COTA EXAM #3 Part 1 Questions and Solutions

COTA EXAM #3 Part 1 Questions and Solutions Which of the following is BEST to use when assessing three-jaw chuck strength? A pinch meter During a group activity, a COTA observes a client making frequent negative comments pertaining to the collage activity that the group is working on. These comments are MOST likely an indication of: Insecurity While working with a child diagnosed with CP, the COTA observes that the child's movements appear writhing, purposeless, and uncontrollable. These movements would BEST be described as: Athetoid Which is the MOST appropriate technique for assessing light touch sensation in a client who has just been admitted to the rehab unit after a RCVA with left hemiplegia? Demonstrate the procedure on the unaffected extremity, then occlude the client's vision while testing the affected extremity In evaluating an adolescent with psychosocial problems, an OTR would be MOST likely to begin the process by screening the adolescent's level of function in which areas? Socialization, task performance, daily living skills, and time management At a team meeting, a teacher reports that a child is having difficulty copying letters, doing mazes, and using scissors. This behavior MOST likely indicates a problem in which of the following areas? Visual-motor integration While assessing dressing skills with a patient who recently had a stroke, the OT notes that the individual is unable to see buttons on printed fabric. This MOST likely indicates that the individual may be having difficulty with: Figure ground perception The OT has just completed observation of a child eating lunch. Which of the following statements BEST describes an objective observation? The child demonstrates tongue thrust Which of the following performance components are MOST important to consider when analyzing activities for use with adults with psychosocial problems? Self-control demands, time management demands, self-expression opportunities, and interest in the activity An infant has begun to sit and is leaning forward onto his arms. The COTA notes that the infant is able to co-activate muscle groups around the shoulder and arm in order to bear weight on arms in sitting. This demonstrates that the infant has MOST likely developed which type of reactions? Support An individual who had a MI has been transferred from the acute care unit to a rehab unit. During the initial interview, he displays good memory of information processed before the MI, but poor recall of the period spend in the acute care unit. He is able to recall information since the transfer. The OT would MOST likely document these behaviors as: Anterograde amnesia A woman who had a stroke tries unsuccessfully to put on a blouse using a one-handed technique. She states "I can do it. I'm just not trying hard enough." This COTA most accurately recognizes this as: Denial A COTA working with an infant observes the presence of the first stage of voluntary grasp. Which of the following would be the MOST appropriate statement for documenting this behavior? The infant is exhibiting ulnar palmar grasp During evaluation, the COTA asks a client with RA to flex her shoulder. The client's ROM is limited to 90 degrees and she can tolerate moderate resistance in this position. The COTA further observes that the PROM is the same as the AROM. The manual muscle test grade for shoulder flexion would MOST likely be documented as: Good (4) By using an interest checklist that includes a report of both interests and actual participation in activities, an OT will MOST likely collect information on a client's: Use of time When working with a child who exhibits tactile defensiveness, which of the following areas should be evaluated FIRST? Dressing habits A client who recently started using a w/c will be returning to work. An OT is evaluating the client's workplace for accessibility according to the ADA guidelines.The doorway to the client's office has a clear opening of 28 inches. Which of the following recommendations would be the MOST appropriate to facilitate clear passage of the w/c through the doorway? The doorway width needs to be expanded to have a minimum clear opening of 32 inches. Using the MODEL of HUMAN Occupation as a frame of reference, evaluation of an individual should focus PRIMARILY on which of the following? The effect of personal traits and the environment of role performance A preschooler with a diagnosis of developmental delay is very withdrawn and passive. While working on toileting skills, the child reaches out for a toothbrush and starts to brush her hair with it. The OT practitioner recognizes the PRIMARY importance of this behavior as: Indicating initiative and beginning task-directed behavior A patient who is asked to show the path she would take to get from her room to the therapy clinic at the other end of the corridor becomes easily confused and makes several wrong turns. This behavior MOST likely indicates? Topographical disorientation An adolescent with a hx of shoplifting and gang violence has been hospitalized with a diagnosis of conduct disorder. During a craft group, the COTA should pay particular attention to the individual's: Attention span and social interaction skills A child avoids playground equipment that requires her feet to be off the ground. This behavior MOST likely indicates: