COTA Review Guide Prep Bank_ 1000+ Q&A all answered correctly 2022.. Rated A

COTA Review Guide Prep Bank_ 1000+ Q&A all answered correctly 2022.. Rated A Document Content and Description Below Occupational Therapy Examination Review Guide COTA Review Guide Prep Bank_ 1000+ Q&A all answered correctly 2022. in assessing the dressing skills of a 5-year-old child, the cota observes that the c hild is able to put on a jacket, zip the zipper, and tie a knot in the draw string, but needs verbal cueing to tie a bow. the Cota would most likely determine that the childs dressing skills are -Answer- age appropriate in administering an assessment of finger tip pinch strength, the ot practitioner would instruct the individual being tested to place his or her fingers in which position -AnswerThumb against the tip of the index finger the ot treatment approach that will most likely meet the overall needs experienced by individuals with substance abuse problems is to -Answer- Assist with skill development in the areas of leisure, self expression, and ADLs a cota observes that a 10-month old child is able to sit alone by propping himself forward on his arms, but consistnetly loses his balance when reaching for a toy. this behavior MOST likely indicates -Answer- a Developmental delay an individual demonstrates the ability to pick up a penny from a flat surface. this represents which of the following prehension patterns -Answer- tip when conducting a structured interview, it is most important for the ot practitioner to - Answer- Ask the questions as they are stated on the interview sheet a 3 year old child demonstrates the ability to use the toilet independently except for wiping and readjusting clothing afterwards. this behavior indicates the child is performing at which of the following -Answer- At age level the cota is observing dressing skills in an individual with COPD. while putting on his shirt, the individual becomes SOB and stops to rest before finishing with the shirt and going on to his trousers. this behavior most likely indicates a deficit in. -AnswerEndurance an individual with the goal of increasing attention span is frequently observed watching the person next to her instead of performing her assigned task. this behavior most likely indicates a problem with -Answer- Distractibility in screening a child who has been referred to OT, the primary goal of the to practitioner is to -Answer- Determine the need for future evaluationa COTA is working with an individual who is unable to name or demonstrate the use of common household objects. this behavior most likely indicates. -Answer- Visual agnosia when reporting data collected to the OTR, it is most important for the COTA to -AnswerProvide a summary of observations of the patient's behavior, including what the patient said and did during the interview a child is observed grabbing toys from others, becoming easily frustrated, and is unable to sit still. this behavior most likely indicates. -Answer- ADHD an individual who had a stroke is copying a picture of a clock. the drawing appears as a lopsided circle with a flat side on the left. the numbers one through eight are written in numerical order around the right side of the clock. the hands are correctly drawn on the clock to represent three o'clock. the individuals performance appears to demonstrate. - Answer- Left unilateral neglect an individual alternatively exhibits laughing and crying throughout a treatment session. this behavior should be documented as -Answer- Emotional lability evaluation of a school age child diagnosed with moderate mental retardation should generally focus on -Answer- Communication, self-care, and social skills an individual who use a wheelchair is being discharged from a rehabilitation facility to home. in determining accessibility of the interior home environment, the area the cota should be most concerned with -Answer- Steps, width of doorways, and threshold Heights a woman experienced repeated sexual abuse by her father as a child. she now describes her fathers abusive actions fired from a job because of new management. the defense mechanism she is most likely using -Answer- rationalization a child has considerable difficulty with problem solving when playing with lego blocks and becomes frustrated and gibes up easily. this most likely indicates a problem in which area of play -Answer- constructional an OT practitioner is making a home visit to an elderly client who lives alone. the client exhibits severe hand weakness. when addressing safety in the home, the most important area to assess is the individuals ability to -Answer- Work with locks and latches on the doors and windows a supermarket employee with obsessive compulsive disorder tasks an hour to stock 24 soup cans on the shelf. he reports that once he has placed all the cans on the shelf, he removes them all and starts over bc all the labels were not lined up exactly in the same direction. which of the following methods would most effectively evaluate this individuals work performance -Answer- Functional assessment of work related skills, such as carrying and opening cartons and shelving itemswhich of the following assessment methods would an OT practitioner most likely choose in order to earn about a families values and priorities -Answer- Interview a person with functional limitations in shoulder abduction and external rotation is performing self care activities which of the following is most essential for the cota to assess? -Answer- combing the hair a COTA is scheduled to interview an individual with a head injury about her home environemnt, and family and child care responsibilities. knowing the individual has an attention span of 10 to 15 minutes, whicih of the following should the cota do first - Answer- Obtain as much information as possible from the chart during the interview with the parents of a 3 year with mild CP, the OT practitioner learns that the child is regularly fed by his grandmother and does not have any independent feeding skills. the first issues the Ot practitioner needs to explore further is -AnswerThe cultural context and family interaction patterns a method that an Ot practitioner can use to document total finger flexion without recording the measurement in degrees would be to measure the -Answer- Distance from the fingertip to the distal palm palmar creased with the hand in a fist a COTA needs to report the result of an ADL evaluation to the supervising OTR the OTR, who is on her way to the