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Exam (elaborations)

Medical Surgical exit exam

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Medical Surgical exit exam












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Uploaded on
January 9, 2025
Number of pages
35
Written in
2024/2025
Type
Exam (elaborations)
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Exit Exam
Study online at https://quizlet.com/_80czr1

At the beginning of an assertiveness
training program, the COTA asks the
participants to complete a questionnaire
asking about situations in which they be- Identifying areas of strength & weakness
lieve they are not assertive & want to
charge. What is the primary purpose for
administering this questionaire?
Which information is most important to
verify prior to providing a home program The clients ability to follow through with
to a client who has had a CVA and is the self-directed program
participating in outpatient OT?
An inpatient that has Stage 3
Alzheimer's disease (mod. to mod. se-
vere decline in cognition) has difficulty
sequencing steps for self-care activities
Strategies the patient's family can use to
and is easily frustrated. The patient is
cope with the patient's functional decline
preparing for discharge to live in the fam-
ily home with adult children. Which info.
should the COTA contribute to this pa-
tient's discharge planning process?
The multi-disciplinary team at a commu-
nity-base program is developing a sub-
stance abuse relapse program. The fo-
cus of the program is to promote healthy Suggesting program objectives related
alternatives for at-risk individuals. What to leisure skill development
is the primary contribution of the COTA
during the initial phase of program devel-
opment?

A COTA is planning to discharge an
individual who recently has a stroke.
Plans are to discharge the client home to
live independently. The practitioner has
worked with other individuals in similar Conditional reasoning
situations, and has developed a keen
sense for many of the issues that may
arise and need to be problem solved.
The form of clinical reasoning that this


, Exit Exam
Study online at https://quizlet.com/_80czr1
practitioner is most likely to use based on
past experience will be:
A client was recently diagnoses with
stage IV, inoperable cancer. He is cur-
rently staying in a SNF after recovering
from complications of pneumonia & a
UTI. The client displayed an angry af-
fect the first few days at the facility but
Bargaining
is now speaking excessively about his
religious beliefs and is asking the OTA to
join him in prayer a couple of times per
therapy session. This client is most likely
experiencing which stage according to
Kubler-Ross?
An OTA who disagrees with the treat-
ment approach of a speech therapist,
chooses to write about her disagreement Fidelity
in the clients OT notes. The ethical code
that this COTA is violating is:
In regards to the development of
self-feeding skills, around what age do
children begin to succeed in scooping 15-18 months
food with a spoon and bringing it to the
mouth?
An OTA working with the mentally ill
population has a client who is recov-
ering from a major psychotic episode.
The client previously had a low tolerance
for presence of other people while he
is working on simple craft projects. With
Project group interaction skills
ongoing occupational therapy he is now
able to share supplies with one or two
other clients while working on craft activ-
ity. The OTA would chart that this client
has group interaction skills at which of
the following levels?




, Exit Exam
Study online at https://quizlet.com/_80czr1
A client with neurocognitive disorder of a compensatory approach for cognitive
the Alzheimer type is frequently wander- deficits
ing out of the front door. Using a strategy
such as the sign in the picture would
be best described as which type of OT
intervention for this client?
During an evaluation the occupational
therapist first wants to obtain an under-
standing of the client's occupational his-
tory and experiences, patterns of daily Occupational Profile
living, interests, values, and needs. This
important initial piece of the evaluation is
called?
You are a COTA working in a rehabilita-
tion hospital who you see every morn-
ing for therapy. The client works hard is
motivated to improve. However, the client
refuses to participate in therapy on Fri- Spirituality can have a very real impact
day evenings and Saturdays due to ob- on occupational performance
servance of the Jewish Sabbath. Which
statement about occupational therapy
best describes the way the OT profes-
sion views this situation?
A COTA is working with a client who re-
cently had a total knee arthroplasty and
lives alone at home. The client already
has a grab bar on the bathroom wall she
used to help get on and off the toilet
before she had the surgery. Now that
she is several weeks post-surgery, her Internal Factor
knee is slow to gain full flexion and it is
difficult for to sit down and stand up from
a simulated toilet that is set to the height
her toilet at home. This client's loss of
knee flexion is an example of what kind
of factor that is interfering with function?
The supervising OT in a hand therapy
clinic that relies heavily on a biomechani-


, Exit Exam
Study online at https://quizlet.com/_80czr1
cal approach to therapy, asks the OTA to
focus on symptom management for the
first two weeks of therapy for a client with
Provide instructions to reduce gravity
significant edema of the dominant hand.
dependent positions that would worsen
Further instructions are to begin func-
edema and apply compression garments
tional activities after the edema has re-
to the affected limb
duced. Which intervention is MOST con-
sistent with the instructions provided by
the supervising OT?
A 70-year old male expresses regret that
he can no longer read books due to di-
abetic retinopathy. The COTA inquires if
the man is interested in learning how
Share the man's desire to learn to use
to access audio books from his mobile
audio books with the supervising OT pri-
phone using voice activation commands.
or to implementing interventions for this
The man considers himself to be "terrible
with technology" but he is interested to
do this it it isn't complicated. What should
the COTA do next?
Which answer below describes the prop- Around the level of the clients pelvic gir-
er height of a walker? dle
An OTA has a client that frequently re-
ports forgetting to take his blood pres-
sure medication. When asked if he can
describe the purpose of this medication
Poor health literacy
and how much he is supposed to take,
the client says he does not remember.
The OTA understands that she is most
likely dealing with which concept?
A female OTA has a male client who
is a practicing Muslim. He seems to be
uncomfortable during therapy sessions.
Speak to the OTR about having the de-
The OTA speaks to the man's daugh-
partment's male therapy aide provide all
ter who explains that traditional Muslim
touching aspects of the therapy sessions
men are not supposed to be touched
under direct guidance of the OTA
by females and this is probably why he
seems uncomfortable during sessions.
what should the OTA do?

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