Test Bank Answers Chapter.17 Assistive Tech Mobility - Effgen - Pediatric Physical Therapy 3e - Test Bank by Susan K. Effgen. DOCX document preview.
Chapter 17. Assistive Technology: Positioning, Mobility, and Other Technologies
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Evaluation for assistive technology:
a. | is not considered to be a critical part of the acquisition process. |
b. | results in device selection based on the child’s abilities, needs, and environments. |
c. | can be conducted by any team member who knows the child, regardless of their knowledge and expertise in assistive technology. |
d. | should only be conducted by professionals in a rehabilitation hospital setting. |
____ 2. Planar seating systems are most appropriate for a child with:
a. | moderate postural problems or flexible postural asymmetries. |
b. | mild postural problems, symmetrical posture, and no structural deformities. |
c. | fixed structural deformities. |
d. | severe postural problems resulting in asymmetrical posture. |
____ 3. During a physical examination for a seating system, physical therapists should begin by examining the child’s:
a. | pelvic position. |
b. | hip range of motion. |
c. | trunk position. |
d. | knee range of motion. |
____ 4. Ian uses a Quickie manual wheelchair with a planar seat cushion. He extends out of his seating system and pushes against the abductor (medial thigh) support. His mom says that Ian will not stay back in the seat even with the seat belt appropriately positioned and snug. The most likely cause of Ian’s positioning problem is:
a. | the abductor (medial thigh) support/pommel is not working effectively and should be tighter and more secure. |
b. | the lateral trunk support is not adequately supporting his trunk and pelvis. |
c. | the seat cushion is not providing sufficient contour or firmness to give the best posterior support for his pelvis. |
d. | the anterior trunk support is not adequately supporting his trunk and pelvis. |
____ 5. You are examining a 12-year-old with fixed deformities at the pelvis, trunk, and hips for a seating system. Which of the following supports would be most appropriate?
a. | Firm, planar seat and custom contoured back support. |
b. | Custom contoured seat and sling back support with knee blocks. |
c. | Custom contoured seat and detachable lateral trunk supports on a planar back. |
d. | Custom contoured seat and back support. |
e. | Supine wedge for bed positioning, as the child should not be up in a wheelchair. |
____ 6. Assistive technology involves:
a. | the assistive technology device only. |
b. | the services necessary to obtain assistive technology devices only. |
c. | the assistive technology device and services. |
d. | the assistive technology device and the acquisition of the device. |
____ 7. The use of power mobility should be considered:
a. | as a last resort when all other forms of mobility have been tried and are unsuccessful. |
b. | for children older than the age of 5. |
c. | for children who score at an age-appropriate level on a cognitive test. |
d. | for children with mobility limitations that result in activity limitations and participation restrictions. |
____ 8. You are evaluating a child with myelodysplasia (spina bifida) whose lesion is at L1–2. His parents are concerned that he cannot keep up with his peers, even though he can walk with support of orthoses and forearm crutches. Your recommendation for mobility would include:
a. | continuing use of orthoses and forearm crutches in all environments so that he does not lose any additional abilities. |
b. | continued use of orthoses and forearm crutches indoors and a manual wheelchair that he can propel outdoors or over longer distances. |
c. | discontinuing use of orthoses and forearm crutches and using a manual wheelchair in all environments. |
d. | discontinuing use of orthoses and forearm crutches, using a manual wheelchair indoors, and using a power wheelchair outdoors. |
Kevin is a 17-year-old with athetoid cerebral palsy. Kevin participates in many aspects of his school day in a typical classroom with his peers, but he goes to a special education resource room for tutoring. For the past 5 years, he has been using a manual wheelchair with a sling seat and back that belonged to his deceased grandmother. The footrests have been removed. He frequently complains of back pain and has to be repositioned in his wheelchair because he slides out. His body often leans over the left armrest of his wheelchair. He is dependent on others to push his wheelchair to all activities at school, though he can move backward using his feet and his extensor tone. He has a gait trainer that he uses on occasion to move through the halls, but he is often late for class because his cadence in the gait trainer is slow. Kevin is nonverbal, but he uses his eyes and hand to answer “yes” and “no” questions. His scores on IQ tests are in the low 80s. The school team is asking for your input regarding assistive technology that might assist Kevin to achieve his educational goals. His primary goals include (1) easier and faster movement on his own, (2) making money, (3) dating, and (4) going to college to become a history teacher.
