Rehabilitation and Vocational Concepts Flashcards

A client who sustained a right-hand crush injury is right-hand dominant. The case manager should coordinate which specialist to assess potential for non-dominant hand use and adaptive techniques?

Answer: Occupational therapist

Occupational therapists specialize in adaptive techniques for ADLs and work tasks, including training in non-dominant hand use and recommending adaptive equipment.

Which pain management approach is considered an evidence-based component of interdisciplinary rehabilitation for chronic pain, addressing the psychological dimension?

Answer: Cognitive Behavioral Therapy (CBT)

CBT is a first-line, evidence-based psychological treatment for chronic pain that targets maladaptive thoughts and behaviors perpetuating pain and disability.

Which ADA concept determines whether an individual with a disability can perform the fundamental duties of a job with or without reasonable accommodation?

Answer: Qualified individual

A 'qualified individual' is someone who meets the skill, experience, and education requirements of a position and can perform its essential functions with or without reasonable accommodation.

A case manager documenting a client's 'maximum medical improvement' (MMI) means the client has:

Answer: Reached the point where further significant recovery is not expected

MMI is the point at which a medical condition has stabilized and is unlikely to substantially improve further with continued treatment, though some residual impairment may remain.

Which vocational approach involves systematically analyzing a client's prior work history to identify skills usable in less physically demanding occupations?

Answer: Transferable skills analysis (TSA)

Transferable skills analysis (TSA) reviews occupational history to identify skills, aptitudes, and knowledge applicable to other occupations that accommodate the client's new functional limitations.

An employer states that providing a sign language interpreter for a deaf employee would cost $80,000 annually and would threaten the company's financial viability. Under the ADA, this may qualify as:

Answer: An undue hardship

Undue hardship means an accommodation would require significant difficulty or expense relative to the employer's size, resources, and the nature of the operation.

Which outcome measure tracks the percentage of vocational rehabilitation clients who achieve competitive integrated employment, serving as the primary federal performance indicator for state VR programs?

Answer: Successful case closure rate (Status 26)

Status 26 closures — cases closed after a client achieves competitive integrated employment for at least 90 days — are the primary federal outcome measure for state VR program performance.