GERI MIDTERM EXAM WITH QUESTIONS AND CORRECT VERIFIED ANSWERS|LATEST
2025|100% PASS
Continuity Theory -CORRECT ANSWER-Follows Activity Theory
Focuses on the relationship between the things people do and their psychological
functioning vs the extent of their environment
Does not address declining health or new hobbies or routines
Typical length of stay in AC? -CORRECT ANSWER-3-5 days
Reimbursement for ACH/LOS -CORRECT ANSWER-DRG based on diagnosis
Medicare A or insurance
LOS - days to weeks as soon as stable move to next setting
o When does discharge planning begin in AC? -CORRECT ANSWER-As soon as they arrive
o What is an OT's role in acute care? -CORRECT ANSWER-§ Varied, educator, consultant, and
rehab specialist
· Educator-> educate medical team, family, and patients on environmental adaptations,
precautions/contraindications, safe transfers, educating the medical team, educating the
family, educate on adaptive equipment/techniques
· Rehab specialist-> ADL/IADL training, therapeutic activities, therapeutic exercise, cognitive
rehabilitation, perceptual remediation
o Effects of immobility on systems is why we are so important as rehab specialists.
,o Only discipline to effect length of stay in a hospital
o Adult BP Ranges in mmHg -CORRECT ANSWER-§ Too low 60/40
§ Hypotension 90/60
§ Normal 120/80
§ Hypertension 140/90
o Ejection Fraction (EF) -CORRECT ANSWER-§ Amount of blood the heart ejects relative to
the amount it receives, how well the heart is pumping
§ Average adult value is 60%
§ <40% usually associated with systolic dysfunction or failure
§ 5-10% = severe heart disease
o Basic Vital Signs -CORRECT ANSWER-§ HR 60-100bpm
· Tachycardia = >100, Bradycardia= <60
§ SpO2 95-100%, <95% abnormal
RR= 12-20 breaths/min
Mean arterial pressure= 70-110 mmHg, indicator of perfusion of organs <65 mmHg indicates
impairment
o Inpatient Acute Rehab Facility -CORRECT ANSWER-more intensive rehab, must require 3
hours of therapy and at least 2 different disciplines
§ Must have FIM done upon admit and discharge
In-patient rehab reimbursement -CORRECT ANSWER-PDPM
, Medicare part A or private insurance
Must be authorized if cannot tolerate intensity of therapy will be d/c
[some may still use FIM with the CARES act)
§ Spinal Precautions -CORRECT ANSWER-· No BLTs (bending, lifting, twisting)
· May have head of bed restrictions
· Prolonged sitting or standing for >30 minutes
· Cervical patients avoid overhead reaching
· No driving until cleared
· MD may prescribe an orthosis
§ Sternal Precautions -CORRECT ANSWER-Do not push with arms
Do not pull with arms
No lifting (get weight restriction from MD, typically no more than 5 - 8 pounds)
Do not raise your arms above shoulder (some surgeons will allow for moving 1 arm at a
time, clarify. Shoulder = glenohumeral elevation)
Do not reach behind you (shoulder extension and rotation)
Do not reach both arms out to the side (no excessive abduction)
Do not bend at the waist (this can increase thoracic pressure)
Use (sternal) pillow to cough, change positions
Log roll out of bed
§ Hip Fractures -CORRECT ANSWER-· Ask for WB and movement precautions
· Hip fractures length of stay is about 1 week
o 1 in 3 adults required at least a year in a nursing home after a hip fracture
o 20% die within one year of hip fracturev
Posterior hip precautions -CORRECT ANSWER-1. Avoid hip flexion > 90 degrees
2025|100% PASS
Continuity Theory -CORRECT ANSWER-Follows Activity Theory
Focuses on the relationship between the things people do and their psychological
functioning vs the extent of their environment
Does not address declining health or new hobbies or routines
Typical length of stay in AC? -CORRECT ANSWER-3-5 days
Reimbursement for ACH/LOS -CORRECT ANSWER-DRG based on diagnosis
Medicare A or insurance
LOS - days to weeks as soon as stable move to next setting
o When does discharge planning begin in AC? -CORRECT ANSWER-As soon as they arrive
o What is an OT's role in acute care? -CORRECT ANSWER-§ Varied, educator, consultant, and
rehab specialist
· Educator-> educate medical team, family, and patients on environmental adaptations,
precautions/contraindications, safe transfers, educating the medical team, educating the
family, educate on adaptive equipment/techniques
· Rehab specialist-> ADL/IADL training, therapeutic activities, therapeutic exercise, cognitive
rehabilitation, perceptual remediation
o Effects of immobility on systems is why we are so important as rehab specialists.
,o Only discipline to effect length of stay in a hospital
o Adult BP Ranges in mmHg -CORRECT ANSWER-§ Too low 60/40
§ Hypotension 90/60
§ Normal 120/80
§ Hypertension 140/90
o Ejection Fraction (EF) -CORRECT ANSWER-§ Amount of blood the heart ejects relative to
the amount it receives, how well the heart is pumping
§ Average adult value is 60%
§ <40% usually associated with systolic dysfunction or failure
§ 5-10% = severe heart disease
o Basic Vital Signs -CORRECT ANSWER-§ HR 60-100bpm
· Tachycardia = >100, Bradycardia= <60
§ SpO2 95-100%, <95% abnormal
RR= 12-20 breaths/min
Mean arterial pressure= 70-110 mmHg, indicator of perfusion of organs <65 mmHg indicates
impairment
o Inpatient Acute Rehab Facility -CORRECT ANSWER-more intensive rehab, must require 3
hours of therapy and at least 2 different disciplines
§ Must have FIM done upon admit and discharge
In-patient rehab reimbursement -CORRECT ANSWER-PDPM
, Medicare part A or private insurance
Must be authorized if cannot tolerate intensity of therapy will be d/c
[some may still use FIM with the CARES act)
§ Spinal Precautions -CORRECT ANSWER-· No BLTs (bending, lifting, twisting)
· May have head of bed restrictions
· Prolonged sitting or standing for >30 minutes
· Cervical patients avoid overhead reaching
· No driving until cleared
· MD may prescribe an orthosis
§ Sternal Precautions -CORRECT ANSWER-Do not push with arms
Do not pull with arms
No lifting (get weight restriction from MD, typically no more than 5 - 8 pounds)
Do not raise your arms above shoulder (some surgeons will allow for moving 1 arm at a
time, clarify. Shoulder = glenohumeral elevation)
Do not reach behind you (shoulder extension and rotation)
Do not reach both arms out to the side (no excessive abduction)
Do not bend at the waist (this can increase thoracic pressure)
Use (sternal) pillow to cough, change positions
Log roll out of bed
§ Hip Fractures -CORRECT ANSWER-· Ask for WB and movement precautions
· Hip fractures length of stay is about 1 week
o 1 in 3 adults required at least a year in a nursing home after a hip fracture
o 20% die within one year of hip fracturev
Posterior hip precautions -CORRECT ANSWER-1. Avoid hip flexion > 90 degrees