____ 9. Which of the following positioning (seating) changes would be your best recommendation for Kevin using his current mobility base?
a. | Keep the sling seat, but provide a planar back with lateral trunk supports. |
b. | Keep the sling back, but provide a planar seat and swing-away lateral trunk supports. |
c. | Provide a firm, possibly contoured, seat and back with pelvic positioning belt and footrests. |
d. | Leave the sling seat and back and provide a pelvic positioning belt and footrests. |
e. | Provide a recline (open seat-to-back angle) feature to allow for pressure relief throughout the day. |
____ 10. For best results regarding pelvic stability, Kevin’s pelvic belt should be placed:
a. | across his anterior superior iliac spines. |
b. | 45 degrees to the sitting surface to stop anterior pelvic mobility. |
c. | 45 degrees to the sitting surface to stop anterior pelvic mobility. |
d. | across his chest at the level of the 6th rib to help stop the lateral lean and provide a stable base for shoulder girdle movement. |
____ 11. When providing positioning intervention for Kevin, choose the most appropriate intervention and the correct order in which you would address/provide the supports.
a. | Anterior chest panel to keep his trunk back in the chair, followed by a lumbar pad and footrests. |
b. | Firm and slightly contoured seat support, lateral supports, a padded pelvic belt, and footrests. |
c. | Lateral trunk supports to prevent left sided lean, anterior chest panel, and a contoured seat cushion with a 4-inch-high abductor pad. |
d. | Slightly contoured but firm back support, lateral trunk supports, headrest, and footrests. |
e. | Seat to back angle of 110 degrees, pelvic positioning belt, and headrest then footrests. |
____ 12. Which of the following mobility options would be most beneficial for Kevin?
a. | A manual (dependent-propelled) wheelchair that is designed to allow Kevin to push the chair with his feet. |
b. | A manual wheelchair, but have Kevin increase his walking using his gait trainer throughout the school. |
c. | Power wheelchair at school, and a manual chair and gait trainer for use at home and in his community. |
d. | Power mobility at school and at home, if his family home and transportation can accommodate the chair. Gait trainer for use in environments where time is not a factor. |
____ 13. Your professional responsibility in justifying assistive technology costs include:
a. | having the child’s family write all justifications for funding of the equipment because they know the child the best. |
b. | documenting the child’s capabilities, areas of need, and any relevant equipment trials, according to the funding source’s guidelines. |
c. | ensuring that the assessment is done in a clinical setting with pertinent team members. |
d. | writing a letter to the physician asking him or her to complete the necessary paperwork to secure funding. |
____ 14. Gloria is a 15-year-old with spinal muscular atrophy. She uses a wheelchair for mobility, which she controls using head switches. She is interested in learning to use a computer so she can apply for a job after school entering data. After completing a computer access evaluation, you determine that Gloria’s best method for typing on a computer will be to use a switch and a scanning program in conjunction with an on-screen keyboard. Gloria can use row-column scanning to select letters of the alphabet consistently. This method of access is considered:
a. | direct selection. |
b. | indirect selection. |
c. | primary selection. |
d. | secondary selection. |
____ 15. The best role of a physical therapist in an augmentative alternative communication (AAC) evaluation is to:
a. | refer the student to a speech pathologist. |
b. | help select the exact AAC device the individual needs. |
c. | determine whether sign language or use of an AAC device is appropriate. |
d. | help determine the best motor access for using an AAC device. |
____ 16. Which of the following areas are important to consider when assisting a child to use scanning to access a communication device or computer?
