Chapters 10, 11, 12

Question 1

The most commonly used methods to teach clients who have perceptual problems, poor memory, and difficulty following directions include all but which of the following?

a.
Brief demonstration and oral instruction

b.
Concrete step-by-step approach and instruction

c.
Backward chaining

d.
Activity performance along with the therapist

Answer 1

d.

Activity performance along with the therapist

Question 2

Stabilizing an extremity to reduce incoordination and enable a client to perform activities of daily living (ADLs) is a common practice for clients with which of the following conditions?

a.
Rheumatoid arthritis

b.
Central nervous system (CNS) disorders

c.
Temporary orthopedic disorders such as fractures

d.
Quadriplegia

Answer 2

b.

Central nervous system (CNS) disorders

Question 3

Which of the following is the main technique used for a client with limited joint range of movement (ROM) to perform ADLs?

a.
Compensatory strategy involving changing the method in which an activity is performed

b.
Changing the environment where the activity is performed

c.
Using an assistive device for the activity

d.
Treatment including remediation

Answer 3

c.

Using an assistive device for the activity

Question 4

The use of a wrist-driven flexor hinge splint may benefit a client with muscle function from spinal cord levels __.

a.
C6

b.
C5

c.
C4

d.
Both A and B

Answer 4

a.

C6

Question 5

IADL skills needed for client safety and independence alone at home include all but which of the following?

a.
The ability to retrieve a simple meal

b.
The ability to ambulate independently

c.
The ability to employ safety precautions

d.
The ability to take medications

Answer 5

b.

The ability to ambulate independently

Question 6

Which of the following is an example of an instrumental ADL (IADL)?

a.
Care of others

b.
Functional mobility

c.
Toilet hygiene

d.
Bowel and bladder management

Answer 6

a.

Care of others

Question 7

An occupational therapist is working with a patient with low vision in her home. Which environmental modification would be contraindicated?

a.
Improve lighting by opening blinds and curtains.

b.
Simplify figure-ground perception.

c.
Use magnifiers with lights.

d.
Maximize contrast for the task

Answer 7

a.

Improve lighting by opening blinds and curtains.

Question 8

The occupational therapist is working with a client who has pain and weakness in her hands as a result of moderate to severe arthritis. To increase functional independence, the client may use which of the following?

a.
Plate guards or scoop dishes

b.
A commercially available sock aid

c.
An extended-handle reacher

d.
Lever-type doorknob extensions

Answer 8

d.

Lever-type doorknob extensions

Question 9

An occupational therapist is working with a client who has an impaired right upper extremity resulting from a lower motor neuron dysfunction. What is a common problem that the therapist will have to address?

a.
Speech disorders

b.
Impaired ability to learn and perform

c.
Difficulty with motor planning

d.
Reduction of work speed and dexterity

Answer 9

d.

Reduction of work speed and dexterity

Question 10

Any item, piece of equipment, or product system, whether acquired commercially, off the shelf, modified, or customized, that is used to increase or improve functional capabilities of individuals with disabilities is the definition of __?

a.
adaptive equipment

b.
assistive device

c.
assistive technology

d.
All of the above

Answer 10

d.

All of the above

Question 11

A client at risk for foot drop deformity may benefit from the use of which orthotic?

a. 
Supramalleolar orthosis (SMO)

b.
Knee-ankle-foot orthosis (KAFO)

c.
Ankle-foot orthosis (AFO)

d.
Hip-knee-ankle-foot orthosis (HKAFO)

Answer 11

c.

Ankle-foot orthosis (AFO)

Question 12

After a clinical assessment of the client, a predriving assessment is completed. Essential predriving skills that are evaluated include which of the following?

a.
Cognitive and perceptual skills assessment

b.
On-the-road evaluation of the client’s skills using adapted equipment

c.
The ability to handle keys, manage doors, mobility devices, and adjust seat belt

d.
Muscle strength, range of motion, and grip measurements

Answer 12

c.

The ability to handle keys, manage doors, mobility devices, and adjust seat belt

Question 13

Which of the following is not a component of proper body mechanics used by the therapist when transferring clients?

a.
Maintain a wide base of support.

b.
Stand close to the client.

c.
Use your back rather than your legs.

d.
Maintain a neutral spine position.

Answer 13

c.

Use your back rather than your legs.

