Deck 17: Work Rehabilitation and Retraining

Question 1

An OTA is working with a client in a return-to-work program. The client is experiencing pain in his shoulders and is refusing most activities due to not wanting to further damage his injury. What should be the OTA's next step?

A) Assess the client's pain level and determine pain tolerance.
B) Grade the activity down so that the client will experience less pain.
C) Educate the client in the causes behind the pain.
D) Push the client into performing the activities he is supposed to be doing.

Answer 1

Educate the client in the causes behind the pain.

Question 2

A client has been unable to work or provide for her family for the past year due to a work-related injury. Which psychosocial factor will this client most likely experience?

A) Fear
B) Anger
C) Denial
D) Depression

Answer 2

Depression

Question 3

A client who works in a factory on an assembly line has been out of work due to injury. Currently, the client is working on strengthening and is able to tolerate around 4 hours of work tasks. What program is this individual participating in?

A) Work conditioning
B) Work hardening
C) Worker compensation
D) Functional evaluation for work

Answer 3

Work conditioning

Question 4

Some clients are discharged from a return-to-work program, but they have no current job description. What information will most likely be included in their functional capacity evaluations?

A) Their current level of depression
B) Their current strength and abilities within their pain-tolerance and endurance levels
C) Their job preferences and the specific jobs they are qualified for
D) The number of breaks they need to maintain their blood sugar level

Question 5

A client has been increasing her strength and is ready to begin training during an 8-hour setting in preparation for returning to work by doing simulated work activities. What type of program is the client most likely participating in?

A) Work conditioning
B) Worker compensation
C) Work hardening
D) Simulated ergonomics

Question 6

A 45-year-old has been discharged from a return-to-work program. What will the information on the functional capacity evaluation tell the client's future employer?

A) What the employer can expect from the client on the first day of returning to work
B) How many 100-pound bags the client can lift in an hour
C) The client's overall attitude when working
D) Whether the client is a symptom magnifier

Question 7

Upon interview, a client states that she has good days and bad days. How should the OTA use this information when conducting a functional capacity evaluation over several days?

A) To note the client's abilities over many days and times for accurate reporting
B) To inform future employers how often the client will be able to work
C) To determine if it will be safe for the client to return to her previous job
D) To note only the good days' performance for the most accurate results

Question 8

When working in a return-to-work program, what is most important for an OT practitioner to consider when working with the program participants?

A) Job performance
B) Physical demands
C) Cognitive skills
D) Emotional readiness

Question 9

An OTA suspects that a participant in a return-to-work program is demonstrating symptom magnification. What can the OTA do to best document if this possibility is true?

A) Have a conversation with the participant about her level of honesty.
B) Observe the participant in functional tasks when she is distracted.
C) Inquire if the occupational therapist has noticed this behavior as well.
D) Video record the client to catch her during the task.

Question 10

An OTA is evaluating a client who is complaining of a pain level of 7/10 in her legs due to the sciatic nerve. How can the OTA test this client to determine if this is symptom magnification?

A) Have the client perform both a supine straight leg raise and a seated leg raise while distracted, and record the results.
B) Have her perform overhead lifting, and record the result.
C) Check the client over multiple days to see if the pain level stays consistent.
D) Trick the client into performing more than she said she could do.

Question 11

An OT practitioner is conducting a functional capacity evaluation on a client who is hoping to return to employment as a mail carrier. What should the OTA do to learn more about the requirements of the client's job?

A) Question the client extensively about her job requirements.
B) Do an online search for factory worker job requirements.
C) Contact the local postal service for job requirements.
D) Drive along the mail carrier's route to see obstacles.

Question 12

A client has been determined to be unable to return to his job working on a factory assembly line. How can the OT practitioner best assist this client during his return-to-work program?

A) Discharge the client due to lack of progress.
B) Refer the client to unemployment and disability services.
C) Explore other employment interests in therapy and with a vocational rehabilitation referral.
D) Convince the client that a sedentary job is the perfect option for decreased endurance.