Chapter.4 Health Promotion and Wellness Test Bank

Chapter 4: Health Promotion and Wellness

Multiple Choice

1. An OTA is working with a client during a treatment session. The client has recently experienced a CVA and is concerned about his new life roles as they relate to his previous roles. The client is often tearful during the treatment sessions and other times presents with a flat affect. What should the OTA document regarding the behaviors the client is exhibiting?

A. Client sometimes tearful and sometimes expressing a flat affect.

B. Client shows a lack of adjustment to new roles.

C. Client is expressing anger related to lack of motor skills.

D. Client is depressed due to loss of roles.

OBJ: 4.1

2. A 35-year-old client has experienced a motor vehicle accident and is now at home after spending several weeks in inpatient rehabilitation. Upon review of the client’s chart, the home health OTA discovers that the client has been deemed unable to drive by the physician, due to issues with visual perception and impulsivity. The client states that she is feeling depressed and isolated due to being unable to see her friends and do previous activities. What would be an appropriate intervention for the home health OTA to incorporate into treatment?

A. Introducing the client to social media to stay in contact with friends

B. Helping the client to prepare for a party at her home for friends

C. Driving the client to a restaurant to have dinner with friends

D. Starting an online blog about her experiences

OBJ: 4.1

3. During a team meeting, it is brought up that an elderly client has submitted several medical forms that were only partially completed. The OTA suspects that the client has a low level of health literacy. What is the best way for the OTA to begin intervention with this client?

A. Ask the client about his confidence in filling out medical forms.

B. Request that the client fill out the medical forms with the OTA.

C. Provide a template for the client to use when filling out medical forms.

D. Ask the client to have a family member or friend complete the forms.

OBJ: 4.2

4. During a treatment session in an outpatient clinic, an OT practitioner is working to ensure that all of her clients understand their intervention plans and home programs through the use of the teach-back method. Why does this method contribute to client health literacy and improved therapy?

A. The client is more likely to carry out therapy when participating in a shame-free environment.

B. When the client is given opportunities to ask questions during the treatment session for clarification, the client has better outcomes.

C. When the client repeats back the directions in his or her own words, it demonstrates comprehension.

D. The client is likely to need fewer visits for OT services.

OBJ: 4.2

5. A 25-year-old soldier is participating in OT services after the loss of multiple limbs in combat. The soldier is currently in a military inpatient rehabilitation facility, where he has spent the past month. The soldier is depressed and is not interested in doing any interventions in therapy or activities in the hospital. What would the OTA suspect is interfering with the soldier’s progress?

A. Occupational marginalization

B. Occupational imbalance

C. Occupational deprivation

D. Occupational injustice

OBJ: 4.3

6. An OTA is working with a 34-year-old adult who has just experienced a complete C6 spinal cord injury. When talking about plans regarding her “new body,” she states that she will stay at home and collect a check because no one will hire an individual in a wheelchair, despite her history as a successful attorney. What would this adult most likely be experiencing?

a. Occupational deprivation

b. Occupational marginalization

c. Occupational alienation

d. Occupational imbalance

OBJ: 4.3

7. An OT practitioner is working with a design firm to assist with the plans for a new conference center and hotel in her city. What is the best use of universal design for this project?

A. Self-opening doors at each entrance of the conference center and hotel

B. ADA accommodation packages available for those with disabilities

C. Lifts to lower clients who utilize wheelchairs into the hotel pool

D. Two different heights of reception desks, one accessible to wheelchairs and one of regular height

OBJ: 4.4

8. A group of well elderly adults participates in a walking group that meets twice weekly. Together they are tracking their results, and at the end, they plan to have a celebration when they reach their goal. This group reports feeling motivated toward this goal, and each week, the group members have been walking for increased amounts of time. What benefit is this group most likely experiencing?

A. Socialization during retirement years

B. Exercise in preparation for attendance at a gym

C. Development of a weekly habit and routine

D. Motivation through meaningful physical activity

OBJ: 4.4

9. An OTA is working with a client with a recent spinal cord injury in an inpatient rehabilitation setting. The OTA is currently working on forming a therapeutic relationship with the client and restructuring ADLs to help the client to adapt to her new self. What psychosocial phase would the client most likely be experiencing during this portion of her treatment?

A. Acceptance

B. Stabilization

C. Resolution

D. Crisis

OBJ: 4.5

10. A 68-year-old client who has sustained a TBI is complaining of feeling fatigued each day. While talking with her, the OTA realizes that the client is currently staying awake until 3:00 a.m. and wakes around 7:00 a.m. The client then takes a nap for several hours later in the day. The client also states that she enjoys heavily caffeinated sodas for the alerting features they provide. What should the OTA consider when creating interventions for this client?

A. Alternative alerting strategies

B. Healthy eating habits

C. Sensory strategies for calming

D. Sleep hygiene

OBJ: 4.5

11. An OTA demonstrates a high level of compassion satisfaction in her setting. She states that she works during the day but also makes sure that she attends yoga classes a couple of evenings a week, does needlepoint at home, and goes to a dinner club with friends once a month. How is this OTA most likely preventing compassion fatigue?

A. She has created a work–life balance.

B. Her hobbies provide a distraction.

C. She participates in self-awareness activities.

D. She remains emotionally detached from her clients.

OBJ: 4.6

12. An OT practitioner confides to a colleague that she has been feeling very depressed and irritable at work and has been turning to some maladaptive coping strategies during the evenings to help combat the high stress levels at their work setting. The colleague has also noticed that the practitioner appears to be exhausted at work and has been rather rude with several of the clients, causing them to request a different OT practitioner. What would be the best suggestion to help improve the OT practitioner’s mental health?

A. Suggest that she should find new hobbies to replace the current activities.

B. Suggest that she should seek professional help such as counseling.

C. Suggest trading clients for a less stressful caseload.

D. Suggest that she should consider a different career.

OBJ: 4.6