Fundamentals of OT in physical health

A client is undergoing bariatric surgery. As a part of the team, the OTA is interacting with a psychologist. What will the Psychologist MOST LIKELY address for this client ?

Behavior modification and counseling after surgery

An OTA is working as part of a team that cares for clients before and after bariatric surgery. What will the OTA MOST LIKELY address for these clients ?

Coping strategies, Meal preparation, and Food log maintenance

An OTA is introducing physical activity to a client who is obese. The client has very little experience with physical activity but is motivated to begin. Which activity would BEST fit the client's initial needs?

Walking

An OTA is taking the BMI of an individual who has edema. What would the OTA MOST LIKELY take into consideration when looking at this client's overall score?

Individuals with edema tend to have less fat than those without

During a routine wellness exam, a client is informed that she has a BMI of 26.0. How would this MOST LIKELY be interpreted?

Overweight

When working as a part of a team that cares for an individual who is undergoing a weight-loss plan, how will the OTA MOST LIKELY work with a dietitian ?

Utilizing the dietitian’s recommendations to train the client to prepare healthy meals

The goals for what frame of reference are MOST closely associated with adapting techniques or tools, making changes to the environment, or compensating for difficulties in performing occupations ?

Rehabilitation

The goals for what frame of reference are MOST closely associated with gaining strength, increasing ROM, reducing pain or swelling, maintaining joint ROM or strength, preventing contractures ?

Biomechanical

What occupational therapy model is BEST described as depicting the client at the center, with spirituality as the core motivating principle, while being surrounded by the individuals occupations, followed by the outermost layer, the environment ?

Canadian model of occupational performance and engagement (CMOP-E) model

What type of team is MOST closely characterized by a group of various professionals from different disciplines that provide their own care, have separate treatment goals, and are responsible for their individual scope of practice ?

Multidisciplinary

A 35-year-old with a history of intravenous drug abuse needs a hip arthroplasty. The radiographs reveal death of bone tissue. What is the MOST likely cause of the degeneration of the hip ?

Avascular necrosis

A client has a fractured hip that will require surgery to repair. The physician has stated that the client will receive a replacement of the ball portion of the hip but not the socket. Which procedure will this client MOST LIKELY undergo?

Hemiarthroplasty

A client is experiencing an increased amount of knee pain due to osteoarthritis. When would a surgeon MOST LIKELY consider a knee replacement surgery ?

When medication is no longer effective

An OT practitioner is providing a preoperative education to a client who is scheduled to have an arthroplasty. What is the BEST way to classify the hip joint ?

Ball and Socket

OTA is working with a pt who has recently undergone surgery to relieve back pain. The OTA is working with the client to prepare him for discharge and to eventually go back to work. Which techniques will be used for safe lifting for body mechanics ?

Keep back straight, with no twisting, and bend the knees when lifting

An OTA is working with a client who has TDWB precautions after undergoing a THA. What is the best way for an OTA to explain to the client how much weight he can put down on the involved leg?

Your foot can touch the floor, but no weight can be put through your leg

An OTA is working either a client who underwent a posterior total hip replacement 3 days ago. What would the OTA MOST LIKELY emphasize with the client for precautions following this procedure ?

No hip flexion past 90 degrees

An OTA is working with a client who underwent an anterior total hip replacement 3 days ago. What would the OTA MOST LIKELY emphasize with the client for precautions following this procedure ?

No hip extension

An OTA is working with a client whose weight bearing precautions have progressed to WBAT. What is the BEST way for an OTA to explain to the client how much weight he can put on the involved leg ?

How much you touch the floor will be determined by your pain level

An occupational therapist asks an OTA to assess a clients range oof motion, strength, and sensation. The OTA should:

Complete the assessment if service competency has been established.

The oT practitioner has received a report that his postoperative client has developed a pulmonary embolism. What is the BEST way to modify his therapy program for the day ?

Request orders to place therapy on hold

A client has recently undergone coronary artery bypass graft surgery and has precautions due to a sternotomy. Which of the following is the most important for the OTA to monitor during treatment sessions.

