Final Exam Review Flashcards by Moe & Jess Allen/ Ortega

Which of the following settings would be most appropriate for an OT to work with a client who is medically involved, such as those with wounds or tracheostomies?

A) Assisted living facility
B) Long-term acute care (LTAC)
C) Independent living community
D) Hospice care

Answer: B) Long-term acute care (LTAC)

Long term acute care (LTAC) → rehab candidates who are more medically involved (i.e.,wounds, trach)

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In which level of care would an OT be most likely to provide interventions for clients with dementia or those who are frail elderly?

A) Acute care hospital
B) Subacute rehab (SAR)
C) Specialized dementia units in long-term care facilities
D) Intermediate/transitional care

Answer: C) Specialized dementia units in long-term care facilities

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What is LTC in a Nursing Home?

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Which level of dementia is characterized by the ability to function independently but with some assistance, especially in complex tasks?

A) Severe Dementia
B) Moderate Dementia
C) Mild Dementia
D) Preclinical Dementia

C.) Mild Dementia

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At which stage of dementia does a person typically require full-time assistance with daily activities?

A) Mild Dementia
B) Moderate Dementia
C) Severe Dementia
D) Preclinical Dementia

C) Severe Dementia

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Confusion about time and place, along with noticeable memory loss, is most commonly associated with which level of dementia?

A) Mild Dementia
B) Moderate Dementia
C) Severe Dementia
D) Preclinical Dementia

B) Moderate Dementia

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Which level of dementia is likely to involve difficulty with recognizing loved ones and loss of physical abilities such as walking?

A) Mild Dementia
B) Moderate Dementia
C) Severe Dementia
D) Preclinical Dementia

C) Severe Dementia

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During which stage of dementia might an individual experience increased irritability or aggression and require help with daily activities like dressing?

A) Mild Dementia
B) Moderate Dementia
C) Severe Dementia
D) Preclinical Dementia

B) Moderate Dementia

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What is the primary focus of in-patient acute rehab?

A) Long-term care
B) Intensive therapy and care
C) Out-patient services
D) Hospice care

B) Intensive therapy and care

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In which setting is a patient most likely to receive treatment if they are medically complex and ventilator-dependent?

A) Skilled Nursing Facility (SNF)
B) Subacute Rehab (SAR)
C) Long-Term Acute Care (LTAC)
D) Assisted Living

C) Long-Term Acute Care (LTAC)

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Which of the following is not typically a service provided in Skilled Nursing Facilities (SNF)?

A) Occupational Therapy
B) Speech-Language Pathology
C) Independent Living
D) Chaplain services

C) Independent Living

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What model examines how biological, psychological, and social aspects occupy roles in relative health or disease?

A) Biomedical Model
B) Holistic Model
C) Biopsychosocial Model
D) Cognitive Behavioral Model

C) Biopsychosocial Model

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Which of the following is a key role of OT in subacute rehabilitation?

A) Only providing social support
B) Medication management
C) Assisting with daily living activities and home programs
D) Managing financial accounts

C) Assisting with daily living activities and home programs

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What is the main goal of subacute rehabilitation?

A) To transition patients to hospice care
B) To manage chronic conditions long-term
C) To increase independence before discharge to home or assisted living
D) To prepare patients for surgical interventions

C) To increase independence before discharge to home or assisted living

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In the context of long-term care, what does “LTAC” stand for?

A) Long-Term Acute Care
B) Long-Term Assisted Care
C) Long-Term Ambulatory Care
D) Long-Term Assessment Care

A) Long-Term Acute Care

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Which of the following is a positive factor influencing cognitive health in older adults?

A) Increased physical activity
B) Poor sleep hygiene
C) Depression
D) Anxiety

A) Increased physical activity

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Memory compensation training does not include which of the following?

A) Use of support systems
B) Computer training/gaming
C) Stress management
D) Medication adjustments

D) Medication adjustments

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Which assessment is part of a multi-context assessment bundle for fall injury prevention in home health care?

