NSG 552 Exam 2 Study Guide With 300

NSG 552 Exam 2 Study Guide With 300+ Questions and Verified Correct Answers Ace Your First Attempt *Acute Care* - Correct Answer:- Apply precautions for treatment based on condition

• Describe priorities and role of OT

*Arthritis and Fibromyalgia (as covered in Rehab Presentation)* - Correct Answer:- Know the sequence of interventions especially range of motion exercise protocols for acute and chronic arthritis

• Know key joint protection/ergonomic principles. (see pages 1227) in Radomski

&Trombly Latham text for definitive description of joint protection principles, questions based on this section)

• Key parts of a treatment program for someone with fibromyalgia
• Areas of patient education for the person with fibromyalgia including principles of sleep

hygiene.

*Biomechanical* - Correct Answer:- Know the biomechanical intervention for orthopedic conditions and interventions typical of each stage such as compression for edema management.

• Know applications and precautions for using cold and heat physical agent modalities.
• Be familiar with the purpose of using the following PAMS (continuous passive motion

devices, electrotherapeutic agents, and Biofeedback).

• Methods for increasing resistance during activities; how PREs work and the difference

in activities that are for strengthening and those for muscular endurance.

*Burns* - Correct Answer:- Upper extremity splinting and positioning needs of clients based on site of burn

• OT's interventions with the burn patient in the acute stage, sub-acute stage and

rehabilitative stage.

• How would the OT be involved in preparing the client for home; what information

would a home program include?

• Patient education needs

*Cognitive rehabilitation and the person with TBI* - Correct Answer:- Identify and apply most appropriate treatment strategy based on client presentation

• Describe and apply treatment based on impairments
• Identify strategies to reduce agitation
• Please note, terminology from the teaching and learning lectures (conditions of

practice) will be used to describe interventions (i.e. forward chaining, block-practice, etc.)

*Discharge Planning * - Correct Answer:- Identify elements of the discharge planning process

• Important factors in preparing clients for the next level of care 1 / 4

• Things to consider in estimating a patient's level of rehab potential
• Kinds of information included in patient education prior to discharge.

*End of Life Interventions* - Correct Answer:- Differences in occupational therapy approach to intervention in preventative, restorative, supportive rehabilitation and palliative care; difference between palliative care and hospice care

• Occupational therapy role and interventions in the hospice setting with terminally ill

clients.

• The five stages of grief and recommended caregiver responses to clients in each of

the stages

*Hand Therapy* - Correct Answer:- Describe interventions related to hand injuries, including methods to alleviate or reduce pain.

• Describe the phases of rehabilitation and apply to cases
• Understand post-operative tendon repair goals

*Intervention for Chronic Conditions and Aging* - Correct Answer:-Key self-

management interventions for diabetes

• Activity strategies for working with rehab patients with dementia
• How to use the "spaced retrieval" technique
• Types of cues and direction giving for patients with dementia
• The difference in therapy for persons with disabilities in rehab and therapy for persons

with chronic conditions.

*Lower Extremity Conditions* - Correct Answer:- Know how to measure assistive

devices such as canes and walkers.

• Indications for using a walker, a cane, a hemi-cane or crutches.
• Know what weight bearing restrictions mean.
• Types of activities used for balance interventions.
• Precautions following hip surgery
• Transfer methods following hip surgery

- Amputation: OT goals, care of the residual limb, related interventions (e.g.

strengthening of the UE)

*Neurodegenerative Conditions: GB, MS, ALS, PD* - Correct Answer:- Describe priorities and role of OT

• Apply precautions for treatment based on disease condition
• Apply specific strategies to enhance performance
• Know guidelines for exercise and strengthening
• Understand patient education needs

*Orthotics* - Correct Answer:- Know the general categories to describe orthotics and the purpose of each type

• Recommend orthotics for painful joints, tissue protection and immobilize for healing
• Understand principle of splinting fewest joints possible
• Describe appropriate angle of pull (90 degree) and rationale 2 / 4

• Understand principles related to materials, fit, and safety

*Rehabilitative Frame of Reference* - Correct Answer:- Be able to identify the

difference between the interventions used in the biomechanical approach and those use in the rehabilitative approach

• Know rehabilitative strategies to compensate for weakness, incoordination, loss of

range of motion and other specific problem areas discussed in the lecture.

• Principles of good body mechanics for people with low back problems and work

simplification strategies (see body mechanics handout from lab).

• Assumptions of the rehab frame of reference.

*Sensory Interventions* - Correct Answer:- Identify conditions associated with sensory loss/impairments

• Describe and apply approaches used to address sensory impairments
• Describe OT interventions to address sensory loss
• Describe and apply sensory re-education/ desensitization interventions

*Spinal cord Injury* - Correct Answer:-Goal areas based on SCI level (use SCI dance to learn key muscle groups)

• Strengthening needs based on SCI level
• Cause, signs and symptoms and management of autonomic dysreflexia and

orthostatic hypotension

• OT roles in bowel and bladder management
• Patient education needs
• Skin management strategies
• Causes of UE pain.
• Recommendations for task adaptations based on knowledge of movement patterns

that cause pain

*Stroke* - Correct Answer:-Describe key features of stroke frames of reference

• PNF
• NDT
• Rood
• Brunnstrumm

-Describe priorities and precautions based on setting and person -Apply intervention strategies

• Hemi dressing techniques
• Positioning and handling
• Task specific training
• CIMT
• Bimanual task training
• Mirror Therapy
• Mental Practice
• Strategies for normalizing tone/facilitating muscle activation
• Hemiplegic Shoulder pain 3 / 4

*Vision and Visual-Perceptual interventions * - Correct Answer:- Interventions for remediation of double vision, eye range of motion, visual pursuits, saccadic activities, and homonymous hemianopia, figure-ground

• Remedial and compensatory methods of intervention for unilateral neglect including

use of visual anchors, limb activation and somatosensory techniques, the Lighthouse strategy and other methods of visual scanning training.

• Strategies to improve function when there is a visuospatial problem in perception and

different kinds of activities for developing visuospatial skills.

• Retraining strategies for a client with apraxia: chaining, errorless learning and other

strategies that can be used to help improve task performance

5 principles for neurorehabilitaiton - Correct Answer:1. Active Participation

• Just right challenge (motivating and rewarding)
• Multiple repetitions
• Practice structured for learning
• Focus on paresis not spasticity (Spasticity is thru strengthening and is temporary so

paresis)

Absent Sensation Interventions: - Correct Answer:-Protection (pressure, shear, trauma) -Positioning (in and out of bed) -Weight shifting (laterally, forward, push up, tilt back) -Choices (clothing, activities, lifestyle) -Adaptive equipment (bathroom commode and shower chair)

Activity strategies for working with rehab patients with dementia - Correct Answer:- Enhanced communication during therapy sessions (eye contact and greet the person)

• Eliminate external distractions
• Use short sentences
• Avoid complex grammar and pronouns
• Repeat and/or rephrase the message as necessary
• Changing or removing cues

Acute Interventions for Stroke - Correct Answer:-maintaining ROM

-positioning/splinting, PROM/AROM -Early Mobilization Protocols -bed mobility, sitting on edge of bed, progress to grooming and other ADL's *-family education* *-staff education* -protection of hemi U

Amputation: Care of Residual Limb - Correct Answer:-skin inspection for skin breakdown -after wound healing, limb is washed with warm water and dried with a towel -NO lotion to prevent softening of limb and skin breakdown -Soft towel because regular towel might be harsh on skin

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