A COTA® is working with an 18-month-old child with bilateral transverse upper-arm
deficiency who was recently fitted with myoelectric prosthetics. Which self-care tasks would
be appropriate to work on in therapy?
A. Donning and doffing prosthetics independently
B. Using ties or hook-and-loop fastener to fasten shoes bimanually
C. Raising upper extremities to assist with upper-body dressing
D. Indicating to a caregiver when more juice is desired - ANSWER Raising upper
extremities to assist with upper-body dressing
A 16-year-old client with attention deficit hyperactivity disorder is learning how to set a table
for a job at a banquet facility. The client has trouble remembering proper utensil placement
and requires increased time to complete the task. Which intervention strategy would help
the client place the utensils in the correct order?
A. Construct single-step cards with pictures of single utensils and corresponding steps to
follow when setting the table
B. Provide a visual cue card that has a picture of a completed place setting to follow when
setting the table
C. Develop a visual reinforcement chart and put a star or check mark on it for every table
successfully set
D. Set a visual timer to a specified amount of time and require the client to complete the
task in that time - ANSWER Provide a visual cue card that has a picture of a completed
place setting to follow when setting the table
An OTA® is working with a client in an area of practice for which the OTA has not
demonstrated competence. The client requires a seating and positioning evaluation for a
wheelchair. This is not an area for which the OTA has any experience. The OTA asks the
supervising OTR® to assign an OTA who has experience in this area. The OTA is following
which ethical standard?
1
,A. Justice
B. Nonmaleficence
C. Beneficence
D. Fidelity - ANSWER Beneficence
A client who has had a stroke is displaying signs of visual field loss. How would the COTA®
BEST determine whether visual field loss is present?
A. Conduct automated perimetry or visual field testing
B. Request that the OTR® complete automated perimetry testing
C. Refer to an eye care professional for automated perimetry testing
D. Refer to a low vision specialist for visual field testing - ANSWER Refer to an eye care
professional for automated perimetry testing
An OTR®; is conducting a cooking group for people with schizophrenia who are nearing
discharge from the hospital. The COTA; is assisting the OTR in writing the following goal for
one group member using the COAST method: "The client will cook a meal before being
discharged." Which of the following phrases is the MOST measurable formulation of the
occupation (or O) element of this goal?
A. "Cook an entrée and a side dish."
B. "Cook an entrée using a recipe that has four steps."
C. "Cook chicken soup."
D. "Cook independently." - ANSWER "Cook an entrée using a recipe that has four
steps."
A COTA® is working with a child with bradydactyly. Which occupation might the child have
difficulty with?
A. Eating a sandwich.
B. Talking with a friend on the phone.
C. Ordering at a restaurant.
D. Buttoning shirt buttons - ANSWER Buttoning shirt buttons
2
, What is an effective strategy to improve the ability of a client with dementia to find the
client's bedroom in a long-term care facility?
A. A unique symbol that is familiar to the client
B. The client and the client's family in a recent photo
C. A picture of the client labeled with the client's name
D. A symbol in the client's favorite color - ANSWER A picture of the client labeled with
the client's name
A school-based OTR®; is working with a child who has severe emotional disturbance. The
child frequently responds "No!" to provoke a strong response from others, is extremely
disorganized when provided a series of instructions, and has sudden emotional outbursts
when frustrated with challenging tasks. Which strategy to enhance the client's behavioral
performance in school will be MOST effective?
A. Ask the child whether he or she wants to do a particular activity during therapy
B. Avoid the use of written rules because they will only provoke strong emotional reactions
from the child
C. Use a small, enclosed room to help contain behavioral expression during sudden
outbursts - ANSWER Use a small, enclosed room to help contain behavioral expression
during sudden outbursts
A COTA®, in conjunction with an OTR®, has been asked to provide an inservice for a facility's
nursing assistants to prevent back pain or on-the-job injury. What principle BEST reflects safe
patient lifting?
A. Keep feet together to maintain a high center of gravity.
B. Place foot on stool for ease of weight shifting.
C. Use a stoop lift to assist clients in tub transfers.
D. Maintain the client's body as close as possible while transferring. -
ANSWER Maintain the client's body as close as possible while transferring
An OTR®; is working with a child who has autism. The teachers and parents complain that
each time the child uses the bathroom, the child will be in the bathroom for at least 10
3
deficiency who was recently fitted with myoelectric prosthetics. Which self-care tasks would
be appropriate to work on in therapy?