A) COPM
B) MAHC 10 Fall Risk Assessment
C) ADL Functional Assessment
D) Vision Screening

B) MAHC 10 Fall Risk Assessment

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In which setting is a “Triggers and Guidelines” approach to assessment typically used?

A) Acute Care
B) Long-Term Care (LTC)
C) Outpatient Clinics
D) Home Health

B) Long-Term Care (LTC)

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Which eye condition is characterized by cloudy, color perception changes and is often age-related?

A) Glaucoma
B) Cataracts
C) Diabetic Retinopathy
D) Macular Degeneration

B) Cataracts

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What is one of the primary goals for patients in nursing homes receiving rehabilitation?

A) Returning to the community
B) Preparing for end-of-life care
C) Staying in the nursing home indefinitely
D) Increasing dependency on caregivers

A) Returning to the community

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Which of the following interventions is focused on improving occupational performance in patients with chronic disease?

A) BADL training
B) Community reintegration
C) Surgical planning
D) Intensive pharmacotherapy

A) BADL training

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Which factor is NOT considered in the evaluation process of occupational therapy in long-term care?

A) Home environment
B) Financial assets
C) Social supports
D) Patient functioning

B) Financial assets

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What is a common assessment used to evaluate occupational performance in chronic disease management?

A) MAHC 10 Fall Risk Assessment
B) AMPS
C) Mini-Mental State Exam (MMSE)
D) Functional Reach Test

B) AMPS

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Which statement best describes the purpose of hospice care? A) To provide curative treatment for chronic diseases B) To enhance the quality of life for terminally ill patients C) To provide intensive rehabilitation D) To support long-term independent living

B) To enhance the quality of life for terminally ill patients

Which condition is the leading cause of legal blindness in ages 20-74? A) Cataracts B) Macular Degeneration C) Diabetic Retinopathy D) Glaucoma

C) Diabetic Retinopathy

Which of the following best describes the role of the OT in managing vision-related difficulties in older adults? A) Diagnosing vision disorders B) Providing surgery for vision issues C) Assisting with adaptive strategies for low vision D) Administering medications

C) Assisting with adaptive strategies for low vision

Which aspect of cognitive health remains largely intact with age? A) Episodic memory B) Semantic memory C) Prospective memory D) Short-term memory

B) Semantic memory

Which of the following interventions is recommended for fall prevention in home health care? A) Prescription of sedatives B) Reduction of physical activity C) Home environment modifications D) Removal of all assistive devices

C) Home environment modifications

Which of the following is a core component of the biopsychosocial model in long-term care? A) Focus solely on medical treatment B) Integration of psychological and social factors C) Emphasis on cost-saving measures D) Prioritization of physical health over mental health

B) Integration of psychological and social factors

What is a key difference between long-term acute care (LTAC) and subacute rehab (SAR)? A) LTAC is less intensive than SAR B) LTAC treats less complex conditions than SAR C) SAR focuses on patients unable to tolerate acute care D) LTAC treats more complex medical conditions than SAR

D) LTAC treats more complex medical conditions than SAR

Which condition often co-occurs with other diseases and is characterized by cloudy vision? A) Glaucoma B) Cataracts C) Diabetic Retinopathy D) Macular Degeneration

B) Cataracts

In occupational therapy, what does the acronym "AMPS" stand for? A) Activities of Multidisciplinary Patient Services B) Assessment of Motor and Process Skills C) Adaptive Mobility and Physical Skills D) Advanced Mental Processing Skills

B) Assessment of Motor and Process Skills

Which of the following is NOT a focus of the interdisciplinary team in Skilled Nursing Facilities (SNF)? A) Recreational therapy B) Speech therapy C) Cosmetic surgery D) Chaplain services

C) Cosmetic surgery

Which factor is most likely to negatively impact cognitive health in older adults? A) Increased social interaction B) Regular physical exercise C) Poor nutrition D) Engaging in intellectual pursuits

