Chapters 30 Obesity

An OT is working with an older adult who sustained a hip fracture due to a fall. What is the MOST likely contributing factor to this injury?

• Sports injury

• Muscle hypertrophy

• Osteoarthritis

• Fall at home

Following a posterior total hip replacement, which movement should the OT instruct the client to AVOID to prevent dislocation?

• Hip abduction

• Crossing legs

• Knee flexion

• Hip external rotation

A client recovering from a distal radius fracture is in the immobilization phase. What is the MOST appropriate OT intervention during this phase?

• Isometric strengthening

• Passive stretching

• Joint protection education and ADL adaptation

• Resistive grip training

A client presents with limited active wrist extension following a humeral fracture affecting the radial nerve. Which orthosis would be MOST appropriate?

• Resting hand splint

• Thumb spica splint

• Dynamic extension splint

• Ulnar gutter splint

A client complains of morning stiffness, fatigue, and symmetrical joint pain. What condition is MOST consistent with these findings?

• Osteoarthritis

• Rheumatoid arthritis

• Gout

• Heterotopic ossification

An OT is evaluating a client with a BMI of 34. How should this client’s weight status be categorized?

• Underweight

• Overweight

• Morbid obese

• Obese

A client with obesity presents with impaired balance and frequent shortness of breath during ADLs. What position should the OT recommend to optimize breathing?

• Orthopneic position

• Supine with legs elevated

• Prone with arms overhead

• Trendelenburg position

Which psychosocial factor is MOST commonly associated with obesity and may limit occupational participation?

• PTSD

• Schizophrenia

• Phobia

• Depression

The MOST appropriate OT strategy for a client recovering from bariatric surgery during early recovery is:

• Using adaptive kitchen tools to reduce strain

• Encouraging heavy lifting during meal prep

• Standing for long periods while cooking

• Skipping meals to promote faster healing

Which of the following should be used to support safe reintegration into IADLs during recovery?

• Introduce resistive arm exercises

• Design tasks that emphasize large portion cooking

• Use energy conservation techniques

• Discourage all food-related activities