Deck 12: Examination of the Environment

Question 1

During the home visit the therapist determines the need to move pots from the bottom cabinet up to prevent the need for bending and conserve energy for a patient with arthritis.What area of environmental intervention strategy as identified by Corcoran and Gitlin is the therapist examining?

A)Assistive or adaptive devices
B)Task modification
C)Structural alterations
D)Modification of environmental objects

Answer 1

B

Question 2

Your patient has limited overhead motion of the right shoulder but no other significant functional limitations.What might be an effective and efficient way to gather information about environmental barriers in this patient's home?

A)Home visit to examine barriers
B)Patient interview asking about barriers
C)Pictures of the patient's home
D)Videoconferencing with the clinic

Answer 2

B

Question 3

What is important for the therapist to do prior to performing a home visit?

A)Determine that the patient has reached a maximum level of function.
B)Discuss the risks and benefits of returning home with the patient.
C)Follow a specific protocol that will prepare the patient to return home.
D)Give the patient's caregiver time to learn how to safely assist the patient.

Answer 3

D

Question 4

What did Sanford,et al find in their study that looked at the use of videoconferencing for examining a patient's home environment?

A)Videoconferencing was ineffective for identifying quantitative measures of the home.
B)On-site visits cost about the same as having a therapist perform a home visit.
C)86.4% of problems identified during the home visit were identified with videoconferencing.
D)Identification of problems was hampered by video transmission with videoconferencing.

Question 5

During the home visit the therapist examines the need for grab bars in the bathroom.What area of environmental intervention strategy as identified by Corcoran and Gitlin is the therapist examining?

A)Assistive or adaptive devices
B)Task modification
C)Structural alterations
D)Modification of environmental objects

Question 6

The patient has a 6-in.high threshold to enter the house at the primary entrance.The family wants to build a ramp.What is the minimum ramp grade recommended?

A)For every 1 inch of rise there is a corresponding 12 in.of length.
B)For every 4 inch of rise there is a corresponding 12 in.of length.
C)For every 1 inch of rise there is a corresponding 30 inches of length.
D)The minimum ramp grade is dependent on the space available.

Question 7

In addition to indicating measurements and observations,how might the therapist efficiently document environmental barriers within the home or work setting for a third party?

A)Collaborating with another professional
B)Use of photographs of the home
C)Drawing of the furniture layout
D)Writing long,descriptive narratives

Question 8

What is the ideal height for steps?

A)10 in.
B)4 in.
C)7 in.
D)13 in.

Question 9

How does a functional cpacity evaluation help determine a patient's ability to return to a particular work environment?

A)While asking the patient to perform specific physical tasks,the therapist documents what cannot be done.
B)By asking the patient a series of questions,the tester determines what type of accommodation will be needed.
C)Using tasks similar to the job demands,it determines work-related capabilities and functional limitations.
D)The patient is observed by the therapist while attempting to perform job tasks in the actual work environment.

Question 10

When conducting the job analysis interview,what type of information should the therapist gather?

A)Information about the functional requirements of the job,including duties and responsibilities
B)Information about the other individuals working at the site and their ability to help the patient
C)Information about the company and what type of products it produces and manufactures
D)Information about how many times the patient has been reprimanded or rewarded at work

Question 11

The door width of the patient's bedroom door is 30 in.Will this allow a wheelchair to pass through?

A)Yes,standard wheelchairs require clearance of 25 to 32 in.wide.
B)Yes,standard wheelchairs can make tight turns to pass through.
C)No,standard wheelchairs require clearance of 32 to 34 in.wide.
D)No,standard wheelchairs require clearance of 37 to 42 in.wide.

Question 12

What is the primary difference between accessible design and universal design?

A)Universal design considers accessibility from the beginning of the design process.
B)Universal design allows for retrofitting of accessibility features such as ramps.
C)Accessible design incorporates features like ramps and wider doors early in the process.
D)Accessible design creates buildings that can become accessible if the need arises.

Question 13

Your patient who uses a wheelchair for mobility would like to shop at a store in the community that has two steps to enter.Under the Americans With Disabilities Act (ADA),what are the shop owner's obligations to make accommodations?

A)They are required to make their shop accessible regardless of cost or hardship.
B)They are not required to do anything because they are a private business.
C)They are required to make their shop accessible unless it imposes undue "hardship."
D)They are not required to make any changes except to train their personnel.

Question 14

According to a study by Gitlin,et al,what was the area of the home that older adults encountered the greatest difficulty?

A)Entryway
B)Kitchen
C)Bedroom
D)Bathroom

Question 15

After evaluating the client's work environment the therapist determines that employees using wheelchairs will be able to access all areas of the workplace.In this case what has the employer used?

A)Environmentally sound design
B)Accessible design
C)Wheelchair work design
D)Workplace design

Question 16

What is one of the primary focuses of work hardening programs?

A)Encouraging hard work by the patient
B)Proper body mechanics and ergonomics
C)Limiting the amount of weight lifted
D)Practice of transfers needed at work

Question 17

What would be the best way for the therapist to ask the patient about environmental barriers associated with bathing at home?

A)Are there any environmental barriers to using the shower at home?
B)Are you able to bathe at home independently in your bathroom?
C)What is wrong with your shower setup at home in the bathroom?
D)Do you encounter any problems when you use your shower?

Question 18

During the home visit the therapist identifies the need to move furniture in the hallway.What area of environmental intervention strategy as identified by Corcoran and Gitlin is the therapist examining?

A)Assistive or adaptive devices
B)Task modification
C)Structural alterations
D)Modification of environmental objects

Question 19

During the home visit the therapist examines the width of the bathroom door.What area of environmental intervention strategy as identified by Corcoran and Gitlin is the therapist examining?

A)Assistive or adaptive devices
B)Task modification
C)Structural alterations
D)Modification of environmental objects

Question 20

What might be an inexpensive way to help a patient with a visual impairment easily find outlets and light-switch plates?

A)Reduce glare by decreasing the amount of lighting to the area of the outlets.
B)Make the light-switch plates and outlets larger than standard outlets.
C)Change the light switches to rocker switches versus toggle switches.
D)Increase the color contrast between the wall and the outlets and switch plates.