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?

Accepted Answer

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?

Accepted Answer

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?

Accepted Answer

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?

Accepted Answer

Forearm platforms can be added to forearm crutches or walkers when clients are unable to bear weight through their hand or wrists,perhaps because of fractures or arthritis.

Question 5

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

Accepted Answer

Once postural issues are resolved,equipment setups begin with the primary controls: those devices that control the steering,accelerator,and braking of a vehicle.All other controls are secondary controls.

Question 6

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

Accepted Answer

Guidelines for Using Proper Body Mechanics: The therapist should be aware of the following principles of basic body mechanics:
1.Get close to the client or move the client close to you.
2.Position your body to face the client (face head on).
3.Bend knees; use your legs not your back.
4.Keep a neutral spine (not bent or arched back).
5.Keep a wide base of support.
6.Keep your heels down.
7.Don't tackle more than you can handle; ask for help.
8.Don't combine movements.Avoid rotating at the same time as bending forward
or backward.

Question 7

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

Accepted Answer

An AFO is usually made of plastic and inserts into a shoe and extends up the back of the lower leg.It is sometimes called a "foot drop" splint,because it is used in cases of central or peripheral nerve lesions,which cause weakness of ankle dorsiflexors.

Question 8

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

Accepted Answer

Stand Pivot Transfers: Wheelchair to Bed or Mat Transfer: 2.Stand on the client's affected side with your hands either on the client's scapulae or around the client's waist or hips.

Question 9

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

Accepted Answer

A single point cane may be used with clients who have minor balance problems,by widening the base of support or providing sensory feedback through the upper extremity regarding position.

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?

Accepted Answer

If the knees are too high,increased pressure at the ischial tuberosities puts the client at risk for skin breakdown and pelvic deformity.

Question 11

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

Accepted Answer

Measure the individual across the widest part of either the thighs or the hips while the client is sitting in a chair comparable to the anticipated wheelchair.Add 0.5 to 1 inch on each side of the hip or thigh measurement taken.

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?

Accepted Answer

If independence in mobility is desired,a power wheelchair should be considered for those who have minimal or no use of the upper extremities,limited endurance,or shoulder dysfunction.

Question 13

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

Accepted Answer

The lowest point of the foot plates must clear the floor by at least 2 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.

Accepted Answer

A comprehensive vision screening is important because vision is the primary sense used to gather information needed for driving-related decision making.Vision testing is completed before other testing to eliminate impaired acuity as a factor.

Quiz 13: Mobility