COTA EXAM
A patient diagnosed with an anxiety disorder tells a COTA that he can't
go with his therapy group on a planned shopping trip because he feels
fearful. The FIRST appropriate response for the COTA is to: - ✔ ✔
Encourage the patient to describe what makes him fearful about
going on this trip
During a group movement activity, a female client begins to pull at her
clothes and move seductively around the room. She does not stop,
despite repeated attempts by the group leader to end this behavior.
Which response is MOST appropriate? - ✔ ✔ Dismiss her from the
group
An individual with a hx of substance abuse is working on skills she will
need to take public transportation to an office where she will be
working as a volunteer. She has successfully demonstrated the ability to
ride the bus to her destination and return home again without
assistance. What is the next challenge the COTA should introduce? - ✔
✔ Require that the ride the bus according to a designated schedule
An individual who demonstrates compulsive behaviors is unable to
complete a cookie baking activity because he spends so much time
measuring and remeasuring ingredients. Upon observing this, how
should the COTA respond? - ✔ ✔ Acknowledge that he uses rituals
to cope with anxiety
A COTA is working with an individual who has just broken up with his
girlfriend. He spends most of his day in bed and reports feelings of
helplessness and hopelessness. How should the COTA respond upon
,hearing about these feelings? - ✔ ✔ Listen to what the individual
says and reflect back to him
A COTA has been working with a young adult client with mental
retardation and is providing information to assist the OTR in making
work placement recommendations for the client. The COTA reports
that the client functions best when preforming simple, highly
structured tasks in a closely supervised environment. The MOST
appropriate recommendation would be for work placement in a: - ✔
✔ Sheltered work program
A COTA asks a manic client what he would like to do in craft group. The
client answers, "I'm a really good carpenter, so I'm going to build my
kids a club house." The BEST response is to: - ✔ ✔ Suggest a more
realistic activity
An individual with mental illness attends group on a regular basis, but
interrupts others, grabs tools and supplies, and bosses others around at
almost every group session. What is the BEST way to respond to this
disruptive behavior? - ✔ ✔ Have the individual contribute to the
discussion identifying the "rules" for the group
An elderly man with chronic schizophrenia is frequently observed with
his hand in his pants, sexually stimulating himself. The BEST approach is
to: - ✔ ✔ Provide him with regular forceful gross motor activities
The initial short-term goal for a client working on improving
socialization skills is, "patient will verbally respond to others during
performance of a common task three times per session with minimal
verbal cues within 1 week." After several sessions, the COTA observes
that the client is responding to others three times or more per session
, without cueing, but does not maintain eye contact or initiate
conversation, Which of the following would be the MOST appropriate
action for the COTA to take? - ✔ ✔ Collaboration with the OTR to
change the short-term goal
A young woman with anorexia nervosa is participating in a lunch
preparation and cooking group. What should the COTA do when the
moan asks to use the bathroom following the meal? - ✔ ✔ Pull her
aside and ask her if she is upset
An extremely withdrawn individual has developed the ability to tolerate
interaction with one other group member while glazing slip molds in an
ongoing ceramics group. Which of the following steps should be taken
NEXT in order to develop this individuals ability to interact with others?
- ✔ ✔ Involve the individual in a three-member task group
A COTA is providing instruction to caregivers in a long-term care facility
concerning assisting a resident whose severe attention span deficits
impair the ability to participate in self-feeding. The COTA is MOST likely
to recommend which method? - ✔ ✔ Hand-over-hand assistance
An OT is working as a consultant to a long-term care facility that is
designing a dementia care unit. The OT would MOST likely recommend
which type of environmental attributes as therapeutic? - ✔ ✔
Controlled stimulation with meaningful sensory cues
The goal for an adolescent with anorexia is to improve self-concept.
