Practice COTA NBCOT Questions

Practice COTA NBCOT Questions Upon evaluation, the occupational therapist determined that a person has hypesthesia in the midpalmar region and the terminal phalanges of the thumb, index, and middle fingers and decreased strength in thumb opposition. Which is the best INITIAL intervention for the OTA to use to prepare the client for engagement in occupational tasks? - ANS-A. hot packs B. Passive ROM C. Immobilization with a resting splint D. Nerve and tendon gliding exercises An adult with Amyotrophic lateral sclerosis shows increased muscle weakness and decreased fine motor coordination. What should OT intervention emphasize? - ANS-A.Energy conservation, adaptation, and work simplification, B. Progressive resistive exercises, sanding on a level surface, and energy conservation. C. Fine motor activities, dexterity training, and fastening clothing. D. Bilateral coordination activities, typing, and work simplification. A client status post poster lateral total right hip arthroplasty is being discharged to home. The patient ambulates independently with a standard walker accessed to orthopedic surgeon guidelines of weight bearing as tolerated and follows posterior hip precautions. Which is the best recommendation for the OTA to make to ensure client safety and facilitate independence? - ANS-A. Rearrange furniture to make the home wheelchair accessible to accommodate the client's use of a wheelchair when fatigued. B.Place items used frequently within easy reach to eliminate the need to reach up or bend down. C. Use a chair that is low and has a soft-cushion to make transfers easier. D. Teach the person to don and doff socks and shoes by placing one leg across the knee of the other leg. An adult referred to Occupational therapy complaining of severe pain in the right hand one week after a bruising injury. The hand is swollen, cold, and difficult to move. The skin appears Shiny and Blotchy. What is the best treatment goal and corresponding therapeutic activity for the occupational therapy assistant to INITIALLY address and use? - ANS-A. Reduce edema by retrograde massage B.Increase hand mobility with passive range of motion C. Reduce pain by gentle handling and desensitization D. Increase functional hand use through bilateral functional tasks. A young adult with a C7 spinal cord injury wants to develop independent meal preparation skills to attain a pre-unjury goal of attending culinary school. The client watches television cooking shows for leisure. The client tells the OTA that the admission process to the culinary school requires all applicants to prepare and original 4 course meal. Which approaches should OTA include in the intervention sessions? Select BEST 3 responses. - ANS-A.Instruct the client in ways to modify recipes using a microwave. B. Teach the client to spread out pastry dough with flattened palms and extended wrists. C. Teach the client to use a tenodesis grasp during meal preparation. D. Supply the client with a wrist driven flexor hinge splint to hold kitchen utensils. E. Supply the client with a universal cuff to hold kitchen utensils. F. Instruct the student to prepare meals from original recipes that the student composes from watching preferred cooking shows. An adult has been in a coma for 14 days after sustaining a TBI in an automobile collision. Initially, the patient was unresponsive and the pupils do not respond too light. The patient is able to brush painful stimuli away, track a moving object, and inconsistency responds to simple verbal commands. Which is the best initial action for the OTA to take to attain ADL goals? - ANS-A. Incorporate adaptive equipment into self care skills B.Provide verbal cueing to complete tasks C. Utilize hand over hand assistance during the performance of familiar tasks. D. Provide auditory, visual, and tactile sensory stimulation. An older adult who incurred a collet fracture after a fall on an outstretched hand is referred to OT after cast removal. The client has a secondary diagnosis of osteoporosis and complains of pain, edema, and sensory loss in the hand. What is the best initial intervention for the OTA to use? - ANS-A. Active Range of motion B. Fine motor Activities C.Progressive grasp and release activities.