Exam Preview

Incontinence: Practical Tips for the Occupational Therapy Practitioner (Part 2)

---

1.  What is one of the first things to complete when assessing someone's urinary habits? Biofeedback assessment Strength Cognition Voiding diary

2.  How would you describe the urge suppression technique? Complete 4-6 pelvic floor contractions, walk slowly to the bathroom Rush to the bathroom to avoid an accident while squeezing the pelvic floor Squeeze the pelvic floor and count to ten, then walk to the bathroom Go to the bathroom every hour to avoid the urge

3.  Which of the following are considered bladder irritants? Decaf coffee, chocolate, chilies/spicy food Water, grapes, lettuce Apples, popcorn, carrots Pears, walnuts, wheat bread

4.  A client has difficulty with stress incontinence. What would be an appropriate goal for this client? Client will have no episodes of stress incontinence within one week. Client will complete the pelvic brace strategy when she sneezes or coughs and report no loss of urine with independent initiation within 3 weeks. Client will practice the urge suppression technique daily x 7 days with independent initiation. Client will have no more than one cup of coffee every day for 7 days.

5.  _______________ incontinence occurs when there is a sudden urge to urinate and leakage occurs. Stress Functional Mixed Urge

6.  When introducing the home exercise program for the pelvic floor what would be the correct mixture of exercises if your client can tolerate it? 25 ten second holds twice a day 10 ten second hold twice a day 25 quick flicks once a day and 10 ten second holds twice a day 25 quick flicks twice a day and 25 ten second holds once a day

7.  Why should clients exercise their pelvic floor? To support the abdominal and pelvic contents against gravity Helps with bowel and bladder control Improves sexual response All of the above

8.  How many times should someone urinate in a 24 hour period? 6-8 8-10 4-6 2-4

9.  What strategies would potentially help someone with nocturia? Reducing fluid intake after lunch Elevating legs 20-30 minutes before bed then void right before getting into bed Drinking water at night Cutting out coffee at breakfast

10.  All of the following are examples of areas that may be measured when writing client-centered goals for treatment EXCEPT: How many episodes of leakage a client has in a week Intake of irritants Initiating interventions with assist from someone else Client's report of success or non-success