OTA Neurological Rehabilitation 3

Question 1

A client post-stroke demonstrates the ability to follow simple one-step commands but cannot follow complex two-step commands. During OT sessions, the OTA should:

Accepted Answer

Break tasks into single-step instructions and demonstrate each step

Answer

Use complex verbal instructions to challenge the client

Answer

Provide all instructions in writing

Answer

Discontinue verbal instructions and use hand-over-hand guidance only

Question 2

Which precaution is MOST important for the OTA to follow when treating a client with autonomic dysreflexia risk following a T6 spinal cord injury?

Accepted Answer

Monitoring for sudden onset of high blood pressure, sweating, and headache

Answer

Avoiding all active exercise

Answer

Limiting sessions to under 10 minutes

Answer

Keeping the room temperature above 80°F

Question 3

An OTA is training a client with Parkinson's disease in the LSVT BIG approach. This intervention specifically targets:

Accepted Answer

Large-amplitude limb and body movements to counteract bradykinesia

Answer

Cognitive retraining and memory strategies

Answer

Relaxation techniques to reduce tremor

Answer

Compensatory strategies for fall prevention only

Question 4

A client with MS is experiencing heat sensitivity (Uhthoff's phenomenon) during therapy. The OTA should:

Accepted Answer

Schedule sessions in a cool environment and use cooling strategies

Answer

Increase exercise intensity to build heat tolerance

Answer

Discontinue OT services until remission

Answer

Encourage hot baths prior to therapy to warm up muscles

Question 5

When conducting a home evaluation for a client with TBI who has impaired safety awareness, which modification is the HIGHEST priority?

Accepted Answer

Removing stove knobs and securing hazardous items

Answer

Installing grab bars in the bathroom

Answer

Widening doorways for wheelchair access

Answer

Installing a ramp at the front entrance

Question 6

A client with stroke is demonstrating pusher syndrome. Which intervention is MOST appropriate?

Accepted Answer

Provide verbal and visual feedback to promote upright midline orientation

Answer

Encourage the client to lean further toward the affected side

Answer

Strengthen the unaffected side to counteract the push

Answer

Use a reclining wheelchair to accommodate the lateral lean

Question 7

Which is the MOST appropriate role for an OTA when treating a client with a newly diagnosed neurological condition such as ALS?

Accepted Answer

Implement treatment under the OT's supervision and contribute to ongoing reassessment

Answer

Independently establish the long-term treatment plan and prognosis

Answer

Refer the client directly to a neurologist without consulting the supervising OT

Answer

Discontinue OT services since ALS is progressive and not rehabilitable