Neurological Rehabilitation Flashcards
7 cards from real OTA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Neurological Rehabilitation flashcards as text
A client with left hemisphere stroke demonstrates difficulty understanding spoken language but can speak fluently with jargon. Which type of aphasia is this?
Answer: Wernicke's aphasia
Wernicke's aphasia results from damage to the left posterior temporal lobe, causing fluent but meaningless speech and impaired comprehension.
When positioning a client with hemiplegia in supine, the OTA should place the affected upper extremity in which position to prevent contracture?
Answer: Shoulder abduction, elbow extension, wrist neutral
The affected arm should be positioned in shoulder abduction, elbow extension, and wrist neutral to counteract the typical spastic pattern and prevent contractures.
Which standardized assessment tool is most appropriate for measuring functional independence in a client following traumatic brain injury (TBI)?
Answer: Functional Independence Measure (FIM)
The FIM measures independence in ADLs and cognition across 18 items, making it the standard tool for tracking functional recovery after TBI.
A client with Parkinson's disease is having difficulty initiating gait. Which compensatory strategy is MOST effective for improving gait initiation?
Answer: Visual cues such as floor tape lines
Visual cues such as floor tape lines help bypass the basal ganglia dysfunction in Parkinson's disease and trigger gait initiation through an alternate neural pathway.
A client with C6 spinal cord injury (SCI) retains which key function that is important for occupational therapy interventions?
Answer: Active wrist extension
Individuals with C6 SCI retain active wrist extension (extensor carpi radialis), which enables tenodesis grasp and supports many adaptive functional tasks.
Which stage on the Rancho Los Amigos Levels of Cognitive Functioning scale is characterized by agitation, confusion, and inappropriate behavior?
Answer: Level IV - Confused/Agitated
Level IV (Confused/Agitated) is marked by heightened state of activity, bizarre and non-purposeful behavior, agitation, and inability to cooperate with treatment.
An OTA is working with a client who has multiple sclerosis and reports severe fatigue by mid-afternoon. Which energy conservation strategy is MOST appropriate?
Answer: Schedule the most demanding activities in the morning
Scheduling demanding activities in the morning, when energy levels are highest, is a key energy conservation strategy for clients with MS-related fatigue.