NBCOT Occupational Therapy Certification Practice Exam

An OT is working with a client with amyotrophic lateral sclerosis who can no longer turn himself in bed. What should the OT do next?

1. Begin a strengthening program

2. Suggest a wheelchair education program for the client and caregiver

3. Teach the caregiver how to position the client safely

4. Provide an environmental control unit to the client

The correct answer is: Teach the caregiver how to position the client safely

Teaching the caregiver how to position the client safely is essential in the context of amyotrophic lateral sclerosis (ALS), particularly as the disease progresses. Clients with ALS experience muscle weakness and atrophy, which can significantly limit their mobility and ability to perform daily activities independently. In this case, since the client can no longer turn himself in bed, it's crucial to empower the caregiver with the knowledge and skills necessary to assist the client effectively and safely. Proper positioning is vital to prevent complications such as pressure sores, which can result from prolonged immobility, as well as to maintain comfort and skin integrity. By instructing the caregiver on safe techniques to turn and position the client, the OT not only addresses the immediate need for mobility assistance but also fosters a safer home environment and enhances the quality of care provided to the client. This approach is fundamentally in line with occupational therapy principles, which emphasize client and caregiver education, safety, and functional capabilities. While other options such as strengthening programs or providing an environmental control unit are valuable in their own right, they do not directly address the immediate need for positioning assistance that impacts the client's comfort and health. Additionally, wheelchair education might be helpful later on in the course of treatment, but it does not tackle the current issue at