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571 Midterm Exam questions and answers.

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571 Midterm Exam questions and answers.6. A client in an outpatient setting has early relapsing-remitting MS. The client lives at home with a spouse and two adolescent children. The client wants to remain independent with homemaking tasks, but finds these daily routines are physically exhausting. W...

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  • June 14, 2022
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  • 2021/2022
  • Exam (elaborations)
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571 Midterm
6. A client in an outpatient setting has early relapsing-remitting MS. The client lives at
home with a spouse and two adolescent children. The client wants to remain
independent with homemaking tasks, but finds these daily routines are physically
exhausting. What INITIAL action should the OTR take to acquire more information
related to the client's priorities?
A. obtain a standardized measure of the client's functional independence.
B. administer standardized assessments of client factors
C. collaborate with the family regarding typical occupational roles
D. complete a client-centered occupational profile - Answer D complete a client-
centered occupational profile

30. An OTR has completed an evaluation of a client who has amyotrophic lateral
sclerosis. When reviewing the results of upper extremity goniometric measurements,
the OTR notes that the client's active ROM is significantly less than passive ROM. What
should the OTR conclude is the PRIMARY cause for this discrepancy?
A. Fasiculations
B. Bony ankylosis
C. Soft-tissue shortening
D. Muscular weakness - Answer ...D Muscular weakness

36. A client is in the early stages of a slow, progressive upper motor neuron disease.
Mild intention tremors and fatigue interfere with completion of typical daily tasks and
ability to work a full day as an accountant. Currently, the client ambulates with a cane in
the home and uses a wheelchair for community mobility. The client's goal is to remain
working as long as possible. Which work accommodation meets the employer's
obligation for this client as required by the Americans with Disabilities Act?
A. Consideration for modifying the client's current work schedule
B. Employee review to change the essential elements of the job description
C. Provision of a wheelchair at the job sit in case of emergency
D. Modification of doorways throughout the workplace for maximal accessibility -
Answer A Consideration for modifying the clients current work schedule

37. An OTR is planning to give a presentation to a support group for individuals who
have recently been diagnosed with a progressive neurological disease. The participants
want to learn about the role of occupational therapy in the management of the disease
process. What type of information would be MOST BENEFICIAL to include to effectively
address this topic?
A. Description of the various types of assessments used as part of the evaluation
process
B. Discussion about occupational therapy for maintaining health and preventing
dysfunction
C. Role-play of an occupational therapy session using a group participant as an
example
D. Outlines of occupational therapy protocols typically used for individuals with this
disease - Answer .B Discussion about occupational therapy for maintaining health and
preventing dysfunction

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