A. Donning and doffing prosthetics independently
B. Using ties or hook-and-loop fastener to fasten shoes bimanually
C. Raising upper extremities to assist with upper-body dressing
D. Indicating to a caregiver when more juice is desired - ANSWER Raising upper
extremities to assist with upper-body dressing
A 16-year-old client with attention deficit hyperactivity disorder is learning how to set a table
for a job at a banquet facility. The client has trouble remembering proper utensil placement
and requires increased time to complete the task. Which intervention strategy would help
the client place the utensils in the correct order?
A. Construct single-step cards with pictures of single utensils and corresponding steps to
follow when setting the table
B. Provide a visual cue card that has a picture of a completed place setting to follow when
setting the table
C. Develop a visual reinforcement chart and put a star or check mark on it for every table
successfully set
D. Set a visual timer to a specified amount of time and require the client to complete the
task in that time - ANSWER Provide a visual cue card that has a picture of a completed
place setting to follow when setting the table
An OTA® is working with a client in an area of practice for which the OTA has not
demonstrated competence. The client requires a seating and positioning evaluation for a
wheelchair. This is not an area for which the OTA has any experience. The OTA asks the
supervising OTR® to assign an OTA who has experience in this area. The OTA is following
which ethical standard?
1
,A. Justice
B. Nonmaleficence
C. Beneficence
D. Fidelity - ANSWER Beneficence
A client who has had a stroke is displaying signs of visual field loss. How would the COTA®
BEST determine whether visual field loss is present?
A. Conduct automated perimetry or visual field testing
B. Request that the OTR® complete automated perimetry testing
C. Refer to an eye care professional for automated perimetry testing
D. Refer to a low vision specialist for visual field testing - ANSWER Refer to an eye care
professional for automated perimetry testing
An OTR®; is conducting a cooking group for people with schizophrenia who are nearing
discharge from the hospital. The COTA; is assisting the OTR in writing the following goal for
one group member using the COAST method: "The client will cook a meal before being
discharged." Which of the following phrases is the MOST measurable formulation of the
occupation (or O) element of this goal?
A. "Cook an entrée and a side dish."
B. "Cook an entrée using a recipe that has four steps."
C. "Cook chicken soup."
D. "Cook independently." - ANSWER "Cook an entrée using a recipe that has four
steps."
A COTA® is working with a child with bradydactyly. Which occupation might the child have
difficulty with?
A. Eating a sandwich.
B. Talking with a friend on the phone.
C. Ordering at a restaurant.
D. Buttoning shirt buttons - ANSWER Buttoning shirt buttons
2
, What is an effective strategy to improve the ability of a client with dementia to find the
client's bedroom in a long-term care facility?
A. A unique symbol that is familiar to the client
B. The client and the client's family in a recent photo
C. A picture of the client labeled with the client's name
D. A symbol in the client's favorite color - ANSWER A picture of the client labeled with
the client's name
A school-based OTR®; is working with a child who has severe emotional disturbance. The
child frequently responds "No!" to provoke a strong response from others, is extremely
disorganized when provided a series of instructions, and has sudden emotional outbursts
when frustrated with challenging tasks. Which strategy to enhance the client's behavioral
performance in school will be MOST effective?
A. Ask the child whether he or she wants to do a particular activity during therapy
B. Avoid the use of written rules because they will only provoke strong emotional reactions
from the child
C. Use a small, enclosed room to help contain behavioral expression during sudden
outbursts - ANSWER Use a small, enclosed room to help contain behavioral expression
during sudden outbursts
A COTA®, in conjunction with an OTR®, has been asked to provide an inservice for a facility's
nursing assistants to prevent back pain or on-the-job injury. What principle BEST reflects safe
patient lifting?
A. Keep feet together to maintain a high center of gravity.
B. Place foot on stool for ease of weight shifting.
C. Use a stoop lift to assist clients in tub transfers.
D. Maintain the client's body as close as possible while transferring. -
ANSWER Maintain the client's body as close as possible while transferring
An OTR®; is working with a child who has autism. The teachers and parents complain that
each time the child uses the bathroom, the child will be in the bathroom for at least 10
3
