Question 1

An OTA is working with a client diagnosed with Parkinson's disease. Which intervention would be most beneficial to a client who is in the mild stage of the disease?

Accepted Answer

Sitting while donning pants is most beneficial for a client in the mild stage of Parkinson's disease as it addresses balance issues and reduces the risk of falls while performing daily activities. This intervention helps maintain independence in dressing tasks.

Question 2

An OTA is doing an initial interview with a client diagnosed with dementia. When speaking with the client and caregiver, information is revealed that the client has forgotten several appointments, including the current therapy appointment, and is requiring cueing from family members. The client also has been misplacing her glasses and dentures. Which level on the Global Deterioration Scale would she be functioning at?

Accepted Answer

The client is showing signs of mild cognitive decline, such as forgetting appointments and misplacing items, which are characteristic of Stage 3 on the Global Deterioration Scale.

Question 3

A client diagnosed with ALS has to decide whether to utilize a tracheostomy and mechanical ventilation to assist with breathing issues. The client may need to be placed in a skilled nursing facility because his spouse is working and they cannot afford 24-hour in-home care. What should be taken into consideration when making this decision?

Accepted Answer

The location of the facility is important as it affects the client's ability to receive visits from family and maintain social connections, which are crucial for emotional well-being.

Question 4

An OTA is working with a client diagnosed after a flare-up of a progressive degenerative disease of the central nervous system. This client is experiencing fatigue in her upper and lower extremities and is experiencing depression because she is very sensitive to heat and is no longer able to participate in her beloved hobby of gardening. What condition is this individual most likely diagnosed with?

Accepted Answer

The client is most likely diagnosed with multiple sclerosis, as it is a progressive degenerative disease of the central nervous system that often causes fatigue and sensitivity to heat, among other symptoms. Parkinson's disease and Huntington's disease are also progressive neurological disorders, but they do not typically present with sensitivity to heat as a major symptom. ALS primarily affects the motor neurons responsible for movement, and depression is not typically a major symptom.

Question 5

An OTA is working with a client diagnosed with Huntington's disease. Which interventions would be most meaningful to a client who is in the mid-stage of the disease?

Accepted Answer

In the mid-stage of Huntington's disease, clients may begin to experience more difficulty with initiating and completing tasks. Making lists for ADLs and pairing matching clothing can help simplify these tasks and reduce frustration for the client. The other interventions listed may be more appropriate for clients in different stages of the disease.

Question 6

An OTA is meeting with a support group for caregivers of individuals with progressive diseases. What should the OTA include in her presentation to help the caregivers support their loved ones?

Accepted Answer

Proper body mechanics and adaptive equipment are essential for caregivers to support their loved ones with progressive diseases.

Question 7

An OT practitioner is working with a client diagnosed with ALS at the outpatient ALS clinic. The client is currently walking with a cane but is transitioning to use of a rollator walker for balance needs. What should the OT practitioner discuss with the client about future progression of the disease as it affects occupations?

Accepted Answer

ALS is a progressive disease that affects motor function, including mobility. Power wheelchair mobility should be discussed as an option for the client as the disease progresses and they lose greater mobility. Strengthening exercises and caregiver training for PROM may also be relevant, but the focus should be on preparing for future mobility needs. Applying for disability benefits may be important, but this should be discussed with a case manager, social worker, or financial planner rather than as part of a treatment plan discussion.

Question 8

When working with individuals who would be classified as Level 4 on the Allen cognitive levels, what should the OTA take into consideration regarding therapy?

Accepted Answer

The answer of When working with individuals who would be...

Question 9

An OTA is working with a client diagnosed with multiple sclerosis. The client is complaining of lower extremity stiffness in the morning that makes it difficult to complete ADL tasks. What type of equipment should the OTA recommend to this client?

Accepted Answer

A reacher and dressing stick can help the client manage dressing tasks more independently by compensating for stiffness and reduced mobility in the lower extremities.

Question 10

An OTA is working with a client who is experiencing changes in personality, including disinhibition and anger. This client currently requires a very structured daily routine due to impaired insight and memory. In addition, this client is demonstrating motor impairments, including chorea, ataxia, and poor balance. What disorder is this individual most likely diagnosed with?

Accepted Answer

The symptoms presented such as changes in personality, disinhibition, and chorea are characteristics of Huntington's disease. The impaired insight and memory may also be seen in the disease. Parkinson's disease does not typically present with disinhibition or chorea, while ALS does not typically present with changes in personality or memory impairment. Dementia is a broad term and can be caused by various underlying conditions, including Huntington's disease. However, the presence of chorea suggests Huntington's disease as the most likely diagnosis.

Quiz 32: Degenerative Diseases of the Central Nervous System: Understanding and Management

An OTA is working with a client diagnosed with Parkinson's disease. Which intervention would be most beneficial to a client who is in the mild stage of the disease?

An OTA is working with a client diagnosed with Huntington's disease. Which interventions would be most meaningful to a client who is in the mid-stage of the disease?

An OTA is meeting with a support group for caregivers of individuals with progressive diseases. What should the OTA include in her presentation to help the caregivers support their loved ones?

When working with individuals who would be classified as Level 4 on the Allen cognitive levels, what should the OTA take into consideration regarding therapy?

An OTA is working with a client diagnosed with multiple sclerosis. The client is complaining of lower extremity stiffness in the morning that makes it difficult to complete ADL tasks. What type of equipment should the OTA recommend to this client?