COTA Exam questions from NBCOT 3rd edition Graded A+

An OTA is asked to develop a discharge planning group for clients being discharged within the next month from a long term facility for adults with serious and persistent metal illness. Which action is best for the OTA to take initially? A. Obtain prospective group members occupational profile and postd/c goals and options. B. Identify community resources to develop a community reintegration program and enhance postd/c participation. C. Develop a self medication management teaching module to increase post-d/c medication compliance. D. Complete an evidence based search to identity best practices in community based mental health occupational therapy. - Answer-Correct Answer : A Rationale is on page 429 An elementary school aged child holds a pencil with a tightly held static tripod grasp and forms letters at an average rate of speed. The child demonstrates the ability to write all class and homework assignments. Which approach is best for the OTA to recommend this child use to improve grasp? A. Perform all written work with a larger pencil and jumbo crayons on a horizontal surface. B. Take a break every 15 mins while writing to open and close the hand several times. C. Practice moving coins from the fingertips to the palm and then from the palm to the fingertips. D. Write all written work on a vertical surface, such as an easel or classroom wall board. - AnswerCorrect Answer: C Rationale is on page 435A 19 year old with spastic diplegia and an IQ in the range of 55-69 is graduating from a special education program. The student has been involved in transitional programming since the age of 14. The OTA collaborates with the occupational therapist and the student to complete a discharge plan to meet the student's post secondary goals. Which of the following should the OTA recommend be included as a post d/c referral? A. A vocational rehabilitation workshop B. State vocational rehabilitation services C. A community college. D. A transitional employment program - Answer-Correct Answer: B Rationale is on page 437 A OTA is conducting a community transportation group with individuals attending a TBI day treatment program in an urban area. Which should the group do first? A. Read a subway map B. Take a subway as a group C. Determine a destination D. Purchase a subway free card - Answer-Correct Answer: C Rationale is on page 443 An individual with a spinal cord injury at the level of T1 is practicing a stand pivot transfer in the OT department of a rehabilitation center. The patient complains of dizziness and nausea. Which action is most important for the OTA to take first? A. Call for help according to the facility proceduresB. Return the patient to the w/c for a 5 min rest break C. Return the person to the w/c and immediately recline it D. Return the patient to the w/c and transport the patient back to rest in bed - Answer-Correct Answer: C Rationale is on page 445 An adolescent with myelomeningocele (spina bifida) at the C8 level wants to access a new computerized play system. Which is the best adaptation for the OTA to recommend the adolescent use to access this system? A. A chin switch B. A tenodesis splint C. A dorsal wrist splint with a universal cuff D. A joystick control - Answer-Correct Answer: D Rationale is on page 446 A child with spastic quadriplegic cerebral palsy demonstrates a consistent gag reflex. Which technique should the OTA use to help inhibit the reflex? A. Move a spoon from side to side on the tongue B. Press a spoon down firmly on the center of the tongue C. Stroke the tongue in a circular motion with a tongue depressor - Answer-Correct Answer: B Rationale is on page 447