Gravitational insecurity During a coloring activity, an OT observes a preschooler stabilizing a crayon between the thumb and first two fingers. The practitioner MOST accurately documents this grasp as: Radial-digital grasp An individual with an anxiety disorder has been placed on a new anti-anxiety medication. The COTA has been asked to observe the individual closely for side effects during OT activities over the next few days. The COTA should be particularly observant for which of the following? Confusion A 6-month old child, when putting into sitting with several trials, demonstrates a head lag. This behavior MOST likely indicates that head control is: Significantly delayed by several months As part of an initial evaluation of an individual with carpal tunnel syndrome, the OTR evaluates light touch sensation using a cotton ball. After wearing a wrist splint for 2 weeks, the patient returns for reevaluation, which the COTA performs. At this time, the MOST appropriate method for reevaluation of light touch is: A cotton ball An individual who has a TBI is beginning OT. The OT needs to assess whether this person can transfer learning from one activity to another in order to plan treatment appropriately. The MOST appropriate way to observe this patient's learning ability would be to: Have the individual perform a simple cooking task, then use a different food at the next session A 4-month old infant being seen for an OT assessment shows a strong preference for the left hand when reaching for a rattle at midline. Considering the development of dominance in normal children, the COTA should conclude that: Further observation and evaluation of right-sided dysfunction is indicated An OT is assessing hand function in a man with arthritis by observing him as he makes a pb sandwich. The individual is unable to remove the lid from a 28 ounce pb jar, but is able to stand at the counter, spread the pb on the bread with a knife, and replace the lid when he has finished. These observations would MOST likely reflect a deficit in which of the following? Strength An individual diagnosed with major depression and recently admitted to an acute inpatient psychiatric unit has arrived for her 9am OT evaluation late, hair uncombed, clothing disheveled, and smelling badly. Chart review indicates this individual has been reluctant to engage in conversation with staff and peers. Which of the following methods is MOST appropriate for assessing the individual's self-care skills? Briefly interview the individual using closed-ended questions, targeting the individual's premorbid and current self-care performance levels Working with a preschooler in the home, the COTA observes the child climb into a highchair and jump up and down on a toy trampoline. When presented with a new rocking horse as a bday present, however, the child is unable to determine how to mount the horse. This MOST likely indicates a problem in the area of: Motor planning While performing a hand reassessment the COTA notices a deformity developing in the client's second digit. The client's PIP joint appears flexed, and the DIP joint appears to be hyper-extended. The COTA can BEST describe this condition as a: Boutonniere deformity A COTA is interviewing an individual diagnosed with Alzheimer's disease to obtain information about his level of independence in ADLs and IADLs. Halfway through the interview, the COTA realizes the client is confabulating. Which of the following options is MOST appropriate? Interview a reliable informant instead of the individual A client is working on prehension skills in order to return back to work as a mecahnic. Which of the following BEST resembles a prehension activity? Loosening nuts and bolts An individual learning to use a augmentative communication system has mastered the task of understanding picture symbols and their use. The next step would be: Sequencing of picture symbols. A child has low muscle tone resulting in problems in the following printing and handwriting subskill areas: (1) postural stability, (2) shoulder stability, and (3) grasp of the pencil. If the COTA uses a proximal to distal approach to skill development which of the following treatment sequences are BEST? Improve posture, then improve shoulder stability, then improve grasp A COTA is planning to practice transfers using a transfer board with a patient who has bilateral lower extremity amputations. The COTA must have the patient use a w/c which has: Detachable arms A COTA has begun working with a client in a psychosocial treatment setting and is explaining the therapy process. Which of the following introductory statements would the COTA MOST likely use to describe the therapeutic relationship between the COTA and the individual within psychosocial frames of reference? We will be working together to achieve your goals A treatment plan for a child with visual discrimination problem would MOST likely include which of the following adaptations of visual materials? High contrast and defined borders Which of the following activities would BEST represent an expected outcome for an individual who completes an energy-conservation program? Getting dressed without becoming fatigued A COTA has been assigned to develop an expressive activity group for woman who have experienced emotional and physical abuse. The BEST choice of activity would be: Writing a soap opera