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A client with a T4 complete SCI becomes anxious during a treatment session and suddenly reports a severe headache. The OTA notices facial sweating and nasal congestion.
Place the client upright, assess for possible noxious stimuli, and notify medical staff
3 multiple choice options
An OTA is treating a client with C6 tetraplegia in the rehabilitation phase. Which intervention is MOST important to preserve future functional mobility?
Preserving full elbow extension
3 multiple choice options
A client with SCI reports dizziness after being transferred from supine to sitting. What is the BEST response?
Recline the client, elevate the legs, and gradually rebuild sitting tolerance
3 multiple choice options
An OTA is educating a client about pressure injury prevention. Which intervention is MOST effective?
Daily skin inspections and scheduled pressure relief strategies
3 multiple choice options
An OTA notices warmth, redness, and decreased hip ROM in a client 3 months post-SCI.
Which condition is MOST likely developing?
Heterotopic ossification
3 multiple choice options
An OTA is developing interventions for osteoporosis prevention following SCI. Which intervention BEST addresses the underlying cause?
Progressive standing using a tilt table
3 multiple choice options
Which client is MOST likely to have the poorest long-term prognosis?
Client with post-traumatic amnesia lasting 35 days
3 multiple choice options
An OTA observes extension of both upper extremities in response to painful stimuli.
What does this MOST likely indicate?
Decerebrate posturing
3 multiple choice options
A client in the ICU following a severe TBI is medically stable.
Sensory regulation and basic hygiene participation
3 multiple choice options
An OTA observes agitation increasing when a client remains in bed for prolonged periods. Which intervention is BEST?
Upright wheelchair positioning
3 multiple choice options
Which intervention BEST addresses low arousal in a client with severe TBI?
Sensory regulation using controlled stimuli
3 multiple choice options
An OTA identifies limited PROM at the shoulder.
What should the OTA suspect FIRST?
Pathology of non-contractile tissues
3 multiple choice options
Which intervention should be AVOIDED during ROM training?
Aggressive PROM and pulleys
3 multiple choice options
A client with MS reports increasing fatigue throughout the day.
Which intervention is MOST appropriate?
Incorporate energy conservation and cooling strategies
3 multiple choice options
The OTA is planning interventions for a client with MS.
Which precaution is MOST important?
Avoid warmer temperatures
3 multiple choice options
Which intervention BEST supports long-term self-management?
Teach compensatory routines and activity pacing
3 multiple choice options
A client freezes while approaching a doorway.
Which intervention is BEST?
Provide auditory cueing and counting aloud
3 multiple choice options
Which intervention BEST addresses bradykinesia?
Tactile, visual, and auditory cues
3 multiple choice options
A client demonstrates shallow breathing patterns.
What is the BEST intervention?
Postural and deep breathing exercises
3 multiple choice options
Which intervention is MOST appropriate during disease progression of ALS?
Gentle, non-resistive movement and adaptive equipment
3 multiple choice options
Which assessment would BEST monitor disease progression of ALS?
ALSFRS-R
3 multiple choice options
A client with AD repeatedly forgets steps during dressing.
What is the BEST intervention?
Provide simple directive verbal cues and task segmentation
3 multiple choice options
Which environmental modification is MOST beneficial for client with AD?
Reduce clutter and increase contrast
3 multiple choice options
Which action BEST reflects client-centered care for progressive CNS disorders?
Collaborate with the client to determine meaningful goals
3 multiple choice options
A client with PD, orthostatic hypotension, and freezing episodes reports dizziness while attempting to walk to the bathroom.
Return the client to sitting and reassess blood pressure symptoms before mobility
3 multiple choice options