C) Poor nutrition

Which of the following is a characteristic of age-associated memory impairment (AAMI)? A) Memory lapses that interfere with ADLs B) Memory tests typically show abnormal results C) Memory lapses may occur when fatigued or stressed D) Requires significant medical intervention

C) Memory lapses may occur when fatigued or stressed

What is the main goal of the "Patient-Driven Payment Model" (PDPM) in long-term care? A) Increase the number of patients seen per day B) Reduce the overall cost of patient care C) Focus on the value of outcomes and patient characteristics D) Maximize the therapy minutes clocked

C) Focus on the value of outcomes and patient characteristics

Which aspect of medication management is crucial for older adults with cognitive decline? A) Regularly changing medication regimens B) Ensuring self-administration without assistance C) Organizing medications according to ADL routines D) Ignoring environmental factors like lighting

C) Organizing medications according to ADL routines

What is the focus of cognitive remediation in older adults? A) Restoring lost vision B) Improving cognitive functions through targeted exercises C) Reversing age-related memory loss D) Increasing the dependence on caregivers

B) Improving cognitive functions through targeted exercises

In a Skilled Nursing Facility, which service is provided to meet the medical needs of residents? A) Dietary planning B) Recreational activities C) Occupational therapy D) Housekeeping services

C) Occupational therapy

What is the role of OT in medication management for older adults? A) Diagnosing illnesses B) Educating on proper medication use and organization C) Prescribing medications D) Monitoring blood pressure

B) Educating on proper medication use and organization

Which of the following strategies is effective in promoting cognitive health in older adults? A) Isolation from social activities B) Engagement in intellectual pursuits C) Ignoring sleep hygiene D) Avoiding regular physical exercise

B) Engagement in intellectual pursuits

What is a key feature of a Skilled Nursing Facility? A) Primarily provides outpatient services B) Focuses on intensive surgical care C) Offers interdisciplinary care including OT, PT, and SLP D) Operates independently of any medical oversight

C) Offers interdisciplinary care including OT, PT, and SLP

Which cognitive domain is most likely to decline with age? A) Procedural memory B) Immediate memory C) Semantic memory D) Episodic memory

D) Episodic memory

What is a primary goal of community-based LTC services? A) Complete isolation from community activities B) Maximizing hospitalization time C) Providing rehabilitation as needed to support community reintegration D) Only providing medical care without social integration

C) Providing rehabilitation as needed to support community reintegration

Which of the following is a primary responsibility of an OT in a nursing home setting? A) Managing the dietary plans for residents B) Facilitating social activities exclusively C) Developing interventions to enhance independence in ADLs D) Overseeing the financial management of the facility

C) Developing interventions to enhance independence in ADLs

Which of the following is an important factor in the successful discharge of a patient from subacute rehabilitation? A) Demonstration of progress in independence and function B) Dependence on assistive devices for all ADLs C) Minimal engagement in therapy sessions D) Complete reliance on caregiver support

A) Demonstration of progress in independence and function

What is a primary role of OT in managing chronic disease in older adults? A) Prescribing medications B) Providing nutritional counseling C) Implementing energy conservation techniques D) Conducting surgical interventions

C) Implementing energy conservation techniques

Which of the following is a common issue in long-term care settings that can impact quality of life? A) Excessive staff availability B) Lack of resident participation in programs C) Overuse of assistive devices D) Minimal care planning

B) Lack of resident participation in programs

Which eye condition is generally diagnosed only when damage is severe and irreversible? A) Cataracts B) Glaucoma C) Diabetic Retinopathy D) Macular Degeneration

B) Glaucoma

Which of the following is an essential consideration in the OT evaluation process for long-term care? A) Patient's financial income B) The patient’s home environment C) The frequency of physician visits D) The color of the patient's clothing

B) The patient’s home environment

Which intervention strategy is recommended for cognitive fitness in older adults? A) Social isolation B) Dance, theater, and singing C) Ignoring physical activity D) Focus on medication management only

