Deck 14: Assistive Technology and Home Modifications

Question 1

An OTA is working with a client who has received a total hip replacement and has limited balance and hip-flexion precautions. What should the OTA recommend in relation to showering in the morning?

A) A higher shower chair
B) A seat built into the shower
C) A shower stool
D) Standing in the shower with the use of multiple grab bars

Answer 1

A higher shower chair

Question 2

A client needs a piece of assistive technology; however, his insurance is unwilling to cover the cost of the device. How should the OTA assist the client as he continues to pursue funding for this device?

A) Talk with the caregivers about bank loan options.
B) Explore other options, such as grants, loans, and fundraising.
C) Explore reasonable low-tech substitutions for the device.
D) Search the Internet for a fundraising site to use.

Answer 2

Explore other options, such as grants, loans, and fundraising.

Question 3

A client with a new, complete T12 spinal cord injury will be discharged home after spending time in a rehabilitation hospital. What should the OTA and family consider first to prepare for discharge?

A) Environmental and home modifications to accommodate the wheelchair
B) Exploring ways for the client to resume her social activities
C) Ways to transfer the client into preferred furniture from the wheelchair
D) Contractors to complete necessary home modifications

Answer 3

Environmental and home modifications to accommodate the wheelchair

Question 4

An OTA is working with an elderly client with low vision who has limited financial resources and mild dementia. What would be the best way for the client to access her email independently?

A) Increase the contrast and font size of the email.
B) Investigate the use of a video magnifier.
C) Teach the client how to use a screen reader.
D) Have the client access email when the caregiver is around.

Question 5

An OTA is working with an older client who has general weakness due to a coronary artery bypass graft. The client will be utilizing a rubber jar grip and a buttonhook to accommodate weak grasp and decreased fine motor skills. These pieces of assistive technology would most likely fit under which category?

A) New tech
B) No tech
C) High-tech
D) Low-tech

Question 6

An OTA is working with a client who has a TBI and gets overwhelmed with shopping at the grocery store. Which solution would best meet the definition of low-tech assistive technology and would allow the client to shop independently?

A) Use a shopping app on a smartphone so that groceries can be delivered.
B) Create a shopping list that is laid out according to the store layout.
C) Create a list on a tablet device and check off items as they are obtained.
D) Have a personal shopper assist with navigating the store.

Question 7

An OTA is helping an individual with a C5 spinal cord injury explore assistive technology for being able to live as independently as possible. Due to the severity of the condition, the OTA is aware that the client will need high-tech assistive technology. Which of the following would best fit this criterion?

A) Doorknobs modified to door handles for opening
B) Large remote-activated stereo and television
C) Switch-activated environmental aids, including smart-home options
D) A smartphone

Question 8

An OTA who lives with her spouse and three children is adding on to her home so that her aging parents can move in. How should the OTA take universal design into consideration as she is creating the addition?

A) Plan for a large ramp at the parents' entrance.
B) Plan for only 42-inch doorways.
C) Plan for the addition to meet the needs of all who will be using it.
D) Plan for an elevator or lift to the second floor of the home.

Question 9

A client is in need of assistive technology in order to functionally live on her own. Because private insurance will be filed to help pay for the device, what should the OTA assist the client in obtaining?

A) Proof that the device is the least costly option
B) The names of specific vendors for the equipment
C) Proof via video of successful use of the technology
D) A letter of medical necessity and a prescription

Question 10

A client has recently undergone bilateral below-the-knee amputations and will require significant home modifications to be able to return home. What types of modifications should the OTA suggest?

A) The OTA should let the supervising occupational therapist make these suggestions.
B) The OTA should suggest a ramp for the steps, widening the bathroom/bedroom door, and hanging the sink.
C) The OTA should suggest a stair lift, a porch lift, and a garden tub with grab bars.
D) The OTA should suggest a taller toilet, a pool lift, a ceiling lift in the bathroom, and clearing room for a hospital bed.

Question 11

When working on skills for ADLs with a client, what is the best way for the OTA to consider equipment for the client?

A) Select tools based on the client's strengths and weaknesses.
B) Prescribe the most commonly used tools for the condition.
C) Ask the client which equipment he would like to use.
D) Use the equipment that is the least expensive.

Question 12

An OT practitioner is recommending a communication device with computer access for a client with later-stage ALS. The client is unable to speak and has limited motor control but has consistent eye movement and blinks. What type of device would best fit this client's needs?

A) A device with an eye-gaze system for the interface
B) A switch system that utilizes light touch
C) A head-mounted switch with onscreen keyboard
D) A head mouse with text-to-speech software