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45 Cards in this Set
- Front
- Back
A COTA is running a discharge planning group in which people discuss their personl feelings and concerns about returning to the community. Which of the following would be the BEST method to facilitate this process?
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Pt.s write fears & concerns on index cards, then the COTA collects and reads the cards for group discussion,
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After a 3o yr hospitalization, a pt. /c mental illness has been discharged to a group community home . She is used to being told what to do, where to go. Which of the following would be BEST approach for this pt;s first meal prep group?
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Give pt. one task, such as making drinks. So as not to isolate or overwhelm.
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Child /c tongue thrust
?toothbrush |
soft bristle
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oral hypersensitivty
oral care |
toothette
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child /c limited dexterity
oral care |
electric toothbrush
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group park outing pt's take neuoleptic meds
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encourgae sunscreen
neuroleptic meds caz photosensitivy |
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positioning child with
low muscle tone and postural instability in proone stander to develop head righting child shows fatigue and associated reactions what to do |
position the stander 75 to 90 degress from the floor
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laundry basket with foam lined bottom
bathing child 3 who lacks sitting balance |
cost concerns and positioning
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horse shoe shaped bath collar
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for a child with severe motor limitations lying supine in water
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bath hammock
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fully holds child for parent to bathe thoroughly
not as cost effective as a hamper with foam insert |
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evaluating two-point discrimination in person with median nerve injury
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aply stimuli at the beginning of the little finger and progress toward thumb
since unlar side is uninvolved, test first |
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interview
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individuals goals for tx, pt's perspective of problem
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abilities determined by
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thru performance measure
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recent MI now stable, to determine current edurance level practicinor plans to monitor performance of self care activities
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1st-VS at reat
2- pt perform while being observed 3-take VS after activity final-take VS after 5 min of rest |
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4 yr old with spina bifida has lesion at lumbar cazing baldder to be flaccid
parents want bladder training |
xpalin this is not feasible
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11 month old premature by 3 mths
demo's ability to creep. pull to standing, put objects in c ontainers, respond to the word no she does NOT understand object permanance, cruise, or demo a pincer grasp developmental level |
is age appropriate caz chronological age for premature infants is corrected to better correlate with such
correct age would be 8 months |
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meal prep graded from cold to hot foods or beverages and from simple to multilple steps
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1 pouring glass of juice
2- cold sandwich prep hot food or beverage |
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t4 quadraplegia in rehab setting will attain most likely what level of independance with bathing dressing and transfers
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complete i with self care and t/f's d/t sufficent truck balance, ue strength and coordination needed
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high cervical injuries SCI
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dependeant in self care and t/f's
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SCI low cervical and high thoracic req some assistance with
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self care and t/f's
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child shows poor postural stabiity caz of low muscle tone
to promote beginning anti gravity control first |
pull to sit, leaning back against a therpay ball\\addresses beginning control in neck and shoulders
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control develops
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cephalocaudally for antigravity control
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hammer nail into wood
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cylindrical grasping
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cylindrical grasp
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stabilize object on palm and fingers, thumb is positioned as an opposing force
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tip prehension
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positioning a nail on a peice of wood
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hook grasp
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carrying a purse, a pail of bolts
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hook grasp dynamics
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req's MCP joints to extend
PIP and DIP to flex may not use thumb |
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spherical grasp
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unscrewing thermos
req's 4 and 5 digits to assume more flexion for palm cupping |
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ms avoid
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high temperature can make symptoms worse
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jra avoid
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resistive materials
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child c/ tactile defensiveness
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avoid light touch
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child /c seizure avoids
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rapid vestibular stimulaion
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L visual fiel cute d/t TBI, diff. crossing midliine during self-care
best to address is |
weaving on a frame loom req's use of attention to entire loom
shutttle slides across width of loom addressing midline issues |
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ak amput. has activity of retreive items from a grocery bag on floor and place on various heights of cabinet levels FOR
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postural control
imp with le amputaions-impacts ability to safely perform |
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splint for swan neck deformity
to prevent |
hyperextension of PIP
and flexion of DIP |
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bouton-niere deformity is
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flexion of PIP
hyperEXT of DIP |
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living skills group
what composition will result in more attention on group leader and NOT interaction |
less than 5
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ideal group size for member interaction
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7-10
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grp members similiar goals
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cohesiveness
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post cva pt. displays random movements in all 4 extremeties
most appropraite w/c control switch |
sip and puff
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sip and puff swtch
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not affected by random extremeity movements
operated by breath control |
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infrared swtch
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sends beam to surface and reflects backs, when beam broken switch activated
maybe started by eyeblink of finger twitch |
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AP switch
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piezoelectric sensor starts by muscle tensing
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rocking lever switch
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starts device when one side of switch is pushed
turns off when other side is pushed |
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remediation of fuctional performance deficits in a psychosocial setting
activity most consistent with this approach |
class about job seeking strategies
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