NBCOT AOTA RATIONALE- Work,Drivers Rehab, AE Flashcards
Which recommendation should the OTR® provide nursing staff to maximize this patient’s independence with BADLs for a pt functioning in Level VI in Rancho and observed to put toothpaste on a washcloth when preparing to brush teeth and attempted to brush hair with a toothbrush.
Provide task setup and simple instructions. To support use of appropriate tools and guided support in instructions.
A client WITH MS expresses interest in developing an exercise program but states that weakness and fatigue are barriers. What program should the OTR® FIRST recommend?
AQUATIC THERAPY to reduce effects of weakness while promoting exercise
What are advantages of a scooter over a power wheelchair?
They are lighter and easier to transfer in the car
According to CARF, what is the most commonly accepted client-to-staff ratio?
5:1 Ratio
A client reports having difficulty with lower-extremity mobility in relation to getting into and out of bed. What piece of adaptive equipment is MOST appropriate to recommend to this client?
Leg lifter. It is a device for moving one leg at a time manually.
What is necessary for wheelchair safety for a client with bilateral lower-extremity amputations?
Rear antitippers. Because patients with BLE now have uneven weight distribution, the wheelchair is more likely to tip backward with less weight in the front. Thus, anti tippers prevent this.
A client is able to say only “yes,” “no,” or “hello.” This client is also incontinent of bladder and bowel and is unable to walk. In which stage of Alzheimer’s disease (AD) is this client?
Late stage of AD
A client in the late stage of Parkinson’s disease presents for an occupational therapy evaluation. Which of the following symptoms can the OTR® expect to see?
Resting tremor, rigidity, and oral motor deficits. Swallong becomes difficult in later stages. Resting tremor and rigidity begins in the early stage and persists throughout the later stages.
The OTR wants to elicit a postural response at the trunk when completing an intervention activity. Where should the OTR place task objects FIRST to elicit a trunk response?
Beyond arms reach to facilitate weight shift and postural changes.
Which assessment would be MOST effective for assessing this client’s upper-extremity ability who has ALS reporting limited fx abilities?
Purdue Pegboard. timed test of upper-extremity function and is useful in determining a client’s functional limitations.
Which assessment should the OTR® administer to assess a client’s ability to visually identify forms or objects from incomplete presentations?
MVPT
Which behavioral symptom might a client with early-stage dementia have?
a. Pacing
b.Difficulty choosing appropriate clothing
C. Vulgar or rude language
D. Suspicion
Suspicion
What is an effective strategy to facilitate maximal independence in self-feeding with a client who has middle- to late-stage dementia?
Provide hand-over-hand guidance for food retrieval and utensil-to-mouth motions.
What does vocational evaluation assesses?
Vocational evaluation assesses a client’s readiness and ability to engage in a particular occupation.
The movements of a client diagnosed with a TBI are exaggerated and oscillating. What term BEST describes the client’s movements?
Ataxia
The owner of a construction company asks an OTR® completing work tolerance screenings to notify applicants whether they have been hired on the basis of their screening results. What should the OTR® do?
Inform the owner that the OTR® will review the results of the completed work tolerance screenings with the owner so the owner can summarize the results with applicants and notify them of the hiring decision.
An OTR® is observing a client’s driving performance in a contained environment; the client is performing tasks and responding to demands involving car controls and car handling or maneuvers. Which testing approach is the OTR® using?
Closed Route
An employer of a meat-packing plant contacts an OTR® to provide consultation because of a recent increase in the prevalence of work-related musculoskeletal injuries. What would the OTR®’s FIRST course of action be?
Job site analysis. to obtain physical demands of the work
An OTR®; is educating a client with C7 spinal cord injury to use tenodesis grasp. What is an appropriate explanation to the client of how to engage tenodesis?
Bring the wrist back, and the fingers will grasp to hold on to an item
The client is employed as a plumber. Essential job functions include reaching, bending, crawling, lifting, pushing and pulling, using tools, and lifting materials weighing 25–50 lb. Which accommodation is MOST appropriate for the OTR® to recommend?
Flexible work schedule and use of leave of time as needed
What assistive technology would be appropriate to recommend to a client who has middle-stage dementia or the client’s caregivers?
Door alarms
A pt with B above-the-knee amputations is prone to losing sitting balance and falling forward when propelling the chair. The position of the axle is in front of the pelvis. The OTR® needs to find a balance between stability and the effectiveness of arm propulsion, what should the OT suggest?
Move the axle backward to move the COG of the pt from the front of the wheel towards more the back and add antitippers to reduce fall risk.
he OTR wants the client to be able to complete transfers when the client discharges to home. What strategy should the OTR use to enhance the client’s ability to transfer at home?
Address transfers in multiple areas and surfaces
(client’s room, tx room, hospital lounge). Generalization involves the ability to use skills and complete tasks in different contexts. Tasks should be practiced in varied contexts.
Who is the client in work injury cases?
Work injury cases involve many parties; the worker with the injury remains the client.
Seating biomechanics take into account the client’s stability, postural support, and mobility needs. When determining seating requirements, what would the OTR® FIRST assess?
PELVIS
While performing PROM for a client with stroke, the OTR®; notes that the client’s shoulder is resistant to flexion beyond 90°, although the client reports being pain free. What does this finding suggest?
The scapula is not gliding to produce full flexion. Muscles most likely shortened from disuse and limit full flexion.
An OTR®; is teaching a client with stroke compensatory strategies to don a pullover shirt. The client has hemiparesis that limits upper-extremity movement in the affected side. What is the FIRST step the client should be taught?
Dress affected arm first. WEAK SIDE FIRST in UB dressing
