OT (TherapyEd) Exam A Missed Questions and Answers | 2023/24 | 100% verified

OT (TherapyEd) Exam A Missed Questions and Answers | 2023/24 | 100% verified B. Document that the parents refuse the intervention for their child (b/c they have the adolescent's parents, as legal guardians, have the right to refuse treatment for them; the parents do not need to sign a waiver to refuse treatment options) - 15 y/o with asymptomatic HIV attends outpatient clinic. OT protocol for persons diagnosed with HIV includes presentation of info on safe sex. The adolescent's parents refuse to allow this info to be presented to their child. Which is the best action for the OT to take in response? A. Ask the adolescent's opinion and act on their refusal or consent B. Document that the parents refuse the intervention for their child C. Refer the family to the social worker for counseling D. Have the parents sign a waiver that they refused the intervention for their child C. Engagement in ADL using diagonal patterns. (b/c this approach facilitates rotation during activity performance; Proprioceptive neuromuscular facilitation, or PNF, diagonals are the best choice b/c many activities incl. loading/unloading dishwasher and putting away groceries, can be performed using diagonal patterns; Neurodevelopmental techniques and the Rood technique of slow rolling may facilitate rotation but they do not incorporate functional activities) - Individual has Parkinson's disease with poor trunk rotation during ambulation and while performing ADL. According to neurophysiologic approaches, which is the most effective therapeutic intervention for the OT to use with this person? A. Facilitation of trunk rotation using neurodevelopmental handling techniques. B. Slow rolling with the person in supine with knees and hips flexed. C. Engagement in ADL using diagonal patterns. D. Provision of rolling walker to compensate for limited rotation and enhance mobility. C. Physical prompts to initiate steps in dressing (b/c the client's sensorimotor aspects needed to perform this activity may be intact, providing these prompts may be sufficient to cue them; verbal cues or sequenced photographs will not address the functional deficit nor enhance performance; a mirror will provide the opposite view of actual performance which may increase confusion esp. w/ apraxia) - Following a left CVA, an individual receives OT services in subacute rehab. The pt's goal is to be indep. w/ dressing. The pt demonstrates decreased memory, poor sequencing, and ideational apraxia. Which is the most effective for the therapist to provide when teaching one-handed dressing techniques to this pt? A. Step-by-step verbal instructions B. Sequenced photos of the steps in dressing C. Physical prompts to initiate steps in dressing D. A full-length mirror for the client to observe self-dressing performance D. A high stool to compensate for LE weakness (b/c LE muscle weakness is common in the early stages of MS, this can help minimize the effects of fatigue which is common in all stages of MS; scanning deficits are not typically associated with MS; cognitive deficits are not common in early stages of MS; and it is unlikely that endurance has decreased to level of requiring motorized scooter this early on) - An elementary school teacher was recently diagnosed with MS. Which adaptation is best for the OT to recommend to the teacher to accommodate for the effects of MS on classroom teaching? A. The use of anchoring techniques to compensate for scanning deficits B. A daily list of tasks to compensate for cog deficits C. A motorized scooter to compensate for decreased endurance D. A high stool to compensate for LE weakness A. Communicate effectively to develop a therapeutic relationship w/ the family. (this is essential to do on the first visit, esp. since this child has multiple disabilities and will likely require the OT to work closely with the family over an extended period of time) - An OT conducts an initial home visit to a family with a premature infant who, at 4 mos. and 5 lbs., has just been discharged from the hospital. The child has multiple DDs. Which is the most important for the OT to do during the first session w/ the family? A. Communicate effectively to develop a therapeutic relationship w/ the family. B. Teach the family proper body mechanics for lifting the child C. Teach the family assertiveness training to develop advocacy skills. D. Determine whether adaptive aids or positioning equipment is needed. D. Refer the child to an optometrist (b/c prior to conducting a visual perceptual eval., an anatomical visual assessment to determine visual acuity is required) - A 3 y/o child with L spastic hemiplegia due to CP is evaluated for EI services. During the evaluation, the OT observes behaviors that seem to indicate the presence of visual deficits. Based on these observations, which action should the OT take? A. Completion of motor-free visual perceptual assessment B. Completion of developmental vision assessment C. Refer the child to an optician D. Refer the child to an optometrist B. Turning a pencil over to erase (b/c rolling clay and separating paper are examples of shift and picking up coins is an example of finger-to-palm translation) - 6 y/o has thumb weakness that is most evident in the child's poor ability to perform thumb opposition. During eval, which activity will the therapist most likely observe the child having difficulty performing? A. Rolling a piece of clay into a ball B. Turning a pencil over to erase C. Picking up coins D. Separating two pieces of paper C. Close (b/c it is recommended that entry-level OTs receive supervision, that is, daily, direct contact for patient; intermediate-level OTs can receive routine sup every 2 wks to general supervision at least monthly; advanced practitioners need min sup, on an as-needed basis for complex pt care) - To ensure provision of best practice, a new entry-level OT will be provided with supervision of their caseloads. At what level should this su