cafeteria for lunch, states she has to leave immediately after lunch to another facility. which is the best method for the COTA to use to communicate the evaluation results to the OTR -Answer- in a written report when evaluating sensation of an individual with hemiplegia, the COTA should first - Answer- Apply the stimuli to the uninvolved area proximally too distally in a random pattern when assessing the sense of proprioception at an individuals joint, movement within the range would best be performed -Answer- The midrange of the joint an individual who attends a day program for adults with developmental disabilities has difficulty participating group activities bc of extreme anxiety related to being around others. the BEST way to determine whether the individual is experiencing anxiety during group sessions would be to. -Answer- Observe the individual's body language doing group sessions infants and preschool children with musculoskeletal disorders require ongoing examination of their upper extremity strength, coordination and functional abilities. the OT practitioner will obtain the majority of assessment information during infancy and preschool through -Answer- Observed of play in hand functionan individual is able to complete full range of shoulder flexion while in a sider lying position during an evaluation, how ever against gravity, the client is not quite able to achieve 50% of the range for shoulder flexion. this muscle should be grade as -AnswerFair minus (3-) the mother of a 3 month old infant recently returned to her job as a bookkeeper on a part time basis. she reports that she has difficulty concentrating at work bc she keeps thinking about the baby, and that when shes at home, she is distracted bc she feels she should be at work. this primarily indicates a problem in the area of -Answer- role performance the treatment goal for a 4 year old child with hypotonia is to improve grasp. which of the following activities would be best for preparing the Childs hand for grasps activities - Answer- Weight-bearing on hands an older adult with diabetes is working on a macrame project as a way of increasing standing tolerance. the most relevant safety factor for the COTA to take into consideration is the -Answer- Texture of the cords she will be using the treatment goal that best addresses the psychosocial skill of self expression is - Answer- The client will use facial expressions and gestures that are consistent with stated emotions doing a assertive, passive and aggressive role play situations in planning a therapeutic dressing intervention for a first grade child who is mentally retarded, the cotas first consideration should be the need for -Answer- Adapted teaching techniques a Cota is fabrication a resting pan splint for a client with extremely fragile skin. which of the following areas will the cota have to inspect most carefully for signs of skin breakdown -Answer- ulnar styloid, distal head of radius and thumb CMC joint the cota needs to identify an activity that will address psychosocial goals by (1) allowing the individual to experience success using a messy process, and (2) requiring the individual to delay gratification. the activity process that is best for providing this experience -Answer- Applying grout to a tile trivet And waiting for it to dry a school age child demonstrates aggressive and disruptive behavior in school as a result of a low sensory threshold. which of the following suggestions would be most useful to discuss with the teacher regarding an upcoming class bus trip to the zoo - Answer- Let the child sit at the front of the bus and use a tape player with earphones which of the following interventions is most appropriate for an individual who has recently been diagnosed with rheumatoid arthritis and is in the acute stage of the disease -Answer- Positioning, adaptive equipment, and patient educationa cota is working with an individual who was admitted to an inpatient psychiatric program for major depression. this individual is also diagnosed with stage 4 AIDS. the best general focus of treatment at this point would be -Answer- Restore and maintain performance of self chosen occupations the support performance a valued occupational roles a 5 grade child with significantly low muscle tone caused by Duchennes muscular dystrophy is losing trunk control when sitting. which of the following approach is - Answer- Biomechanical frames of reference should the cota consider when planning the treatment program - Answer- Playing balloon volleyball a cota is planning a program for an individual who needs to increase shoulder strength, range of motion, and endurance, which of the following activities is most suitable for periodic upgrading -Answer- to arive at work on time consistently the COTA is selecting activities for an 8 year old child with Duchenne's muscular dystrophy. which of the following developmental issues is most important to consider when identifying activities for this child -Answer- Reinforcements of competence which individual would benefit the most from using a wrist driven flexor hinge splint during a prehension activity -Answer- A client with a C6 injury an individual with a history of depression and social isolation is hospitalized for the third time due to suicide ideation. completion of an interest checklist indicates in crafts, cooking. and participation in social activities. in planning treatment for a short hospitalization, which of the following activities would be most appropriate for this individual -Answer- Identify social opportunities using a local phone book a cota who is beginning treatment for a child with athetoid CP is concerned about the child's inability to control flexion and extension of the arm when reaching for a toy. the child flexes or extends to much, which makes placement of the hand very difficult. the most appropriate goal for this type of problem in hand function would be to improve the - Answer- Ability to grade movement a COTA is working with a patient recovering from a hand injury who complains of pain when any sensation is felt on the affected hand. in planning in a program of desensitization training for the patient, the most appropriate sequence for grading the sensory stimuli that will be applied to the patients hand is from -Answer- Soft to hard to rough a cota is conducting an on going assertivenesses training group. which of the following strategies would be most helpful in the development of group cohesion -AnswerEncourage group