OTD 355 - Exam 2 Cumulative UPDATED ACTUAL Questions and CORRECT Answers

OTD 355 - Exam 2 Cumulative UPDATED
ACTUAL Questions and CORRECT
Answers
Top Down Triangle - CORRECT ANSWER - Top
- Referral, Chart Review, and Team Check-In
- Interview to determine the client's perceptions, participation, and priorities
- Quick Screens
- Functional Performance Evaluation
- Assessment of specific skills
Bottom


Why Evaluate ADL's? - CORRECT ANSWER - - Great starting point for all occupations
- Many ADLs must be accomplished before moving onto IADLs
- Provides a reference point for the rest of intervention
- ADLs are important to complete successfully
- Track outcomes and progress


Explain how to assess multiple client factors during Grooming evaluation - CORRECT
ANSWER - AROM, cognition, sequencing, fine motor coordination, perception can also be
evaluated


Explain how to assess multiple client factors during UB Dressing evaluation - CORRECT
ANSWER - AROM, cognition, sequencing, gross and fine motor coordination, activity
tolerance, balance, etc. can also be evaluated


Explain how to assess multiple client factors during LB Dressing evaluation - CORRECT
ANSWER - AROM, cognition, sequencing, gross and find motor coordination, balance, LE
strength, etc. can also be evaluated

,Explain how to assess multiple client factors during Eating / Swallowing evaluation - CORRECT
ANSWER - Cognition, sequencing, fine motor coordination, sensory impairments,
proprioception, visual perception, etc. Can also be evaluated


Explain how to assess multiple client factors during Bathing / Showering evaluation -
CORRECT ANSWER - Sequencing, impulsivity, safety awareness, UE function, body
awareness, cognition, etc. can be evaluated


Explain how to assess multiple client factors during Toileting evaluation - CORRECT
ANSWER - Balance, strength, AROM, direction following can also be evaluated


Explain how to assess multiple client factors during Toilet transfers evaluation - CORRECT
ANSWER - Strength, balance/stability, sequencing, etc. Can also be evaluated



Summarize purpose and use of section GG reporting - CORRECT ANSWER - - Assessment
tool
- Tracking functional performance used at admission and discharge


ADL goal setting in ICU - CORRECT ANSWER - By discharge, Mr. Jones will wash face
independently while sitting EOB using BUEs.


ADL goal setting in Acute Care - CORRECT ANSWER - Within 5 days, Mr. Jones will
complete upper body dressing while sitting EOB with min A for threading L UE into sleeve.


ADL goal setting in Inpatient Rehab - CORRECT ANSWER - In 2 weeks, Mr. Jones will be
able to prepare a sandwich with BUE use while standing at the counter with SBA for safety.


ADL goal setting in Home Health - CORRECT ANSWER - In 4 weeks, Mr. Jones will be able
to complete morning grooming tasks (shaving, washing face, and brushing teeth) independently
while standing at the sink.

,ADL goal setting in Outpatient - CORRECT ANSWER - In 4 weeks, Mr. Jones will be able to
don and doff a zip-up jacket independently using bilateral upper extremities while standing.


ADL evaluation in Outpatient - CORRECT ANSWER - BADLs and IADLs important to
client


ADL evaluation in Inpatient Rehab - CORRECT ANSWER - GG reporting (previously FIM)
dictates BADL areas. Also include other IADLs important to client if appropriate.


ADL evaluation in Home Health - CORRECT ANSWER - BADLs and IADLs important to
client


ADL evaluation in Acute Care - CORRECT ANSWER - - Basic ADLs with a focus on what
the client needs to be able to do to move to the next level of care.
- If plan is home alone, all BADL safely.
- If plan is SNF, as much BADL as tolerated.
- If plan is rehab, client must be able to tolerate 3 hours of therapy. ADL tolerance and exposure
for practice and repetition.


ADL evaluation in ICU - CORRECT ANSWER - Grooming, face washing in bed or at edge
of bed. May transfer to a chair to do basic ADLs.


Executive Function Performance Test (EFPT) - CORRECT ANSWER - - Used to provide a
performance-based standardized assessment to determine:
-- Which executive functions are impaired
-- An individual's capacity for independent functioning
-- Amount of assistance required


- 4 IADL tasks: Simple cooking, telephone, taking medication, and paying bills

, - Evaluates initiation, execution and completion of the tasks on a scale of 0 (independent) to 5
(dependent)


Kohlman Evaluation of Living Skills (KELS) - CORRECT ANSWER - - Quick assessment of
ability to perform IADL tasks
- Interview and task performance tests


Frenchay Activities Index - CORRECT ANSWER - - Interview-based questionnaire to
identify activity participation
- Appropriate for an outpatient or home health setting with clients 18 and older
- Resource for creating IADL goals


Lawton IADL Assessment - CORRECT ANSWER - - Assessment of independent living skills
at the present time
- Administration takes 10-15 minutes
- Self-report


Bristol ADL Scale - CORRECT ANSWER - - Intended for people who have memory
difficulties
- 20 items
- Relative, friend or caregiver is asked to rate client's average ability to complete activity


Katz Index - CORRECT ANSWER - - Evaluate ADL's
- Designed for use with older adults
- Evaluates 6 activities
--Bathing, dressing, toileting, transferring, continence, feeding


Barthel Index - CORRECT ANSWER - - For adults with any diagnosis
- 10 ADL/Mobility Activities