Test
Mini test/ D1
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Preguntas del test (50)
1In preparation for a facility-organized dance class, an OTR has a resident with Parkinson’s disease rock in a rocking chair. What is the PRIMARY body system being challenged during this preparatory activity?
- AVestibular system
- BPulmonary system
- CNeuromuscular system
2An inpatient in the intensive care unit was medically unstable for 3 weeks secondary to multi-trauma and respiratory failure. Currently, the patient is medically stable and the OTR is completing a chart review to prepare for the initial evaluation. What is the MOST IMPORTANT action for the OTR to take as part of the chart review process?
- AAnalyze the medical documentation recorded throughout the patient’s length of stay.
- BIdentify key interprofessional team members who typically provide care to the patient.
- CUnderstand the patient’s medical information in relation to the assessment process.
3An OTR who works in a hospital setting is preparing to evaluate an inpatient who recently had a C5 spinal cord injury. What action MUST the OTR take prior to commencing the evaluation process?
- AEnsure members of the interprofessional team understand the unique contribution of OT.
- BRequest a family member be available to provide emotional support and answer questions.
- CGather all necessary materials and supplies to complete the planned assessments
4What would be the MOST DIFFICULT activity for a typically developing 5-month-old infant who has congenital torticollis?
- AMaintaining wakefulness during feeding time
- BBabbling with predominantly vowel sounds
- CTurning the head from side to side to see toys
5An OTR is evaluating an adult client with autism spectrum disorder who wants to work full-time in a competitive work environment. What is the PRIMARY reason for administering a combination of non-standardized and standardized assessments as part of the initial evaluation?
- ATo gather holistic information about the client’s vocational interests and career aspirations
- BTo compare the client’s work behaviors and personal attributes to a normative sample
- CTo provide a dynamic picture of the client’s performance level in clinical and natural settings
6An OTR, who works in an acute care setting, measures the resting heart rate of an inpatient and notes that it is 130 bpm. What is the BEST option to describe this heart rate measurement?
- ASinus rhythm
- BAtrial fibrillation
- CTachycardia
7At what age does an infant develop a radial digital grasp in which the thumb opposes the index finger and the middle finger?
- A13 - 18 months
- B19 - 24 months
- C6 - 12 months
8A kindergarten student has mild ataxic cerebral palsy. Social and cognitive skills are intact. Which task would be BEST to ask the student to complete when screening fine motor skills?
- APlace school supplies into a backpack.
- BSlide down a slide on the playground.
- CFollow verbal directions in the classroom.
9Which of the following symptoms are associated with a client who is experiencing a simple focal (partial) seizure?
- ASudden movement of a single body part with no change in vital signs
- BAbruptly stopping an activity with a blank stare and fluttering eyelids
- CStiffening of extremities with rhythmic, bilateral jerking of limbs
10During an initial evaluation, a resident who has poor balance and ataxia repeatedly attempts to stand up from the wheelchair. Which option BEST describes this behavior?
- ADecreased concentration
- BImpaired attention
- CPoor judgment
11Which of the following symptoms are associated with a client who is experiencing an absence (petit mal) seizure?
- AStiffening of extremities with rhythmic, bilateral jerking of limbs
- BAbruptly stopping an activity with a blank stare and fluttering eyelids
- CSudden movement of a single body part with no change in vital signs
12Which option represents the MOST EFFECTIVE method to screen a 14-month-old toddler for protective responses?
- APlace the child in a sitting position and observe for arm extension while gently pushing the child off balance to the front, back, and each side.
- BPlace the child in a supine position and observe body movements while rotating the child’s head to one side and then to the other.
- CHold the child in vertical suspension and observe head position while gently tilting the child from side to side then from front to back.
13Which of the following would be the MOST DIFFICULT activity for a client who has stage IV Alzheimer’s disease to perform?
- AWriting a letter to a friend
- BKnowing how to drink from a cup
- CReaching to pick up a jacket
14Which handwriting skill emerges between 4 - 5 years of age in a TYPICALLY developing child?
- APrinting the letters in their own name
- BCopying some letters and numerals
- CImitating a vertical line on a paper
15An OTR, who works in an inpatient rehabilitation setting, is working with a patient who had a traumatic T10 (ASIA A) spinal cord injury 3 weeks ago. Prior to the injury, the patient worked as a pilot for a commercial airline. The patient is distressed about the future and says, “I don’t think I will ever be able to fly an airplane again.” Which of the following provides the BEST description of the patient’s response to this unexpected change in functional abilities?
- ADenial
- BShock
- CMourning
16An OTR is evaluating an inpatient who recently sustained a TBI. Diagnostic tests indicate that the injury primarily affects the occipital lobe. Which of the following neurological functions are typically associated with the occipital lobe?
- AVisual reception and visual memory
- BLanguage comprehension and motivation
- CExecutive function and execution of movement
17A client has spasticity secondary to an upper motor neuron lesion. Which assessment would be MOST RELIABLE for monitoring muscle tone over time?
