Deck 16: Driving and Community Mobility

Question 1

The OTA has a client with a mild TBI who greatly desires to return to driving, and the OTA understands that many tasks and skill requirements needed for safe driving can be addressed in treatment. Which of the following tasks could be utilized?

A) Have the client multitask by talking and walking at the same time.
B) Have the client make a sandwich from ingredients in the cupboard.
C) Give the client cues for the order of morning grooming tasks.
D) Make the client angry, and then see how long it takes the client to recover.

Answer 1

Have the client multitask by talking and walking at the same time.

Question 2

Why should a generalist OT practitioner consider a driving assessment as part of the plan of care for a high-level client who might want to return to driving?

A) Many high-level clients require consultation about driving safety issues but may not need a full driving evaluation from a specialist.
B) The client might need to drive in every situation in order to be independent in the community.
C) Most clients who undergo rehabilitation would like to resume driving.
D) Performing driving activities improves rehabilitation potential.

Answer 2

Many high-level clients require consultation about driving safety issues but may not need a full driving evaluation from a specialist.

Question 3

A client has been deemed medically unable to continue driving. What can the OTA focus therapy on for the client to allow her access to the community?

A) Help plan budgeting for transportation services and home grocery delivery.
B) Teach the client about safety issues with using the bus system.
C) Work out a schedule for family members to transport the client whenever needed.
D) The client no longer requires therapy in this case.

Answer 3

Help plan budgeting for transportation services and home grocery delivery.

Question 4

A client tells an OTA that she would like to return to driving after she is discharged from the rehabilitation hospital; however, her family is reluctant to allow her to do so. Which activity would give the OTA the most information to help determine if driving might be safe?

A) Crossword puzzles and word-finding tasks
B) Preparing a meal in the kitchen with a novel recipe
C) Independence with dressing
D) A balloon-toss activity

Question 5

A client who has recently had a CVA is making good progress and has been referred to a driver rehabilitation specialist for an appointment in 3 weeks. On the most recent reevaluation, the client continues to show issues with visual perceptual skills. What should the OT practitioner do in response to this information?

A) Call the driving specialist to cancel the assessment.
B) Share the assessment results with the driving specialist.
C) Recommend that the client attempt to use a driving simulator.
D) Recommend hand controls on the car.

Question 6

An elderly client is being retired from driving. What can the OTA do to best meet the client's needs during therapy?

A) Give the client phone numbers for local taxi companies.
B) Address community mobility needs and ways to compensate for the retirement of driving.
C) Refer the client to the local senior center for assistance and do not address driving in therapy sessions.
D) Perform education and training for the client's spouse to manage the driving tasks.

Question 7

An OTA is working with a client who has recently had a TBI. The client is interested in driving once he is discharged; however, the OTA has noticed that the client is often inattentive during tasks. How should the OTA proceed with the client's wishes to drive?

A) Collaborate with the occupational therapist on assessments and recommendations concerning the potential to return to driving.
B) Work on attention with pencil-and-paper tasks in therapy.
C) Change the subject and redirect the client to the current task.
D) Have the caregivers hide the keys for safety.

Question 8

What would be a low-tech driving adaptation for a client with new disabilities identified at a driving evaluation?

A) An adapted steering device
B) A variable-effort steering system
C) The original manufacturer's controls for braking
D) A horizontal steering wheel

Question 9

A client who utilizes a wheelchair is purchasing a specialized van so that he can drive from his wheelchair. Which feature would be most beneficial for him?

A) Spinner knob
B) Adapted turn-out seats
C) Panoramic mirrors
D) Automatic power-restraint system

Question 10

An individual with spina bifida would like to begin driver training. In addition to adapted driver's education, which feature might be safest for this client?

A) Adapted seats
B) Left-foot accelerator
C) Hand controls
D) A small steering wheel