B) Dance, theater, and singing

What type of care plan must match care in the home and be ordered by a physician for home health services? A) Hospital care plan B) Home health plan of care (485) C) Medicare Part B plan D) Acute care plan

B) Home health plan of care (485)

What does "PDGM" stand for in the context of home health care? A) Patient-Driven Groupings Model B) Personalized Diagnostic Grouping Model C) Primary Disease Group Management D) Patient-Driven Geriatric Model

A) Patient-Driven Groupings Model

Which factor does NOT typically influence cognitive health in older adults? A) Regular physical activity B) Poor nutrition C) Social isolation D) Overuse of technology

D) Overuse of technology

Which setting is most appropriate for a patient needing ongoing skilled care but who cannot tolerate intensive rehabilitation? A) Acute Care B) Long-Term Acute Care (LTAC) C) Assisted Living D) Home Health Care

B) Long-Term Acute Care (LTAC)

Which of the following is a characteristic of mild cognitive impairment (MCI)? A) Cognitive changes more frequent than typical forgetfulness B) Complete loss of functional memory C) No noticeable changes in cognitive ability D) Similar to normal aging

A) Cognitive changes more frequent than typical forgetfulness

Which tool is included in the fall risk assessment for older adults in home health settings? A) Functional Reach Test B) TUG (Timed Up and Go) C) Geriatric Depression Scale D) Visual Analogue Scale

B) TUG (Timed Up and Go)

Which of the following is a key element in the biopsychosocial model of care? A) Solely focusing on physical health B) Ignoring social factors in patient care C) Integrating biological, psychological, and social factors D) Prioritizing medical treatment over patient preferences

C) Integrating biological, psychological, and social factors

Which is NOT a recommended intervention for medication management in older adults? A) Organizing medications according to ADL routines B) Relying on memory without aids C) Using reminders like pillboxes and alarms D) Incorporating environmental supports like adequate lighting

B) Relying on memory without aids

What is the primary purpose of community-based long-term care services? A) To minimize patient interaction with the community B) To provide in-home rehabilitation as needed C) To extend hospital stays D) To avoid the use of assistive devices

B) To provide in-home rehabilitation as needed

Which intervention would be most beneficial for a patient with reduced mobility and risk of falls? A) Medication adjustment B) Energy conservation training C) Home environment modifications like reducing clutter D) Increasing bed height

C) Home environment modifications like reducing clutter

Which aspect of long-term care is driven by Section GG of the MDS? A) Dietary planning B) Reimbursement rates for facilities C) Length of hospital stay D) Social engagement programs

B) Reimbursement rates for facilities

Which condition is characterized by a gradual loss of central vision and is age-related? A) Glaucoma B) Macular Degeneration C) Cataracts D) Diabetic Retinopathy

B) Macular Degeneration

What is the focus of the "Patient-Driven Payment Model" (PDPM)? A) The number of therapy minutes clocked B) The overall cost of care C) The value of outcomes and patient characteristics D) The frequency of physician visits

C) The value of outcomes and patient characteristics

What should be the main goal in the OT role during subacute rehabilitation discharge planning? A) Increasing dependency on caregivers B) Ensuring the patient returns to the hospital C) Supporting patient independence and function at home D) Extending the length of stay in the facility

C) Supporting patient independence and function at home

Which of the following describes a key role of OT in the implementation of restraint-free environments in long-term care? A) Encouraging the use of restraints for all patients B) Identifying and addressing the causes for restraint use C) Overseeing financial aspects of restraint management D) Ignoring restraint guidelines

B) Identifying and addressing the causes for restraint use

Which eye condition is the leading cause of blindness among adults aged 20-74? A) Cataracts B) Macular Degeneration C) Diabetic Retinopathy D) Glaucoma

C) Diabetic Retinopathy

What should OT practitioners focus on when working with older adults to improve medication management? A) Promoting independent medication use without any aids B) Reducing the number of medications prescribed C) Using external memory aids and organizing medications D) Ignoring the patient's cognitive status