- AModified Ashworth scale
- BNine Hole Peg test
- CFugl-Meyer Motor assessment
18Which assessment would be MOST BENEFICIAL to administer to an inpatient who is functioning at a Level III (Localized response) on the Rancho Los Amigos scale?
- AKatz Index of ADL
- BContextual Memory Test
- CJFK Coma Recovery Scale
19In a healthy individual, which type of wound is expected to have the shortest healing time?
- AAbdominal surgical wound left open to heal
- BVascular ulcer left uncovered during healing
- CTraumatic laceration immediately closed with clips
20Which symptoms of cranial nerve dysfunction are TYPICALLY associated with a diagnosis of multiple sclerosis?
- AOptic neuritis and diplopia
- BTinnitus and hearing loss
- CTrigeminal neuralgia and facial pain
21Which ADL would a client who has a complete C6 spinal cord injury be expected to complete independently?
- ATransfer from a wheelchair to the driver seat of a car.
- BLean forward to wash legs while seated on a bath chair.
- CUse a tenodesis grasp to hold a hair brush by its handle.
22An OTR is interviewing an adult client who has schizoaffective disorder. The client responds to the questions but jumps from one unrelated topic to another. What is the BEST option to describe this behavior?
- ADysphonia
- BTangential speech
- CStereopsis
23An OTR is completing an ADL evaluation for a patient who has an acquired brain injury. The patient can independently comb hair while standing at the sink but requires tactile and verbal cues from the OTR to terminate the activity. Which option BEST describes this behavior?
- APerseveration
- BIdeomotor apraxia
- CExecutive dysfunction
24An OTR who works in an inpatient rehabilitation setting is completing an initial evaluation of a patient with relapsing-remitting multiple sclerosis. The OTR wants to measure the amount and type of assistance required for the patient during ADL. Which standardized assessment would be BEST for this purpose?
- AExecutive Function Performance Test (EFPT)
- BFunctional Independence Measure (FIM™)
- CCanadian Occupational Performance Measure (COPM)
25A home health client has good visual acuity but has difficulty seeing cooked chicken when slicing it on a white cutting board. What is the PRIMARY reason for this occurrence?
- AImpaired contrast sensitivity
- BDecreased peripheral visual field
- CWeak oculomotor function
26An OTR is reviewing the lab values of a patient in an acute care hospital. Which medical condition is typically associated with upward trending troponin levels greater than 0.04 ng/mL?
- APulmonary embolism
- BHyperglycemia
- CMyocardial infarction
27An OTR is using the multicontext approach to guide intervention with an older adult client who has executive dysfunction secondary to a traumatic brain injury. One of the client’s goals is to be able to construct a birdhouse. What is the FIRST action the OTR should take to incorporate this approach in the intervention session?
- AProvide the client with step-by-step instructions needed to build the birdhouse.
- BAsk the client to predict the steps of the task that will be most challenging.
- CTeach the client methods to prevent risk of personal injury during the activity.
28In addition to completing an occupational profile, which evaluation methods are TYPICALLY used in a comprehensive OT assessment of a student in preschool who has a developmental delay?
- ANaturalistic observation and standardized testing
- BProjective techniques and client self-report
- CReview of medical records and diagnostic reports
29Which medical conditions would TYPICALLY decrease the rate of wound healing?
- AGuillain-Barré syndrome, chronic obstructive pulmonary disease (COPD), asthma
- BDiabetes mellitus, acquired immune deficiency syndrome (AIDS), atherosclerosis
- CAlzheimer’s disease, rheumatoid arthritis (RA), depression
30A student in second grade has mild diplegic cerebral palsy. Social and cognitive skills are intact. Which task would be BEST to ask the client to complete when screening gross motor skills?
- AFollow instructions during a group activity.
- BPlay outside on the playground equipment.
- CUse scissors to cut paper along a dotted line.
31An OTR who works in an inpatient rehabilitation setting is preparing to evaluate a 6-year-old patient who recently had a traumatic brain injury. The patient is alert and oriented to person, place, and situation. Which standardized assessments would be MOST EFFECTIVE for the OTR to include as part of the evaluation process?
- ASensory Profile and Canadian Occupational Performance Measure (COPM)
- BSensory Integration and Praxis Test and School Function Assessment
- CWee-FIM™ and Ranchos Los Amigos Levels of Cognitive Function-Revised™
32A home health client with amyotrophic lateral sclerosis has normal lower extremity strength but has difficulty lifting each leg up to dress lower extremity when supine in bed. What is the PRIMARY reason for this occurrence?
- AWeak abdominal muscles
- BImpaired vestibular function
- CDecreased vital capacity
33What INITIAL actions should the OTR take to establish rapport when meeting a client for the first time?
- AProvide encouragement for behavior change and define intervention outcomes.
- BInteract with family members and address the client by first name.
- CIntroduce self to the client and explain the purpose of the visit.
34An OTR is completing an initial evaluation of an inpatient diagnosed with a lesion in the orbitofrontal cortex. The patient is oriented to person, place, and time but constantly makes sexually inappropriate comments to the OTR. Which option BEST describes this behavior?
