Adaptive Preventive Strategies - Nbcot Registered Occupational Therapists Otr

What is the primary aim of preventive strategies in occupational therapy practice?

Reduce risk and prevent injury, illness, or functional decline. These strategies proactively maintain health and functional abilities to support ongoing occupational participation.
Which splint is commonly used to prevent ulnar drift progression in rheumatoid arthritis?

Ulnar deviation (anti-ulnar drift) MCP support orthosis. This orthosis maintains joint alignment to counteract deforming forces in rheumatoid arthritis.
Which device is most appropriate to increase toilet transfer safety for a client with weak LE strength?

Raised toilet seat or toilet safety frame. These adaptations reduce lower extremity demands and provide stability to facilitate safe transfers.
Identify the best adaptive strategy for low vision when sorting medications at home.

Use a pill organizer with tactile/large-print labels and high contrast. Multisensory aids improve accuracy and independence in medication management for visual impairments.
Which dressing technique is recommended for doffing clothing with hemiparesis: affected arm first or last?

Affected arm last. For doffing, this approach allows easier garment removal starting with the stronger side.
What is the most appropriate one-step energy conservation strategy for bathing with COPD?

Sit to bathe using a shower chair. This method conserves energy by reducing standing demands, aiding those with respiratory limitations.
What is the best term for adding a grab bar and non-slip surface to reduce fall risk in bathing?

Safety modification. This intervention minimizes environmental hazards to promote safe engagement in bathing activities.
Which term describes modifying a task, tool, or environment to improve occupational performance?

Adaptation. In occupational therapy, this process enables clients to overcome barriers by altering elements to enhance engagement in daily activities.
What is the safest cane height guideline when the cane tip is 6 inches lateral to the foot?

Wrist crease/ulnar styloid height with elbow flexion about $20^{\circ}$ - $30^{\circ}$ . This fitting ensures optimal support, balance, and reduced upper extremity strain during ambulation.
Identify the best cognitive strategy for a client who forgets multistep meal prep tasks after TBI.

Use a written checklist or step-by-step visual recipe with prompts. Structured external aids compensate for memory deficits in multistep activities post-injury.
What is the key difference between remediation and compensation approaches?

Remediation restores capacity; compensation bypasses limits to function. Remediation focuses on rebuilding impaired skills, whereas compensation uses alternatives to achieve functional goals despite limitations.
Which breathing technique reduces dyspnea during ADLs by prolonging exhalation?

Pursed-lip breathing. This technique improves ventilation by preventing airway collapse and easing breathing during exertion.
Identify the best feeding adaptation for a client with tremor who spills liquids when drinking.

Use a lidded cup (e.g., spill-resistant) or weighted cup. These adaptations stabilize containers to minimize spillage from involuntary movements during drinking.
Identify the best fall-prevention home change for a client who trips on loose rugs in the hallway.

Remove loose rugs or secure with non-slip backing/tape. This modification eliminates or stabilizes trip hazards to enhance home safety and prevent falls.
Which environmental modification best supports wayfinding for dementia in a long hallway?

High-contrast, clearly labeled cues (e.g., pictures/signs) at key points. Visual cues enhance orientation and navigation for individuals with cognitive deficits in familiar spaces.
Which instruction best reduces aspiration risk for a client with dysphagia during meals?

Sit upright at $90^{\circ}$ for eating and remain upright after meals. This positioning leverages gravity to aid safe swallowing and minimize reflux risks.
Which concept means fitting job demands to worker abilities to reduce injury and improve performance?

Ergonomics. This field applies human factors principles to optimize work environments, preventing injuries and enhancing efficiency.
Which assistive technology is most appropriate for a client with aphasia to support communication in ADLs?

Low-tech communication board or AAC app with preset phrases. These tools enable expression of needs despite language barriers, supporting daily activity participation.
Which transfer method is most appropriate for a client with limited standing tolerance and good sitting balance?

Sliding board transfer. This non-weight-bearing method leverages sitting balance for safe horizontal transfers.
Which adaptive device is most appropriate to decrease finger flexion demand when holding utensils?

Built-up handle utensil. Enlarged grips reduce required flexion and strength, protecting arthritic or weakened joints.
Which dressing technique reduces effort for hemiparesis: affected arm first or unaffected arm first?

Affected arm first. For donning, this sequence minimizes manipulation required by the impaired side, conserving energy.
Which worksite adjustment best reduces carpal tunnel symptoms during prolonged keyboard use?

Neutral wrist posture with keyboard/mouse at elbow height and forearm support. Neutral alignment reduces median nerve compression and repetitive strain in wrist-intensive tasks.
Which joint protection principle best reduces stress on inflamed finger joints during grasp?

Use larger joints or larger handles to distribute forces. This approach minimizes strain on smaller joints by leveraging broader surfaces or stronger areas.
Which wheelchair feature best prevents posterior pelvic tilt and sliding for a client who slides forward?

Antithrust cushion (pelvic well) or contoured positioning cushion. These features promote pelvic stability and proper posture to prevent forward sliding.
Which approach prioritizes changing the environment rather than the person to support function?

Environmental modification. This method enhances accessibility by altering surroundings to match client needs without requiring personal changes.

Study these flashcards