Deck 36: Polytrauma and Complex Multiple Conditions

Question 1

An OTA is working in an acute care setting with clients who have experienced polytrauma. What is the most likely treatment focus for these clients in this setting?

A) Ability to follow multiple-step directions
B) Increased function in basic ADLs
C) Completion of ADL routines
D) Awareness and acceptance of condition

Answer 1

Increased function in basic ADLs

Question 2

A client who is ventilator dependent has been cleared by the physician for out-of-bed treatment. The OTA would like to take the client to the therapy gym to work on cognitive skills. Who should change the client to a portable ventilator so that the client can leave the room?

A) OTA
B) Occupational therapist
C) Physician
D) Respiratory therapist

Answer 2

Respiratory therapist

Question 3

An OTA is about to work with a client who is currently on a ventilator, has a drain, has an IV line for medication, and is receiving tube feedings. The OTA would like to place the client in a sitting position at the edge of the bed to participate in ADLs. What should the OTA do before starting treatment?

A) Inquire whether a therapy technician is available to assist.
B) Contact the bedside nurse to change the location of the tubes.
C) Inquire if any of the tubes can be removed before treatment.
D) Request the physical therapy practitioner to co-treat.

Answer 3

Inquire whether a therapy technician is available to assist.

Question 4

A client is presenting with an increased heart rate each time the OTA has him begin an ADL task with sitting upright at the edge of the bed. The OTA has noted that the client has been returned to supine three times during the therapy session to rest, and each time he resumes sitting, his heart rate increases. What should the OTA do in response to this situation?

A) Stop therapy and notify the nurse.
B) Have the client perform AAROM in supine.
C) Notify the supervising occupational therapist of the client's change in status.
D) Slowly raise the head of the bed.

Question 5

An OTA is working with a client on sitting balance after he sustained multiple fractures and a traumatic brain injury from a car accident. Which of the following will challenge the client to maintain an upright, seated position?

A) The presence of lines that will get in the way
B) Inability to bear weight on lower extremities
C) Inability to attend to directions
D) Impulsivity

Question 6

An adolescent is participating in OT services in the acute care setting due to trauma. In which of the following activities was the adolescent most likely injured?

A) Sports
B) Leisure
C) Work
D) Driving

Question 7

An OTA is working with a client who is currently in the ICU. Why is it beneficial for an OT practitioner to begin intervention as early as possible?

A) Overall client function will be reported to the team much sooner.
B) Insurance requires that an occupational therapist evaluate clients as soon as they enter the hospital.
C) The client will ultimately have better outcomes and a decreased length of hospitalization.
D) This will ensure team collaboration.

Question 8

A client who sustained injuries due to polytrauma has been in an acute care hospital for 3 weeks. The client is considered stable and is preparing to be transported to inpatient rehabilitation. What will be the client's focus while at this new location?

A) Driving and community mobility
B) Building up strength to return to preferred leisure activities
C) Making modifications to the home environment
D) Preparing for his transition to home

Question 9

An OTA will begin therapy with a client who is currently in the ICU. The client is currently demonstrating a decreased level of arousal and weakness. What should be the focus of intervention?

A) Building up tolerance for ADLs
B) Preparatory activities until the client is more alert
C) Directing caregivers during ADLs
D) ROM to prevent contractures

Question 10

An OTA has a new client in the ICU on her caseload. After reviewing the client's chart, what should the OTA do next?

A) Introduce herself to the client and explain OT services.
B) Check with the nurse on the client's status.
C) Begin to perform sensory stimulation to gain alertness.
D) Talk with physical therapy practitioners to request additional information.

Question 11

An OTA is working with a 25-year-old who sustained polytrauma due to a motor vehicle accident in which she was unrestrained. Which of the following would this client most likely have sustained to fit the category of polytrauma?

A) Life-threatening injury
B) Traumatic brain injury
C) Spinal cord injury
D) Multiple fractures

Question 12

An elderly client who sustained polytrauma after being hit by a car has been in the intensive care unit for several days. The client demonstrates confusion and inattention, along with disorientation on several occasions. What condition is this client most likely experiencing?

A) Aggression
B) Dementia
C) Delirium
D) Delusion