EVAL FINAL EXAM QUESTIONS AND ANSWERS
An OT evaluates a patient with a TBI and is determining their Rancho Los Amigos
Cognitive Level. The patient appears to be purposeful and appropriate in their daily
tasks and when talking with the OT. It does appear that they have low frustration
tolerance, get stressed easily and need help for some reasoning and problem-solving
during tasks. According to family and patient reports, they are currently receiving min
assist or stand by assist for everyday and new tasks. What level best fits this patient? -
Answers - Level 8 - Purposeful and appropriate
An OT receives a referral for a patient who has had a TBI. The OT determines the
patient is at a Rancho Level 4 during their evaluation. Describe at least two specific
behaviors the OT observed to assess the patient is at this level. - Answers - Agitation
Confabulation
Foul language
Max assist
Hitting behaviors
Start of participation in simple, everyday tasks
Disinhibition
Impulsivity
An OT is completing a chart review in an acute care setting. The client had a large left
hemisphere stroke. Which of the following symptoms would the patient MOST likely
have when OT enters the room to complete the evaluation? - Answers - Aphasia
An OT receives a referral to evaluate a patient who has had a TBI. When reviewing the
medical record, the OT learns the patient is in a minimally conscious state and
inconsistently following commands. What standardized assessment would be the most
appropriate for the OT to complete? - Answers - JFK Coma Recovery Scale
You are performing a comprehensive OT evaluation with a client who has mild cognitive
impairments following a brain injury. Which standardized assessment would you MOST
likely use to evaluate areas of occupation? - Answers - COPM
During an evaluation of your patient performing their morning self-care routine, you
suspect that left spatial and body neglect are interfering with task performance. You
would like to administer an objective measure to determine the extent of the neglect and
its impact on function. Which of the following assessments would you use to assess
your patient? - Answers - Catherine Berego Scale
Which of the following standardized assessments provides an objective measure of UE
functional ability? - Answers - Wolf Motor Function Test
Physical assessments for someone with severe and acute brain injury most likely
include - Answers - Range of Motion
Modified Ashworth Scale
, Which assessment is usually completed at the scene prior to arrival to the hospital? -
Answers - Glasgow coma scale
The American Spinal Cord Injury Association Assessment quantifies SCI level by
evaluating - Answers - Motor and sensory function
During an OT evaluation in a hospital setting, a patient with C7-8 tetraplegia
experiences flushing, anxiety, and a pounding headache. When checked, the blood
pressure is elevated. What may be happening? - Answers - Patient may be
experiencing autonomic dysreflexia
Describe the 2 frames of reference appropriate for SCI. Explain your answer. Do NOT
use MH FORs - Answers - Biomechanical - focused on strengthening, endurance of
unaffected limbs
Rehabilitative - focusing on working with what you have rather than immediately going
to compensatory strategies
Because many muscles are involved in breathing, SCI above the level of _____ may
have some level of respiratory compromise. - Answers - T12
Most neurologic recovery following SCI occurs within: - Answers - 3 months
You received a referral to evaluate a client with ASIA score A. The injury is at C5. What
can you expected from sensory and motor function of your client? - Answers - No motor
or sensory function below level of injury OR at S4-S5
The S4-S5 is what makes it complete
OT is setting up goals for w/c to commode transfers for a client who sustained SCI at
C7-C8. The MOST appropriate goal should be: - Answers - Independent with transfer
board
List sternal precautions. You are evaluating a client with sternal precautions in what 2
ADLs, occupational participation would be decreased due to sternal precautions how
could you mitigate the problems. - Answers - 1. No pushing, pulling, twisting, lifting more
than 5lbs, no arms out to the side, over head
Which body movements are required to open a terminal device on a transradial body-
powered prosthesis? - Answers - Shoulder flexion and scapular abduction
What are the first 2 steps you should take if a client with SCI shows sx of Autonomic
Dysreflexia - Answers - Sit client up
Lower blood pressure
