Human Occ II: Pass the OT: Quiz 2 *need to check answers*

An OTA recommends that an individual attend a cooking group twice a week. Using the SOAP note format, the OTA should document the recommendation in

a. plan.

In the SOAP note format:

• Subjective: What the patient or caregiver reports.

• Objective: Measurable data, such as test results or observations.

• Assessment: The therapist's professional interpretation of the subjective and objective information.

• Plan: What the therapist intends to do next, including recommendations for treatment or follow-up.

The approach to intervention during mealtime that focuses on remediation or returning a client to (or close to) a prior level of function is also known as

grading.

Grading involves adjusting the activity to either make it more challenging or easier, depending on the client's current abilities. The goal is to help the client progress toward or return to their prior level of function. This approach is commonly used during mealtime interventions to support a client in regaining independence or improving their abilities.

An occupational therapist and OTA, who are both new graduates, are working together in a skilled nursing facility. To ensure that they function in their respective roles, they should

c. follow the guidelines set by the facility.

In a skilled nursing facility, both the occupational therapist (OT) and the occupational therapy assistant (OTA) should follow the guidelines set by the facility to ensure they are functioning appropriately within their roles. These guidelines typically outline the specific responsibilities, supervision levels, and expectations for each professional. While reviewing state licensure law and contacting associations may also be important, the facility’s guidelines will provide the most direct and relevant framework for their roles in that setting.

During evaluation sessions, the OTA should

select tasks that are safe and relatively simple.

During evaluation sessions, the OTA should choose tasks that are safe and relatively simple to assess the individual's current abilities and limitations. These tasks should not overwhelm the client but allow the therapist to observe their functional performance. The goal is to gather accurate information while maintaining the client's safety and comfort.

A client is being discharged after recovery from hip replacement surgery to live at home alone. Which is the most important equipment for the OTA to review with the client prior to discharge to enable safe occupational performance at home?

A rolling walker

For a client recovering from hip replacement surgery and living alone, a rolling walker is the most important piece of equipment to review. It provides support for safe mobility, helping the client to maintain balance and reduce the risk of falls during everyday activities. This equipment is crucial for both functional independence and safety as the client navigates their home environment post-surgery. While other equipment like a reacher or commode can assist with specific tasks, the rolling walker is essential for overall mobility and stability.

An OTA is developing an intervention to teach an individual how to maneuver a wheelchair in the hospital cafeteria. Before treatment the occupational therapist should

review different teaching methods with the OTA and provide supervision.

Before treatment, the occupational therapist should review different teaching methods with the OTA and provide supervision. This ensures that the OTA is equipped with appropriate strategies for teaching wheelchair maneuvering in the hospital cafeteria, aligning with the client's needs. The occupational therapist’s guidance ensures that the intervention is effective and that proper techniques are used throughout the process.

An OTA is working with an individual who has difficulty with motor learning. The OTA should plan intervention with a focus on performing motor skills

in a variety of environments and under a variety of conditions.

When working with an individual who has difficulty with motor learning, the OTA should plan interventions that involve performing motor skills in a variety of environments and under a variety of conditions. This approach helps improve the individual's ability to generalize motor skills to different settings and situations, enhancing functional independence and adaptability in real-world tasks.

An individual with limited range of motion and limited fine motor control would like to learn to use a keyboard. The OTA should recommend

keyboard with larger keys.

For an individual with limited range of motion and fine motor control, a keyboard with larger keys would be the most appropriate recommendation. Larger keys make it easier to press the correct key without requiring as much precision, reducing the likelihood of accidental key presses. This can also help accommodate for limited dexterity and improve overall ease of use.

An individual who has significant limitations will require several caregivers to assist with ADL and health management. The OTA should

provide a notebook of resources and written directions before discharge.

For an individual who requires several caregivers to assist with ADLs and health management, the OTA should provide a notebook of resources and written directions before discharge. This will ensure that caregivers have clear and consistent instructions for assisting the individual, leading to better continuity of care and reducing potential misunderstandings. Written instructions are an effective way to support caregivers, ensure the individual’s needs are met, and maintain quality care after discharge.

An individual who fell while visiting from out of town will be returning home shortly after discharge. The OTA should

refer the individual to a home health agency near her home.

Since the individual will be returning home shortly after discharge, the OTA should refer the individual to a home health agency near her home. This will ensure that appropriate follow-up services, including rehabilitation and safety assessments, are available to support the individual as she recovers in her home environment. Home health agencies can provide personalized care and equipment recommendations to help prevent further incidents like falls.

An individual with an SCI plans to return to an apartment that is not accessible. The OTA should inform the individual that

state and federal housing laws require that the owner make reasonable modifications.

Under state and federal housing laws, including the Fair Housing Act, landlords are required to make reasonable modifications to ensure that individuals with disabilities have equal access to housing. These modifications might include things like widening doorways, adding grab bars, or installing ramps. However, the individual may be required to cover the costs of these modifications, unless otherwise specified. The law ensures that the individual has the right to request these changes but does not obligate the landlord to cover all costs.

An OTA is working with an individual who works during the evening hours. The individual prefers to shower in the early afternoon. When planning ADL evaluation, the OTA should

schedule the evaluation during the early afternoon.

Since the individual prefers to shower in the early afternoon, the OTA should schedule the evaluation during that time to assess the individual's functional abilities in a more natural and realistic context. This approach will allow for a more accurate evaluation of the individual's ADL performance, taking into account their preferred routine and energy levels during the time of day they are most likely to perform the task.

A newly-hired OTA is instructed by the director of rehabilitation to supervise two hospital volunteers as they learn how to assist patients in safely completing bed to wheelchair transfers. Which is the first action the OTA should take in response to this request?

Inform the occupational therapy supervisor of the director's request.

The first action the newly-hired OTA should take is to inform the occupational therapy supervisor of the director's request. This ensures that the OTA is following proper supervision and training protocols, as supervising volunteers in patient care tasks requires oversight from a licensed professional. The supervisor can provide guidance on whether the request is appropriate and if additional training or support is necessary. The OTA should not proceed with supervising volunteers independently without ensuring proper supervision and approval.

An individual who can independently transfer to the toilet in the OT clinic can also independently transfer to a toilet in a restaurant. This individual is demonstrating

generalization of learning.

The individual is demonstrating generalization of learning, which refers to the ability to apply skills learned in one context (e.g., transferring to a toilet in the OT clinic) to a different, but similar, context (e.g., transferring to a toilet in a restaurant). This shows that the individual is able to transfer their acquired skills to new environments and situations.

An OTA is working with an individual who displays difficulty in reaching to place objects on a table and cannot discriminate distance from the hand to face. The OTA should plan treatment intervention that includes

touching and identifying body parts.

Since the individual is having difficulty with spatial awareness and discrimination (i.e., judging distance from the hand to the face), the OTA should incorporate touching and identifying body parts as part of the treatment intervention. This approach can help improve proprioceptive awareness and body schema, which are essential for understanding where the body is in space and how to reach accurately. This type of sensory-motor intervention can assist in enhancing the individual's ability to judge distances and improve functional tasks like placing objects on a table.

An individual would like to learn how to descend a curb independently. Before providing training, the OTA should assess

hile cognitive status is certainly important for ensuring safety and understanding the steps involved in the task, when it comes to tasks like descending a curb independently, physical abilities (such as balance, arm strength, and bilateral grip) are often more immediately critical to the task itself.

An invidivual with a T1 SCI is practicing a stand-pivot transfer in the OT department of a rehablitation center. The patient complains of dizziness and nausea. Which action is most important for the OTA to take first?