Question 1

For which of the following pain interventions does the occupational therapist need post-professional education to ensure competency?&#10;A) Adaptive equipment&#10;B) Splinting&#10;C) Relaxation training&#10;D) Physical agent modalities (PAMs)&#10;E) All of the above

Accepted Answer

Physical agent modalities (PAMs) require post-professional education and certification to ensure competency as they involve the use of complex equipment and machinery. The other interventions listed can be part of an occupational therapist's scope of practice with appropriate training and education during their initial education in occupational therapy.

Question 2

An occupational therapist is treating a 56-year-old woman who has been diagnosed with fibromyalgia.She has expressed depression and anxiety over her diminished ability to lead a fulfilled life.She reports that her pain typically rates approximately 7 on the numerical pain intensity scale.What interventions should the OT practitioner employ?

A) Provide her with relaxation training to decrease muscle tension
B) Help her to resume leisure activities that she once enjoyed that would cause low stress on her body, such as swimming
C) Refer her for psychological counseling
D) Refer her to a spiritual advisor
E) All of the above

E

Accepted Answer

All of the above interventions are appropriate for someone with fibromyalgia experiencing depression and anxiety. Relaxation training can help decrease muscle tension and aid in pain management. Participating in low-stress leisure activities can promote a sense of accomplishment and meaning in life. Psychological counseling can help address the emotional impact of chronic pain and teach coping strategies. While spirituality can be a source of strength and comfort for some individuals, it may not be appropriate or desired by everyone. It is important to explore options with the client and respect their beliefs and preferences.

Question 3

An occupational therapy (OT)practitioner has received an order to evaluate a middle-aged man because of shoulder pain that is impeding his ability to go back to work. The OT practitioner observes guarded movement,bracing,posturing,rubbing,and facial grimacing.These are examples of which of the following?

A) Asymmetry of the spine
B) Pain behaviors
C) Myasthenia gravis symptoms
D) Hypochondriasis
E) All of the above

B

Accepted Answer

The observed behaviors indicate pain behaviors, which are commonly seen in individuals with chronic pain. Asymmetry of the spine, myasthenia gravis symptoms, and hypochondriasis may present with different signs and symptoms not mentioned in the scenario.

Question 4

During an intervention session for Catalina's low back pain,the occupational therapist does which of the following?&#10;A) Increases the activity levels quickly to promote muscle strengthening&#10;B) Tells Catalina to initiate rest at the time of the pain onset during activities&#10;C) Gradually increases activity levels, with Catalina working to &#34;tolerance&#34; as opposed to &#34;pain,&#34; before a scheduled rest break&#10;D) Applies modalities (e.g., heat or cold) after activity

Accepted Answer

Gradually increasing activity levels with Catalina working to "tolerance" as opposed to "pain," before a scheduled rest break is the most appropriate approach. This helps to prevent further injury and promotes gradual improvement in strength and tolerance over time. Option A is not appropriate as increasing activity levels too quickly can worsen the pain and cause further injury. Option B is also incorrect as rest should not be initiated at pain onset since this can lead to deconditioning and worsen the pain. Option D is not the best choice as modalities alone are unlikely to address the underlying issue contributing to the low back pain.

Question 5

Catalina's low back pain has led to the inability to work and engage in leisure occupations.Which of the following apply to her condition?&#10;A) Is typical of a central pain syndrome&#10;B) Needs to be treated by a physical therapist, not an occupational therapist.&#10;C) Fortunately hasn't produced any fear of movement in Catalina&#10;D) All of the above

Accepted Answer

Central pain syndrome can cause chronic pain that affects daily activities, similar to Catalina's situation.

Deck 31: Evaluation and Pain Management