Test Bank Chapter 27 Intervention for Sensory Impairment

Chapter 27: Intervention for Sensory Impairment

Deborah Nervik Chamberlain, PT, DPT, MHS, DHS, PCS

Dennis W. Fell, PT, MD

Multiple Choice

1. Jessie is a 3 year-old girl with autism. She gets very upset when on the swing at the playground. This can be considered an example of:

A. Gravitational insecurity

B. Hyposensitivity

C. Paresthesia

D. Tactile Defensiveness

2. The most appropriate strategy to begin treatment for Jessie’s issue would be:

A. Allowing Jessie to use other equipment on the playground and avoid the swing

B. Taking Jessie out to swing every hour for 5–10 min. until she gets used to it

C. Using predictable linear vestibular and proprioceptive input with maximum support

D. Having Jessie sit on a Sit-n-Spin^® and provide rotational vestibular input

3. Mrs. Wilson is a 72 year-old woman who recently had a stroke. In sensory testing, the therapist notices that it takes a lot of input for Mrs. Wilson to be able to register the stimulus. This would be considered:

A. Low threshold

B. High threshold

C. Sensory neglect

D. Sensory avoidance

4. Joey is a 24 year-old male who sustained a spinal cord injury (SCI) 6 months ago with motor and sensory impairment. Using your clinical judgement when helping the patient to develop realistic therapy goals and intervention, which of the following is the most appropriate intervention strategy:

A. Compensatory

B. Electrical stimulation

C. MIRE

D. Sensory retraining

5. Mr. Jones is dealing with sensory impairment due to peripheral nerve injury from long standing diabetes. Using your clinical judgement when helping the patient to develop realistic therapy goals and intervention, which of the following is the most appropriate intervention strategy:

A. Compensatory

B. Electrical stimulation (ES)

C. Monochromatic infrared photoenergy (MIRE)

D. Sensory retraining

6. Which of the following statements is true about the Wilbarger brushing program?

A. Used for hyposensitivity and is done by lightly brushing the skin with a surgical brush throughout the day.

B. Used for hyposensitivity and is done by firmly brushing the skin with a surgical brush throughout the day.

C. Used for hypersensitivity and is done by lightly brushing the skin with a surgical brush throughout the day.

D. Used for hypersensitivity and is done by firmly brushing the skin with a surgical brush throughout the day.

7. Angela has a difficult time sitting still in her preschool classroom and tends to run and purposely “crash” into things in the room. The therapist recommends a “sensory diet” for the teacher to use several times a day to help fill her sensory craving. The most appropriate activities on the diet would include:

A. Swinging on a swing before sitting for circle time

B. Playing in the rice and sand box

C. Having a timer next to her to teach her to sit longer

D. Have her do chores such as washing tables and sweeping

8. Mrs. Jones, who recently had a stroke, is experiencing sensory hypofunction. Her therapist is having her touch/manipulate objects without looking at them. This specific type of sensory intervention is working on:

A. Stereognosis

B. Proprioception

C. Paresthesia

D. Thermoreception

9. Robert has been given a Benik vest to wear by his therapist to help him deal with his sensory hypersensitivity. The theory behind why the vest may be effective is:

A. It provides warmth so he is calmer and less affected by sensory input

B. It provides proprioception so he is calmer and less affected by sensory input

C. It blocks tactile input so he is calmer and less affected by sensory input

D. It provides stability so he is calmer and less affected by sensory input

10. Madeline has been dealing with chronic pain and altered sensation for years due to her multiple sclerosis. Which of the following is the most appropriate intervention to use to treat her symptoms?

A. Percutaneous electrical nerve stimulation (PENS)

B. Alternating hot and cold immersion

C. Wilbarger brushing program

D. Weighted blanket