OTA Neurological Rehabilitation

Question 1

A client with left hemisphere stroke demonstrates difficulty understanding spoken language but can speak fluently with jargon. Which type of aphasia is this?

Accepted Answer

Wernicke's aphasia

Answer

Broca's aphasia

Answer

Global aphasia

Answer

Anomic aphasia

Question 2

When positioning a client with hemiplegia in supine, the OTA should place the affected upper extremity in which position to prevent contracture?

Accepted Answer

Shoulder abduction, elbow extension, wrist neutral

Answer

Shoulder adduction, elbow flexion, wrist flexion

Answer

Shoulder internal rotation, forearm pronation, finger flexion

Answer

Shoulder adduction, forearm supination, wrist extension

Question 3

Which standardized assessment tool is most appropriate for measuring functional independence in a client following traumatic brain injury (TBI)?

Accepted Answer

Functional Independence Measure (FIM)

Answer

Mini-Mental State Examination (MMSE)

Answer

Beck Depression Inventory (BDI)

Answer

Rancho Los Amigos Scale

Question 4

A client with Parkinson's disease is having difficulty initiating gait. Which compensatory strategy is MOST effective for improving gait initiation?

Accepted Answer

Visual cues such as floor tape lines

Answer

Verbal commands to 'walk faster'

Answer

Reducing environmental distractions

Answer

Practicing backward walking

Question 5

A client with C6 spinal cord injury (SCI) retains which key function that is important for occupational therapy interventions?

Accepted Answer

Active wrist extension

Answer

Active finger flexion and extension

Answer

Active elbow extension against gravity

Answer

Active grip strength

Question 6

Which stage on the Rancho Los Amigos Levels of Cognitive Functioning scale is characterized by agitation, confusion, and inappropriate behavior?

Accepted Answer

Level IV - Confused/Agitated

Answer

Level III - Localized Response

Answer

Level V - Confused/Inappropriate

Answer

Level VI - Confused/Appropriate

Question 7

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?

Accepted Answer

Schedule the most demanding activities in the morning

Answer

Encourage the client to push through fatigue to build endurance

Answer

Recommend eliminating all leisure activities

Answer

Suggest increasing total activity duration each day