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Exam (elaborations)

NBCOT Study Guide questions with correct answers

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In an activity group of an inpatient unit, how should activities be done? - correct answer activities should be structured, easily completed in one session, and provide a concrete result to reinforce reality What are the two types of Grasps? - correct answer 1. Power: The adductor pollicis stabilizes an object against the palm; the hand's position is static. 2. Precision: Muscles are active that abduct or oppose the thumb; the hand's position is dynamic. 1. Power - correct answer a. cylindrical grip - fist grasp is a small diameter cylindrical b. spherical grip c. hook grip - MP extended with flattening of transverse arch; the person may or may include the thumb in this grasp. d. lateral prehension - this can be a power grip if the thumb is adducted, a precision grip if the thumb is abducted. 2. Precision - correct answer a. palmar prehension - pulp to pulp, includes 'chuck' or tripod grips b. t ip-to-tip - with FDP active to maintain DIP flex. c. lateral prehension - pad-to-side; key grip What are symptoms of Rett's syndrome? - correct answer Characterized by repetitive movements of licking, biting, and slapping of one's hands How is Rett's syndrome treated? - correct answer Treatment may involve adaptations to maintain the integrity of the skin such as dynamic elbow splints that inhibit a hand to mouth pattern by limiting full elbow flexion How are oppositional defiant disorder and conduct disorder treated? - correct answer OT intervention focuses on development and improvement of selfesteem/ self-efficacy. A focus is placed on developing the skills needed for ADL's, social, leisure, and school behaviors

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