AOTA Occupational Rehabilitation and Return-to-Work Programming Practice Test

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According to the RUMBA tool for goal writing, which short-term goal is most appropriate for a construction worker experiencing wrist pain?

Client will improve work tolerance to lift a 5-lb bucket within 2 weeks.

The selected short-term goal is the most appropriate according to the RUMBA tool, as it embodies the essential criteria that define effective goal-setting within occupational rehabilitation. RUMBA stands for Relevant, Understandable, Measurable, Behavioral, and Achievable.

In the context of a construction worker experiencing wrist pain, improving work tolerance to lift a 5-lb bucket aligns with several facets of this framework. Firstly, the goal is relevant to the worker's everyday tasks and needs, as lifting is an integral part of construction work. This relevance ensures that the goal directly addresses the worker's functional abilities and work-related demands.

Moreover, the goal is measurable, as it specifies a clear action (lifting a 5-lb bucket) within a designated timeframe (2 weeks), allowing for straightforward assessment of progress. The behavioral aspect is also prominent; it focuses on a specific activity that can be performed and evaluated.

The other options, while they might contribute to the worker’s recovery, do not fulfill the RUMBA criteria as effectively. For instance, receiving ultrasound treatment is more of an intervention rather than a goal reflecting functional improvement. Increasing a score on a hand function test is focused on assessment rather than direct applicability to work. Additionally, typing with

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Client will receive ultrasound twice daily to right radial wrist area for 2 weeks.

Client will increase score on the Jebsen-Taylor Hand Function Test within 2 weeks.

Client will type for 2 minutes using a wrist cockup splint within 2 weeks.

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