members to share similar experiences and reaction with each othera school age child with multiple handicaps is beginning to develop some controlled movement in the upper extermities. it would be most appropriate to introduce switch operated assistive technology when the child -Answer- Demonstrate any reliable, controlled movements a cota is working with an individual with amyotrophic lateral sclerosis who is no longer able to ambulate for kitchen or home management activities. which of the following interventions best addresses the goals of independence in meal preparation for this individual -Answer- meal preparation techniques using a wheelchair in carrying out inpatient treatment groups for individuals with schizophrenia, the cota should routinely -Answer- You simple and high structured activities a child with behavioral problems has difficulty with peer interactions. which of the following aspects of the treatment plan is most important -Answer- Provide enjoyable activities and a safe and accepting in in environments a long term goal for a client following a hip arthroplasty is independence in lower extremity dressing. the most relevant short term goal for the cota to work on would be that the -Answer- Clients would demonstrate appropriate hip precautions a cota is planning a craft activity for an adolescent who has been hospitalized following a suicide attempt. an interest checklist indicates experience with fiber arts, which of the following activities would be considered most appropriate for this individual -Answerdecoupage Wooden key fob a 9 year old child with sensory integration problems has not developed a preferred hand for printing or writing. which intervention option would most likely result in eventful development of a preferred hand to use in writing activities -Answer- Consider and treat underlying sensory integration problems as a possible cause a COTA is preparing a work conditioning program for a patient who has decreased endurance. the cotas first step in developing a work conditioning program for this patient would be -Answer- Creating non-specific job stimulated work task a cota is planning a college activity tasak group for several clients with depression. the primary purpose of using an OT task group with these clients is to -Answer- Encourage here and now explorations of members behaviors and issues will promote and learning through doing the cota review various functional activities that are being incorporated into her clients hand rehabilitation program. the cota explains to the client that functional activities may include -Answer- Crafts, games, and self task a cota who works in an outpatient facility recommends that client with parkinson's disease be treated in a therapeutic group. the cota is most likely to select grouptreatment for these clients because. -Answer- It provides social interaction and support, as well as activity a cota is planning a meal preparation activity for an adult client with attentional and organizational deficits secondary to alcohol abuse. the treatment goals address the clients difficulties in properly sequencing tasks. the most appropriate activity to use first is -Answer- Baking cookies using a recipe when teaching children with moderate mental retardation to feed, groom, and dress themselves, the cota is most likely to use which technique -Answer- chaining an individual with an IV drug abuse problem has developed aids. the ot evaluation revealed that the individuals major problems are with daily tasks, self esteem, physical reconditioning and anxiety. which of the following approaches would be most beneficial to the client -Answer- Have the patient practice stress reduction using medications, yoga, and energy conservation techniques an individual with an anxiety disorder feels so overwhelmed he cannot get himself from his room to OT group each morning. which of the following strategies will be most helpful -Answer- Give him a tour of the OT department and a schedule of activities the cota is attempting to increase play fulness with a 7 year old girl with sensory integrative dysfunction. the child experiences difficulties with motor tasks and often complains that non one likes her. after establishing rapport with the child, the cota would most likely introduce which of the following -Answer- role play a tea party with barbie dolls a patient with a short below elbow amputation is lacking sensation in the residual limb. the most appropriate intervention would be for the cota to teach the patient -Answer- To routinely inspect the skin closely for signs of skin breakdown a cota is running a discharge planning group in which individuals discuss their personal feeling and concerns about returning to the community. which of the following would be the best method to facilitate this process -Answer- Patients write fears and concerns on index cards and then the CO TA collects and reads the cards to the group for discussion a cota is working with a child whose poor visual attention is affection his ability to perform school work. an adaptation of the sensory environment that would best improve attention during a visual task is to have the child -Answer- Use headphones during work to reduce competing sensory input a cota is treating a client with parkisons disease whose primary functional problems are cause by a shuffling gait. the most relevant environmental recommendations the cota could make to address a potential safety hazard in the home is to -Answer- Remove scatter rugs throughout the houseafter a 30 year hospitalization, an individual with mental illness has been discharged to a community group home. she is used to being told what to do and where to go. which of the following would be best approach to take for this individual first meal preparation - Answer- Give the individual one task to do such as making drinks the cota is observing a 3 year old child during tooth brushing. the child demonstrates good bilateral upper extremity hand strength, but decreased dexterity. which piece of equipment would the cota most likely encourage the child to use during brushing - Answer- Any electric toothbrush an individual with chronic obstructive pulmonary disease and low endurance is taught to modify his bathing techniques for carryover after discharge. the cota should recommend which of the following as the best bathing methods -Answer- Using a bath chair in a hand-held shower with tepid water an individual consistently confuses white glue with white gro