During an outpatient OT visit, your client’s spouse discloses that the client has almost been hit by a car 3x this week when going to get the mail from the other side of the busy apartment complex they recently moved to.  The client displays mild left neglect on the Behavioral Inattention Test.  You are concerned that the client may be getting lost while trying to find their way to the mailbox in the busy parking lot.  Which intervention is most appropriate to address this concern?

An OTR is working on self-feeding (eating cereal from a bowl) with a client who is 2 weeks post traumatic brain injury and functioning at a Rancho Level III.  The client is demonstrating particular problems with initiation of feeding.  What strategy is most appropriate to address this impairment in initiation?

An OT is working with a client 3 months post TBI.  The client’s goal is to improve independence and safety in basic household tasks.  The OT documents that during the last therapy session the client was able to engage in the task of making a simple sandwich in a quiet environment for 6 minutes with only 2 verbal cues to re-direct attention to the task. Which type of attention is being described in this OT note?

An OTR is working with an individual who is emerging from a coma following a traumatic brain injury and is currently functioning in a minimally conscious state.  Which of the following behaviors do you expect that this client will display?

A client who experienced a mild CVA one month ago complains of continued problems with insomnia, headaches, and sensitivity to light and sound.  This client is likely to also have problems in which social-emotional area?

An OTR is working with a client with multiple sclerosis.  This client demonstrates impairments in alternating and divided attention when she is fatigued at the end of the day.  Which of the following strategies uses principles of cognitive scheduling to improve performance for this client?

A client completes the Test of Everyday Attention (TEA) and demonstrates minor deficits in all aspects of attention performance (i.e. selective, sustained, divided, etc.). Which intervention would be the most appropriate to address this range of deficits?

A client with a basal ganglia stroke is participating in a community outing activity (going to the grocery store).  The client bursts out laughing at several inappropriate times during the activity.  When asked what is so funny, the client replies “I don’t think anything is funny do you?”  What condition is being displayed by this client?

An OTR is working with a client who sustained a severe traumatic brain injury during a car accident.  The client also broke both arms in the accident and is currently immobilized with both arms fixed in abduction and flexion.  When the OT brings a cup towards the client’s hand she is unable to reach up and grasp the cup.  The client is functioning at which Rancho Level?

An OTR is working with a client 3 months post TBI. The client’s goal is to improve independence and safety in basic household tasks.  The OT documents that during the last therapy session the client was able to engage in the task of making a simple sandwich in a quiet environment for 6 minutes with only 2 verbal cues to re-direct attention to the task. The OTR would like to increase the attentional demands of the task during the next therapy session.  Which of the following is the most appropriate NEXT step?