A client is in the recovery phase of intervention after having had an acute onset of Guillain
Barre Syndrome one month ago. The OTR advises the client that using assistive devices will
improve independence, but the client refuses to use the devices stating: "My wife is happy
to help me whenever I need it." How should the OTR respond to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence - ANSWER C. Use other
techniques to maximize independence
Quiz #10
An individual cannot independently get from a supine position to a sitting position to a
sitting position. The person has good scapular, shoulder, and elbow muscle strength. What is
the MOST APPROPRIATE recommendation for the OTR to make to improve bed mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder - ANSWER C. Rope ladder
Quiz #10
An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The
individual drives daily to therapy despite several suggestions from the OTR to discontinue
this activity. The therapists has determined that the client is an unsafe driver. What is the
BEST approach for the OTR to take in this situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
1
,C. Suggest that the individual attend a driver training program - ANSWER B. Report the
information to the physician
Quiz #10
A four-year-old preschooler is referred to OT. Upon evaluation, the occupational therapists
determines that the child demonstrates age-appropriate cognitive and fine motor skills.
What would the OTR observe in the child to help make this determination?
A. Assemble a four-piece puzzle of a human body
B. Build a tower of nine cubes
C. Copy a five-cube gate block construction - ANSWER A. Assemble a four-piece puzzle
of a human body
Quiz #10
The OTR works on increasing extensor tone in an individual's upper extremity. What is the
MOST APPROPRIATE intervention according to the Rood approach?
A. Tendinous pressure over the insertion of the triceps
B. Maintained stretch to the triceps
C. High frequency vibration on the triceps
D. Low frequency vibration on the triceps - ANSWER C. High frequency vibration on
the triceps
Quiz #10
A child with cerebral palsy tends to flex forward while riding adapted tricycle, even though
her lower extremities are correctly positioned. Which of the following adaptations should
the OTR recommend to BEST enable the child to maintain an upright position while riding?
A. Raising the seat height
B. Raising the handlebars
2
, C. Lowering the seat height
D. Lowering the handlebars - ANSWER B. Raising the handlebars
Quiz #10
A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range of
motion (ROM) in the upper extremity of an individual recovering from a traumatic brain
injury. Upon performing a D1 pattern, the OTR feels a restriction during the ROM. What is
the MOST APPROPRIATE relaxation technique for the OTR to use according to the PNF
approach?
A. Rhythmic initiation
B. Quick stretching
C. Slow stroking
D. Rhythmic rotation - ANSWER D. Rhythmic rotation
Quiz #10
After a motor vehicle accident, a 23 year-old college student was in a coma for 3 weeks. She
regained consciousness and was severely confused. She frequently became agitated for no
apparent reason. Her level of agitation has recently decreased but she is still distractible.
Currently, she remains forgetful and confused, repeating the same questions throughout the
day. Her family and friends visit consistently and have asked the OTR for an activity
recommendation that they can do with the client during visiting hours. What is the MOST
APPROPRIATE activity for the OTR to recommend the visitors complete with the individual?
A. Play a simple board game that is familiar from her childhood
B. Review the client's memory picture book of familiar people and activities
C. Play a matching card game that includes pictures of her past interests. - ANSWER B.
Review the client's memory picture book of familiar people and activities
Quiz #10
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Barre Syndrome one month ago. The OTR advises the client that using assistive devices will
improve independence, but the client refuses to use the devices stating: "My wife is happy
to help me whenever I need it." How should the OTR respond to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence - ANSWER C. Use other
techniques to maximize independence
Quiz #10
An individual cannot independently get from a supine position to a sitting position to a
sitting position. The person has good scapular, shoulder, and elbow muscle strength. What is
the MOST APPROPRIATE recommendation for the OTR to make to improve bed mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder - ANSWER C. Rope ladder
Quiz #10
An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The
individual drives daily to therapy despite several suggestions from the OTR to discontinue
this activity. The therapists has determined that the client is an unsafe driver. What is the
BEST approach for the OTR to take in this situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
1
,C. Suggest that the individual attend a driver training program - ANSWER B. Report the
information to the physician
Quiz #10
A four-year-old preschooler is referred to OT. Upon evaluation, the occupational therapists
determines that the child demonstrates age-appropriate cognitive and fine motor skills.
What would the OTR observe in the child to help make this determination?
A. Assemble a four-piece puzzle of a human body
B. Build a tower of nine cubes
C. Copy a five-cube gate block construction - ANSWER A. Assemble a four-piece puzzle
of a human body
Quiz #10
The OTR works on increasing extensor tone in an individual's upper extremity. What is the
MOST APPROPRIATE intervention according to the Rood approach?
A. Tendinous pressure over the insertion of the triceps
B. Maintained stretch to the triceps
C. High frequency vibration on the triceps
D. Low frequency vibration on the triceps - ANSWER C. High frequency vibration on
the triceps
Quiz #10
A child with cerebral palsy tends to flex forward while riding adapted tricycle, even though
her lower extremities are correctly positioned. Which of the following adaptations should
the OTR recommend to BEST enable the child to maintain an upright position while riding?
A. Raising the seat height
B. Raising the handlebars
2
, C. Lowering the seat height
D. Lowering the handlebars - ANSWER B. Raising the handlebars
Quiz #10
A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range of
motion (ROM) in the upper extremity of an individual recovering from a traumatic brain
injury. Upon performing a D1 pattern, the OTR feels a restriction during the ROM. What is
the MOST APPROPRIATE relaxation technique for the OTR to use according to the PNF
approach?
A. Rhythmic initiation
B. Quick stretching
C. Slow stroking
D. Rhythmic rotation - ANSWER D. Rhythmic rotation
Quiz #10
After a motor vehicle accident, a 23 year-old college student was in a coma for 3 weeks. She
regained consciousness and was severely confused. She frequently became agitated for no
apparent reason. Her level of agitation has recently decreased but she is still distractible.
Currently, she remains forgetful and confused, repeating the same questions throughout the
day. Her family and friends visit consistently and have asked the OTR for an activity
recommendation that they can do with the client during visiting hours. What is the MOST
APPROPRIATE activity for the OTR to recommend the visitors complete with the individual?
A. Play a simple board game that is familiar from her childhood
B. Review the client's memory picture book of familiar people and activities
C. Play a matching card game that includes pictures of her past interests. - ANSWER B.
Review the client's memory picture book of familiar people and activities
Quiz #10
3
