otd 570: quiz+practice test +others (midterm) Flashcards

Every evaluation must have

Normal HR and how 2 ways you measure it?

What does pulse signify?

You walk into your client's room and begin your session by taking their vitals. Your client is healthy, has no cardiac history, and is fairly active, so you're expecting a blood pressure within the typical range.

What is the typical range that you expect to see?

You are seeing a client who has broken their arm, this client comes into your session and says "my arm hurts throughout the night and I'm really having trouble sleeping."

You believe that this quote is important to include in your daily documentation, but where do you put it?

Your client arrives to their occupational therapy session, knowing that you will be completing some demanding activities, you decide to measure their baseline heart rate.

As you're taking their pulse, you count 17 beats in 15 seconds. You quickly do the math to document a heart rate of...

The Quick DASH (pictured) is an upper extremity assessment that has clients rate how difficult it is to complete a task like washing their back or cutting food. This evaluation looks at…

While deciding what assessments that you would like to complete in your OT Evaluation, you add Range of Motion (ROM) to your list. You want to measure the ROM of the shoulder, elbow, and hand, which is looking most at your client's…

1. Match the term for a type of goal to the definition/purpose of the goal.
1. These goals are to reduce risk of developing occupational performance problems.

1. Match the term for a type of goal to the definition/purpose of the goal.
1. These are goals to teach new skills that a client has not have

1. Match the term for a type of goal to the definition/purpose of the goal.
   1. Rehabilitative or Remediative. Your client used to be able to do this, now they cannot.

Hugh is an 81 year old who was admitted to the hospital with symptoms of headache, dizziness, altered mental status, and shortness of breath. He was diagnosed with acute hypertension with an admitted BP of 180/120. Following your initial evaluation, you plan to see him again for an OT treatment the next day.

You decide to implement one of the following assessments into your session:

After a 7 day stay on the PCCU (Progressive Cardiac Care Unit), Alfred is discharged home with the support of his spouse and home health occupational therapist. You review his chart and see that Alfred’s cardiothoracic surgeon recommends Alfred only engage in activities that are ≤4 MET values for 2-4 weeks. You determine that the following home activities are safe except:

You are working in the emergency department and receive an OT evaluation order for a patient who presents with pain in chest, diaphoresis, dyspnea, and lightheadedness. You check in with the nurse who reports that the patient is leaving the unit for an EKG.

You deduce that the medical team is working up the following differential diagnosis:

The following are all appropriate sleep interventions within the OT scope of practice except:

Prior to helping Hugh mobilize, you decide to take his blood pressure at rest.

Based on your knowledge of vital signs and high blood pressure or hypertension, you anticipate seeing the following in Hugh’s blood pressure reading:

You are working with D’Andre, a 53 year old auto mechanic. He was diagnosed with osteoarthritis 2 years ago and you are seeing him in outpatient hand therapy.

D’Andre complains of hard, bony growths on his DIP joints. You explain to D’Andre that these are:

Alex suffered a femoral neck fracture and underwent a right total hip arthroplasty. You'd like to prepare some education on hip precautions and ADLs.

Alex’s surgical post operative instructions include “TDWB” (touch down weight bearing) in RLE which generally means:

Vitals

Tempreture

Vitals

Heart rate

Vitals

Pulse

Vitals

Respiratory Rate

vitals

blood pressure

hip precautions

Andre arrives at your outpatient OT clinic and reports difficulty with the occupation of pet care. Andre loves his three dogs and is having difficulty with feeding, walking, and grooming his pets.

You start your evaluation process with The Canadian Occupational Performance Measure (COPM) to look at Andre’s occupational role and his performance before considering his client factors.

You have selected an assessment that is:

Identify the different types of goal approaches.

Define Tetraplegia/Quadriplegia

Define Paraplegia

Your client presents with the following symptoms: Dyspnea, fatigue, wet cough, sputum production, and inefficient respiration.

What is their condition?

Top Down goals

Bottom up goals

Degenerative Hip disease

Avascular necrosis

Degenerative Hip disease

Osteoarthritis

Emphysema

Pneumonia

energy conservation approach (modify)

RPE and breathing

Centrally Mediated
(Brain & Spinal Cord)

Peripheral Sensation
(Peripheral Nerves)

Paresthesia =

Dysesthesia

Hyperalgesia =

Allodynia