Question 14

What type of wheelchair should be recommended to maximize independence in mobility in the individual who has good cognitive and perceptual skills but very poor endurance and significant physical impairment of the upper and lower extremities?

a.
Hemiplegia-style manual wheelchair

b.
Lightweight manual wheelchair

c.
Power wheelchair

d.
Reclining wheelchair

Answer 14

c.

Power wheelchair

Question 15

It is recommended that wheelchair footplates clear the floor by a minimum distance of __?

a.
2 inches

b.
1 inches

c.
0. 25 to 0.5 of an inch

d.
4 inches

Answer 15

a.

2 inches

Question 16

The leg rests of a client’s wheelchair are adjusted too short. This increases the client’s risk for which of the following?

a.
Skin breakdown of the popliteal fossa

b.
Skin breakdown of the ischial tuberosity

c.
Skin breakdown of the heel of the foot

d.
Skin breakdown at the scapula

Answer 16

b.

Skin breakdown of the ischial tuberosity

Question 17

Correct measurement of a client for determining appropriate wheelchair seat width involves measuring which of the following?

a.
Across the hips or thighs (whichever is widest) and adding 1 to 2 inches

b.
Across the hips or thighs (whichever is widest) and subtracting 1 to 2 inches

c.
From the back of the knee to the rear of the buttocks and adding 1 to 2 inches

d.
From the back of the knee to the rear of the buttocks and subtracting 1 to 2 inches

Answer 17

a.

Across the hips or thighs (whichever is widest) and adding 1 to 2 inches

Question 18

During a stand pivot transfer, the occupational therapist should __?

a.
stand on the client’s involved (weak) side

b.
stand on the client’s uninvolved (strong) side

c.
stand behind the client

d.
alternate standing on either side during transfers so the client will be comfortable with having support from either side during the transfer

Answer 18

a.

stand on the client’s involved (weak) side

Question 19

During a predriving assessment, testing of __ is typically completed first because this is the primary component that an individual uses to gather information required for driving-related decision making?

a.
strength

b.
proprioception

c.
vision

d.
balance

Answer 19

c.

vision

Question 20

Why might a rigid frame chair be preferable for individuals with paraplegia who are manually propelling the wheelchair?

a.
They are more lightweight than folding chairs.

b.
They are more energy efficient during propulsion.

c.
They are more easily folded and stored.

d.
They are more sturdy and do not need to be replaced as often.

Answer 20

b.

They are more energy efficient during propulsion.

Question 21

Which of the following devices are considered primary controls on a vehicle?

a.
Turn signal

b.
Windshield wiper controls

c.
Braking and steering controls

d.
Mirrors and environmental controls

Answer 21

c.

Braking and steering controls

Question 22

Which ambulation aid is the most appropriate for a client who has minor balance problems?

a.
Forearm crutches

b.
Single-point cane

c.
Front-wheeled walker

d.
“Pick-up” walker

Answer 22

b.

Single-point cane

Question 23

When is a car (e.g., sedan) an appropriate vehicle option for the disabled client?

a.
When the individual uses a powered wheelchair

b.
When the individual uses a manual wheelchair

c.
When the individual requires a mechanical lift

d.
When the individual is independent in transfers and in loading mobility equipment.

Answer 23

d.

When the individual is independent in transfers and in loading mobility equipment.

Question 24

Which ambulation aid would be recommended for a client who has a moderately unsteady gait as well as pain and weakness in the hands and wrists caused by arthritis?

a.
Single-point cane

b.
Forearm crutches

c.
Standard front-wheeled walker

d.
Front-wheeled walker with forearm platforms

Answer 24

d.

Front-wheeled walker with forearm platforms

Question 25

The acronym PLISSIT, a progressive guide to help therapists address issues of sexuality with clients. PLISSIT stands for which of the following?

a.
Please Insist on Sexual Suggestions In Therapy

b.
Permission, Listen to Sexual Information it is Therapeutic

c.
Permission, Limited Information, Specific Suggestions, Intensive Therapy

d.
None of the above

Answer 25

c.

Permission, Limited Information, Specific Suggestions, Intensive Therapy

Question 26

Occupational therapists are uniquely qualified to address sexuality issues with clients due to which of the following?

a.
OTs may already be working with the client on other intimate ADLs such as bathing or dressing.

b.
Sexual activity falls within the domain of occupational therapy as an ADL.

c.
Occupational therapists understand the motor performance required for sexual activity and may be able to advise on positioning and technique when motor dysfunction or pain are present.

d.
All answers are correct.

Answer 26

d.

All answers are correct.