C) Using external memory aids and organizing medications

Which intervention strategy is effective for improving occupational performance in patients with chronic disease? A) Energy conservation techniques B) Reducing social interactions C) Ignoring ADLs D) Limiting physical activity

A) Energy conservation techniques

Which cognitive function is most likely to decline with age, affecting the ability to remember personal experiences? A) Semantic memory B) Episodic memory C) Procedural memory D) Primary memory

B) Episodic memory

What is the main purpose of the home health plan of care (485)? A) To provide surgical care at home B) To outline and match home health services with the patient’s needs C) To manage hospital stays D) To reduce the number of home visits by health professionals

B) To outline and match home health services with the patient’s needs

Which aspect of long-term care does Section GG of the MDS primarily influence? A) Patient nutritional needs B) Reimbursement rates for facilities C) Social engagement programs D) Patient room assignments

B) Reimbursement rates for facilities

Which of the following is a recommended strategy for improving cognitive fitness in older adults? A) Avoiding physical activity B) Engagement in activities like dance, theater, and singing C) Limiting intellectual pursuits D) Increasing social isolation

B) Engagement in activities like dance, theater, and singing

In long-term care, which model emphasizes the value of outcomes and patient characteristics rather than the quantity of services? A) Biomedical Model B) Patient-Driven Payment Model (PDPM) C) Biopsychosocial Model D) Patient-Centered Medical Home

B) Patient-Driven Payment Model (PDPM)

What is the primary focus of the OT role in subacute rehabilitation? A) Assisting with ADL independence and functional mobility B) Preparing patients for surgical procedures C) Providing end-of-life care D) Managing patient finances

A) Assisting with ADL independence and functional mobility

Which of the following is a key intervention for reducing the risk of falls in older adults at home? A) Removing all assistive devices B) Modifying the home environment to reduce clutter C) Encouraging physical inactivity D) Increasing the height of all furniture

B) Modifying the home environment to reduce clutter

Which factor does NOT contribute to positive cognitive health in older adults? A) Regular physical activity B) Poor sleep hygiene C) Social interaction D) Intellectual pursuits

B) Poor sleep hygiene

Which of the following is NOT a common symptom of dementia? A) Poor judgment B) Improved long-term memory C) Frequent problems with IADLs D) Losing track of time

B) Improved long-term memory

Which of the following conditions is characterized by loss of peripheral vision and increased pressure in the eye? A) Cataracts B) Glaucoma C) Diabetic Retinopathy D) Macular Degeneration

B) Glaucoma

Which approach should be taken by OTs when planning discharge for patients from subacute rehabilitation? A) Focusing on maximizing dependency on caregivers B) Ensuring the patient demonstrates progress and readiness for home or community reintegration C) Minimizing therapy involvement to reduce costs D) Extending the length of stay without clear goals

B) Ensuring the patient demonstrates progress and readiness for home or community reintegration

Which of the following is a primary factor considered in the biopsychosocial model of health? A) Only biological factors B) Only social factors C) Integration of biological, psychological, and social factors D) Economic factors exclusively

C) Integration of biological, psychological, and social factors

Which intervention is most appropriate for an older adult with cognitive decline to improve medication management? A) Self-administration of medications without aids B) Use of pillboxes and reminders like alarms C) Ignoring environmental factors like lighting D) Reducing the number of medications prescribed

B) Use of pillboxes and reminders like alarms

What is the focus of OT interventions in a Skilled Nursing Facility (SNF)? A) Financial management B) Cosmetic surgery C) Enhancing independence in ADLs D) Diagnosing medical conditions

C) Enhancing independence in ADLs

Which cognitive function is typically preserved in normal aging? A) Episodic memory B) Semantic memory C) Short-term memory D) Prospective memory

B) Semantic memory

Which of the following is an effective intervention to support cognitive fitness in older adults? A) Encouraging social isolation B) Promoting physical activity combined with cognitive training C) Reducing engagement in intellectual activities D) Limiting social interactions

