1. Your client who presents with R hemiparesis is planning to return to work, where he is required to wear button-up shirts every day. Your client is
... [Show More] returning home where he lives alone and has been receiving help dressing from the nurse every morning while in the hospital. What is the best approach for you to take with this client?
a. Help your client advocate for his need to wear pullover shirts because they are easier to put on.
b. Have your client only wear button-up shirts with magnetic closures.
c. Introduce your client to a one-handed technique of donning button-up shirts and using a button hook.
d. Advise your client to work from home while he is recovering. - correct answer C
2. Your client is a 75-year-old woman who was admitted to your rehab facility after a TBI and spends most of her time supine in bed. She has a history of diabetes, orthostatic hypotension, and a contracture of the R wrist. Her goal is to independently don and doff a pullover shirt while seated. What is the FIRST thing you must do with this client before starting your treatment session?
a. Ask her if she has eaten.
b. Monitor her blood pressure.
c. Ask her how she got the contracture.
d. Ask the nurse to increase her pain medication so that she is more likely to participate in the activity. - correct answer B
Your patient has recently had a (L) total hip replacement following an anterior approach. They are one-week post op and following TTWB. They are having difficulty transferring from supine to sit and sit to stand. They are currently ambulating with a standard non-wheeled walker. What is the proper sequencing for your client to follow when moving from sitting to standing?
A. Place both feet firmly on the ground and lined up with your knees, have walker placed in front of you, arms length away, place both hands on chair and press up into standing position, grab walker and begin to walk
B. Have walker placed in front of you, move forward in your chair, place (R) leg straight out in front of you, have (L) leg bent, press up from arms of the chair, regain balance and begin to walk
C. Have walker placed in front of you, move forward in your chair, place (L) leg straight out in front of you, have (R) leg bent, press up from arms of the chair, regain balance and begin to walk
D. Place both feet firmly on the ground, lean forward with nose over toes, place one hand on walker and one hand on arm of chair, press up, regain balance and begin to walk - correct answer C
Your client has had a CVA and is experiencing (L) side weakness. He wears an AFO on his (L) foot and a GivMohr sling to prevent his (L) shoulder from subluxing. You are introducing a hemi-walker in today's treatment session, up until now he has been using a standard non-wheeled walker but his UE weakness makes it difficult for him to support himself. What is the proper positioning of the therapist during the three-step sequence of using a hemi-walker?
A. Walk in tandem with client while holding their gait belt on hemi walker side in order to assist in proper positioning of walker.
B. Walk behind client while supporting them at their gait belt
C. Walk in tandem with client while holding their gait belt on client side in order to assist in proper positioning and movement of client
D. Walk in tandem with client on their side offering support, no gait belt required since they demonstrate adequate balance qualifying them for use of a hemi walker - correct answer C
You have just started treating a patient that has had a (L) CVA a month ago. This patient has never used a walker in the past, requiring the OT to give proper instructions for utilizing this device. Which one of these instructions would be incorrect to tell the patient?
A.
When walking with the walker, do not step too far ahead.
B.
When walking with the walker, step forward with your unaffected leg first.
C.
When standing up, place both of your hands on the arms of the chair and push yourself up.
D.
When sitting down, do not reach behind for the chair with your hands until you are standing directly in front of the chair, and both of your legs are touching the chair. - correct answer B
You have just started treating a patient that has been recently diagnosed with Parkinson's disease. This patient is experiencing loss of balance and stiffness. The patient is still able to complete ADLs but is now requiring assistance to ambulate throughout his home. You need to fit the patient for a walker. What are the proper instructions when fitting a walker?
A.
Have the patient step inside of the walker, have the patient bend their elbows at about 30 degrees, and keep their shoulders relaxed. The top of the walker grip should be lined up with the patient's hips.
B.
The patient will be instructed to step inside the walker, have their elbows bent at about 15 degrees with their shoulders relaxed. The top of the walker grip should be lined up with the inside crease of the patient's wrist.
C.
Have the patient stand beside the walker, have the patient bend their elbows about 15 degrees, and raise their shoulders. The top of the walker grip should be lined up with the inside crease of the patient's wrist.
D.
The patient will be instructed to step beside the walker, have their elbows bent at about 30 degrees, and raise their shoulders. The top of the walker grip should be lined up with the patient's hips. - correct answer B
Your patient who has just been admitted due to a CVA needs to be transferred from their bed to their wheelchair. When assisting, how should you perform the transfer?
a. Stand perpendicular to patient, support upper body, and pull their arm distally.
b. Assist patient with shifting weight onto their affected side in order to roll over.
c. Ask patient to bend both legs and bridge.
d. Assist the patient to scoot down on the bed and roll over. - correct answer B
An individual prepares for discharge home following rehabilitation for a left CVA. Residual difficulties include fair dynamic balance, decreased upper extremity (UE) strength and poor dexterity. The individual's stated priority is to be able to ambulate safely to the senior center located in the client's apartment building. Which ambulatory aid would be most effective for the occupational therapist to recommend to this client?
a. A rolling walker
b. A side-stepper walker
c. A standard walker
d. A hemi-walker - correct answer A
A patient presents with stroke involving the hypothalamus. Which of the following are not indicative of hypothalamus function?
A. Maintains body homeostasis
B. Thirst center
C. Sensation of pain
D. Control of hormone secretion - correct answer C [Show Less]