Question 1

A client has developed diabetic neuropathy and is being seen by an OT practitioner to address issues related to sensory loss. What is one of the most important components that the OTA should incorporate into this client's intervention plan?

Accepted Answer

A)  Daily foot inspection 
B)  Lifestyle change by losing weight 
C)  Insulin monitoring 
D)  Choosing and using a shower chair A

Question 2

A client diagnosed with diabetes is working with an OTA. Because diabetes is a chronic illness, it is important for the OTA to understand which of the following?

Accepted Answer

A)  Diabetes is always associated with obesity. 
B)  Diabetes is curable. 
C)  Diabetes is a short-term condition. 
D)  Diabetes can be controlled over time with proper management. D

Question 3

A client with type 2 diabetes is in the preparation phase of making a lifestyle change. What can the OTA do to help the client achieve her goals in this phase?

Accepted Answer

A)  Break the plan down into achievable goals. 
B)  Reflect on different options for change and the effect of each. 
C)  Reward and congratulate the client on successes. 
D)  Recognize that development is an ongoing process. A

Question 4

An OTA is working with a group of clients on self-management techniques. The clients are being educated and trained on tracking of weight, oxygen levels, and edema. Which intervention approach is the OTA most likely using?

Accepted Answer

A)  Prevention 
B)  Health promotion 
C)  Modification 
D)  Remediation

Question 5

As the baby-boomer population is aging, many individuals are embracing technology to assist with daily living. What is one way that an older adult can use smart technology to manage a chronic illness?

Accepted Answer

A)  Set timers on the smartphone to cue when it is time to take medications. 
B)  Schedule doctor appointments through a webpage. 
C)  Use a life alert system. 
D)  Keep a notebook to track blood sugars.

Question 6

A client with diabetes is having a difficult time incorporating physical fitness into his routine. What can the OTA suggest to assist with this problem and to help the client manage his illness?

Accepted Answer

A)  Find natural times during the day to incorporate physical activity, and create a routine. 
B)  Help the client locate the least-expensive fitness facility. 
C)  Create a fitness routine for the client to follow that involves walking. 
D)  Exercise only on days with stable blood sugars.

Question 7

An OTA is assisting a client through the self-management process by utilizing motivational interviewing. What can the OTA do to help the client problem solve and make changes in lifestyle?

Accepted Answer

A)  Challenge the client's beliefs. 
B)  Instruct the client in specific activities. 
C)  Point out obvious flaws in the client's plans. 
D)  Ask open-ended questions.

Question 8

An OTA is working with a client who is having a difficult time generalizing self-management techniques in her daily life. What can the OTA suggest to help make this task more routine for the client?

Accepted Answer

A)  Begin with simple self-management tasks at home. 
B)  Incorporate the client's friends into her self-management at restaurants. 
C)  Create a plan for the client to follow while she is in public. 
D)  Set goals that involve rewards.

Question 9

An OT practitioner is working with a client on lifestyle change using the transtheoretical model of behavior change. The client states that he understands how weight loss can help him be more productive in life, but he tends to be rather noncommittal to the task. Which phase is this client most likely functioning in?

Accepted Answer

A)  Precontemplation 
B)  Preparation 
C)  Contemplation 
D)  Action

Question 10

An OTA is working with a client who is diagnosed with fibromyalgia. The OTA is instructing the client on energy conservation strategies that can be implemented throughout the day. Which intervention approach is the OTA most likely using?

Accepted Answer

A)  Modification 
B)  Remediation/restoration 
C)  Health promotion 
D)  Maintenance

Question 11

A client is experiencing difficulty with his overall lifestyle change and continues to relapse into older habits. What should the OTA document based on this information?

Accepted Answer

A)  The client is currently refusing assistance from the OTA. 
B)  The client is noncompliant with all instructions from his OT practitioner. 
C)  The client demonstrated difficulty adhering to his plan. 
D)  The client in unmotivated to make lifestyle changes.

Question 12

An OTA is working on medication management with a client who has congestive heart failure. What is one thing that the OTA should take into consideration while educating the client on medications and daily routines?

Accepted Answer

A)  Weight should be checked monthly. 
B)  Many medications cause increased need to urinate. 
C)  Any shortness of breath should be reported after three episodes. 
D)  All pills should be split/cut for easier swallowing.

Exam 25: Chronic Disease Management: Utilizing a Self-Management Approach