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OTD 423 Exam 2 Questions with Verified Answers
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Jimmo vs Sebelius - Answer-Settlement stipulates that skilled services to maintain an individual's condition or prevent or slow their decline are covered by Medicare and that the so-called "improvement standard" that Medicare has been employing is illegal Four stages of self-management - Answer-...

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  • October 17, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • otd 423 exam 2 questions with verified answers
  • jimmo vs sebelius answer settlement stipulates t

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OTD 423 Exam 2 Questions with Verified
Answers
Jimmo vs Sebelius - Answer-Settlement stipulates that skilled services to maintain an
individual's condition or prevent or slow their decline are covered by Medicare and that
the so-called "improvement standard" that Medicare has been employing is illegal

Four stages of self-management - Answer-Motivational interviews
Activation
Problem-solving
Action planning

Motivational interviews - Answer--patient-centered approach for fostering motivation and
assisting patients to resolve ambivalence about change
-open-ended questions
-reflective listening: express empathy, roll with resistance, support self-efficacy
-goal setting

Activation - Answer--determine that the elder is motivated and confidence to address
self-management of chronic conditions
-two ways: observe behavior or apply self-efficacy assessments
-example: elder follows through with suggested joint protection techniques

Problem-solving - Answer--figuring out with the elder using a client-centered approach
what works with effectively manage the chronic condition
-example: elder ID that post reminders helps

Action planning - Answer--way the patient demonstrates health-management ownership
-done through application of self-efficacy scales in which the client self-rates important
of change and confidence to change (like COPM)
-example: elder lists several areas to manage including joint protection, fall prevention,
and medications on a self-efficacy scale. rates the important and confidence to manage
behaviors on 10 point scale

Chronic condition - Answer-Non-communicable disease (NCDs) are not passed from
person to person; they are of long duration and generally slow progression
-most common cause is chronic disease (heart disease and cancer account for most
common cause of deaths)

Palliative care - Answer-utilized while the patient is receiving active treatment, goals are
to provide pain relief and symptom management while offering support systems to
client/families and integrating psychological and spiritual aspects of care

, Hospice care - Answer-end of life care, delivered a multi-disciplinary team, which
focuses on QOL and surrounds patient and family with care and support they need;
should be patient-centered and patient driven; cannot be utilized if patient is receiving
active treatment

OT practice in hospice - Answer--maintaining independence
-adaptation and compensation
-family and caregiver education
-psychosocial
-safety
-pain management
-QOL

Urge incontinence - Answer--inability to hold urine for time enough to get to the
bathroom
-leaks urine unexpectedly
-key in lock syndrome
-occurs when one drinks even a small amount of liquid, or when one hears or touches
running water
-goes to bathroom very often; for example, every two hours during day and night
-caused by detrusor muscle contracting too often

Stress incontinence - Answer--prevalent among women
-occurs when sneezing, coughing, laughing
-occurs when exercising
-caused by weakened pelvic floor musculature from childbirth

Overflow incontinence - Answer--person feels that he/she never completely empties
bladder
-passes urine without feeling urge to go
-spend a long time at the toilet, but produce only a weak, dribbling stream of urine
-cause: obstruction, weak detrusor muscles

Mixed incontinence - Answer--combination of urge and stress incontinence
-very common

Functional incontinence - Answer--cognitive, behavioral, communication, or mobility
issues contribute to inability to reach toilet in a timely manner

Age-related changes and incontinence - Answer--decreased mobility
-small bladder capacity
-more urine output at night
-weakened muscles
-medication
-bad toileting habits

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