An OTR working in a nursing home has been asked to see a client with dementia who has been displaying agitated and aggressive behaviors during meal time.  The therapist decides to use a compensatory approach to modify the cafeteria environment to reduce these negative behaviors. Which intervention is most appropriate to reduce the attentional demands of the cafeteria for this client?

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.  The OTR wants to provide a comprehensive set of interventions that involve all sensory systems to provide maximal arousal for this client.  Which of the following interventions is most appropriate to stimulate the vestibular system?

An OTR is working with a client one week post CVA in an inpatient rehabilitation unit. The therapist observes that the client displays dense left unilateral neglect and mild to moderate left sided weakness during performance of morning self-care activities. Which environmental strategy is most appropriate to improve performance during morning grooming activities for this client with unilateral neglect?

An OTR is working with a client who has severely impaired short term memory and problem solving following a car accident.  The client is unable to remember any new information for more than 30 seconds.  The OTR would like to teach the client how to apply an ankle foot orthotic (AFO) on their left foot. What frame of reference is most appropriate to guide this treatment intervention?

The client is working on a cooking task using a recipe and when the client checks the recipe card, they have difficulty getting back on track with the cooking task.  This is a failure at which level of attention 

An OTR is working with a client one week post CVA in an impatient rehabilitation unit.  The therapist observes that the client displays dense left unilateral neglect and mild to moderate left sided weakness during performance of morning self-care activities. Which assessment would be most appropriate to document how unilateral neglect affects this client’s performance in self-care activities?

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?