B) Promoting physical activity combined with cognitive training

What should be prioritized in the OT role during discharge planning from subacute rehab? A) Increasing patient dependence on institutional care B) Ensuring the patient can safely function in the home environment C) Encouraging long-term hospitalization D) Reducing therapy to save costs

B) Ensuring the patient can safely function in the home environment

Which of the following is a key goal for patients in nursing homes undergoing rehabilitation? A) To transition to hospice care B) To return to the community C) To remain in the nursing home permanently D) To reduce physical activity

B) To return to the community

Which eye condition is characterized by cloudy vision and affects color perception? A) Macular Degeneration B) Cataracts C) Glaucoma D) Diabetic Retinopathy

B) Cataracts

In long-term care, what does the “Patient-Driven Payment Model” (PDPM) emphasize? A) The number of therapy minutes provided B) The overall cost of care C) The value of patient outcomes and characteristics D) The frequency of physician visits

C) The value of patient outcomes and characteristics

Which of the following interventions would be most effective for an older adult with reduced mobility and a high risk of falls? A) Encouraging prolonged bed rest B) Home environment modifications like non-skid cushions C) Reducing the use of assistive devices D) Increasing the height of furniture

B) Home environment modifications like non-skid cushions

Which aspect of cognitive health remains largely intact as people age? A) Episodic memory B) Semantic memory C) Short-term memory D) Prospective memory

B) Semantic memory

What is the primary focus of hospice care in long-term care settings? A) Curative treatments for chronic diseases B) Enhancing quality of life for terminally ill patients C) Preparing patients for long-term rehabilitation D) Managing daily activities of living

B) Enhancing quality of life for terminally ill patients

Which of the following is NOT typically a part of an interdisciplinary team in a Skilled Nursing Facility? A) Occupational Therapy B) Chaplain services C) Cosmetic surgery D) Speech-Language Pathology

C) Cosmetic surgery

What is the main goal of the OT intervention in subacute rehabilitation? A) Preparing patients for surgical procedures B) Facilitating independence in ADLs C) Providing end-of-life care D) Managing financial accounts

B) Facilitating independence in ADLs

Which eye condition is characterized by the gradual loss of central vision and is commonly age-related? A) Glaucoma B) Macular Degeneration C) Cataracts D) Diabetic Retinopathy

B) Macular Degeneration

What is a primary concern when planning discharge for patients from subacute rehabilitation? A) Ensuring the patient remains in the facility indefinitely B) Demonstrating progress in independence and function C) Extending the length of stay without clear goals D) Minimizing therapy involvement

B) Demonstrating progress in independence and function

Which condition is commonly associated with severe vision loss in adults over the age of 74? A) Diabetic Retinopathy B) Glaucoma C) Macular Degeneration D) Cataracts

C) Macular Degeneration

What does "COPM" measure in occupational therapy? A) Cognitive processing abilities B) Occupational performance and satisfaction with performance C) Physical mobility D) Visual acuity

B) Occupational performance and satisfaction with performance

Which of the following is an effective intervention for managing medication in older adults with cognitive decline? A) Avoiding the use of external aids B) Using pillboxes and alarms for reminders C) Ignoring cognitive status when organizing medications D) Self-administration without assistance

B) Using pillboxes and alarms for reminders

Which of the following is NOT a characteristic of normal aging? A) Preserved semantic memory B) Episodic memory decline C) Improved procedural memory D) Prospective memory decline

C) Improved procedural memory

What role does OT play in long-term care settings? A) Only providing physical therapy B) Managing finances for the facility C) Enhancing independence in ADLs and IADLs D) Performing surgical procedures

C) Enhancing independence in ADLs and IADLs

Which intervention is crucial for an older adult at risk of falls in the home? - A) Increasing bed height - B) Removing all assistive devices - C) Modifying the environment to reduce fall hazards - D) Encouraging physical inactivity

C) Modifying the environment to reduce fall hazards