard wheelchair? - ANSWER - 18 inches which is the height of a standard wheelchair seat, making transfers easier
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