You are currently treating a patient with ideational apraxia. You would like to increase your patient’s independence with feeding. During the first treatment session, the best environmental setup for your patient to be most successful, and avoid the most errors, would be:

A client who has difficulty with planning utilizes her intact intellectual awareness to initiate use of compensatory strategies such as writing a list of errands and using a planner for the higher-level tasks required of an administrative assistant. The client demonstrates techniques from the _______________ practice model.

Answer the questions 33- 35 using the following case study: Genevieve is a 13-year-old female who sustained a TBI, Rancho Level 6. Her injuries include DAI (diffuse axonal injury) involving left anterior frontal lobes, left basal ganglia, right thalamus, left anterior temporal lobe, a left SDH, and scattered post-traumatic subarachnoid hemorrhages.   During a meal preparation task to make macaroni and cheese, Genevieve will sit at the table and wait until prompted to begin. She is having difficulty with:

Your patient has impaired spatial relations skills. This results in decreased independence with UB dressing. He will have little to no help after discharge.  Therefore, your treatment intervention to address donning a shirt should consist of:

You are treating a patient who functions at level V (confused- inappropriate) on the Rancho Los Amigos Scale. Which of the following approaches would an OTR use to facilitate the patient’s success during a dressing task? Select the best answer

Using the treatment activity in the above question (searching for specific canned goods in the pantry shelves, focus to help her establish environmental “anchors” on the left and then scanning from left to right) an appropriate upgrade would be:     _________ End of the Case______________________________

Answer the questions 31-32 using the following case study:   Maria is a retired pharmacist who sustained a right MCA CVA. As a result of the CVA, she presents with a left visual field cut and neglect.  Her areas of strength are in initiation and planning.   Your treatment activity of choice for Maria consisted of searching for specific canned goods in the pantry shelves.  Your focus was to help her utilize an environmental anchor, such as the left boarder of the cabinet, and then scanning from left to right.  An appropriate downgrade would be (select the best answer):

A client with a stroke to the L inferior parietal lobe demonstrates eating soap.  Due to the neurologic nature of the infarct, you would expect him to eat soap with:

A patient diagnosed with arthritis has been taking aspirin and now reports experiencing adverse effects. What adverse effect indicates that a decrease in dose may be necessary?

What is one way a nurse can help prevent the spread of Clostridium difficile?