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Performing a Successful Seating and Mobility Evaluation

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1.  How much height should be added to an individual’s seat to elbow measurement to ensure the individual is resting?
  1. One-half inch (½”)
  2. One inch (1”)
  3. One and a half inches (1 ½”)
  4. Two inches (2”)
2.  Which of the following key phrases should be included in a letter of medical necessity to ensure a better chance of gaining funding source approval for seating and/or mobility equipment?
  1. Prognosis or expected duration of illness
  2. A statement which notes that the patient has demonstrated the ability to safely operate the equipment
  3. Whether the equipment which is being recommended will be the patient’s primary or sole source of mobility
  4. All of the above should be included in the letter of medical necessity to improve the chances of obtaining approval for seating and mobility equipment.
3.  It is imperative to implement a client-centered approach and ensure the client and caregiver be involved in the equipment selection process of the seating/mobility evaluation, for if a client or caregiver is dissatisfied with the end product which of the following may occur?
  1. Equipment desertion
  2. Counter productive equipment provision
  3. Technology alienation
  4. Technophobia
4.  When asymmetries are documented with the seat to top of shoulder measurement, the seat to inferior angle of the scapula measurement, and/or the seat to top of iliac crest measurement, these asymmetries may be indicative of which of the following orthopedic deformities or conditions?
  1. Scoliosis
  2. Lordosis
  3. Pelvic Obliquity
  4. Both A and C
5.  If a client presents with a notable difficulty in performing transfers and mobility, a general progression can be followed, allowing the entire evaluation to be effectively and efficiently performed in as few as how many transfers?
  1. One
  2. Two
  3. Three
  4. Four
6.  When obtaining your client’s medical history during the subjective portion of the seating and mobility evaluation, which of the following would be least likely to be deemed a primary diagnosis?
  1. Bronchitis
  2. Multiple Sclerosis
  3. Spinal Cord Injury at C4
  4. Amyotrophic Lateral Sclerosis (ALS)
7.  When identifying a pelvic obliquity, it is important to clearly identify and name the asymmetry. Pelvic obliquities are named after which of the following?
  1. The pelvic obliquity is named for the high side of the pelvis/higher iliac crest measurement.
  2. The pelvic obliquity is named for the side of the pelvis which is more anteriorly rotated.
  3. The pelvic obliquity is named for the side of the pelvis which is more posteriorly rotated.
  4. The pelvic obliquity is named for the low side of the pelvis/lower iliac crest.
8.  As discussed in the power point presentation, to find an ideal seat depth, the client’s upper leg length measurement should be obtained, and two inches are traditionally subtracted from this measurement to obtain the appropriate seat depth measurement. Which of the following is most likely to occur if the client’s seat depth is too deep?
  1. Anterior pelvic tilt
  2. Posterior pelvic tilt and/or sacral sitting
  3. Pelvic rotation
  4. Lordosis
9.  While performing the seating/mobility evaluation, why it is always important to assess the client’s current equipment?
  1. By asking the client what he/she currently likes or dislikes about his current equipment, it may help guide the decision making process during the evaluation.
  2. Often, it is important to identify the make, model and/or age of the individual’s current seating system in order to assist in the justification or approval process.
  3. None of the above are correct
  4. Both A and B are correct
10.  Which of the following statements regarding the performance of a seating/mobility evaluation is false?
  1. When obtaining measurements during the seating/mobility evaluation, it is acceptable to round your measurements to the nearest inch as long as you always round up and never round down.
  2. It is of utmost importance to ensure that the client and caregiver are in agreeance with the selected equipment and understand proper technique and care of the equipment.
  3. When measuring, it is best to measure both the left and right side of the client in order to identify any asymmetries or orthopedic deformities which may be present.
  4. All of the above are false