Exam 2: Implementing Interventions

Fran, your 74-year-old cancer patient, is scheduled to be discharged from the nursing home in two days. She is concerned about carrying heavy pots and pans around her kitchen. How do you teach Fran to manage heavy items in her kitchen?

The third-grade class has several children with disabilities, including two children with ADHD, one child with a cognitive disability, and one child with a hearing impairment. What does your special education director purchase for the classroom teacher to use with this group of students?

Walter is a 58-year-old patient with a diagnosis of quadriplegia. He has developed decubiti on his buttocks and has been admitted to the hospital for treatment. Walter's wheelchair has a standard sling seat, so he can fold the chair and put it in the trunk of his car when traveling. What device do you recommend to Walter to help prevent him from developing additional decubiti?

Tucker is a 10-year-old brain injury patient with multiple flexion contractures. He is unable to participate in any functional activities beyond sensory stimulation. Tucker is experiencing skin breakdown in both palms. What solution does your OT department ask you to implement for Tucker?

Mary is a 12-year-old student with a C4 spinal cord injury. She has normal cognitive function, vision, and hearing, plus head movement. What type of wheelchair do you expect Mary would be able to use independently?

Felix, your new 3-year-old student, runs around the therapy room and jumps on all the equipment in an unsafe manner. He does not respond to verbal or visual commands. How can you adapt the therapy room to keep Felix safe?

Jenny, your 36-year-old patient with fibromyalgia, complains to you that she cannot get anything done during the day because she gets so tired. What do you recommend to Jenny to help her get more done during the day?

What activity could you select for your new rheumatoid arthritis patient who has a short-term objective to increase upper body strength?

Mia, an 8-year-old student, underwent flexor tendon transfer surgery on her thumb two weeks ago. She has been immobilized up to this point, but her immobilizer and stitches are now removed. What type of splint does your OT department ask you to fabricate for Mia?

Your OT department asks you to develop a sensory break routine and schedule for Brayden, your student with high-functioning autism. What is the purpose of a sensory break routine and schedule?

You have worked on relaxation techniques with your inpatient, Chelsea. She is ready to be discharged from the inpatient psychiatric unit. What do you give Chelsea to take home with her, so she can continue to practice relaxation skills?

Ruby is a 56-year-old outpatient with rheumatoid arthritis. She has been experiencing increased pain and swelling in her hands every time she does her laundry. Her washer and dryer are in the basement of her home, and she uses large, plastic laundry baskets to carry her clothes. What do you recommend to Ruby?

Regarding your outpatient, Christy, who has carpal tunnel syndrome and works in accounts receivable for a local car dealership: Besides her keyboard height, what other recommendations would you give her?

Savanna is an 11-year-old spinal cord injury patient on the rehabilitation unit. She has a C7 spinal cord injury and has active movement in her shoulders and elbows. But she cannot move her fingers enough to grasp objects. What adaptive device do you issue to Savanna to help her hang on to daily living objects, such as silverware, her toothbrush, and other items?

Your 18-month-old student, Ashley, is too young to follow verbal directions or a visual schedule. How do you structure her therapy session, so she will participate in the activities you have planned?

What does universal design mean?

Waverly must take six medications each morning. He tells you he often forgets to take one or more of his medications because he just can't keep them organized. What do you recommend for Waverly?

You co-treat three children with Down syndrome with the physical therapy assistant. All three children have difficulty with larger motor eye-hand coordination activities. Scheduling these students has been difficult due to the large number of services they receive. How could you address all of these issues?

What is a reacher?

Your parents are building their retirement home. They tell you that they will live in this home until they die. What recommendations do you give them regarding the home?