CORRECT WELL DETAILED ANSWERS|LATEST
Level 1 of autism spectrum disorder without intellectual impairment (Asperger syndrome) -
ANSWER Autism spectrum disorder is characterized primarily by social interaction
problems and habitual behaviors.
Most people who fall on the upper end of the autism spectrum (formerly known as Asperger
syndrome) have typical or average-range memory, speech, and intellect.
Which example is the BEST application of the Cognitive Orientation to daily Occupational
Performance (CO-OP) during the goal-setting phase of the first group activity? -
ANSWER The OTR allows the group to set its own goals and facilitates ways to redirect
the goals as needed.
A 9-year-old client with juvenile rheumatoid arthritis has a goal to decrease stiffness and
promote joint alignment. What orthosis would be MOST appropriate to help this client? -
ANSWER A resting pan splint promotes joint alignment and reduces stiffness.
A neoprene thumb loop split - ANSWER helps reduce spasticity and enable an optimal
position to pick up and hold toys.
wrist cock-up splint - ANSWER Promotes wrist extension
ulnar deviation splint - ANSWER prevents drift of the metacarpophalangeal joints
toward the small finger.
1
,A client with multiple sclerosis (MS) states that fatigue is negatively affecting work
performance. What is the BEST action for the COTA® to take next? - ANSWER Further
evaluation is needed to determine appropriate interventions; this approach goes beyond
typical energy conservation education and involves the COTA® and OTR® working with the
client to identify the specific work tasks that cause fatigue.Work tasks must be identified
before determining work demands.
Developmental coordination disorder - ANSWER Children with DCD have difficulty
with fine and gross motor skills and often require accommodations and modification for
written language.
An OTR® and COTA® are measuring a client for a new wheelchair. The client's hip width is 18
inches. The client does not use any lateral trunk supports but lives in a cold climate and
frequently wears bulky clothing. What seat width should the OTR®-COTA® team
recommend? - ANSWER 20 inches
22 in. is too wide
Which of the following components would be included in a transitional work program? -
ANSWER Transitional programs include monitoring the client's progress and
reassessing performance to determine when job tasks can be upgraded to full time or full
duty.
Client's performance of work conditioning activities in the clinic followed by performance of
worksite light-duty tasks.
Believing that treatment was not medically necessary, a third-party payer has denied
payment for occupational therapy services. What step should the COTA; take to appeal the
denial of payment? - ANSWER None; appealing payment decisions is outside the
scope of practice for COTAs.
Although a COTA may assist with documentation, appeals for payment of services must be
written by an OTR®; or a representative of the treatment facility.
2
, Which symptom of autism spectrum disorder (ASD) may have an impact on the use of public
transportation? - ANSWER Impaired executive functioning may result in a person with
ASD misjudging when to get on or off a bus.
Executive function deficits are a common symptom of ASD and may result in impaired
judgment.
A student in preschool has hypotonia with poor trunk control and good head control. The
student wants to join peers when sitting on the floor during story time. Which position is
BEST for supporting the student when participating in this classroom activity? -
ANSWER Corner chairs position the child in an upright seated position by providing
trunk support, and the seated position facilitates placement of the upper extremities in a
position for function.
An OTR®-COTA® team is establishing reasonable accommodations for a client diagnosed with
osteoarthritis in the left shoulder. The client is employed as a plumber. Essential job
functions include reaching, bending, crawling, lifting, pushing and pulling, using tools, and
lifting materials weighing 25-50 lb. Which accommodation is MOST appropriate for the
OTR®-COTA® team to recommend? - ANSWER Essential job functions are job duties
fundamental to the position the individual holds or desires to hold. Reasonable
accommodations may include altered work schedule and duties, facility modifications,
purchase of adaptive equipment or assistive technology, or modifying or designing a new
product. Allowing the client a flexible work schedule and use of leave time is the most
appropriate choice. Flexibility will provide the client with the opportunity to vary the work
schedule on the basis of symptoms.
A COTA® is writing a professional development plan. The COTA has identified personal
needs for growth after completing a self-assessment. What step should the COTA take NEXT
in developing the professional development plan? - ANSWER The steps in developing a
professional development plan are to (1) reflect on current performance to date and
determine learning needs on the basis of the self-assessment results; (2) review progress
toward previous professional development goals; (3) ascertain what resources exist to meet
identified professional development goals; (4) modify previous professional development
goals and set new ones; (5) take action to meet professional development goals; and (6)
document completed professional development activities. Thus, after identifying personal
3
Level 1 of autism spectrum disorder without intellectual impairment (Asperger syndrome) -
ANSWER Autism spectrum disorder is characterized primarily by social interaction
problems and habitual behaviors.
