Ch21 Arthritic Diseases Factors, Adaptations, and Exam Prep

Chapter 21: Arthritic Diseases: Factors, Adaptations, and Treatment

Multiple Choice

1. An OTA is working with a 32-year-old who was previously a ballet dancer who danced on pointe. This individual is complaining of repeated pain in her ankle joints, especially as the day progresses. This individual would most likely be experiencing symptoms of which disorder?

a. Osteoarthritis

b. Lupus

c. Gout

d. Hairline fractures

OBJ: 21.1

2. An OTA is treating a 25-year-old female who is complaining of widespread pain in her body, especially around her joints. The OTA documents a butterfly-shaped rash on the individual’s face and skin lesions on her body. This individual would most likely be experiencing symptoms of which disorder?

a. Lupus

b. Fibromyalgia

c. Rheumatoid arthritis

d. Osteoarthritis

OBJ: 21.1

3. An OTA is working with a client diagnosed with fibromyalgia. Which activities might an OTA work on to help the client address her symptoms?

a. Splinting and work simplification

b. Rest and relaxation

c. Strengthening and active movement exercises

d. Resistive exercises and heavy work

OBJ: 21.2

4. An OTA is treating a client with osteoarthritis. Which activity might an OTA have the client do to address his symptoms?

a. Using built-up handles for kitchen utensils

b. Performing ADLs to increase fatigue management

c. Lifting weights for increased endurance

d. Learning how to use a meal-delivery service

OBJ: 21.2

5. An OTA is working with a client who has been diagnosed with fibromyalgia and is experiencing depression and lack of motivation to participate in daily activities. What should the OTA do to assist her?

a. Recommend attending a support group for coping with her condition.

b. Educate the client on the importance of full and maximal participation in daily activities.

c. Help the client to establish new roles that allow her to participate as desired.

d. Have her friends set up a “girls’ day out.”

OBJ: 21.3

6. An OTA is working with the parent of several young children who is experiencing an exacerbation of rheumatoid arthritis. The client is depressed that she is unable to bake cookies with her children. What can the OTA suggest as the best option to assist her?

a. Tell the client that she can bake cookies when she is feeling better.

b. Brainstorm ways to incorporate the children and other family members into the task.

c. Purchase store-bought cookies and allow the children to ice them.

d. Go to a cookie store and have the children pick out their favorites.

OBJ: 21.3

7. An OT practitioner is working with a client with a new diagnosis of osteoarthritis. The client is very concerned that he is experiencing difficulty with several beloved hobbies and is angry about his condition. What can the OT practitioner do to help increase client understanding and ultimately compliance with his treatment?

a. Provide a handout about osteoarthritis with precautions.

b. Talk through the task demands of the hobbies to begin to adapt and manage within the diagnosis constraints.

c. Have the client demonstrate exercises and joint conservations techniques.

d. Take an opportunity to discuss the condition, anatomy, and symptoms.

OBJ: 21.4

8. An OTA is working with a client who has rheumatoid arthritis and lives in a two-story home. Using the principles of energy conservation, what can the OTA suggest the client do to continue her role as a homemaker?

a. Have commonly used cleaning supplies and tools on both levels of the house.

b. Clean the lower level and the upper level on the same day.

c. Get all the cleaning out of the way in the morning.

d. Hire a cleaning service.

OBJ: 21.4

9. A client is experiencing an inflammation of osteoarthritis and is experiencing a lot of pain in the mornings. What can the OTA suggest to help the client prepare for his ADL routine?

a. Perform slow movements in the pain-free range while in bed before beginning tasks.

b. Have the client take a pain reliever and wait 90 minutes before beginning ADLs.

c. Fabricate a splint to position the joints in the pain-free range to be worn all day.

d. Take a hot shower first.

OBJ: 21.5

10. An OTA is educating a client on pain versus discomfort with his condition. The client enjoys being active and would like to continue his active lifestyle within the parameters of comfort with his condition. What rule should the client follow in regard to pain after a workout?

a. Discomfort is normal as long as it is not acute pain.

b. Discomfort can last for up to 2 hours post-workout.

c. Discomfort should not last longer than 60 minutes.

d. Run no more than 2 miles at a time.

OBJ: 21.5