COTA Exam 1 - Gathering info Questions and Answers

COTA Exam 1 - Gathering info Questions and Answers Through the school based eval process, the OT may consider many possibilities for intervention; however, the determination that OT will be included in the students IEP is made at which point in the IEP process? a. after the OT reviews and interprets all the evaluation data b. during the interview with the classroom teacher who referred the child for eval c. at the IEP meeting once the OT eval results are summarized to team members d. after the students goals & objectives are determined for the IEP.. d. after the students goals & objectives are determined for the IEP. After evaluation, a short-term goal for a patient who had a total hip replacement was to dress with Min A, using AE and verbal cues to follow hip precautions. After 1 week of treatment, the patient is able to dress with SBA, using AE and verbal cues to follow up on hip precautions. What skills does this person need to demonstrate before changing the goal? a) Less time needed to perform dressing b) Ability to consistently follow hip precautions c) Ability to use AE appropriately b) Ability to follow hip precautions Overall health and wellness in those with schizophrenia negatively impacts occupational performance. Which is most descriptive of the impact on health & wellness on occupational performance? a) Medication may result in side effects like tardive dyskinesia and dystonia. b) Individuals do not respond to interventions focusing on lifestyle behaviors. c) Oral meds can cause development of Type II diabetes and weight gain. a) Medication may result in side effects like tardive dyskinesia and dystonia. The COTA will see a client who sustained an explosive-related extremity injury. Which of the following would the person mostly likely present with after sustaining this type of injury? a. Tympanic membrane rupture, dizziness and tinnitis. b) Amputations, fractures, crash injuries and/or burns c) Hypotension, renal contusion and failure d) Hemothorax, pneumothorax, and/or sepsis b) Amputations, fractures, crash injuries and/or burns While evaluating a patient with arthritis, the COTA observes PIP joint hyperextension and DIP joint flexion in the digits. What would this deformity be? a) boutonniere b) mallet finger c) congenital d) swan neck d) swan neck What is the next step for an OTR & COTA team to follow after initial evaluation of a 1-year-old child requiring early intervention services? a) independently develop an IEP b) Collaboratively develop an IEP c) Independently develop an IFSP d) Collaboratively develop an IFSP d) Collaboratively develop an IFSP During an OT session, a COTA observes that an individual is able to place dentures in their mouth, but has difficulty applying denture cram to the appropriate place on the dentures and attempts to place the cap on the tube backward. What is most likely responsible for this observation? A. Constructional apraxia B. Ideomotor apraxia C Ideational apraxia D. Developmental apraxia A. Constructional apraxia When assessing for visual agnosia in a patient who had a CVA, what is the best activity for the COTA to ask the patient to perform? a) Demonstrate common gestures such as waving b) Name objects by only using the sense of touch c) Identify the use of common household objects c) Identify the use of common household objects An OT/COTA team receives a referral for an infant in NICU whose parents have a history of drug use during pregnancy. What is the first action the team should take? a) determine the patient's current drug use b) recommend a social work referral and provide community program information c) modify the environment to minimalize excessive sensory stimulation prior to accessing the baby. d) assess the baby's behavior and use gentle handling to promote positive sensory experiences. c) modify the environment to minimalize excessive sensory stimulation prior to accessing the baby. A patient who had a stroke tries unsuccessfully to put on a shirt using a one-handed technique. They say: "I can do it, but I'm not trying hard enough. What would the COTA identify this response to be? a) denial b) depression c) shock d) regression a) denial An OT practitioner is assessing a client who has Schizophrenia and appears to be experiencing acute symptoms of the disease. Which of the following is considered to be an acute or positive symptom of Schizophrenia that the OT might document in the assessment? Choose all that apply A. Incoherency B. Delusions C. Low energy D. Anhedonia E. Inattention F. Echolalia A. Incoherency B. Delusions F. Echolalia The parent of an 18-month old child with hypertonia reports how dressing is extremely difficult. When teaching, the parent how to put on shoes and socks, what should the COTA suggest for them to do first? a) flex the child's hips b) flex the child's knees c) flex the child's neck a) flex the child's hips