Most people who fall on the upper end of the autism spectrum (formerly known as Asperger
syndrome) have typical or average-range memory, speech, and intellect.
Which example is the BEST application of the Cognitive Orientation to daily Occupational
Performance (CO-OP) during the goal-setting phase of the first group activity? -
ANSWER The OTR allows the group to set its own goals and facilitates ways to redirect
the goals as needed.
A 9-year-old client with juvenile rheumatoid arthritis has a goal to decrease stiffness and
promote joint alignment. What orthosis would be MOST appropriate to help this client? -
ANSWER A resting pan splint promotes joint alignment and reduces stiffness.
A neoprene thumb loop split - ANSWER helps reduce spasticity and enable an optimal
position to pick up and hold toys.
wrist cock-up splint - ANSWER Promotes wrist extension
ulnar deviation splint - ANSWER prevents drift of the metacarpophalangeal joints
toward the small finger.
1
,A client with multiple sclerosis (MS) states that fatigue is negatively affecting work
performance. What is the BEST action for the COTA® to take next? - ANSWER Further
evaluation is needed to determine appropriate interventions; this approach goes beyond
typical energy conservation education and involves the COTA® and OTR® working with the
client to identify the specific work tasks that cause fatigue.Work tasks must be identified
before determining work demands.
Developmental coordination disorder - ANSWER Children with DCD have difficulty
with fine and gross motor skills and often require accommodations and modification for
written language.
An OTR® and COTA® are measuring a client for a new wheelchair. The client's hip width is 18
inches. The client does not use any lateral trunk supports but lives in a cold climate and
frequently wears bulky clothing. What seat width should the OTR®-COTA® team
recommend? - ANSWER 20 inches
22 in. is too wide
Which of the following components would be included in a transitional work program? -
ANSWER Transitional programs include monitoring the client's progress and
reassessing performance to determine when job tasks can be upgraded to full time or full
duty.
Client's performance of work conditioning activities in the clinic followed by performance of
worksite light-duty tasks.
Believing that treatment was not medically necessary, a third-party payer has denied
payment for occupational therapy services. What step should the COTA; take to appeal the
denial of payment? - ANSWER None; appealing payment decisions is outside the
scope of practice for COTAs.
Although a COTA may assist with documentation, appeals for payment of services must be
written by an OTR®; or a representative of the treatment facility.
2
, Which symptom of autism spectrum disorder (ASD) may have an impact on the use of public
transportation? - ANSWER Impaired executive functioning may result in a person with
ASD misjudging when to get on or off a bus.
Executive function deficits are a common symptom of ASD and may result in impaired
judgment.
A student in preschool has hypotonia with poor trunk control and good head control. The
student wants to join peers when sitting on the floor during story time. Which position is
BEST for supporting the student when participating in this classroom activity? -
ANSWER Corner chairs position the child in an upright seated position by providing
trunk support, and the seated position facilitates placement of the upper extremities in a
position for function.
An OTR®-COTA® team is establishing reasonable accommodations for a client diagnosed with
osteoarthritis in the left shoulder. The client is employed as a plumber. Essential job
functions include reaching, bending, crawling, lifting, pushing and pulling, using tools, and
lifting materials weighing 25-50 lb. Which accommodation is MOST appropriate for the
OTR®-COTA® team to recommend? - ANSWER Essential job functions are job duties
fundamental to the position the individual holds or desires to hold. Reasonable
accommodations may include altered work schedule and duties, facility modifications,
purchase of adaptive equipment or assistive technology, or modifying or designing a new
product. Allowing the client a flexible work schedule and use of leave time is the most
appropriate choice. Flexibility will provide the client with the opportunity to vary the work
schedule on the basis of symptoms.
A COTA® is writing a professional development plan. The COTA has identified personal
needs for growth after completing a self-assessment. What step should the COTA take NEXT
in developing the professional development plan? - ANSWER The steps in developing a
professional development plan are to (1) reflect on current performance to date and
determine learning needs on the basis of the self-assessment results; (2) review progress
toward previous professional development goals; (3) ascertain what resources exist to meet
identified professional development goals; (4) modify previous professional development
goals and set new ones; (5) take action to meet professional development goals; and (6)
document completed professional development activities. Thus, after identifying personal
3
