Brain Injury Management Verified Test Bank Ch.34 1st Edition

Chapter 34: Traumatic and Acquired Brain Injury: Management and Treatment

Multiple Choice

1. A 21-year-old adult sustained a TBI due to a car accident in which he was not wearing his seatbelt. One of his symptoms is increased intracranial pressure due to swelling of the brain. What type of injury did this individual most likely sustain?

a. Closed head injury

b. Open head injury

c. Diffuse axonal injury

d. Anoxia

OBJ: 34.1

2. An OTA is working with a client who is experiencing an ABI. Which of the following would the client most likely have experienced that caused the ABI?

a. Falling on a hard surface

b. Gunshot wound

c. Viral encephalitis

d. Concussion

OBJ: 34.1

3. An OTA is working with a client who sustained a TBI as the result of a severe blow to the head on a construction site. The OTA is showing the client pictures of his family and is using a penlight to encourage eye tracking and other sensory responses. Which Rancho level is this client most likely functioning at?

a. Level II

b. Level I

c. Level III

d. Level V

OBJ: 34.2

4. An OTA is working with a client who is currently functioning at Rancho Level IV—Confused, Agitated Response. What should the OTA work on with the client as a part of her plan of care at this level?

a. Using external cues for direction

b. Sensory stimulation and family education

c. Familiar occupations in a safe manner

d. Showing her pictures of safe and unsafe situations for correct identification

OBJ: 34.2

5. An OTA is working with a client who is currently functioning at Rancho Level VIII—Purposeful, Appropriate Response. What intervention would the OTA most likely focus on with a client at this level?

a. Physical fitness goal setting

b. Using money in a community setting

c. Utilizing a daily schedule

d. Functional math skills and banking

OBJ: 34.3

6. An OTA is working with a client utilizing hands-on activities to develop safety awareness. In addition, the OTA is working on initiating and terminating tasks and functional balance. Which Rancho level is this client most likely functioning at?

a. Level VI—Confused, Appropriate

b. Level VII—Automatic, Appropriate

c. Level VIII—Purposeful, Appropriate

d. Level IV—Confused, Agitated

OBJ: 34.3

7. The OTA is working with clients with TBI in an outpatient day program. Many of the clients have difficulty reading social cues and behaving appropriately in social situations. What are strategies the OTA could use to work on these areas?

a. Role-playing and practicing social situations

b. Allowing group members to criticize each other’s performance in social settings

c. Creating a list for more organized grocery shopping for the weekly meal

d. Pulling aside clients who are acting strangely in the group

OBJ: 34.3

8. When a client is rated using the Supervision Rating Scale, what sort of supervision needs would be in the category of full-time direct supervision?

a. Someone is in the home overnight, but there are periods when the client is alone.

b. The client lives in a setting with locked exits.

c. At least one supervision person is present at all times and checks in once an hour.

d. The client is supervised overnight and frequently during the day.

OBJ: 34.3

9. An OTA is working the family of a 24-year-old with an ABI. The client is going to be discharged to his parents’ home, and the parents are eager to help him transition. What is most important when educating the parents on their son’s care?

a. Allow the client to be as independent as possible when providing support.

b. Provide maximum assistance to the client until he feels comfortable at home.

c. Wait until the client requests assistance to help him.

d. Allow the client to drive whenever he feels ready to do so.

OBJ: 34.4

10. A 30-year-old client with a TBI has been discharged to her parents’ home for continued recovery after inpatient rehabilitation. The client does not have good insight into her condition and becomes confused in the evening when tired. The client is refusing to utilize her adaptive equipment because she believes she is independent. How should the OTA educate the parents in managing the client’s behavior and increasing cooperation?

a. Use contingency strategies to promote cooperative behavior with the parents.

b. Create a structured environment with specific responsibilities for the client.

c. Focus treatment on behavior management strategies and social skills.

d. Create a list of tasks to perform in the evening to get ready for bed to assist performance.

OBJ: 34.4