Deck 13: Mobility

Question 1

After a clinical assessment of the client,a predriving assessment is completed.Essential predriving skills that are evaluated include which of the following?

A) Cognitive and perceptual skills assessment
B) On-the-road evaluation of the client's skills using adapted equipment
C) The ability to handle keys, manage doors, mobility devices, and adjust seat belt
D) Muscle strength, range of motion, and grip measurements

Answer 1

C
Predriving tasks include mobility to the vehicle,inserting and turning a key (or keyless entry operation),opening and closing the door,entering and exiting the vehicle,loading and unloading mobility devices (e.g.,cane,walker,wheelchair),adjusting the driver seat,adjusting the mirrors,fastening the seat belt (and chest strap when needed),and having adequate visibility to scan dashboard light indicators.

Question 2

When is a car (e.g.,sedan)an appropriate vehicle option for the disabled client?

A) When the individual uses a powered wheelchair
B) When the individual uses a manual wheelchair
C) When the individual requires a mechanical lift
D) When the individual is independent in transfers and in loading mobility equipment.

Answer 2

D
A car is generally appropriate if a person can enter and exit the vehicle and load mobility equipment devices independently.

Question 3

Why might a rigid frame chair be preferable for individuals with paraplegia who are manually propelling the wheelchair?

A) They are more lightweight than folding chairs.
B) They are more energy efficient during propulsion.
C) They are more easily folded and stored.
D) They are more sturdy and do not need to be replaced as often.

Answer 3

B
Folding Versus Rigid Manual Wheelchairs: Rigid Wheelchairs: Will the user benefit from the improved energy efficiency and performance of a rigid frame?

Question 4

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?

A) Single point cane
B) Forearm crutches
C) Standard front-wheeled walker
D) Front-wheeled walker with forearm platforms

Question 5

Which of the following devices are considered primary controls on a vehicle?

A) Turn signal
B) Windshield wiper controls
C) Braking and steering controls
D) Mirrors and environmental controls

Question 6

Which of the following is not a component of proper body mechanics used by the therapist when transferring clients?

A) Maintain a wide base of support.
B) Stand close to the client.
C) Use your back rather than your legs.
D) Maintain a neutral spine position.

Question 7

A client at risk for foot drop deformity may benefit from the use of which orthotic?

A) Supramalleolar orthosis (SMO)
B) Knee-ankle-foot orthosis (KAFO)
C) Ankle-foot orthosis (AFO)
D) Hip-knee-ankle-foot orthosis (HKAFO)

Question 8

During a stand pivot transfer,the occupational therapist should __________.

A) Stand on the client's involved (weak) side
B) Stand on the client's uninvolved (strong) side
C) Stand behind the client
D) Alternate standing on either side during transfers so the client will be comfortable with having support from either side during the transfer

Question 9

Which ambulation aid is the most appropriate for a client who has minor balance problems?

A) Forearm crutches
B) Single point cane
C) Front-wheeled walker
D) "Pick-up" walker

Question 10

The leg rests of a client's wheelchair are adjusted too short.This increases the client's risk for which of the following?

A) Skin breakdown of the popliteal fossa
B) Skin breakdown of the ischial tuberosity
C) Skin breakdown of the heel of the foot
D) Skin breakdown at the scapula

Question 11

Correct measurement of a client for determining appropriate wheelchair seat width involves measuring which of the following?

A) Across the hips or thighs (whichever is widest) and adding 1 to 2 inches
B) Across the hips or thighs (whichever is widest) and subtracting 1 to 2 inches
C) From the back of the knee to the rear of the buttocks and adding 1 to 2 inches
D) From the back of the knee to the rear of the buttocks and subtracting 1 to 2 inches

Question 12

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?

A) Hemiplegia-style manual wheelchair
B) Lightweight manual wheelchair
C) Power wheelchair
D) Reclining wheelchair

Question 13

It is recommended that wheelchair footplates clear the floor by a minimum distance of ________________.

A) 2 inches
B) 1 inch
C) 0.25 to 0.5 of an inch
D) 4 inches

Question 14

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.

A) Strength
B) Proprioception
C) Vision
D) Balance