Deck 15: Seating and Wheeled Mobility

Question 1

A client who has multiple fractures due to a motor vehicle accident and may never effectively ambulate again will need a more custom seating system on his manual wheelchair. Which type of practitioner would best make the most useful determination for this client?

A) Occupational therapist
B) Occupational therapy assistant
C) Seating and mobility specialist
D) Physical therapist

Answer 1

Seating and mobility specialist

Question 2

An OTA is working with an adult client who has cerebral palsy with high extensor tone throughout the neck, trunk, and pelvic region. Which wheelchair accessory might offer the most benefit to the client as a part of the client's seating system?

A) Subasis bar
B) Lateral supports
C) Tray
D) Thigh guides

Answer 2

Subasis bar

Question 3

An aging client who is utilizing a wheelchair has low tone causing abduction of the thighs. Which accessory would offer the most benefit for the client's positioning needs?

A) Medial pommel
B) Hip/thigh lateral supports
C) Toe straps
D) Calf supports

Answer 3

Hip/thigh lateral supports

Question 4

A young adult has recently experienced an L1 spinal cord injury, resulting in paraplegia. The client is very active within the community and plans to resume all of his roles after treatment is finished. What wheelchair feature would best meet the needs of this client?

A) An ultralightweight frame
B) A power-assist mechanism
C) A standing option in his power wheelchair
D) A foam cushion

Question 5

A client with multiple sclerosis is being recommended for powered mobility. The client plans to utilize the chair in her home, which has many very small spaces, as well as in the community over sidewalks and curb cuts. Which feature would be most beneficial for this client?

A) Mid-wheel drive
B) Front-wheel drive
C) Rear-wheel drive
D) Front-wheel drive with a standing option

Question 6

A client is being fitted for a custom power chair. He would like to use the wheelchair out in the community, but he fatigues rather quickly when using his access method for long distances. What feature might be most beneficial for this client so as to increase safety when out on walks with the caregiver?

A) An attendant control on the back of the chair
B) A foot-controlled joystick
C) Backpack hooks so that medications can be administered
D) Lights on the chair for rainy days

Question 7

When would it be more beneficial for a client to be evaluated by a seating and mobility specialist instead of going directly to a wheelchair supplier to access a new chair?

A) The specialist will have more options available to the client than the supplier.
B) The client's needs will result in a complex mobility device.
C) The client's needs will result in purchasing a scooter for long distances.
D) The specialist will have loaner mobility devices to use.

Question 8

A client with spinal bifida is in need of a new wheelchair. The client has sufficient strength to lift herself up for pressure relief multiple times per day, has a history of skin breakdown from a hospitalization, and has no sensation in her legs. Which cushion would be the first choice for this client?

A) Hybrid only
B) Gel or air
C) Air only
D) Foam

Question 9

An OTA is educating the nursing staff in a long-term care facility about wheelchair care and how to help prevent pressure injuries. What is one fact that will be most beneficial for this population to learn?

A) Multiple layers between the client and cushion may decrease the effectiveness of the cushion.
B) It is important that the clients have clean wheelchairs to demonstrate that they are receiving appropriate care.
C) If a client is unhappy with the current cushion, immediately call the therapy department so that the cushion can be exchanged for a new one.
D) A pommel can assist with the client who slides out of the chair.

Question 10

A client is being evaluated for powered mobility. The client demonstrates adequate cognition and good head control, and he has no functional use of the upper or lower extremities. Which feature would best serve the client's needs to control the wheelchair?

A) A mini joystick
B) Use of a control integrated into the headrest
C) A fiber-optic system
D) Multiple switches for modes