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Exam (elaborations)

Quiz 4 (Week 11 through Week 12) Questions and Answers 2024

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Quiz 4 (Week 11 through Week 12)

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Quiz 4 (Week 11 through Week 12)

An individual with degenerative joint disease (DJD) incurred an injury to the right hand.
The client is referred to occupational therapy due to complaints of severe pain, stiffness,
and extreme temperature changes in the hand. The occupational therapy referral states
that the person has pitting edema and blotchy, shiny skin. Based on a screening,
complex regional pain syndrome (CRPS) Type I.

The occupational therapist evaluates the client's pain by asking the client which
movements or activities elicit pain. Which of the following is the therapist assessing? -
answer The triggers of pain

The occupational therapist completes the pain evaluation. What additional evaluation
methods should the therapist use to assess this client? - answer Volumeter

Which should the occupational therapist initially recommend to the person to address
these concerns? - answer Elevation of the affected hand above the heart

The occupational therapist plans intervention to address the client's goals to engage in
meaningful occupations. Which physical agent modality (PAM) should the occupational
therapist use in preparation for functional activity? - answer Contrast baths

Which is the most appropriate activity for the occupational therapist to recommend for
the person to complete at home? - answer Manually washing a car

An adult incurred severe laceration to the extrinsic flexor tendons in Zone V of the hand.
The tendons were surgically repaired and have healed. The surgeon's most recent
orders have upgraded the patient to active ROM without restrictions. The occupational
therapist is preparing for discharge and performs a final evaluation, which reveals
limitations in active finger flexion 100 - 200 of full active ROM of the MCP, PIP, and DIP
joints of all fingers. The therapist collaborates with the patient to prepare a home
program. Which intervention is most important for the therapist to include in this
program? - answer???

An adult is referred to occupational therapy for ADL training. The patient incurred a
fracture of the right proximal humerus and is using a shoulder immobilization for the first
two weeks to aid healing and help control pain. The patient is right-hand dominant.
Which activity will be the most difficult for the patient? - answerPutting on a pullover top

An adult has been referred to occupational therapy. The individual demonstrates
decreased ROM in the dominant hand secondary to a nerve injury. Active thumb ROM
for the IP and MCP is within normal limits. Active ROM of the IPs of all four fingers is 00

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