Test Bank Answers Ch33 Stroke Critical Care Aspects

Chapter 33: Cerebrovascular Accident: Critical Aspects and Components of Care

Multiple Choice

1. An OTA is working with a client who experienced an ischemic CVA. Which of the following would have caused this type of CVA?

a. High blood sugar from diabetes

b. Blood vessel rupture due to hypertension

c. Bleeding caused by an aneurysm

d. A blockage of blood flow, often from a clot

OBJ: 33.1

2. An individual is currently hospitalized due to an embolic CVA. Which of the following would have caused this?

a. A traveling blood clot causing a blockage

b. Buildup inside a blood vessel

c. Weakened blood vessels leaking

d. A malformed blood vessel

OBJ: 33.1

3. An OTA is working with a client who experienced a blockage in the cerebellar artery, causing a CVA. What symptom will this individual most likely experience?

a. Hemianopsia

b. Balance issues

c. Aphasia

d. Dysphagia

OBJ: 33.2

4. An individual has experienced a CVA on the right side of the brain. What symptom will this individual most likely experience?

a. Bilateral motor apraxia

b. Aphasia

c. Problems with swallowing

d. Problems with moving food in the mouth

OBJ: 33.2

5. An OTA is with a client during the rehabilitative phase after a CVA affecting the left side of her brain. She is currently depressed and is working through the loss of her current roles. What can the OTA do to help promote self-worth?

a. Set realistic and achievable goals.

b. Recommend attending a support group.

c. Refer the client to a psychologist.

d. Offer frequent praise.

OBJ: 33.3

6. A client has been diagnosed with a deep vein thrombosis after a CVA. How should the OTA structure therapy in relation to this new information?

a. Continue therapy at bedside until cleared by the physician.

b. Suspend all therapy until cleared by the physician.

c. Conduct therapy when the client is not receiving medication.

d. Continue therapy as usual.

OBJ: 33.3

7. An OTA is working with a client who had a hemorrhagic CVA and is currently in the acute phase. When working with the client on ADLs, the OTA sees him pick up the call button and attempt to brush his teeth. What symptom is this client demonstrating?

a. Agraphia

b. Apraxia

c. Aphasia

d. Agnosia

OBJ: 33.4

8. An individual is experiencing Broca’s aphasia as one of her symptoms following a CVA. What should the OTA anticipate while working with this client?

a. She is able to hear directions, but she cannot understand what is said to her.

b. She can understand directions, but she cannot verbalize appropriately.

c. Her speech is garbled due to difficulty with motor control of the oral muscles.

d. Her speech is fluent, but it does not make sense.

OBJ: 33.4

9. An OTA is working with a client who is experiencing spasticity on the right side of his body after a CVA. The client would like to be more independent in his ADLs. The OTA is placing the client’s equipment on the left side of the body so that he will need to move in diagonal patterns to reach and then use it. Which treatment intervention is the OTA most likely utilizing with this client?

a. Proprioceptive neuromuscular facilitation

b. Neurodevelopmental treatment

c. Brunnstrom approach

d. Weight-bearing

OBJ: 33.5

10. An OTA is working with a client who has spasticity on the left side of her body. Following the Rood approach, which treatment intervention is the OTA going to utilize to lower/normalize the tone with this client?

a. Vibration

b. Icing

c. Slow and sustained stretch

d. Joint compression

OBJ: 33.5

11. An OTA is doing an intensive intervention with a client whose left upper extremity is impaired after a CVA. The client is meeting with the OTA daily and wearing a restraint mitt on the right hand to force him to use his left upper extremity. The client is wearing this mitt for 6 hours per day. Which intervention is the OTA utilizing with this client?

a. Weight-bearing

b. Bilateral training

c. Constraint-induced movement therapy

d. Mirror therapy

OBJ: 33.6

12. An OTA is working with a client who has experienced a CVA. The OTA shows the client a video of a person picking up coins. After watching the video, the OTA has the client pick up coins. The client will also watch this video at home as a part of her home exercise program. Which intervention is the OTA utilizing with this client?

a. Action observation

b. Mental practice

c. Mirror therapy

d. Constraint-induced movement therapy

OBJ: 33.6