Exam 2: Implementing Interventions

Austin is a fourth-grade student with a diagnosis of autism spectrum disorder. His teacher notifies you that he chews on his clothes repeatedly during the school day. What intervention do you recommend to alleviate this behavior?

How would you position a student to address upper-body core strength during an active reaching activity?

Mary's multiple sclerosis has progressed to the point that she can no longer maneuver her manual wheelchair in public. She still has good postural control. What type of device do you recommend Mary obtain for use in public?

Kylie, your first-grade student, displays difficulty forming and aligning letters during handwriting tasks. What accommodation do you provide for her to use in her classroom?

Marcie is a 46-year-old patient who has been in a coma for 12 years. She has multiple contractures and is at high risk for developing skin breakdown around the joints of her arms and hands. How do you position Marcie's upper extremities to prevent skin breakdown?

Annie, your 8-year-old student with cerebral palsy, hates wearing her bilateral wrist splints and is repeatedly refusing to cooperate when her paraprofessional attempts to put them on her. You notice red areas on Annie's skin near the head of the radius, ulnar prominence, and CMC joint of the thumb. What do you and your OT department conclude is the problem?

Roberta must take her Risperdal twice per day. She has difficulty remembering to take the second pill. How can you help Roberta remember to take her medication?

Wanda is a 28-year-old sheltered workshop client with quadriplegic cerebral palsy. She uses an electric wheelchair with a seat belt and lap tray. She continuously slouches forward and to her right side when operating her joystick. What adaptations does your OT department recommend for Wanda's wheelchair?

Your student, Alexis, would like to attend technical college after graduation. You have worked with her extensively on adaptive methods for completing written work. Also, you know that Alexis will require adaptations for written assignments if she attends technical college. What do you help Alexis do to insure that she has the help she needs once she graduates?

Your student David loves to toss beanbags at a target while swinging prone in a net swing. What sensory systems are you strengthening by doing this activity?

What activity would be appropriate to help a 4-year-old student develop a correct grasp on crayons and markers?

How can you promote activity tolerance while completing self-care tasks with Frieda, your 86-year-old patient with osteoporosis?

Dorothy has Stage 2 Alzheimer's disease. She expresses her concerns to you about her memory problems and worries about becoming more forgetful in the future. She asks you for ideas to help her remember things at home. What do you recommend to Dorothy?

Alex, your 14-year-old student with a learning disability, is cooperative during 1:1 therapy sessions, but ignores you or is resistant to you when you attempt to work with him in his classroom. His behavior is: _________

Your OT department has asked you to develop a sensory group for the clients who have autism and work at the sheltered workshop. What activity could you include for these clients, who range in age from 23 to 56?

Carson is 2-year-old birth to three client. He has tactile defensiveness, and your OT department has ordered the Wilbarger brushing protocol as a part of his treatment plan. How do you administer this protocol at the proper frequency to address Carson's tactile defensiveness?

Luella, your nursing home patient, can easily reach for cones in diagonal patterns while seated in her wheelchair. How do you adjust this activity to make it more challenging for Luella?

Faith is a new first-grade student who is beginning OT treatment for fine motor skills. Her mother asks you what activities Faith can do at home to reinforce the skills that OT will address. How do you respond to Faith's mother?

You have spent a month teaching Gary, your outpatient with a diagnosis of brain injury, how to use tablet applications to remind him about his work schedule and various appointments. On a follow-up visit, you find out that Gary has missed two appointments because his children were playing with his tablet. What do you discuss with Gary's wife to insure that he has access to his tablet?

How do you suppress tongue thrust when feeding a developmentally disabled child?