Deck 8: Movement, Motor Control, Sensation, Wounds, and Pain

Question 1

An OTA is working with a client who is experiencing flaccidity after a CVA. Which intervention technique would most likely be beneficial in helping to manage this client's lack of tone and prevent contractures?

A) Weight-bearing
B) Passive ROM
C) Physical agent modalities
D) Positioning

Answer 1

Passive ROM

Question 2

A client who has experienced a lower motor lesion after a CVA. is having difficulty transitioning out of a chair and picking up clothing for dressing. What would the OTA most likely document in her treatment notes?

A) Hypotonicity
B) Hypertonicity
C) Flaccidity
D) Spasticity

Answer 2

Hypotonicity

Question 3

An OTA is working with a client who recently had a TBI. The client is unable to perform simple movements when requested and demonstrated by the OTA. The client is most likely having difficulty with what aspect of movement?

A) Postural control
B) Praxis
C) ROM
D) Primitive reflexes

Answer 3

Praxis

Question 4

A client is in the acute care setting after experiencing a CVA that has affected the cerebellum. During meals, the OT practitioner notices the client experiencing difficulty with reaching for his cup and utensils, often overshooting. This client is most likely experiencing which disorder?

A) Dyssynergia
B) Ataxia
C) Tremor
D) Dysmetria

Question 5

An OT practitioner is working with a client on sitting balance at the edge of the bed. After a couple of seconds, the client begins to fall to the side without reaching her arm out to catch herself, resulting in the OT practitioner catching her and helping the client to regain balance. Which reaction is the client most likely missing?

A) Balance
B) Equilibrium
C) Righting
D) Protective

Question 6

An OT practitioner is evaluating a client's muscle tone using the Modified Ashworth Scale. How would the practitioner document a score of 4?

A) No tone is present.
B) Moderate tone in flexion/extension is present.
C) Minimal tone in flexion/extension is present.
D) Rigid tone in flexion/extension is present.

Question 7

An OTA is working with a client who experienced a spinal cord injury and now requires the use of a wheelchair. What type of wound should the OTA educate the client on proactively as he adjusts to his new self?

A) Chronic wounds
B) Tissue necrosis
C) Pressure injury
D) Decubitus ulcer

Question 8

A client who has hypertonicity due to upper motor damage after a TBI will most likely have difficulty doing which of the following?

A) Picking up a fork from the table during meals
B) Maintaining grasp on a large-handled spoon
C) Raising affected arm enough to apply deodorant
D) Using a bath mitt to wash face

Question 9

An OTA is evaluating a client's tactile sensation after a CVA. The OTA has the client reach into a bag to identify objects by touch alone. What skill is most likely being tested?

A) Sharp/dull
B) Proprioception
C) Stereognosis
D) Visual-motor coordination

Question 10

An OTA is conducting sensory testing on a client and has already explained to him the purpose of the assessment. What will the OTA do next?

A) Demonstrate the assessment on her own body.
B) Perform the assessment on the client's unaffected side.
C) Evaluate the client's affected side with his eyes closed.
D) Document the client's testing position.

Question 11

An OTA is observing a client who has been diagnosed with an injury to the basal ganglia after a TBI. Upon observation, the client demonstrated continuous twisting movements causing difficulty with all ADL activities. What disorder is the OTA most likely observing?

A) Athetosis
B) Chorea
C) Dystonia
D) Tremor

Question 12

An OTA is treating a client who is sitting at the edge of the bed and working on ADLs. The client is constantly leaning over and requires external support from the OTA to stay upright. With which aspect of movement is the client most likely experiencing difficulty?

A) Motor planning
B) Postural control
C) ROM
D) Protective extension

Question 13

A client is complaining that she is having difficulty getting to sleep because she is experiencing increased unintentional movement during times of inactivity. What would this client most likely be experiencing?

A) Tremor
B) Dyskinesia
C) Chorea
D) Dysmetria

Question 14

An OTA is working with a client who has a spinal cord injury. The client has developed a pressure injury due to the use of an inappropriate cushion. Although the client appeared to be positioned appropriately, over time, bone was rubbing against the stable tissue during transfers, resulting in the wound. Which of the following would most likely match this description?

A) Shear
B) Friction
C) Maceration
D) Irritation

Question 15

A client is having trouble finishing her meal due to unilateral neglect affecting the visual field. What is most likely causing this problem?

A) The client is having trouble targeting her food with utensils.
B) The client is not able to see all of the colors of the food.
C) The client cannot see her entire plate.
D) The client has lost her appetite.

Question 16

In order to promote maximum occupational engagement while a client is hospitalized, what should the OTA do in relation to a client's pain status following surgery?

A) Consult with the occupational therapist about suspending therapy until the pain level decreases.
B) Grade activities down when the client is in the most pain.
C) Attempt to schedule treatments shortly after pain medication is administered.
D) Encourage the client to push through the pain after surgery.

Question 17

An OTA is working with a client who has decreased sensation in his hands due to chemotherapy-induced neuropathy. With which activity will the client have the most difficulty?

A) Judging water temperature before showering
B) Applying pressure to a pen before a writing task
C) Bringing both hands to midline to fasten a belt
D) Maintaining grasp on his toothbrush

Question 18

A client with dysmetria due to a TBI is working on performing ADL activities. With which task would the client most likely experience difficulty?

A) Reaching for utensils during mealtimes
B) Pulling a shirt on over her head
C) Placing her signature on a check
D) Swallowing food or drink

Question 19

An OTA is working with a client who is complaining about sudden, throbbing pain. What should be the OTA's next action?

A) Contact the nurse on duty.
B) Adjust the client's exercise program to grade the intervention down.
C) Give the client a moment to rest, and then resume the intervention.
D) Consult with the occupational therapist to determine if the physician should be contacted.

Question 20

A client who has recently experienced a TBI is demonstrating increased sensitivity to loud noises and shows a strong startle reaction whenever he hears an unexpected sound. Which primitive reflex has most likely appeared?

A) Tonic labyrinthine
B) Moro
C) Rooting
D) asymmetrical tonic