Question 1

A physical therapist is examining stairs in a patient's home.The patient is 5 feet tall,using a single axis cane for gait.Which of the following concerns should be addressed FIRST?&#10;A)Nosings on steps&#10;B)Stair height of 7 1/2 inches&#10;C)Lack of nonslip surfacing to stair edges&#10;D)Handrails 38 inches high

Accepted Answer

The handrails are too high for a person who is 5 feet tall, making it difficult for them to use the handrails effectively for support and safety while using the stairs. The recommended height for handrails is typically between 34 to 38 inches, but for someone shorter, the lower end of this range would be more appropriate.

Question 2

In performing a home environment inspection,which of the following is the BEST place to begin?&#10;A)The front entrance,where the patient will enter the home&#10;B)The kitchen,where the patient will spend a key part of the day&#10;C)The bed,where the patient will start each day&#10;D)Initial rest position after first entering the home

Accepted Answer

C

Question 3

In examining an exterior entrance for a patient in a wheelchair,which item has the LOWEST priority?&#10;A)A large entrance platform&#10;B)Height of the doorknob&#10;C)Presence of a door strap&#10;D)Presence of a kickplate

Accepted Answer

The presence of a kickplate has the lowest priority when examining an exterior entrance for a patient in a wheelchair. This is because kickplates are primarily designed to protect the door from damage, rather than to facilitate access for individuals in wheelchairs. The other options directly impact the accessibility and ease of use for someone in a wheelchair.

Question 4

A physical therapist is making home recommendations for a patient with limited eyesight and dexterity.Which of the following is the LEAST appropriate recommendation?&#10;A)High-intensity fluorescent lightbulbs&#10;B)Programmable light timers&#10;C)Touch pad dimmer switches&#10;D)Rocker switches

Accepted Answer

High-intensity fluorescent lightbulbs may actually worsen the patient's limited eyesight and cause discomfort for their condition. The other options (B-D) would be appropriate recommendations to accommodate the patient's limited eyesight and dexterity. Programmable light timers can help the patient with their daily routine, touch pad dimmer switches can make it easier to adjust lighting levels, and rocker switches can be easier to use than traditional switches.

Question 5

A patient who has recently started using a wheelchair is planning to return to a computer work station.Which of the following items is the LOWEST priority for the physical therapist to address?&#10;A)Height and size of workstation&#10;B)Depth of supply shelves&#10;C)Exposure to vibration&#10;D)Height of keyboard

Accepted Answer

Exposure to vibration is the lowest priority when adapting a computer workstation for a wheelchair user. The primary concerns involve ensuring the workstation is accessible and usable, focusing on the height and size of the workstation, the depth of supply shelves for easy reach, and the height of the keyboard for ergonomic use. Vibration exposure is less relevant in this context.

Deck 9: Examination of the Environment