Practicum For Level II Fieldwork

Question 1

What are 4 signs of dizziness?

Answer 1

1. Change in color
2. Blood pressure drop
3. Profuse sweating
4. Change in feeling (lightheaded)

Question 2

What are 6 modifications you could make to an environment to prevent falling in an elderly patient?

Answer 2

1. Remove scattered rugs
2. Install grab bars
3. Use night light
4. Remove clutter
5. Place rubber mat in tub/bathroom floor
6. Install rails

Question 3

Adaptations for a person with limited ROM in elbows/shoulder and arthritis in hands/fingers:

Answer 3

1. All appliances on the counter
2. Ergonomically kitchen tools (rocker knife, slicer)
3. Electric can opener
4. Prechopped foods
5. Lighter pots and pans

Question 4

Name a symptom of schizophrenia

Answer 4

Hallucinations

Question 5

Name a symptom of Bipolar Disorder

Answer 5

Irritability

Question 6

Name symptom of major depression

Answer 6

Social isolation

Question 7

Name a symptom of OCD

Answer 7

Anxiety

Question 8

Name a symptom of ADHD

Answer 8

Short attention span

Question 9

Name a symptom of antisocial personality disorder

Answer 9

Impulsivity

Question 10

a test that measures the maximal contraction of a muscle or muscle group

Answer 10

Manual Muscle Test

Question 11

no evidence or contractility

Answer 11

Grade is a 0

Question 12

Manual Muscle Testing: Shoulder Flexion

Answer 12

• Have pt seated
• Pt arm in 90 degrees
• Stabilize shoulder with one hand
• Push down on humerus providing resistance

Question 13

Manual Muscle Testing: Shoulder Extension

Answer 13

*

Question 14

evidence of slight contractility. No joint motion

Answer 14

Grade 1 (Trace)

Question 15

complete ROM with gravity eliminated

Answer 15

Grade 2 (Poor)

Question 16

complete ROM against gravity

Answer 16

Grade 3 (Fair)

Question 17

complete ROM against gravity and some resistance

Answer 17

Grade 4 (Good)

Question 18

complete ROM against gravity with full resistance

Answer 18

Grade 5 (Normal)

Question 19

spasm or severe spasm

Answer 19

S or SS

Question 20

contracture or severe contracture

Answer 20

C or CC

Question 21

What are some strengthening activities a C7 paraplegic can do to strengthen their upper extremities?

Answer 21

• Free weights (Bicep Curls)
• Resistance bands
• Exercise machines
• Wall Pulley
• Wall weight bar arc

Question 22

something significant the client says about his or her treatment or condition

Answer 22

“Subjective” in a SOAP note

Question 23

• begin this section with the length of the session, where the client was seen, and for what purpose.
• summarize what was observed
• specify part needing assistance
• focus on the clients response rather than what you did
• Avoid judging the client

Answer 23

“Objective” in a SOAP note

Question 24

• Look at the date in your “S” and “O” sentence by sentence, identifying problems, progress, and rehab potential (Uderlying Limiting Factor, Functional Impact, Ability to Engage in Occupation)
• Do not introduce no new info
• End the”A” with “client will benefit from…”

Answer 24

“Assessment” in a SOAP note

Question 25

* Specify the frequency, duration of treatment, and specific OT interventions that will be implemented * Identify the performance skills and occupations that will be addressed during that time

Answer 25

"Plan" in a SOAP note

Question 26

Identify 3 activities appropriate for a Task Group:

Answer 26

1. First aid/safety 2. Transportation 3. Money management

Question 27

Identify 3 activities appropriate for a Independent Living Skills Group:

Answer 27

1. Card making 2. Beading 3. Sun catchers

Question 28

How would you adapt a paper/pencil task if the patient cannot read?

Answer 28

Have someone read to him/her

Question 29

How would you adapt a paper/pencil task if the patient has difficulty sitting still?

Answer 29

1. Standing 2. Breaks 3. Simple tasks

Question 30

How would you adapt a paper/pencil task if the patient is impulsive?

Answer 30

1

Question 31

How would you adapt a paper/pencil task if the patient has difficulty attending to the task?

Answer 31

remove distractions, quiet room

Question 32

How would you adapt a paper/pencil task if the patient is not motivated?

Answer 32

reward the patient

Question 33

How many beats per minute is the resting heart rate for an adult (pulse)?

Answer 33

60-100 beats per minute (BPM)

Question 34

How do you check a persons pulse rate?

Answer 34

* Using the middle and index fingers place them inside the wrist on the radial lightly * Move fingers around until you feel pulse sensation * Count for 1 minute

Question 35

How do you check a persons respiration?

Answer 35

* after recording the pulse keep hands placed on the wrist | * Count for 1 minute how many times the chest rise and fall

Question 36

How do you check a persons blood pressure?

Answer 36

* Place right arm on the table * Locate the pulse on the brachial artery * Put the cuff around the arm * Place stethoscope on the pulse * Pump cuff up to 200 on the meter * Twist left to release air slowly * Listen for the first and second thump

Question 37

How many breaths per minute do a person supposed to take in 1 minute?

Answer 37

12-20