Call nurse
An OT evaluates a patient with a TBI and is determining their Rancho Los Amigos
Cognitive Level. The patient appears to be purposeful and appropriate in their daily
tasks and when talking with the OT. It does appear that they have low frustration
tolerance, get stressed easily and need help for some reasoning and problem-solving
during tasks. According to family and patient reports, they are currently receiving min
assist or stand by assist for everyday and new tasks. What level best fits this patient? -
Answers - Level 8 - Purposeful and appropriate
An OT receives a referral for a patient who has had a TBI. The OT determines the
patient is at a Rancho Level 4 during their evaluation. Describe at least two specific
behaviors the OT observed to assess the patient is at this level. - Answers - Agitation
Confabulation
Foul language
Max assist
Hitting behaviors
Start of participation in simple, everyday tasks
Disinhibition
Impulsivity
An OT is completing a chart review in an acute care setting. The client had a large left
hemisphere stroke. Which of the following symptoms would the patient MOST likely
have when OT enters the room to complete the evaluation? - Answers - Aphasia
An OT receives a referral to evaluate a patient who has had a TBI. When reviewing the
medical record, the OT learns the patient is in a minimally conscious state and
inconsistently following commands. What standardized assessment would be the most
appropriate for the OT to complete? - Answers - JFK Coma Recovery Scale
You are performing a comprehensive OT evaluation with a client who has mild cognitive
impairments following a brain injury. Which standardized assessment would you MOST
likely use to evaluate areas of occupation? - Answers - COPM
During an evaluation of your patient performing their morning self-care routine, you
suspect that left spatial and body neglect are interfering with task performance. You
would like to administer an objective measure to determine the extent of the neglect and
its impact on function. Which of the following assessments would you use to assess
your patient? - Answers - Catherine Berego Scale
Which of the following standardized assessments provides an objective measure of UE
functional ability? - Answers - Wolf Motor Function Test
Physical assessments for someone with severe and acute brain injury most likely
include - Answers - Range of Motion
Modified Ashworth Scale
, Which assessment is usually completed at the scene prior to arrival to the hospital? -
Answers - Glasgow coma scale
The American Spinal Cord Injury Association Assessment quantifies SCI level by
evaluating - Answers - Motor and sensory function
During an OT evaluation in a hospital setting, a patient with C7-8 tetraplegia
experiences flushing, anxiety, and a pounding headache. When checked, the blood
pressure is elevated. What may be happening? - Answers - Patient may be
experiencing autonomic dysreflexia
Describe the 2 frames of reference appropriate for SCI. Explain your answer. Do NOT
use MH FORs - Answers - Biomechanical - focused on strengthening, endurance of
unaffected limbs
Rehabilitative - focusing on working with what you have rather than immediately going
to compensatory strategies
Because many muscles are involved in breathing, SCI above the level of _____ may
have some level of respiratory compromise. - Answers - T12
Most neurologic recovery following SCI occurs within: - Answers - 3 months
You received a referral to evaluate a client with ASIA score A. The injury is at C5. What
can you expected from sensory and motor function of your client? - Answers - No motor
or sensory function below level of injury OR at S4-S5
The S4-S5 is what makes it complete
OT is setting up goals for w/c to commode transfers for a client who sustained SCI at
C7-C8. The MOST appropriate goal should be: - Answers - Independent with transfer
board
List sternal precautions. You are evaluating a client with sternal precautions in what 2
ADLs, occupational participation would be decreased due to sternal precautions how
could you mitigate the problems. - Answers - 1. No pushing, pulling, twisting, lifting more
than 5lbs, no arms out to the side, over head
Which body movements are required to open a terminal device on a transradial body-
powered prosthesis? - Answers - Shoulder flexion and scapular abduction
What are the first 2 steps you should take if a client with SCI shows sx of Autonomic
Dysreflexia - Answers - Sit client up
Lower blood pressure
Call nurse
