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Supporting Clients With MS: Presentation and Management

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1.  An OTP is working with a client who has symptoms that started with optic neuritis and some left-hand numbness, but has been maintained with minimal disease progression for many years. Her only times of much worse symptoms are when she is very stressed, hot, or sick. Which of the following is her diagnosis type?
  1. Secondary Progressive MS
  2. Primary Progressive MS
  3. Relapsing Remitting MS
  4. Relapsing Progressive MS
2.  Exercise can help manage MS. What is a general rule about exercising with clients who have 3-/5 strength in a muscle?
  1. Functional exercise and stretching only
  2. Exercise can always build strength
  3. Exercise should be avoided
  4. Exercise only with a TENS unit
3.  A client calls worried that her new power wheelchair on order is lost in the system or might be denied by insurance. This is the 4th day in a row that she has called to leave an anxious message, and does not seem to recall what you have already told her. One OT strategy which might be employed would be to:
  1. Give information in an email instead of only verbally
  2. Gently tell her she has called 4 days in a row and needs to stop
  3. Ask her about preferred memory strategies and give info in those ways
  4. Ask the wheelchair supplier to call back this time
4.  One creative solution shown in the presentation for reaching up to the head for those clients with shoulder weakness included which option?
  1. Have caregivers assist only for safety
  2. Set up tasks at a table or counter to lean
  3. Use one arm to prop the other
  4. Use an Obi device for grooming
5.  A typical recommendation for someone with weak hands for wiping during toileting would include:
  1. A higher toilet
  2. Grab bars on wall in front of toilet
  3. Wash mitt
  4. Bidet seat