Exam Preview for 5457: Seating Considerations in the Home Health Se

Seating Considerations in the Home Health Setting

Please note: exam questions are subject to change.

1. Which of the following is NOT a benefit to completing a wheelchair evaluation in the home setting? The clinician can see the client’s home environment to determine accessibility challenges The clinician has easy access to products for product trials The clinician has the opportunity to serve clients who are unable to travel to an outpatient seating clinic The clinician is able to understand what activities are most meaningful to the client and/or their caregivers
2. John is an OT providing Elsa home OT services. Elsa is unable to walk after her stroke and has a rental wheelchair. She cannot keep her balance in the wheelchair and falls to the left constantly. Which of the following statements describes how John should proceed? John has worked with many clients like Elsa so he has a good idea of what will work best for her. He can meet with a vendor and recommend products that worked well for his other clients. John should refer Elsa to an outpatient seating clinic after she has completed home therapy. In the meantime, she can spend more time in bed so she does not fall. John should not get involved in Elsa’s seating because he was not the PT who ordered her wheelchair. John should complete a postural assessment with Elsa. Then, he should schedule a product trial to determine what products will meet her needs. Based on the results, he can order new equipment and when it is delivered train and her caregivers to use it safely.
3. Marjorie slides forward when she sits in her wheelchair. Which of the following is an appropriate intervention? Marjorie may need a pillow behind her back to reduce her seat depth. Marjorie may not have sufficient hamstring length to use her elevating leg rests so they should be lowered. The OT should loosen Marjorie’s pelvic positioning belt so it does not feel tight when she slides forward. The OT should tell Marjorie to reposition herself regularly.
4. The wheelchair seating process is completed when: Documentation justifying the wheelchair is submitted to the insurer The wheelchair is delivered The client and/or caregivers have been trained in the safe operation of their wheelchair The client’s certification period ends
5. Which of the following should NOT be considered when deciding to order a wheelchair for a homebound client? The client’s ability to travel outside the home The client’s need for high-end electronics or customized components Availability of equipment for a product trial (demo) The caregiver’s preference for home services