- ADisinhibition
- BDisorientation
- CDistractibility
35An OTR places a 6-month infant in a supine position and observe body movements while rotating the child’s hips to one side and then to the other. Which automatic reaction is the OTR screening when following this procedure?
- AEquilibrium reaction
- BProtective response
- CBody on body righting
36An OTR who works on a general medical unit in an acute care hospital is evaluating an older adult patient who has pancreatitis, diabetes mellitus, and atrial fibrillation. During the evaluation, the patient appears confused and is disoriented to person, place, and time. What assessment should the OTR include in the initial evaluation of this patient?
- ADraw a Clock Test
- BMontreal Cognitive Assessment
- CCanadian Occupational Performance Measure
37What is the FIRST action the OTR should take before completing an evaluation of a patient in a forensic psychiatric hospital?
- AReview the patient’s medical record for safety precautions.
- BContact the patient's family to determine prior level of function.
- CInterview the guards to determine the reason for incarceration.
38What type of sensory system is TYPICALLY associated with a child constantly touching the face of teachers and peers?
- ATactile
- BProprioceptive
- CVestibular
39Which prewriting skill would a TYPICALLY developing 3-year-old child be expected to perform?
- AWriting uppercase letters
- BCopying a horizontal line
- CImitating intersecting lines
40Which ADL would a client who has a complete C7 spinal cord injury be expected to complete independently?
- ATransfer out of bed to a wheelchair.
- BLean forward to wash legs while seated on a bath chair.
- CDress lower extremity without adaptive equipment.
41An OTR is about to conduct an evaluation of a student who has a developmental delay and is transitioning from preschool to kindergarten. Which data gathering method will provide the OTR with the MOST OBJECTIVE information about the student’s occupational performance?
- AAn OTR is about to conduct an evaluation of a student who has a developmental delay and is transitioning from preschool to kindergarten. Which data gathering method will provide the OTR with the MOST OBJECTIVE information about the student’s occupational performance?
- BStandardized assessment
- CStructured interview
42Which option represents the MOST EFFECTIVE method to screen a 5-month-old infant for automatic head righting reaction?
- AHold the child in vertical suspension and observe head position while gently tilting the child from side to side then from front to back.
- BPlace the child in a sitting position and observe for arm extension while gently pushing the child off balance to the front, back, and each side.
- CPlace the child in a supine position and observe body movements while rotating the child’s head to one side and then to the other.
43An OTR completed a screening with an older adult inpatient who had surgery for an abdominal hernia repair 2 days ago. When interpreting the results of the screening, the OTR learns the patient has hearing loss that was not noted during the patient's intake procedures. What influence would undetected hearing loss have on the patient’s occupational performance when completing a standardized assessment?
- ADifficulty following verbal test directions
- BImpaired sequencing skills during ADL
- CEasily distracted by ambient auditory stimuli
44An OTR, who works in an acute care setting, encourages a patient who recently had surgery, to use an incentive spirometer. What is the PRIMARY purpose for post-operative incentive spirometry?
- AIt prevents thromboembolic conditions such as deep vein thrombosis.
- BIt offers an alternative to pharmaceutical pain control methods.
- CIt expels anesthesia from the lungs and improves lung function.
45What sensory system is TYPICALLY associated with a student who consistently stomps feet when walking in the hallway at school?
- ATactile
- BProprioceptive
- CVestibular
46An OTR is using the Modified Ashworth Scale to measure the muscle tone of an inpatient who has hemiplegia. The patient has full passive ROM, no increase in muscle tone, and no active ROM of the affected upper extremity. Which score on the Modified Ashworth Scale is MOST CONSISTENT with this response?
- A2 – marked increase in tone through the entire ROM with full passive ROM
- B0 – flaccid
- C4 – rigid in flexion and extension
47An OTR is evaluating an inpatient who has chronic obstructive pulmonary disease. The client reports feeling comfortable when lying in bed but becomes short of breath during ADL. What is the BEST option to describe this occurrence?
- ADyspnea
- BDysmetria
- CDysphonia
48A resident, who lives in a nursing home, has schizophrenia and tardive dyskinesia. The OTR is using the Abnormal Involuntary Movement scale (AIMS) to measure uncontrollable movements of the resident’s face and upper body. At what frequency should the OTR administer the AIMS for this resident?
- APrior to each of the resident’s medical appointments
- BDuring every intervention session with the resident.
- CAfter a change in the resident’s medication regimen.
49An outpatient client has fixed range of motion at the elbow secondary to spasticity and prolonged immobility. What is the PRIMARY reason for this impairment?
- AHypertrophy of triceps brachii
- BRupture of forearm muscles
- CContracture of the bicep tendon
50In preparation for a facility-organized dance class, an OTR has a resident with Parkinson’s disease rock in a rocking chair. What is the PRIMARY body system being challenged during this preparatory activity?
- APulmonary system
- BVestibular system
- CNeuromuscular system
Información
- Descripción
- Test sobre Mini test/ D1, creado por ACAPUN INSTITUTE el 29/10/2023.
- Autor
- ACAPUN INSTITUTE
- Idioma
- Español
- Visitas
- 22
- Etiquetas
- Valoración
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