OT 452 Final UPDATED Actual Exam Questions and CORRECT Answers
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Course
OT 452
Institution
OT 452
OT 452 Final UPDATED Actual Exam
Questions and CORRECT Answers
ADLs - CORRECT ANSWER- •Bathing/showering
•Bowel and bladder management/toilet hygiene
•Dressing
•Eating/feeding
•Functional mobility
•Personal device care
•Personal hygiene and grooming
•Sexual activity
•Sl...
OT 452 Final UPDATED Actual Exam
Questions and CORRECT Answers
ADLs - CORRECT ANSWER✔✔- •Bathing/showering
•Bowel and bladder management/toilet hygiene
•Dressing
•Eating/feeding
•Functional mobility
•Personal device care
•Personal hygiene and grooming
•Sexual activity
•Sleep/rest
must consider the following first... - CORRECT ANSWER✔✔- ROM
Vision
Cognition
Strength
Hearing
Coordination
Balance
Functional mobility
Sensation
Pain
Endurance
Vital signs, lines, tubes
Bowel/Bladder fx
important considerations for ADL assessment - CORRECT ANSWER✔✔- -Development of
rapport
-Client centered
,-Effective communication
-Put client at ease
-Gather initial information via observation and questions
-Involvement of others
-Safety, Respect, Privacy
-PLOF
-Medical hx and if any precautions
-Client beliefs/culture
-Location of ADL/Environment
other considerations for ADL assessment - CORRECT ANSWER✔✔- •Temporal: Complete
ADLs that are realistic for patient ie: feeding during mealtimes, bathing during appropriate
times
•Be realistic about patient's capabilities ie. Motivation, culture, progressive dz
•Take patient's diagnosis into consideration when setting up ADL. ie: is patient capable of
standing at sink to complete bathing?
gathering info for ADL assessment - CORRECT ANSWER✔✔- •Occupational profile with
the patient
•Chart review
•Family
•Staff
ADL assessments - CORRECT ANSWER✔✔- •Functional Independence Measure (FIM)
•GG scores
•Functional Assessment of Motor and Process Skills (AMPS)
•Kohlman Evaluation of Living Skills (KELS)
•Performance Assessment of Self-Care Skills (PASS)
•Arnadottir OT-ADL Neurobehavioral Evaluation (A-One)
•Barthel or Modified Barthel Index
•Klein-Bell Activities of Daily Living
,•Katz Index of Independence in ADL's
Functional Independence Measure (FIM) - CORRECT ANSWER✔✔- •Objectively
measureable gauge on observation of functional engagement in ADL\IADL tasks
•7 point ordinal scale for 18 items (13 motor and 5 cognitive)
•Self care, sphincter control, transfers, locomotion, communication, and social cognition
•Scale rates client's performance accounting need for assistance from another person or
device
FIM scores - CORRECT ANSWER✔✔- 7 Independent: patient is independent without
assistance or equipment required for activity in a timely manner
6 Modified independent: patient is independent with use of equipment, extra time or safety
concerns
5 Supervision: patient requires caregiver to provide observation during completion of task,
but no hands on
4 Minimal assistance: patient requires 25% assistance for the stated activity
3 Moderate assistance: patient requires 50% assistance from caregiver
2 Maximal assistance: Patient requires 75% assistance from caregiver.
1 Dependent: Patient is not able to provide more than 24% assistance for stated activity.
*fxn levels
GG Scores - CORRECT ANSWER✔✔- These items are scored on a 6 point scale from
independent to dependent.
6. Independent—Patient completes the activity by himself/herself with no assistance
5. Setup or cleanup assistance—Helper SETS UP or CLEANS UP; patient completes activity.
4. Supervision or touching assistance—Helper provides VERBAL CUES or
TOUCHING/STEADYING and/or CONTACT GUARD ASSISTANCE as patient completes
activity.
3. Partial/moderate assistance—Helper does LESS THAN HALF the effort.
2. Substantial/maximal assistance—Helper does MORE THAN HALF the effort.
1. Dependent—Helper does ALL of the effort.
, functional assessment of motor and process skills (AMPS) - CORRECT ANSWER✔✔-
•Motor and process skills and their effect on the ability of an individual to perform complex
or instrumental and personal activities of daily living (ADL).
•Rate effort, efficiency, safety and independence in 16 motor and 20 process skill items
•Motor = reaches, stabilizes, transports...
•Process = sequences, initiates, adjusts...
•These are noted during a functional task and represent underlying attention, conceptual,
organizational, and adaptive capacity of clients
*TRAINING REQUIRED
AMPS - CORRECT ANSWER✔✔- •30-40 minutes
•Tools = AMPS software and common ADL items
•Rated on 4 part scale for both motor and process skills
1=deficit
2=ineffective
3=questionable
4=competent
•Entered into software to produce final score
Kohlman Evaluation of Living Skills (KELS) - CORRECT ANSWER✔✔- •A living skills
evaluation that includes ratings of 17 tasks (ie: safety awareness, money management, phone
book use, and money/bill management)
•Standardized for clients with mental health issues (18+)
•Addresses need to predict client's ability to live independently 20-30 minutes to administer
Assesses 17 living skills under five areas:
1.Self care
2.Self management
3.Money management
4.Transportation and telephone
5.Work and leisure
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