The Pediatric Client All Grown Up Test Bank Docx Ch37

Chapter 37: The Pediatric Client All Grown Up

Multiple Choice

1. An OTA is working with a client who sustained several broken bones after falling off a ladder. When talking about how this injury happened, the client stated that he wanted to get branches off his roof, but he did not take note of the current windy weather and did not make sure that the ladder was secure. During therapy, the OTA also notes impulsivity in the client’s actions. Which of the following is this client’s most likely condition?

a. Attention deficit-hyperactivity disorder

b. Autism spectrum disorder

c. Anxiety

d. Down syndrome

OBJ: 37.1

2. An OTA is working with a 26-year-old adult who has a condition that is not progressive. The OTA is working on training the client to use assistive technology due to spasticity in all four extremities and energy conservation to assist with pain. What condition does this individual most likely have?

a. Spina bifida

b. Down syndrome

c. Muscular dystrophy

d. Cerebral palsy

OBJ: 37.1

3. A student with spina bifida has graduated from high school and plans to enroll in college. The university that the student plans to attend is 90 minutes from home, which means that the student will be residing in a dorm. Which legislation provides information on accessibility options for this student when on campus?

a. Americans with Disabilities Act of 1990

b. Section 504 of Rehabilitation Act of 1973

c. Higher Education Opportunity Act of 2008

d. Individuals with Disabilities Education Improvement Act of 2004

OBJ: 37.2

4. A 21-year-old individual with Down syndrome will be aging out of school at the end of this year. The OTA is helping with transition planning for this student through the construction of transition goals. Which legislation is this OTA working under?

a. Assistive Technology Act of 2004

b. Individuals with Disabilities Education Improvement Act of 2004

c. Higher Education Opportunity Act of 2008

d. Section 504 of Rehabilitation Act of 1973

OBJ:37.2

5. An adult with autism spectrum disorder has just started a new job at the local grocery store. The manager has noticed that the individual is unable to attend to his task of bagging groceries and is instead scratching at the back of his neck throughout the day. The worker states that the tag itches and that he needs to scratch to get rid of the itching. With which of the following is this individual most likely having difficulty?

a. Self-regulation

b. Sensitization

c. Habituation

d. Sensory awareness

OBJ: 37.3

6. An OTA is working with a client diagnosed with intellectual disability. The client has been reported to have a high sensory threshold and is constantly touching items on the table and around the clinic. The OTA needs to give the client redirection to remain seated. What sensory-processing characteristic is this client most likely exhibiting?

a. Avoiding/avoiders

b. Registration/bystander

c. Sensitivity/sensor

d. Seeking/seeker

OBJ: 37.3

7. An OTA is working with a student who is getting ready to age out of high school at 21 years. The student has tried several job options and has indicated a desire to work. Who should the OTA refer the student to after he ages out of high school?

a. Home health occupational therapy

b. Vocational rehabilitation

c. Adult day services

d. The local Arc resources

OBJ: 37.4

8. An OTA is working with a group of young adults with autism who will be entering college in the fall. The students are learning social skills and how to navigate a college campus. Which skill is important to teach this population in relation to accommodations for assignments?

a. Academic preparation

b. Self-advocacy

c. Reading a syllabus

d. Role-playing

OBJ: 37.4

9. An OTA is working on sequencing with an adult with Down syndrome. The adult is getting ready to start a new job and wants to independently complete her morning routine. For which of her morning activities below would sequencing impact?

a. Dressing independently

b. Placing food in her lunch box

c. Eating breakfast

d. Setting her alarm clock

OBJ: 37.5

10. An OTA is working on grocery shopping skills and following a budget at the grocery store with an adult who has an intellectual disability. The individual has trouble with math calculations. What strategy should the OTA suggest the client use while shopping to stay within her budget?

a. Use a calculator to add up prices.

b. Only purchase predetermined items.

c. Shop with a caregiver.

d. Bring a predetermined amount of cash.

OBJ: 37.5