OTA Neurological Rehabilitation 2

Question 1

A client with right hemisphere stroke is observed eating only the food on the right side of the plate and missing items on the left. This is BEST described as:

Accepted Answer

Unilateral neglect

Answer

Hemianopia

Answer

Anosognosia

Answer

Ideomotor apraxia

Question 2

When using the Bobath/neurodevelopmental treatment (NDT) approach with a stroke client, the OTA focuses primarily on:

Accepted Answer

Inhibiting abnormal tone and facilitating normal movement patterns

Answer

Strengthening the unaffected limbs to compensate

Answer

Training the client to use adaptive equipment exclusively

Answer

Maximizing speed of task completion

Question 3

A client with ALS is losing hand function and needs to continue working on a computer. Which adaptive technology should the OTA recommend FIRST?

Accepted Answer

Voice recognition software

Answer

Power wheelchair with head control

Answer

Electric page turner

Answer

Environmental control unit

Question 4

Which intervention is MOST appropriate for a client in the acute phase following spinal cord injury to prevent respiratory complications?

Accepted Answer

Assisted cough techniques and deep breathing exercises

Answer

Aggressive upper extremity strengthening

Answer

Splinting the upper extremities in functional position

Answer

Progressive ambulation training

Question 5

The OTA notices a client with TBI has difficulty sequencing steps to make a sandwich despite having no motor deficits. This is MOST likely an example of:

Accepted Answer

Ideational apraxia

Answer

Ideomotor apraxia

Answer

Limb-kinetic apraxia

Answer

Constructional apraxia

Question 6

A client with Guillain-Barré syndrome is in the recovery phase. OT intervention should prioritize:

Accepted Answer

Graded activity and energy conservation as strength returns

Answer

High-resistance strengthening to rebuild muscle bulk

Answer

Splinting all extremities in full extension

Answer

Avoiding all activity until full recovery

Question 7

When working with a client with a C4 spinal cord injury, the OTA's goal for independence in ADLs should focus on:

Accepted Answer

Using technology such as mouth sticks and voice-activated controls

Answer

Independent feeding using adaptive utensils

Answer

Independent wheelchair propulsion with hand rims

Answer

Independent transfers with a sliding board