OTA Geriatric OT 3

Question 1

A client with age-related macular degeneration wants to continue reading. Which low-vision strategy should the OTA recommend?

Accepted Answer

Teach eccentric viewing using peripheral vision

Answer

Reduce lighting to prevent eye strain

Answer

Advise the client to stop reading to protect remaining vision

Answer

Cover one eye while reading

Question 2

Which precaution is MOST important when providing therapeutic exercise to an older adult with osteoporosis?

Accepted Answer

Avoid high-impact activities and end-range spinal flexion

Answer

Avoid all weight-bearing activities

Answer

Limit sessions to 5 minutes to prevent fatigue

Answer

Focus exclusively on passive range of motion

Question 3

During a home visit, an OTA observes an older adult with multiple bruises in various healing stages and poor hygiene inconsistent with the client's history. The OTA should:

Accepted Answer

Document findings and report suspected elder abuse to the supervising OT and appropriate authority

Answer

Assume the bruises are from the client's frequent falls

Answer

Discuss suspicions directly with the family caregiver

Answer

Wait to see if further signs appear before reporting

Question 4

A 78-year-old client complains of fatigue during morning self-care. To apply energy conservation principles, the OTA should teach the client to:

Accepted Answer

Perform high-effort tasks after a period of rest

Answer

Complete all tasks as quickly as possible

Answer

Eliminate all unnecessary ADL tasks

Answer

Exercise intensely to build endurance

Question 5

Which type of transfer is SAFEST for an elderly client who has right-sided weakness and is moving from bed to wheelchair?

Accepted Answer

Position the wheelchair on the client's left (stronger) side

Answer

Position the wheelchair on the client's right side

Answer

Have the client perform a stand-pivot transfer alone

Answer

Use a Hoyer lift for every transfer regardless of ability

Question 6

An OTA is providing dysphagia intervention for an older adult with thickened liquids ordered. The client refuses thickened beverages. The FIRST action is to:

Accepted Answer

Document the refusal and notify the supervising OT

Answer

Allow the client thin liquids since they prefer them

Answer

Discontinue dysphagia precautions from the plan

Answer

Contact the physician to change the diet order

Question 7

The term 'sundowning' in geriatric OT practice refers to:

Accepted Answer

Increased confusion and agitation in dementia clients during late afternoon or evening

Answer

A phenomenon where elderly clients sleep excessively during the day

Answer

Decreased appetite in the evening hours

Answer

Visual hallucinations caused by low lighting