Question 1

The advantage of an occupation-based assessment over a functional motion assessment is that the occupation-based assessment affords the therapist the opportunity to do which of the following?

Accepted Answer

The functional motion assessment has the client simulating the movement pattern involved in ADL and IADL activities,such as reaching overhead as if to get a plate from a cabinet.The occupation-based assessment has the client actually placing or retrieving a plate from an overhead cabinet,thus requiring that the client deal with the weight,shape,and texture of the plate.

Question 2

Which of the following is most important for the practitioner to keep in mind during the clinical observation when administering the occupation-based motion assessment?

Accepted Answer

Although C is the correct answer,the therapist must be mindful of the information presented in answers A,B,and D.The practitioner must not be influenced by what he or she may perceive to be the best way to move to complete the tasks during this assessment.The practitioner will have to distinguish between movement patterns occurring as the result of pathology versus those that result from to the client's habits and learned experience.As a result of this assessment,the practitioner may use intervention strategies to direct the client to more effective and efficient methods to complete tasks.

Question 3

A 75-year-old woman with rheumatoid arthritis reports having some difficulty managing in her kitchen during meal preparation and cleanup.The client lives alone,is fiercely protective of her independence,and works 3 days a week at the local library's reading program for children.The OT practitioner arranges a home visit and decides the best sequencing of assessments to determine the problems would be which of the following?

Accepted Answer

The functional motion assessment is a quick assessment that will give general information about ROM and muscle strength.The occupation-based functional motion assessment,which takes a bit longer to administer,gives additional information about the client's ability to integrate those systems needed to manipulate objects,as well as provide additional resistance onto the body parts,and the client's ability to manage in a meaningful environmental context.Muscle testing is the most time-intensive assessment and would be administered only if the practitioner determines a specific need.

Question 4

Which of the following cannot be assessed using the occupation-based functional motion assessment?

Accepted Answer

Although the occupation-based assessment provides the therapist with the opportunity to observe the client interacting with the environment,including materials and tools,it cannot provide reliable information about the functioning of specific sensory receptors such as touch,temperature,and proprioception.

Question 5

A client who is able to perform most basic activities of daily living and instrumental activities of daily living independently but who experiences low endurance and fatigue somewhat easily during upper extremity tasks will most likely have which of the following?

Accepted Answer

A "fair plus muscle strength" muscle can move against gravity and slight resistance; however,low endurance and fatigue will affect the client's ability to engage in sustained or repetitive tasks.

Question 6

Which of the following is a reason that assumptions can be made regarding lower extremity strength during functional activities?

Accepted Answer

The lower extremity's primary functions are that of weight bearing and ambulation.Therefore the joints and large muscle groups tend to work together in specific and predictable patterns of movement to simultaneously advance one limb while the other supports the weight of the entire body.

Question 7

Which of the following is an advantage of the occupation-based functional motion assessment?

Accepted Answer

Because the clients are performing the tasks in contexts that are meaningful to them,their full participation and engagement in the task may be heightened.During an assessment the therapist would not provide physical support to the client.

Question 8

An advantage of the occupation-based functional motion assessment is that the OT practitioner as the opportunity to do which of the following?

Accepted Answer

The occupation-based functional motion assessment goes beyond the information that can be obtained from the more formal and structured ROM and muscle testing assessments in that the focus is not on specific musculoskeletal,neurophysiological,or sensory systems but rather on the client's ability to integrate these systems to produce complex motor patterns required to successfully engage in functional,work,and leisure activities.

Question 9

Which of the following is not an expected outcome of an occupation-based functional motion assessment?

Accepted Answer

The occupation-based functional motion assessment requires the client to be observed during the actual performance of tasks,preferably in contexts that have meaning to the client.The need for more formal assessment,such as ROM or manual muscle testing,may become obvious as the therapist observes and interprets the problems that the client may be encountering.An interview will not provide the therapist with objective data about the client's ability.

Question 10

While observing the client at work in her kitchen retrieving items to make a sandwich,cutting bread,reaching for dishes,loading the dishwasher,and opening and closing drawers,the therapist noticed that the client often grimaced when applying pressure to knives,lifting dishes,and opening the refrigerator.The therapist also observed that the client sometimes appeared confused,left out ingredients,and put dirty dishes in the cabinet instead of the clean ones she had set aside.When the client noticed some of her mistakes,she said,"Oh well,I live alone; who cares if the dish is a little dirty?" The occupation-based functional motion assessment allowed the practitioner to assess which of the following?

Accepted Answer

The occupation-based functional motion assessment provides information regarding ROM and muscle strength endurance.This client exhibited possible deficits in additional areas that may not be seen in the more singular-structured formal assessments.Through clinical observation during this assessment,the practitioner may have gained further insight into the client's problems,as (D)indicates,and can therefore proceed with more specific assessments.

Quiz 21: Occupation-Based Functional Motion Assessment