a. | The child’s movement capabilities |
b. | Location of the switch to be used in scanning |
c. | Type and size of switch to use |
d. | All of the above |
____ 17. Which of the following is not an aided communication system?
a. | Sign language |
b. | Dynamic display communication device |
c. | Simple picture board |
d. | Level-based communication device |
____ 18. All of the following are examples of mouse alternatives for children who cannot use a regular computer mouse except:
a. | mini-keyboards. |
b. | trackballs. |
c. | touch screens. |
d. | joysticks. |
____ 19. Environmental control units consist of which of the following components?
a. | Input device, switch, and the appliance |
b. | Output device, switch, and the appliance |
c. | Input device, control unit, and the appliance |
d. | Output device, control unit, and the switch |
____ 20. Which of the following most accurately describes a physical therapist’s role in assessing a child for assistive technology, including augmentative communication and computer access?
a. | Physical therapists are only involved in positioning and mobility assessments. |
b. | Physical therapists identify the best position to promote optimal motor control and match features of devices to the motor abilities of the child. |
c. | Physical therapists are only involved in training the child to use devices once they have been purchased. |
d. | Physical therapists identify abnormal movement patterns and design intervention strategies to promote use of those movement patterns to access the devices. |
____ 21. For a child with serious limitations in activity, play can be facilitated with which of the following technologies?
a. | Switches |
b. | Battery adaptors |
c. | Latch timers |
d. | Environmental control unites |
e. | All of the above |
____ 22. Factors associated with successful long-term use of assistive technology include all of the following except:
a. | the level of detail included in the evaluation report written by the evaluation team. |
b. | child and family satisfaction. |
c. | continued maintenance of the device. |
d. | adequate training. |
____ 23. Which of the following characteristics does not describe a simple voice output device?
a. | The device is activated by touch or by a switch. |
b. | The device can carry single or multiple messages. |
c. | The device can only store vocabulary in levels or layers. |
d. | The device is usually programmed by pushing a button and recording the message. |
____ 24. All of the following activities should routinely occur during ongoing assessment and follow-up after successful intervention with an assistive technology device except:
a. | adaptation of the device if needed. |
b. | use of formal assessment tools if needed. |
c. | measurement of impairments to see if the device had a secondary effect on impairments. |
d. | consideration of the child’s perception of changes to quality of life. |
____ 25. Which of the following types of durable medical equipment is likely to benefit a child with spastic quadriplegic cerebral palsy, GMFCS Level IV, to reduce or prevent body function/body structure impairments and improve activity and participation?
a. | Wheelchair |
b. | Stander |
c. | Gait trainer |
d. | All of the above |
e. | None of the above |
____ 26. Shailee is a young child with spastic quadriplegic CP, GMFCS Level V. Which of the following interventions will you recommend to her family to decrease her risk of hip subluxation?
a. | Stretching hip extensors |
b. | Encourage independent ambulation |
c. | Daily use of stander with hips abducted |
d. | Frequent use of ankle-foot orthotics |
True/False
Indicate whether the statement is true or false.
____ 27. Under the Technology Related Assistance Act (Tech Act) and the Individuals with Disabilities Education Improvement Act (IDEA), assistive technology includes any item, piece of equipment, or product system that is used to increase, maintain, or improve the functional capabilities of people with disabilities. These laws do not cover services to train either children or their caregivers and professionals involved in the use of that equipment.
____ 28. Children who have literacy skills below a third-grade level can benefit from a communication device that is “text-to-speech.”
____ 29. Medicaid is an example of an entitlement because when the child meets the eligibility criteria, the child is guaranteed all services covered by the program.
Chapter 17
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Effgen - Pediatric Physical Therapy 3e - Test Bank
By Susan K. Effgen