NBCOT Occupational Therapy Certification Practice Exam

Question: 1 / 400

What approach is most appropriate for optimizing functional performance in a right-handed individual with chemotherapy-induced neuropathy?

Meaningful activities to improve right-hand skills

RUE sensory reeducation

Use of orthosis for wrist support

Utilizing an orthosis for wrist support is an effective strategy for enhancing functional performance in an individual with chemotherapy-induced neuropathy. This approach can provide the necessary stability and support to the wrist, helping to alleviate discomfort and reduce the risk of further injury. By stabilizing the wrist, the orthosis can enable improved control during tasks that require the use of the right hand, allowing the individual to engage more effectively in their daily activities.

In the context of neuropathy, symptoms such as weakness or sensory deficits can severely affect hand function. An orthosis can be particularly beneficial in providing the user with the confidence to perform tasks by minimizing the impact of these symptoms. It also promotes safer movement patterns, encouraging the re-engagement in functional tasks, which is a key goal in occupational therapy.

Other approaches may have merits, but they may not specifically address the immediate need for stability and support due to the neurological impairments caused by chemotherapy. For instance, while meaningful activities can enhance motivation and use of the right hand, they may not provide the necessary mechanical support. Similarly, sensory reeducation can be beneficial but may not address the functional limitations tied to wrist instability specific to the individual’s neuropathy. Lastly, changing dominance training, which involves retraining a person to

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Change of dominance training

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