Intervention Management Flashcards
7 cards from real NBCOT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Intervention Management flashcards as text
An OT is treating a client with spinal cord injury (C6 complete). Which functional outcome is MOST realistic for this level of injury?
Answer: Independent manual wheelchair propulsion and adapted ADLs using tenodesis
C6 SCI preserves wrist extension, enabling tenodesis grasp and adapted independence in manual wheelchair propulsion and many ADLs with appropriate equipment.
Which splint is indicated for a client with swan neck deformity of the finger?
Answer: Silver ring or oval-8 splint to block PIP hyperextension
A ring splint blocks PIP hyperextension while allowing PIP flexion, directly addressing the swan neck deformity pattern.
A therapist is using the Allen Cognitive Levels (ACL) to guide intervention planning. A client scoring at Level 3 would MOST likely need:
Answer: Repetitive step-by-step cuing and a highly structured, simplified environment
ACL Level 3 indicates manual actions are possible with repetition; clients require step-by-step cuing and simplified structured environments for safety.
An OT in a work hardening program is grading a client's lifting tolerance after a lumbar injury. Which principle BEST guides activity progression?
Answer: Gradually increase load, repetitions, and duration based on the client's pain and tolerance
Work hardening uses progressive grading of physical demands based on functional tolerance, following the principle of gradual loading to restore work capacity safely.
Which of the following is the BEST example of a preparatory method in the OT intervention continuum?
Answer: Hot pack application to reduce muscle stiffness before functional activity
Preparatory methods such as hot pack application prepare the client's body for functional performance but are not occupational in nature themselves.
An OT is working with a client who has schizophrenia in a supported employment program. This intervention is BEST aligned with which model?
Answer: Individual Placement and Support (IPS) model within the recovery model
The IPS model supports rapid placement in competitive employment with ongoing support, reflecting the recovery model's emphasis on community participation and client choice.
A client with rheumatoid arthritis asks about joint protection during kitchen tasks. Which principle should the OT emphasize FIRST?
Answer: Distribute weight across larger joints and avoid sustained pinch or tight grip
Joint protection principles for RA include distributing load across larger, more stable joints and avoiding sustained pinch grip to reduce stress on vulnerable small joints.