Post-Op
An OTA is instructing an individual who had a total hip replacement, anterolateral approach, to come to stand from a seated position. The OTA should instruct the individual to:
A. Avoid external rotation, adduction, and extension
B. Avoid hip flexion greater than 90 degrees, internal rotation, and adduction
C. Avoid putting weight on the operated leg
A. Avoid external rotation, adduction, and extension
An OTA is working with an individual who has MS and has low endurance. When planning an intervention and grading an activity, the OTA should plan activities that:
A. Move from light to heavy work.
B. Increase the duration of the work period.
C. Require less effort
C. Require less effort
An individual with an SCI is interested in using adaptive equipment to increase function in ADLs. The OTA should:
A. Assess the need for equipment and teach modified techniques.
B. Order all necessary equipment to increase independence in ADL
C. Provide training on several types of multipurpose adaptive equipment
A. Assess the need for equipment and teach modified techniques.
An OTA is working with an individual who has a fracture of the humerus and is wearing a cast. The OTA notices that the distal part of the arm is cold, and the skin is smooth and glossy. The OTA should:
A. Inform the occupational therapist and document the findings
B. Inform the physician immediately
C. Provide ROM to the distal part of the arm
B. Inform the physician immediately
An OTA is working with an individual with stroke who has a subluxed GH joint. During a tabletop activity, the OTA should:
A. Apply a sling
B. Position the arm on the table
C. Tape the head of the humerus
B. Position the arm on the table
An OTA is working at a SNF with an older adult who is disoriented, cries easily, and is confused. The individual had a THA and is having difficulty learning hip precautions. The OTA should:
A. Refer the individual to the psychologist
B. Explain to the individual that these behaviors are common after surgery
C. Ask the family to bring familiar objects from home to help the individual with orientation
C. Ask the family to bring familiar objects from home to help the individual with orientation
An OTA who works in a spinal cord center notices that an individual becomes frustrated easily and verbalizes fears and concerns. The OTA should:
A. Encourage participation in a support group
B. Tell the individual that these feelings are normal and not to be concerned
C. Ask the physician to prescribe medication
A. Encourage participation in a support group
An individual who had a SCI 20 years ago has lost considerable function. When planning intervention, the OTA should consider:
A. The cost of adaptive equipment
B. Long-term placement
C. How future aging affects function
C. How future aging affects function
An individual with a fingertip amputation is experiencing hypersensitivity. The OTA should provide intervention with a focus on:
A. Drawing shapes on a terry cloth towel
B. Manipulating checkers
C. Buttoning a shirt.
A. Drawing shapes on a terry cloth towel
When working with a client that underwent a CABG you would want to educate on the following post-surgical precautions:
A. No bending, lifting or twisting
B. No turning in bed, no bending or internal rotation
C. No lifting (greater than 10 lbs), no pushing, or pulling
C. No lifting (greater than 10 lbs), no pushing, or pulling
An OTA is working with an individual who has had a hip replacement and inquires about resuming sexual activity. The OTA should:
A. Redirect the conversation
B. Suggest positions that are applicable and provide written information and diagrams
C. Ask the surgeon to talk with the individual who has expertise in this area
B. Suggest positions that are applicable and provide written information and diagrams
An OTA is working in a rehabilitation setting with an individual with Guillain-Barre syndrome. to prevent undue fatigue, treatment intervention should include:
A. Only sedentary tabletop activities until the time of discharge
B. Crafts that can be completed quickly and successfully
C. Activities that vary between gross and fine and resistive and nonresistive
C. Activities that vary between gross and fine and resistive and nonresistive
An OTA is working with an individual who has myasthenia gravis who wants to remain involved in light homemaking activities without problems. The OTA should recommend:
A. Hiring outside help and providing intervention that includes delegating tasks
B. Discharge to an assisted living home to eliminate unnecessary work
C. A time management program that identifies tasks and times to do them
C. A time management program that identifies tasks and times to do them
An OTA is treating an individual who has had a CVA using a biomechanical approach. The person is placing cans in a high cupboard. The individual is having problems with regulating movements. The OTA should:
A. Document the findings and consult with the occupational therapist.
B. Assess the amount of weight being used and make appropriate changes.
C. Reevaluate the treatment approach because it may not be appropriate for this patient.
B. Assess the amount of weight being used and make appropriate changes.
An OTA is working with an individual who enjoys gardening, especially planting tulip and daffodil bulbs, and experiences pain while planting. The OTA should:
A. Encourage the individual to pursue a new leisure activity.
B. Suggest that the individual break the task into small steps.
C. Encourage the individual to ask a friend to plant the bulbs
B. Suggest that the individual break the task into small steps.
An OTA is teaching an educational presurgery class to a group of individuals who will be having THAs. When instructing the individuals on getting out of bed, the OTA should recommend:
A. Using a leg lifter and initially practicing moving toward their nonoperated leg
B. Practicing on a surface higher than their bed at home
C. Practicing on a surface lower than their bed at home
A. Using a leg lifter and initially practicing moving toward their nonoperated leg
An OTA is working with an individual who is a volunteer at a pet shelter and has decreased endurance after receiving chemotherapy. To help the individual accommodate to the change, the OTA should:
A. Ask the individual to observe others in similar situations
B. Provide feedback, physical support and information on alternative methods, and adaptation
C. Model how to do activities and provide written handouts on energy conservation
B. Provide feedback, physical support and information on alternative methods, and adaptation
During an interview, a client with arthritis reports very little stiffness in the AM and is able to complete activities without problems. The OTA should FIRST:
A. Document the client’s response
B. Ask further questions to compare good and bad days
C. Report the findings to the occupational therapist
B. Ask further questions to compare good and bad days
An OTA is working with an individual who has a left-sided brain injury and is unable to pay attention to detail. An intervention that would benefit this individual would be:
A. To sort playing cards by color
B. Computer games
C. To read out loud
A. To sort playing cards by color
An individual who has a burn-related injury is receiving OT in an acute care setting. The OTA should focus the initial treatment on:
A. Fabricating splints and edema management
B. Desensitizing and massage
C. ADL training as tolerated
A. Fabricating splints and edema management
When working with a client that underwent a CABG you would want to educate on the following post-surgical precautions:
A. No IR, flexion past 90 degrees, or adduction
B. No lifting (greater than 10 lbs), no pushing, or pulling
C. No turning in bed, no bending or internal rotation
B. No lifting (greater than 10 lbs), no pushing, or pulling
Using the NDT approach with an individual who has hemiplegia would:
A. encourage quality of movement
B. encourage normal movement
C. use compensatory techniques
B. encourage normal movement
An individual with an acute hand injury is being seen in an outpatient setting. The individual has persistent edema. The OTA should initially instruct the individual to:
A. Elevate the hand above the heart
B. Purchase a sling and wear it during the day
C. Avoid using the hand during ADL
A. Elevate the hand above the heart
An OTA is treating an individual who complains of dizziness and that his skin feels cold and clammy. The OTA should INITIALLY:
A. Stop the activity, have the individual rest, and seek medical help if the symptoms do not resolve.
B. Change the activity to one that is less strenuous.
C. Monitor the individual for 10 minutes to see if the symptoms subside.
A. Stop the activity, have the individual rest, and seek medical help if the symptoms do not resolve.
An individual who had a SCI 20 years ago has lost considerable function. When planning intervention, the OTA should consider:
A. The level of help needed from a caregiver
B. The cost of adaptive equipment
C. How future aging affects function
C. How future aging affects function