COTA EXAM #2 Part 1 Questions and Solutions

COTA EXAM #2 Part 1 Questions and Solutions An individual with depression refuses to participate in an initial evaluation process. He sits away from the other clients, does not make eye contact with anyone, and states he just doesn't "feel like doing anything right now." Which of the following actions is the MOST appropriate for the COTA to take? Approach the client briefly several times throughout the session without making any demands on him. While observing a newly referred child in the playground, the COTA suspects that the child had dyspraxia. The MOST relevant assessment to determine the child's level of performance will be one which determines that child's ability to: Plan new motor tasks The BEST way for the OT practitioner to evaluate the presence of unilateral neglect is by using which of the following evaluations? Line bisection An OT practitioner wishes to identify how a patient spends his leisure time, which leisure activities he especially enjoys, and which others he has participated in that he would be interested in renewing. The MOST appropriate tool for this purpose is a(n): Interest checklist A young child with a diagnosis of spina bifida has been referred for an assessment. When collecting the initial data by interviewing the child's mother, the OT practitioner should focus PRIMARILY on: The mother's concerns and goals for her child An OT practitioner is performing a home management evaluation of an ambulatory individual with cerebral palsy who is cognitively in tact, but exhibits an ataxic gait pattern. The PRIMARY focus of the evaluation should be: Safety and stability An individual who has recently undergone a knee replacement is working on homemaking skills in the ADL suite. The PT has indicated the patient can ambulate with close supervision using a cane. While the individual has arrived for their therapy on time for the past 3 days, she has consistently left her cane back in her room. When the COTA asks where her cane is, the individual replies, "Oh, that cane, it's just so ugly." Which of the following actions is MOST appropriate for the COTA to take? Discuss issues related to self-concept with the individual While working with an 8-month old child, the COTA observes him assume a quadruped position and then begin to rock back and forth. This behavior MOST likely indicates: Normal development When administering an evaluation of upper extremity function to a newly admitted patient with Guillain-Barre syndrome, it is MOST important to: Perform the evaluation over several sessions A COTA working in a long-term care facility frequently evaluates cognitive performance. Which of the following methods is BEST for evaluating remote memory? Ask the individual about the grade school he or she attended While observing a child for the first time, the COTA notes that the child responds to loud noise by abducting and extending the arms. The reflex, or reaction, observed in this child is documented by the COTA as: Moro reflex As an OT practitioner who is a member of an assistive technology team evaluating an adult with severe motor limitations is MOST likely to: Make recommendations for ways of operating the technology An Individual with schizophrenia is newly admitted to the hospital. He is asked to describe what brought him to the hospital for admission. The individual responds by saying, "I took a cab." In the report, the OT is MOST likely to identify their response as: A concrete response An OT observes a child with a learning disability use an unusually tight grip when writing with a pencil. The child also frequently breaks the pencil point by applying too much pressure on the paper. This type of problem is MOST likely caused by inadequate sensory information from the: Somatosensory system Which of the following methods is BEST for evaluating a hook grasp? Have the individual hold a heavy handbag by the handles Which of the following activities would MOST effectively evaluate group interaction skills during a 45-minute OT session? All group members construct one tower that incorporates all the pieces provided in a set of constructional materials (i.e. Legos, Tinker-toys, or Erector set) Through the evaluation process, the OT practitioner may consider many possibilities for intervention, however, the specific plan for implementation of intervention is MOST often developed at which point in the OT process? After the development of the goals and objectives While observing a client who has just been admitted to the rehabilitation unit right after a right CVA with left hemiplegia, the OT notices that the patient's left arm lays imply by the patient's side. This MOST likely indicates: Flaccidity What should the OT do FIRST to obtain accurate information about a patient's family situation and about their occupational, cultural, and educational background? Read the social worker's report A child with motor delays is being evaluated to determine how he performs self-care activities. Which evaluation procedure is MOST likely to provide relevant information about self-care function? Home observation and parent interview An OT is evaluating two-point discrimination in an individual with a median nerve injury. The MOST appropriate procedure is to: Apply the stimuli beginning at the little finger and progress towards the thumb. When a new patient is referred for psychiatric services, the COTA and OTR both review the chart. The OTR then completes performance measures, and the COTA performs the interview. The COTA/OTR team relies on the interview part of the assessment to address the individual's: View of the problem and an overall goal A child running in the playground trips and falls forward, landing on outstretched arms. This behavior is BEST described as a(n): Protective extension response An individual who recently experienced an MI is now medically stable and has been referred to OT. To determine the individual's current endurance level, the OT plans to monitor performance of self-care activities. The FIRST step is to: Take the individual's vital signs at rest An OT is working on morning activities of daily living with a young adult who recently sustained a TBI. The client requires prompting to apply shaving cream to his face and to put up his razor. After these cues, the client is then able to complete the shaving activity. This MOST likely indicates a deficit in which of the following performance components? Initiation A 4 year old child with spina bifida have a lesion at the lumbar level that causes her bladder to be flaccid. The parents are requesting a bladder training program. The MOST appropriate response would be to: Explain to the parents that toilet training is not a feasible option An OT is performing an environmental assessment to determine accessibility for a client who will be returning home. The FIRST step in this process is to: Identify and analyze the tasks and occupations that the client will be performing in the home A homemaker recently diagnosed with early-stage Alzheimer's disease lives with her husband who is a high school teacher. Which of the following is MOST important to address in this initial evaluation? Kitchen safety During an initial interview, parents describe their child as having severe difficulty in communicating and interacting with others. The COTA observes that the child exhibits many repetitive and ritualistic behaviors. The behaviors described are MOST likely to be associated with: Pervasive developmental disorder of childhood The MOST appropriate assessment instrument for the OT practitioner to use for measuring ROM of the hand is a(n): Goniometer A COTA working in a geropsychiatric day program runs a craft group after lunch. Many of the clients doze off during the group, which prevents them from benefiting from the activity. The COTA should recognize this as a problem with: Level of arousal An 11-month old infant who was born 3 months prematurely demonstrates the ability to creep, pull to a standing position, put objects into containers, and respond to the word "no." She does not understand object permanence, cruise or demonstrate a pincer grasp. Adjusted for prematurity, this child's development level should be considered to be: Age appropriate An individual has been referred to OT following an upper extremity injury resulting in partial paralysis. Which of the following assessments would be MOST important for an OT guided by a biomechanical frame of reference? Strength, ROM, and coordination A Staff member in a group home report to the COTA that several of the men repeatedly try to touch the female clients and staff, and that they often make sexual gestures and comments. Which of the following environmental modifications would be MOST likely to reduce this behavior? Avoid having these individuals in close proximity to others to reduce opportunities for physical contact To develop the MOST relevant goals and objectives for a child's OT program, the COTA should focus goals on: Child, caregiver, and therapist priorities A COTA provides a leather-working activity to an individual with C7 quadriplegia in order to increase grip strength. Which component of this activity would be MOST effective in promoting this goal? Holding a hammer A COTA is beginning training meal preparation with a homemaker after a TBI. The activity that should be introduced FIRST is: Pouring a glass of orange juice A child's long term goal is to increase fine motor skills. The assessment has revealed a deficit in tactile discrimination, specifically stereognosis. The MOST relevant short-term goal would be that the: Child will correctly identify, by feel only, 5 out of 5 common objects In establishing long-term goals for an individual with T4 paraplegia in a rehabilitation setting, the COTA would MOST likely predict that the patient will attain what level of independence with bathing, dressing, and transfers? Complete independence with self-care and transfers