Which component of a meal preparation activity BEST addresses this
goal? - ✔ ✔ State strengths and limitations regarding performance
in the activity
A patient diagnosed with an anxiety disorder tells a COTA that he can't
go with his therapy group on a planned shopping trip because he feels
fearful. The FIRST appropriate response for the COTA is to: - ✔ ✔
Encourage the patient to describe what makes him fearful about
going on this trip
During a group movement activity, a female client begins to pull at her
clothes and move seductively around the room. She does not stop,
despite repeated attempts by the group leader to end this behavior.
Which response is MOST appropriate? - ✔ ✔ Dismiss her from the
group
An individual with a hx of substance abuse is working on skills she will
need to take public transportation to an office where she will be
working as a volunteer. She has successfully demonstrated the ability to
ride the bus to her destination and return home again without
assistance. What is the next challenge the COTA should introduce? - ✔
✔ Require that the ride the bus according to a designated schedule
An individual who demonstrates compulsive behaviors is unable to
complete a cookie baking activity because he spends so much time
measuring and remeasuring ingredients. Upon observing this, how
should the COTA respond? - ✔ ✔ Acknowledge that he uses rituals
to cope with anxiety
A COTA is working with an individual who has just broken up with his
girlfriend. He spends most of his day in bed and reports feelings of
helplessness and hopelessness. How should the COTA respond upon
,hearing about these feelings? - ✔ ✔ Listen to what the individual
says and reflect back to him
A COTA has been working with a young adult client with mental
retardation and is providing information to assist the OTR in making
work placement recommendations for the client. The COTA reports
that the client functions best when preforming simple, highly
structured tasks in a closely supervised environment. The MOST
appropriate recommendation would be for work placement in a: - ✔
✔ Sheltered work program
A COTA asks a manic client what he would like to do in craft group. The
client answers, "I'm a really good carpenter, so I'm going to build my
kids a club house." The BEST response is to: - ✔ ✔ Suggest a more
realistic activity
An individual with mental illness attends group on a regular basis, but
interrupts others, grabs tools and supplies, and bosses others around at
almost every group session. What is the BEST way to respond to this
disruptive behavior? - ✔ ✔ Have the individual contribute to the
discussion identifying the "rules" for the group
An elderly man with chronic schizophrenia is frequently observed with
his hand in his pants, sexually stimulating himself. The BEST approach is
to: - ✔ ✔ Provide him with regular forceful gross motor activities
The initial short-term goal for a client working on improving
socialization skills is, "patient will verbally respond to others during
performance of a common task three times per session with minimal
verbal cues within 1 week." After several sessions, the COTA observes
that the client is responding to others three times or more per session
, without cueing, but does not maintain eye contact or initiate
conversation, Which of the following would be the MOST appropriate
action for the COTA to take? - ✔ ✔ Collaboration with the OTR to
change the short-term goal
A young woman with anorexia nervosa is participating in a lunch
preparation and cooking group. What should the COTA do when the
moan asks to use the bathroom following the meal? - ✔ ✔ Pull her
aside and ask her if she is upset
An extremely withdrawn individual has developed the ability to tolerate
interaction with one other group member while glazing slip molds in an
ongoing ceramics group. Which of the following steps should be taken
NEXT in order to develop this individuals ability to interact with others?
- ✔ ✔ Involve the individual in a three-member task group
A COTA is providing instruction to caregivers in a long-term care facility
concerning assisting a resident whose severe attention span deficits
impair the ability to participate in self-feeding. The COTA is MOST likely
to recommend which method? - ✔ ✔ Hand-over-hand assistance
An OT is working as a consultant to a long-term care facility that is
designing a dementia care unit. The OT would MOST likely recommend
which type of environmental attributes as therapeutic? - ✔ ✔
Controlled stimulation with meaningful sensory cues
The goal for an adolescent with anorexia is to improve self-concept.
Which component of a meal preparation activity BEST addresses this
goal? - ✔ ✔ State strengths and limitations regarding performance
in the activity
