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Fatigue Management Occupational Therapy for Individuals with Autoimmune Disease

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1.  Which of the following statements correctly describes central chronic fatigue?
  1. It is a physiological response
  2. It is easily relieved by sleep or rest
  3. It is a pathological response that is not relieved by sleep or rest
  4. It can only be triggered by severe physical exertion
2.  Which of the following would present a barrier to the timely diagnosis and treatment of central chronic fatigue?
  1. Pathological fatigue is a symptom and difficult to assess objectively
  2. Fatigue may be thought of as part of depression and not treated separately
  3. Patients may be hesitant to seek help for "just fatigue"
  4. All of the above
3.  A predominant intervention provided by the occupational therapy for treatment of a person with chronic central fatigue is:
  1. Aerobic exercises
  2. Delivery of education specific to this condition
  3. Hot pack with TENS electric stimulation
  4. Weight training exercises
4.  Which of the following areas of occupational performance may be detrimentally affected by chronic central fatigue?
  1. Gainful employment
  2. Childcare
  3. Sexual activity
  4. All of the above
5.  Which of the following assessments may be used specifically to measure fatigue in terms of degree and severity?
  1. Multidimensional Assessment of Fatigue (MAF)
  2. 6 Minute Walk Test
  3. Purdue Pegboard Test
  4. Bruininks-Oseretsky Test of Motor Proficiency
6.  Occupational therapy patient education to reduce or manage pathological fatigue in patients with autoimmune or neuro-immune disease encompasses all of the following EXCEPT:
  1. Energy conservation
  2. Suggestions of sleep schedule changes without education
  3. Fatigue and stress management
  4. Pain management
7.  Packer, Brink and Sauriols (1995) Managing Fatigue: A Six-Week Course for Energy Conservation instructs which of the following principles?
  1. Avoiding rest periods or napping to increase night sleep time
  2. Working at a task until it is completed, regardless of the time or energy required
  3. Separating fatiguing tasks into components
  4. Avoiding communication of personal needs to others
8.  Occupational therapists are qualified providers of sleep assessment in regard to which of the following?
  1. Assessing sleep hygiene
  2. Prescribing sleep medication
  3. Providing pain medication to decrease awakenings
  4. All of the above
9.  Clients with which diagnosis are vulnerable to ultraviolet irradiation that accompanies sun exposure?
  1. Myotrophic lateral sclerosis
  2. Guillain-Barre syndrome
  3. Cutaneous lupus erythematosus (CLE)
  4. Systemic lupus erythematosus
10.  Which of the following is NOT a method of providing photoprotection?
  1. Wearing hats outdoors
  2. Wearing sunglasses outdoors
  3. Using a photoprotective laundry additive
  4. Performing outdoor activities only between the hours of 10am to 2pm

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