Stroke Intervention Exam Questions With Complete Solutions

Left Hemisphere (following stroke) correct answer: Aphasia Common (lack of expressive or receptive speech) Reaction is catastrophic Difficulty processing information in auditory modality Profits more from non-language cues such as pantomime, gestures, and visual images Left hemisphere normal correct answer: Dominant for language Analyzes Details Organizes data in conceptual similarities Uses reason and attention to detail Good at verbal memory Right Hemisphere normal correct answer: Dominant for visuospatial tasks Synthesizes wholes Organizes data in structural similarities Uses intuition and imagination Good at figural memory Right Hemisphere following damage correct answer: Aprosodia common (lack of variation in pitch and rhythm of speech) Reaction is indifference Difficulty processing information in visual modality Profits more from language cues such as verbal elaboration Neuroplasticity correct answer: how quickly healthy brain areas take over the functions affected by the stroke Levels of Intervention correct answer: acute phase rehabilitation phase re-entry to community phase acute phase correct answer: Discharge planning - when client is medically stable Where is the client being discharged to? What supports does the client have/need? The OT can engage the client in: early mobilization (e.g. rolling in bed, sitting on the side of the bed, transferring to wheelchair/commode) return to self-care ( e.g. self-feeding, grooming, dressing) prevention of secondary complications Skin care Watch for signs of pressure sores Bed mobility, transfers, seating, bathing Prevent contractures Splinting AROM and PROM exercises, neurofacilitation Falls prevention Patient and family education Rehabilitation Phase correct answer: Focus on recovering lost function and/or developing compensatory strategies to reduce impairments through meaningful activities Improving performance of tasks Improving component abilities Postural Adaptation Upper-Extremity Function Motor-Learning Ability Rehab Phase areas of intervention correct answer: targeted areas of intervention: ADL (mobility, transfers, self-care)/IADL training (meal prep, laundry, money management) Neurofacilitation techniques for upper/lower extremity Postural adaptation Visual Dysfunction Cognitive Deficits Adaptive devices Assisting with wheelchair and seating Patient and family education Re-entry to community correct answer: Discharge planning - Continuum of care - Assistive devices and seating - Home modifications Education for client and supports - Falls prevention Resuming activities - Tasks/Roles - Productivity/Leisure Linking to community supports Post-discharge monitoring Treatment Approaches correct answer: Compensatory - adaptation - used when full restoration is not possible or there is a need to optimize independence usin