Question 1

An OTA is educating a client on pain versus discomfort with his condition. The client enjoys being active and would like to continue his active lifestyle within the parameters of comfort with his condition. What rule should the client follow in regard to pain after a workout?

Accepted Answer

Discomfort should not last longer than 60 minutes post-workout. If it does, it may indicate overexertion or potential injury, and the client should adjust their activity level accordingly.

Question 2

A client is experiencing an inflammation of osteoarthritis and is experiencing a lot of pain in the mornings. What can the OTA suggest to help the client prepare for his ADL routine?

Accepted Answer

Performing slow movements in the pain-free range while in bed before beginning tasks can help the client to warm up the joints, reduce stiffness and discomfort, and prepare for ADLs. This can also increase the range of motion and improve the overall function of the joints throughout the day. Taking a pain reliever may provide temporary relief, but it may not be sufficient to address the underlying condition. Fabricating a splint may be helpful for some clients with osteoarthritis, but it may not be necessary or appropriate for everyone. Taking a hot shower first may provide temporary relief, but it may not address the underlying condition and may not be practical for all clients.

Question 3

An OTA is working with a 32-year-old who was previously a ballet dancer who danced on pointe. This individual is complaining of repeated pain in her ankle joints, especially as the day progresses. This individual would most likely be experiencing symptoms of which disorder?

Accepted Answer

The repeated stress and impact on the ankle joints from dancing on pointe puts the individual at a higher risk for developing osteoarthritis, which can cause pain and stiffness, especially later in the day. Lupus, gout, and hairline fractures are less likely causes of this individual's symptoms.

Question 4

An OTA is working with a client who has rheumatoid arthritis and lives in a two-story home. Using the principles of energy conservation, what can the OTA suggest the client do to continue her role as a homemaker?

Accepted Answer

Having commonly used cleaning supplies and tools on both levels of the house allows the client to conserve energy by not having to go up and down the stairs multiple times to retrieve items. This also allows the client to clean as necessary without having to wait for a specific day or time, providing flexibility and further conserving energy. Option B may be taxing on the client's energy reserves as cleaning the entire house in one day may be too much. Option C may not be feasible for the client's schedule or energy levels. Option D is a possibility, but it may not be cost-effective for the client.

Question 5

An OTA is working with a client who has been diagnosed with fibromyalgia and is experiencing depression and lack of motivation to participate in daily activities. What should the OTA do to assist her?

Accepted Answer

The answer of An OTA is working with a client...

Question 6

An OTA is treating a 25-year-old female who is complaining of widespread pain in her body, especially around her joints. The OTA documents a butterfly-shaped rash on the individual's face and skin lesions on her body. This individual would most likely be experiencing symptoms of which disorder?

Accepted Answer

The butterfly-shaped rash and skin lesions are characteristic symptoms of lupus, an autoimmune disorder that can cause joint pain and fatigue. Fibromyalgia is also characterized by widespread pain, but does not typically have skin symptoms. Rheumatoid arthritis is a type of arthritis that can cause joint pain and damage, but does not typically have skin symptoms or a butterfly-shaped rash. Osteoarthritis is a type of arthritis that is caused by wear and tear on the joints and does not typically have skin symptoms or widespread pain.

Question 7

An OTA is working with the parent of several young children who is experiencing an exacerbation of rheumatoid arthritis. The client is depressed that she is unable to bake cookies with her children. What can the OTA suggest as the best option to assist her?

Accepted Answer

Baking cookies may be difficult for the client due to the symptoms of rheumatoid arthritis, however, brainstorming ways to involve the children and other family members in the task can help her to still be a part of the activity. This could include having the children help choose the recipe or decorate the cookies, while other family members assist with the physical aspects of baking. This allows for family engagement while still accommodating the client's physical limitations.

Question 8

An OTA is treating a client with osteoarthritis. Which activity might an OTA have the client do to address his symptoms?

Accepted Answer

Using built-up handles for kitchen utensils can help alleviate pain and discomfort in the hands and wrists associated with osteoarthritis. This adaptation can make it easier for the client to perform cooking and other daily tasks, promoting independence and overall well-being.

Question 9

An OTA is working with a client diagnosed with fibromyalgia. Which activities might an OTA work on to help the client address her symptoms?

Accepted Answer

Strengthening and active movement exercises can help manage fibromyalgia symptoms by improving muscle strength and reducing pain.

Question 10

An OT practitioner is working with a client with a new diagnosis of osteoarthritis. The client is very concerned that he is experiencing difficulty with several beloved hobbies and is angry about his condition. What can the OT practitioner do to help increase client understanding and ultimately compliance with his treatment?

Accepted Answer

Talking through the task demands of the hobbies to begin to adapt and manage within the diagnosis constraints helps the client understand how they can continue engaging in their hobbies by making necessary adaptations, which can increase understanding and compliance with treatment.

Quiz 21: Arthritic Diseases: Factors, Adaptations, and Treatment