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Physical Disabilities chapters 7-12
Terms in this set (48)
Burnout is defined as the state of emotional exhaustion that contributes to mental health issues, physical illness, physical conditions, and disease processes in healthcare professionals.
Mindfulness training can aid in the prevention or treatment of burnout for healthcare professionals.
Burnout can contribute to inadequate patient care, unethical treatment practices, reduced client outcomes, inadequate development of therapeutic use of self, and decreased rapport building.
Which of the following statements is true regarding burnout of healthcare professionals?
Acquisition or learning phase
A client completing a lower body dressing task is observed donning shoes prior to donning socks, placing shoes on the wrong feet, and forgetting to tie shoes. The client is likely in what phase of learning?
HIPAA does NOT provide federal protection of PHI.
Which statement below is not true about HIPAA?
All documentation must be computerized.
Which of the following statements is not correct about documentation?
Specific degrees of measurement of range of motion (ROM)
Data recorded in the objective section of the note could include which of the following?
determined by the client and therapist collaboratively
The establishment of goals should be______
Goals are written to reflect what the therapist will do.
which statement below about goals is incorrect?
Which term is not a section of a SOAP note?
Whenever occupational therapy (OT) services are provided
How often is documentation required?
Which term below is not an example of skilled terminology?
Information reported by the doctor
Which of the following is not included as subjective part of a SOAP note?
Requiring personal identification and user verification codes for access to records
Safety measures to prevent unauthorized persons from accessing client records include which of the following?
acquired in the hospital
A nosocomial infection is __.
Isometric exercises and neck flexion
When working with a client who has an intracranial pressure (ICP) monitor, certain positions and activities that cause increase in ICP should be limited. Which of the following are examples of activities and/or positions to be avoided?
Wear protective gloves, dispose of gloves in the appropriate waste container, and wash hands before and after intervention.
What is the correct infection control procedure to following when providing intervention with a client that includes toileting and bladder management?
when splashing of body substances is likely
Standard precautions for infection control recommend the use of protective clothing (e.g., gowns, gloves, masks) __.
depressing the chest approximately 2 inches with each compression
During cardiopulmonary resuscitation (CPR), chest compressions are performed to facilitate circulation of blood. Correct procedures for chest compressions include providing firm downward pressure directly over the inferior portion of the sternum and __.
40 to 60 seconds
To reduce the risk of cross-contamination, the occupational therapist should wash his or her hands before and after treating each client for at least....
Avoid crimping or stretching the catheter drainage tube, and place the urine catheter bag below the level of the bladder.
The occupational therapist assistant should observe several precautions when providing intervention to a client who is catheterized. Which of the following precautions are appropriate?
the upper portion of the bed is elevated 45 to 60 degrees to elevate the client's upper body.
Fowler's position is the terminology used when the hospital bed is positioned so that....
with every patient
to protect both the patient and the therapist
The occupational therapist assistant should use Centers for Disease Control (CDC) standard precautions __.
When working with a client who has a hyperalimentation device for nutritional support, the occupational therapist should ensure that catheter connections are secure before and after intervention. What potentially life-threatening condition can result from a disrupted connection?
Activity performance along with the therapist
The most commonly used methods to teach clients who have perceptual problems, poor memory, and difficulty following directions include all but which of the following?
Central nervous system (CNS) disorders
Stabilizing an extremity to reduce incoordination and enable a client to perform activities of daily living (ADLs) is a common practice for clients with which of the following conditions?
Using an assistive device for the activity
Which of the following is the main technique used for a client with limited joint range of movement (ROM) to perform ADLs?
The use of a wrist-driven flexor hinge splint may benefit a client with muscle function from spinal cord levels __.
The ability to ambulate independently
IADL skills needed for client safety and independence alone at home include all but which of the following?
Care of others
Which of the following is an example of an instrumental ADL (IADL)?
Improve lighting by opening blinds and curtains.
An occupational therapist is working with a patient with low vision in her home. Which environmental modification would be contraindicated?
Lever-type doorknob extensions
The occupational therapist is working with a client who has pain and weakness in her hands as a result of moderate to severe arthritis. To increase functional independence, the client may use which of the following?
Reduction of work speed and dexterity
An occupational therapist is working with a client who has an impaired right upper extremity resulting from a lower motor neuron dysfunction. What is a common problem that the therapist will have to address?
Any item, piece of equipment, or product system, whether acquired commercially, off the shelf, modified, or customized, that is used to increase or improve functional capabilities of individuals with disabilities is the definition of __?
Ankle-foot orthosis (AFO)
A client at risk for foot drop deformity may benefit from the use of which orthotic?
The ability to handle keys, manage doors, mobility devices, and adjust seat belt
After a clinical assessment of the client, a predriving assessment is completed. Essential predriving skills that are evaluated include which of the following?
Use your back rather than your legs.
Which of the following is not a component of proper body mechanics used by the therapist when transferring clients?
What type of wheelchair should be recommended to maximize independence in mobility in the individual who has good cognitive and perceptual skills but very poor endurance and significant physical impairment of the upper and lower extremities?
It is recommended that wheelchair footplates clear the floor by a minimum distance of __?
Skin breakdown of the ischial tuberosity
The leg rests of a client's wheelchair are adjusted too short. This increases the client's risk for which of the following?
Across the hips or thighs (whichever is widest) and adding 1 to 2 inches
Correct measurement of a client for determining appropriate wheelchair seat width involves measuring which of the following?
stand on the client's involved (weak) side
During a stand pivot transfer, the occupational therapist should __?
During a predriving assessment, testing of __ is typically completed first because this is the primary component that an individual uses to gather information required for driving-related decision making?
They are more energy efficient during propulsion.
Why might a rigid frame chair be preferable for individuals with paraplegia who are manually propelling the wheelchair?
Braking and steering controls
Which of the following devices are considered primary controls on a vehicle?
Which ambulation aid is the most appropriate for a client who has minor balance problems?
When the individual is independent in transfers and in loading mobility equipment.
When is a car (e.g., sedan) an appropriate vehicle option for the disabled client?
Front-wheeled walker with forearm platforms
Which ambulation aid would be recommended for a client who has a moderately unsteady gait as well as pain and weakness in the hands and wrists caused by arthritis?
Permission, Limited Information, Specific Suggestions, Intensive Therapy
The acronym PLISSIT, a progressive guide to help therapists address issues of sexuality with clients. PLISSIT stands for which of the following?
OTs may already be working with the client on other intimate ADLs such as bathing or dressing.
Sexual activity falls within the domain of occupational therapy as an ADL.
Occupational therapists understand the motor performance required for sexual activity and may be able to advise on positioning and technique when motor dysfunction or pain are present.
Occupational therapists are uniquely qualified to address sexuality issues with clients due to which of the following?
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