NBCOT Purple Book Test 2
EVAL - -line bisection- used as a method of determining unilateral neglect
block assembly- used to evaluate constructional apraxia
proverb interpretation- evals pts ability to think abstractly
overlapping figures- test figure-ground discrimination -ability to recall events from ones distant past is - -remote memory (question about a pts recall of childhood events) -retention is determined by - -giving the pt info and asking the same info a few minutes later -flexor withdrawal reflex is characterized by - -flexion of an extremity in response to painful stimulus -many children who use an excessively tight grip on the writing tool and press too hard with the pencil on paper have poor prop awareness (somatosensory) - -... -GROUP
activities used in eval groups should require group collaboration that can be done in approx. 45 min and emphasize process rather than end product - -... -general guidelines for sensation testing - --pt vision should be occluded
-stimuli should be randomly applied w/ intermingled false stimuli
-a practice trial should be performed before the test
-the unaffected side or area should be tested before the affected side or area
-the pt should be given a specified amt of time in which to respond -with a median nerve injury, the ulnar side of the hand is the uninvolved side
and should be tested first: - -apply the stimuli beginning at the little finger and progress toward the thumb -an aesthesiometer measures - -two point discrimination -a pinch meter measures - -thumb to finger pinch strength in all available positions -8 month old - -creep, pull to stand, put objects into containers, and respond to the word "no" does NOT understand object permanence, cruise, or demonstrate a pincer grasp -corrected age when corrected for prematurity is calculated by - -
subtracting the number of weeks of prematurity from the chronological age -The rehabilitative approach - -Emphasizes making an individual as independent as possible, compensates for limitations, and incorporates the use of adaptive equipment -The neurodevelopmental approach is used for individuals who are born with
a - -Central nervous system dysfunction, have experienced an illness, or have had an injury to the neural system. It is based on using sensory input and developmental sequences to promote function. Evaluation focuses on tone, reflex development, and automatic reactions. -The model of human occupation recognizes - -The human performance is organized and directed by physician, habituation, and mind brain body subsystems. This model emphasizes the importance of habits, values, roles, interests, and personal causation -Standing to the side of the patient is recommended environmental modifications for - -Highly aggressive and hostile behavior risks -Providing real life activities in a stimulating environment has been found to be helpful with - -Reducing some delusions -Meal preparation is grated from cold to hot foods or beverages, and from simple to multiple steps - -1 accessing a prepared meal such as opening a thermos or unwrapping a sandwich
2 pour a glass of juice or other cold beverage prepare a cold sandwich prepare cold meals
3 prepare a hot beverage or food one dish meal
4 prepare hot multi dish meals -Child will correctly identify five out of five shades drawn on the dorsum of her hand - -Demonstrates graphesthesia -The sensory integration treatment approach which aims to improve the reception and processing of sensory information within the central nervous system, uses vestibular stimulation and gross motor exercise. This approach involves the use of pleasurable activities that don't require conscious attention to movement - -And is best suited to individuals with chronic schizophrenia who have proprioceptive deficits
EVAL - -line bisection- used as a method of determining unilateral neglect
block assembly- used to evaluate constructional apraxia
proverb interpretation- evals pts ability to think abstractly
overlapping figures- test figure-ground discrimination -ability to recall events from ones distant past is - -remote memory (question about a pts recall of childhood events) -retention is determined by - -giving the pt info and asking the same info a few minutes later -flexor withdrawal reflex is characterized by - -flexion of an extremity in response to painful stimulus -many children who use an excessively tight grip on the writing tool and press too hard with the pencil on paper have poor prop awareness (somatosensory) - -... -GROUP
activities used in eval groups should require group collaboration that can be done in approx. 45 min and emphasize process rather than end product - -... -general guidelines for sensation testing - --pt vision should be occluded
-stimuli should be randomly applied w/ intermingled false stimuli
-a practice trial should be performed before the test
-the unaffected side or area should be tested before the affected side or area
-the pt should be given a specified amt of time in which to respond -with a median nerve injury, the ulnar side of the hand is the uninvolved side
and should be tested first: - -apply the stimuli beginning at the little finger and progress toward the thumb -an aesthesiometer measures - -two point discrimination -a pinch meter measures - -thumb to finger pinch strength in all available positions -8 month old - -creep, pull to stand, put objects into containers, and respond to the word "no" does NOT understand object permanence, cruise, or demonstrate a pincer grasp -corrected age when corrected for prematurity is calculated by - -
subtracting the number of weeks of prematurity from the chronological age -The rehabilitative approach - -Emphasizes making an individual as independent as possible, compensates for limitations, and incorporates the use of adaptive equipment -The neurodevelopmental approach is used for individuals who are born with
a - -Central nervous system dysfunction, have experienced an illness, or have had an injury to the neural system. It is based on using sensory input and developmental sequences to promote function. Evaluation focuses on tone, reflex development, and automatic reactions. -The model of human occupation recognizes - -The human performance is organized and directed by physician, habituation, and mind brain body subsystems. This model emphasizes the importance of habits, values, roles, interests, and personal causation -Standing to the side of the patient is recommended environmental modifications for - -Highly aggressive and hostile behavior risks -Providing real life activities in a stimulating environment has been found to be helpful with - -Reducing some delusions -Meal preparation is grated from cold to hot foods or beverages, and from simple to multiple steps - -1 accessing a prepared meal such as opening a thermos or unwrapping a sandwich
2 pour a glass of juice or other cold beverage prepare a cold sandwich prepare cold meals
3 prepare a hot beverage or food one dish meal
4 prepare hot multi dish meals -Child will correctly identify five out of five shades drawn on the dorsum of her hand - -Demonstrates graphesthesia -The sensory integration treatment approach which aims to improve the reception and processing of sensory information within the central nervous system, uses vestibular stimulation and gross motor exercise. This approach involves the use of pleasurable activities that don't require conscious attention to movement - -And is best suited to individuals with chronic schizophrenia who have proprioceptive deficits
