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OTD 570 Quizzes with complete solutions
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OTD 570 Quizzes with complete solutions
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OTD 570 Quizzes with completesolutions
A brief sexual history or "intimacy history" should include the following:
a. therapeutic use of self
b. all of the above
c. rapport with client
d. comfortable and nonthreatening environment - Answers -b. all of the above
Annon's PLISSIT model:
a. is used commonly by physicians
b. is an acronym for pleasure, information, specific, suggestions, and therapy
c. can be used for psychological or psychiatric care and intervention
d. can be used for client, staff, or caregiver education and remediation - Answers -d.
can be used for client, staff, or caregiver education and remediation
Which of the following statements would be true of the Nine-hole peg test?
a. when testing the board should be on the testing side
b. it has better normative data for children and adolescents than the Perdue pegboard
c. it has both unilateral and bilateral subtests
d. it is a timed test (not time limited) - Answers -d. it is a timed test (not time limited)
You've completed the evaluation session with a 55 year old client who is the manager of
a whole foods market in Hillsboro. If your client scored at the tenth (10th) percentile on
the Assembly subtest of the Purdue Pegboard Peg test you would interpret the score
as... (Note: +- 1 SD = 68%, +- 2 SD + 96%)
a. WNL
b. mild deficit
c. moderate-severe deficit - Answers -a. WNL
A therapist who is working with a 15 year old female, a high school student who was hit
by a car while riding her bike to school 2 weeks ago. According to the physician's
referral and results of the the evaluation, the client does not have any physical injuries,
except a 3 inch by 3 inch wound (yellow color) over the dorsal elbow area. In addition,
she demonstrates signs of learned non-use of her right upper extremity, particularly,
decreased active shoulder movements. The therapist has decided that restoring active
shoulder movements would assist the client resume her occupations and life roles. Prior
to passively ranging the shoulder joint of a seated client, the therapist should:
a. make sure that the scapula is not tight (i.e. that it moves when the humerus moves)
b. make sure that the pelvis is posteriorly tilted and the spine is curved in flexion
,c. make sure the wound at the elbow is covered with bulky dressin - Answers -a. make
sure that the scapula is not tight (i.e. that it moves when the humerus moves)
You work with a 75 year old male who enjoys volunteering as a literacy teacher at a
local elementary school. He reports experiencing several episodes of having difficulty
using his left upper extremity to getting his cellphone out of his backpack placed on the
floor. After checking the ROM of the left upper extremity, you notice that you are able to
move his elbow to touch the shoulder. He is able to touch his shoulder by himself, but
you noticed that his whole body tilts to the right side. What would you interpret your
client's problem?
a. he has ROM limitation
b. he may have muscle weakness at the elbow
c. he may have a cognitive problem as he did not follow the evaluation instructions
d. his condition is within functional/normal limits - Answers -b. he may have muscle
weakness at the elbow
Your colles fracture client is in a forearm cast. The MD has ordered a controlled range
of motion program. You are seeing the patient 3 weeks post-injury (there is no clinical
union), according to the biomechanical approach, which of the following should be part
of your treatment? (choose all that apply)
a. grip and pinch strength testing
b. active ranging of shoulder through full arc
c. active motion of fingers and thumb through full arc
d. strengthening to elbow flexion/extension - Answers -b. active ranging of shoulder
through full arc
c. active motion of fingers and thumb through full arc
If you were working with a person who had a heart attack 4 months ago, which of the
following types of intervention activities would you avoid?
a. loading dishes into the dishwasher from the countertop
b. putting empty cardboard boxes in the recycling bin
c. carrying a bag of groceries into the house from the garage
d. preparing a bowl of salad for lunch - Answers -c. carrying a bag of groceries into the
house from the garage
If the 10 RM of your client's wrist extensors was 6 lbs. and you chose progressive
resistive exercise (PRE) method as a method of strengthening, what weight would you
use for the first 10 repetitions?
a. 10 lbs
b. 4.5 lbs
c. 6 lbs
d. 3 lbs - Answers -d. 3 lbs
You are working with a client who has fair minus (3-) elbow extension. Which of the
following activities/exercises would be most appropriate to begin strengthening her
elbow extensors (assume your client is seated at a standard height table)?
, a. playing checkers using checkers pieces stabilized by small pegs and with the
checkerboard tilted down 20 degrees on a standard height table (far end is low)
b. bilateral sanding with 5lb of resistance and 30 degree incline
c. playing checkers using checker pieces stabilized by small pegs and with the
checkerboard tilted up at a 40 degree angle on a standard height table and graded up
(far end is high)
d. extending her elbow above her head with a 2lb weighted cuff at the wrist - Answers -
c. playing checkers using checker pieces stabilized by small pegs and with the
checkerboard tilted up at a 40 degree angle on a standard height table and graded up
(far end is high)
The following descriptions of OT interventions for ADL function are appropriate for
persons with sleep problems, EXCEPT:
a. occupational therapists should dissuade the use of pajamas during the day and have
clients dress in "street" clothes
b. occupational therapists should consider optimal times for ADL training- schedule
regular daytime naps or rest breaks if needed
c. occupational therapists should consider the most appropriate times for
catheterization, voiding, and a bowel program to optimize rest and sleep
d. all are appropriate - Answers -d. all are appropriate
When evaluating sleep, which of the following should be the first step for an OT who
works at an inpatient unit to gather from the client who received emergency surgery for
a hip replacement last night?
a. evaluating the appropriateness of the client's sleep hygiene
b. evaluating sleep disturbances using the Pittsburgh Sleep Quality Index
c. evaluating the client's sleep quality from last night
d. evaluating environment setting, including lighting and room temperature - Answers -c.
evaluating the client's sleep quality from last night
An occupational therapist measures the active range of motion of an individual's index
finger. The measurements are MCP 0-45, PIP 10-60, and DIP 10-40. Which is most
accurate for the therapist to document as the fingers total active motion (TAM)?
a. 125.0 degrees
b. 62.5 degrees
c. 72.5 degree
d. 145.0 degrees - Answers -a. 125.0 degrees
A teenage girl with juvenile rheumatoid arthritis (JRA) identified a goal of applying her
own makeup. The occupational therapist recommends enlarged soft foam handles on
makeup applicators for a better handgrip. What intervention approach did the therapist
employ?
a. adaptation approach
b. preparatory intervention
c. remediation approach
d. skill acquisition intervention - Answers -a. adaptation approach
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