Exam 1: Acquiring Information

Samantha, your 5-year-old kindergarten student with autism, has begun to receive in-home applied behavior analysis (ABA) therapy from a private provider. Her mother has requested to decrease her school attendance to half days, so she can receive the ABA therapy. The school district has agreed to her request. How does your OT department instruct you to respond to this situation?

You would like to know if Caden, your 4-year-old student with autism, is capable of using a picture schedule during therapy sessions. Who should you consult regarding this skill?

A client has a 4-year-old son named Joey. She gushes to you about Joey's physical prowess. But she complains that he is not allowed to sign up for the local children's soccer league because he is too young. You know Joey and feel he is a perfectly typical 5-year-old boy. She asks you if she should file for an exception. What do you tell her?

Your nursing home has experienced a 23 percent increase in falls over the past two months. What could your rehabilitation department do to help lower the percentage of falls?

Helen, your 86-year-old nursing home patient with a diagnosis of Stage IV Alzheimer's disease, is getting ready to go home. Her son asks you what he should do to help her at home. What do you tell him?

Missy is a 6-year-old kindergarten student with a diagnosis of athetoid cerebral palsy. You have been working on independent self-feeding during lunch time in the therapy room. Missy's teacher would like her to start eating in the lunch room with her classmates. What aspect of the environment will you need to consider as you transition Missy to eating in the lunch room?

An 11-year-old boy displays difficulty sitting still in his classroom and repeatedly asks the teacher to repeat the instructions for assignments. He says his favorite class is physical education. In his records, you would expect to see a diagnosis of: ______.

Which of the following are not typical symptoms of carpal tunnel syndrome?

Patrick, your sixth-grade student, has met his sensory processing goals. He is also progressing toward his handwriting and typing goals, but could use a little more work on these skills. What do you recommend to your OT department?

You would like your shoulder replacement patient, Alfred, to start completing his bathing and dressing tasks independently while he is still in the nursing home. Who do you need to train, so that Alfred can complete these tasks without assistance?

It is time to report progress for Emma, your 75-year-old stroke patient. Which of the following measurements will you defer to your OT department?

To apply a Proprioceptive Neuromuscular Facilitation (PNF) approach during upper extremity pulley exercises, you would ask your patient to: ________.

Your co-worker expresses to you that her 2- year-old son is not talking like the other 2 year olds at his daycare center. She asks you if you think she should take him to speech therapy. You know that your co-worker has four children and her 2 year old is the youngest. You also remember your co-worker complaining about her children having numerous ear infections. What recommendation would you give her?

How could you collect data on the treatment goals for your patients for your OT department?

Ashley, a first-grade student at your school, has just been diagnosed with Prader-Willi syndrome. Your OT department has asked you to research this condition because you have not had a student with this diagnosis. What is the best way to obtain information regarding your student's diagnosis?

Your friend has a prestigious job in upper management at a high-profile company. Lately, she complains to you that she has been very forgetful. She is worried that she may have Alzheimer's disease. What questions do you ask before giving her advice?

On an initial evaluation, the OT department recorded range of motion for Emma's internal and external shoulder rotation as WFL. What does this mean?

Your OT department must attend a staff meeting for your nursing home patient that has a difficult family situation. She has many children, some of whom want to see her return to home; and some of whom want her to stay in the nursing home. The staff meeting is in one week. What action do you and your OT department decide to take in preparation for the staff meeting?

Your monthly OT summary for Medicare is due on Velma, your 89-year-old patient with a diagnosis of generalized weakness. You must measure her shoulder flexion. How will you position the goniometer to complete this measurement?

Your student, Michael, is a 16-year-old boy with Down syndrome. You have been seeing him for occupational therapy (OT) since he was 3 years old. His mother would like him to be independent with dressing in the morning. But she says she still has to help him zip his coat and get his shoes on. Sometimes she even has to help him snap his jeans after using the bathroom. What do you tell her?