The client should avoid shoulder flexion beyond 90 degrees

An OTA has introduced a pt with COPD to a new HEP. When checking on the patient 2 days later, the OTA notes a weight gain of 5 lbs. The pt is c/o pain in his jaw and upper extremities. What should the OTA do FIRST

Stop the intervention and notify the nursing staff

An OT practitioner has created an intervention plan to build up endurance for a client who has congestive heart failure. What is a sign that this client is MOST LIKELY not tolerating the intervention ?

Excessive sweating

An OTA is assisting a client who had a sternotomy with bed mobility. What are the BEST instructions for the OOTA to give to the client to follow his sternal precautions ?

Pull on the rail on the side to which you are rolling, keep your legs straight, and roll segmentally allowing your trunk to move first

An OTA is providing education to a client who has recently started using oxygen due to a pulmonary disorder. What is the most important instruction for the OTA to give the client ?

Use water-based lotions or creams only

An OTA is working with a client in the hospital after an exacerbation of COPD. While working with the client, the OTA notes that the clients oxygen saturation drops below 90%. What should the OTA do FIRST in response to this information ?

Return the client to a resting position

An OTA is learning how to take a clients blood pressure. What is the BEST position for the cuff ?

Lower edge 3 cm above the antecubital fossa

An OTA who is working with a pt who had a MI while hiking outside with family. She is experiencing angina while doing the laundry, her least favorite chore. Which EC/WS strategies can the OTA suggest that will best fit the pt’s need for this chore ?

Ask family members for assistance

Well, at rest, a patient complains of tightness in his chest along with jaw and neck pain. He reports that this happens occasionally out of nowhere there is no pattern to the occurrences. What is this client MOST LIKELY experiencing ?

Stable angina

A person with arthritis has been an active member of a knitting group that donates items o a local shelter and would like to continue this activity. The OTA should:

Teach the client ways to minimize the risk so she can continue to enjoy the activity.

A client who has swan-neck deformity would have the most difficulty:

Placing coins in a vending machine

An OTA is instructing an individual who had a total hip replacement, anterolateral, approach to come to stand from a seated position. The OTA should instruct the individual to:

Avoid external rotation, adduction, and extension

An OTA is providing education on resources and joint protection techniques to clients and their families. The OTA should:

Provide verbal and written instructions geared to the person’s level of understanding

An OTA is teaching an educational preoperative class to individuals who will have a total hip replacement. The purpose of this type of class would be to:

Relieve anxiety and fear, empower the individuals during hospitalization, and decrease the hospital length of stay

An OTA is working at a skilled nursing facility with an older adult who is disoriented, cries easily, and is confused. The individual had a total hip replacement and is having difficulty learning hip precautions. The OTA should:

Ask the family to bring familiar objects from home to help the individual with orientation

An OTA is working with an individual who has had a a hip replacement and inquires about resuming sexual activity. The OTA should:

Suggest positions that are applicable and provide written information and diagrams.

An individual who had a total hip replacement is receiving instructions on lower extremity dressing. The OTA should instruct the individual to:

Sit on the edge of the bed or in a chair with arms

An individual who had an anterolateral total hip replacement prefers to sleep on her back. The OTA should instruct the individual to:

Use an abduction wedge

During an interview, a client with arthritis reports very little stiffness in the AM and is able to complete activities without problems. The OTA should FIRST:

Ask further questions to compare good and bad days

Sternal precautions

NO bending, lifting, twisting, pushing, pulling, lifting more than 5 pounds, shoulder flexion past 90 degrees, deep breaths, extreme water temperature, and drenching the surgery site

Posterior Hip precautions

AVOID hip flexion past 90 degrees, internal rotation, hip adduction. WEIGHT BEARING PRECAUTIONS

Back precautions

NO bending, lifting, twisting, excessive pushing or pulling, and shoulder flexion past 90 degrees

Total knee repelacement

Do not kneel on the affected knee. WEIGHT BEARING PRECAUTIONS

Anterior hip precautions

AVOID hip extension past 45 degrees, external rotation, and adduction. WEIGHT BEARING PRECAUTIONS