Question 1

On an initial evaluation, the OT department recorded range of motion for Emma's internal and external shoulder rotation as WFL. What does this mean?

Accepted Answer

The abbreviation WFL stands for Within Functional Limits. This means that there might by some limitations of range of motion at the end ranges of the joint, but the joint is capable of moving enough for the patient to complete functional tasks.

Question 2

You have worked with Mikey, your fourth-grade student, on pencil grasp for a number of years. You do not see any change, and Mikey continues to work very hard to hold a pencil while writing. What do you recommend to your OT department?

Accepted Answer

You would recommend to the OT department that Mikey should try pencil grips or an adapted pencil. If Mikey has been working on pencil grasp for several years and has still not been able to correct it, the pencil should be adapted to his grasp.

Question 3

You completed a therapeutic exercise protocol with your new hand patient, Linda. At Linda's next treatment session, she tells you that her hand hurt so bad after therapy that she could not move it for six hours. How should you respond to this information?

Accepted Answer

You should decrease the number of repetitions and amount of resistance for each exercise. If a patient reports severe pain lasting for more than two hours after exercise, then it was too intense and should be downgraded.

Question 4

Patrick, your sixth-grade student, has met his sensory processing goals. He is also progressing toward his handwriting and typing goals, but could use a little more work on these skills. What do you recommend to your OT department?

Accepted Answer

You recommend to your OT department to decrease Patrick's frequency to once per week. Patrick has made enough progress that he has partially met his goals and does not require the treatment frequency of twice per week. But he has not yet met his writing and typing goals and needs to continue to work on these skills. There are not as many skills to address, so the frequency can be decreased to once per week.

Question 5

How could you collect data on the treatment goals for your patients for your OT department?

Accepted Answer

Using a simple +/- data collection checklist is an easy way to keep track of your patients' performance related to short-term goals. Detailed notes are helpful, but not always practical.

Question 6

Your student Isaac is doing great during therapy and has met all of the objectives written in his Individualized Education Plan (IEP). The meeting to review his IEP is not scheduled to happen for another four months. What does your OT department tell you when you mention that Isaac's objectives have been met?

Accepted Answer

You are told to keep working with Isaac, and his treatment objectives will be upgraded during therapy until his IEP is revised. The OT department can revise treatment objectives in an IEP through a telephone conference with Isaac's parents, rather than requesting an additional meeting to reopen the IEP. You will work on new objectives until the annual IEP review in four months.

Question 7

You would like to know if Caden, your 4-year-old student with autism, is capable of using a picture schedule during therapy sessions. Who should you consult regarding this skill?

Accepted Answer

Caden's speech and language therapist. Speech and language therapists work with young students on using picture communication systems for both expressive and receptive language. Using a picture schedule is an organizational tool related to receptive language.

Question 8

The charge nurse for the rehabilitation unit informs you that you cannot see your patient at the scheduled time because the patient's physician is making rounds. This will throw off your entire schedule for the afternoon. What do you do?

Accepted Answer

You attempt to swap therapy times between the two patients. You cannot interfere with a physician's rounds, and your patient must be available to see the physician. But you can attempt to change your therapy schedule, so that you can continue to see patients throughout the afternoon.

Question 9

Marge, your nursing home patient, has expressed to you that she is afraid of returning home due to the condition of her house. She has not told anyone else her concerns. Who should you report this information to?

Accepted Answer

You should report this information to your OT department and the social worker. Any information that may affect a patient's ability to return to home should be reported to your OT department. In addition, the social worker is responsible for making sure patients who are discharged to go home have the community resources they need to remain at home. So this information should also be reported to the social worker.

Question 10

Ethan, your 6-year-old student with cerebral palsy, cannot jump on a trampoline, hop on one foot, or throw a ball. He has significant difficulty climbing the stairs at school. He already received adaptive physical education services. You discuss this with your OT department and agree that a referral should be made to:

Accepted Answer

You agree to refer Ethan to physical therapy. Ethan already receives adaptive physical education, but continues to display problems with gross motor skills. So one-on-one intervention from a physical therapist is warranted.

Question 11

A professional who coordinates a patient's care from admission to discharge is called a: ______.

Accepted Answer

A case manager coordinates care for patients at most healthcare facilities.

Question 12

You would like your shoulder replacement patient, Alfred, to start completing his bathing and dressing tasks independently while he is still in the nursing home. Who do you need to train, so that Alfred can complete these tasks without assistance?

Accepted Answer

You need to train the certified nursing assistants who work with Alfred and the nurse who supervises those assistants. Certified nursing assistants are responsible for daily cares in a nursing home setting. A registered nurse or licensed practical nurse supervises the nursing assistants and makes sure they are carrying out tasks according to the care plans of the nursing home residents.

Question 13

Your student Shawn, who has a diagnosis of quadriplegic cerebral palsy, has an appointment to have his ankle foot orthotics (AFOs) adjusted. He will see a(n):

Accepted Answer

He will see an orthotist, who specialize in the custom fabrication of orthotics.

Question 14

The OT frame of reference that focuses on a person's ability to function in occupational and personal roles is called: __________.

Accepted Answer

The Model of Human Occupation is the frame of reference that focuses on a person's ability to function in occupational and personal roles.

Question 15

To strengthen your stroke patient Roger's right-upper extremity, you have him reach for cones with his left hand while supporting himself on his right hand and both knees. This technique incorporates the following therapeutic approach: _________.

Accepted Answer

Bobath's Neurodevelopmental Treatment (NDT) utilizes the principle that treatment should be directed toward redeveloping normal movement patterns. Weight bearing through the affected extremity facilitates co-contraction of the muscles in a normal pattern.

Question 16

Using handwriting as a therapeutic activity to strengthen the fingers is an example of a: ______.

Accepted Answer

Using handwriting or another functional fine motor activity is an example of a task oriented approach. The task oriented approach promotes the use of purposeful activity to facilitate motor learning.

Question 17

Swinging prone on a platform swing to retrieve puzzle pieces is an example of a: _______ technique.

Accepted Answer

Swinging prone on a platform swing is a sensory integrative technique. The action of swinging stimulates the vestibular system; and the prone position strengthens the core muscles and facilitates the sense of proprioception.

Question 18

To apply a Proprioceptive Neuromuscular Facilitation (PNF) approach during upper extremity pulley exercises, you would ask your patient to: ________.

Accepted Answer

You would ask your patient to pull the pulley across his chest and down in a diagonal pattern. PNF utilizes diagonal patterns to facilitate functional movement.

Question 19

When you complete passive range of motion stretches with your 87-year-old Alzheimer's patient, you are utilizing the: _______ approach.

Accepted Answer

Passive range of motion utilizes the biomechanical approach.

Question 20

Teaching a brain injury patient how to use a calendar to remember appointments is an example of: ________ approach.

Accepted Answer

Teaching a brain injury patient how to use a calendar to remember appointment is an example of an adaptive treatment approach. The calendar is used to help the patient adapt to his loss of short-term memory.

Quiz 1: Acquiring Information