Exam 7: Range of Motion: Assessment and Intervention

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As a part of a strengthening program after a CVA, a client is instructed to hold his affected limb with his stronger limb to take it through the full ROM. Which category would best describe this action?

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B

Which of the following clients would be contraindicated for ROM assessment?

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A

An OTA is measuring shoulder extension on a client. Once the client is positioned, how should the OTA instruct the client?

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B

An OTA is working with a client who had a shoulder replacement several weeks ago and has been cleared for OT services by the physician. While measuring shoulder flexion, the client winces as he approaches 90 degrees of flexion and then stops. What should the OTA inquire about and then document as a part of the assessment?

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A 45-year-old client comes to OT after receiving a burn to her upper extremity. The client has had multiple skin grafts and is having difficulty with full elbow flexion and extension. What would most likely be causing this issue?

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An OTA is measuring wrist ulnar deviation on a client. Once the client is positioned, how should the OTA instruct the client?

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An OT practitioner is setting up a passive ROM program for a client who has had a CVA and does not have functional use of her right upper extremity. When preparing this program, what should the OT practitioner do first?

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An elderly client with general deconditioning after a heart attack is being evaluated by the OT practitioner for ROM deficits. What would be the first step in this process?

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An OT practitioner is setting up a self ROM program for an adult with hemiplegic cerebral palsy and high tone in his upper extremity. How should the OT practitioner instruct the client regarding elbow flexion/extension?

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An OTA is measuring joint ROM on a client. The client has been placed in a good position for measurement, and the OTA is conducting measurements. What should be the last step in this process?

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An OT practitioner is instructing a client with cerebral palsy in the use of a mobile arm support to promote shoulder movement for self-feeding. Which category would this action best fall under?

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An OTA is working with an elderly client who has been diagnosed with dementia and is having shoulder problems. The client is having a difficult time following directions and cannot follow directions for ROM assessment. What can the OTA do to determine functional ROM?

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