SCI Dysfunction on Occupational Performance

What is the MOST effective way for an OT to support client-centered goal setting in early stages of SCI rehabilitation?

A client with SCI is experiencing increased tone, spasms, and reflexive movement. What is this most likely a result of?

A pt with C4 complete SCI is being d/c'ed home. What is the most appropriate primary focus of home health OT services?

Which spinal nerves innervate bowel and bladder function?

Which strategy is MOST effective for addressing orthostatic hypotension in a pt with SCI during wheelchair transfers?

Q2. The client struggles with feeding d/t lack of finger function. What is the MOST appropriate assistive device?

Q2. What intervention MOST supports the prevention of further skin breakdown?

A client with SCI is developing a pressure injury on the ischial tuberosity. What OT action is most appropriate?

Q3. Which of the following IADLs would most likely remain independent with minimal adaptation?

Which of the following is most likely to trigger autonomic dysreflexia in a person with a T4 SCI?

Q1. What is the MOST appropriate first step in your evaluation?

Q3. What is the BEST positioning goal for the initial phase of recovery?

Which SCI results in loss of motor function & pain/temperature sensation while preserving light touch & proprioception?

Which of the following symptoms is associated with a lower motor neuron (LMN) injury?

A client has an SCI at C7. Which function would most likely be intact?

What assessment tool is commonly used to classify the degree of impairment in SCI?

Q2. What is the MOST appropriate assistive device for communication?

Q4. Which environmental barriers MOST affects her ability to participate in tasks? Select all that apply.

In context of OTPF-4, which OT domain is MOST impacted in a pt w/complete T4 SCI experiencing bowel incontinence?

In a client with UMN injury, which type of bowel function is expected?

A client with a C5 SCI is learning feeding techniques. Which adaptation would be MOST beneficial?

Q4. What adaptive equipment would BEST support toileting independence in this setting?

Which OT intervention is MOST appropriate during spinal shock following SCI?

Q1. What is the OT's PRIMARY concern during treatment planning?

A newly admitted rehab pt w/T12 SCI reports anxiety about returning to parenting roles. What is the OT's FIRST action?

Q1. What is the MOST appropriate initial evaluation to assess occupational performance?

What OT strategy can reduce the frequency of spasticity episodes in SCI clients?

A client with a T6 SCI reports difficulty regulating body temperature. What education should the OT provide?

In an acute care setting, pt w/a new T1 SCI is experiencing dizziness & pallor when sitting. What is first OT action?

Q3. The client expresses feelings of uselessness and isolation. What is the MOST appropriate OT approach?

An outpatient OT is working with a pt who has a complete L2 SCI. What is a realistic community reintegration goal?

Q1. What is the BEST OT focus to support this vocational goal?

A client with a C5 SCI is learning to feed independently. What equipment would be MOST beneficial?

Which of the following is a psychosocial impact commonly experienced by individuals with SCI?

A client has a Brown-Sequard syndrome. Which of the following would be expected?

Which strategy BEST promotes successful reintegration into the community for a young adult with SCI?

A client with SCI is being discharged home. What OT strategy best addresses prevention of pressure injuries?

Q2. The client reports difficulty carrying laundry. Which OT recommendation is MOST appropriate?

Q3. He has difficulty grasping picks and tools. Which adaptation is MOST beneficial?

An OT has a client w/a flaccid bladder s/p cauda equina injury. Which method would assist with emptying the bladder?

Which of the following is a sign of a Stage III pressure ulcer?

Which spinal levels innervate the diaphragm?

Home OT eval: Pt w/T10 SCI uses standard toilet, lacks t/f equipment. What is the most immediate rec for safety & indep?

Which complication involves abnormal bone growth in soft tissue and may limit ROM after SCI?

What is the PRIMARY purpose of using a tenodesis splint in clients with C6 SCI?

Q2. The client reports fatigue and decreased endurance. What strategy should the OT recommend FIRST?

Q1. What is the OT’s PRIMARY role at this stage?

A C5 SCI client is working on grooming tasks in inpatient rehab. Which device would best promote independence?

Q4. Which intervention BEST supports return to work goals as a graphic designer?

What intervention is appropriate for pt w/SCI who demonstrates difficulty w/memory & schedule adherence d/t med effects?

Q3. Which is the MOST realistic goal for this client to achieve by discharge?

A client with central cord syndrome is MOST likely to demonstrate:

Which environmental barrier would MOST impact a client with paraplegia returning to work in an office setting?

Which of the following best describes a complete SCI?

What distinguishes conus medullaris syndrome from cauda equina syndrome?

During therapy, a client with SCI is noted to have sudden unresponsiveness and pale skin. What condition is most likely?

Which SCI complication causes impaired temperature regulation below the level of the lesion?

A client with complete T10 SCI wants to begin toilet transfers. What technique would be most appropriate initially?