COTA Review Guide Prep Bank_ 1000+ Q&A all answered correctly 2022.. Rated A

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Occupational Therapy Examination Review Guide COTA Review Guide Prep Bank_ 1000+ Q&A all answered correctly 2022. in assessing the dressing skills of a 5-year-old child, the cota observes that the c... hild is able to put on a jacket, zip the zipper, and tie a knot in the draw string, but needs verbal cueing to tie a bow. the Cota would most likely determine that the childs dressing skills are -Answer- age appropriate in administering an assessment of finger tip pinch strength, the ot practitioner would instruct the individual being tested to place his or her fingers in which position -AnswerThumb against the tip of the index finger the ot treatment approach that will most likely meet the overall needs experienced by individuals with substance abuse problems is to -Answer- Assist with skill development in the areas of leisure, self expression, and ADLs a cota observes that a 10-month old child is able to sit alone by propping himself forward on his arms, but consistnetly loses his balance when reaching for a toy. this behavior MOST likely indicates -Answer- a Developmental delay an individual demonstrates the ability to pick up a penny from a flat surface. this represents which of the following prehension patterns -Answer- tip when conducting a structured interview, it is most important for the ot practitioner to - Answer- Ask the questions as they are stated on the interview sheet a 3 year old child demonstrates the ability to use the toilet independently except for wiping and readjusting clothing afterwards. this behavior indicates the child is performing at which of the following -Answer- At age level the cota is observing dressing skills in an individual with COPD. while putting on his shirt, the individual becomes SOB and stops to rest before finishing with the shirt and going on to his trousers. this behavior most likely indicates a deficit in. -AnswerEndurance an individual with the goal of increasing attention span is frequently observed watching the person next to her instead of performing her assigned task. this behavior most likely indicates a problem with -Answer- Distractibility in screening a child who has been referred to OT, the primary goal of the to practitioner is to -Answer- Determine the need for future evaluationa COTA is working with an individual who is unable to name or demonstrate the use of common household objects. this behavior most likely indicates. -Answer- Visual agnosia when reporting data collected to the OTR, it is most important for the COTA to -AnswerProvide a summary of observations of the patient's behavior, including what the patient said and did during the interview a child is observed grabbing toys from others, becoming easily frustrated, and is unable to sit still. this behavior most likely indicates. -Answer- ADHD an individual who had a stroke is copying a picture of a clock. the drawing appears as a lopsided circle with a flat side on the left. the numbers one through eight are written in numerical order around the right side of the clock. the hands are correctly drawn on the clock to represent three o'clock. the individuals performance appears to demonstrate. - Answer- Left unilateral neglect an individual alternatively exhibits laughing and crying throughout a treatment session. this behavior should be documented as -Answer- Emotional lability evaluation of a school age child diagnosed with moderate mental retardation should generally focus on -Answer- Communication, self-care, and social skills an individual who use a wheelchair is being discharged from a rehabilitation facility to home. in determining accessibility of the interior home environment, the area the cota should be most concerned with -Answer- Steps, width of doorways, and threshold Heights a woman experienced repeated sexual abuse by her father as a child. she now describes her fathers abusive actions fired from a job because of new management. the defense mechanism she is most likely using -Answer- rationalization a child has considerable difficulty with problem solving when playing with lego blocks and becomes frustrated and gibes up easily. this most likely indicates a problem in which area of play -Answer- constructional an OT practitioner is making a home visit to an elderly client who lives alone. the client exhibits severe hand weakness. when addressing safety in the home, the most important area to assess is the individuals ability to -Answer- Work with locks and latches on the doors and windows a supermarket employee with obsessive compulsive disorder tasks an hour to stock 24 soup cans on the shelf. he reports that once he has placed all the cans on the shelf, he removes them all and starts over bc all the labels were not lined up exactly in the same direction. which of the following methods would most effectively evaluate this individuals work performance -Answer- Functional assessment of work related skills, such as carrying and opening cartons and shelving itemswhich of the following assessment methods would an OT practitioner most likely choose in order to earn about a families values and priorities -Answer- Interview a person with functional limitations in shoulder abduction and external rotation is performing self care activities which of the following is most essential for the cota to assess? -Answer- combing the hair a COTA is scheduled to interview an individual with a head injury about her home environemnt, and family and child care responsibilities. knowing the individual has an attention span of 10 to 15 minutes, whicih of the following should the cota do first - Answer- Obtain as much information as possible from the chart during the interview with the parents of a 3 year with mild CP, the OT practitioner learns that the child is regularly fed by his grandmother and does not have any independent feeding skills. the first issues the Ot practitioner needs to explore further is -AnswerThe cultural context and family interaction patterns a method that an Ot practitioner can use to document total finger flexion without recording the measurement in degrees would be to measure the -Answer- Distance from the fingertip to the distal palm palmar creased with the hand in a fist a COTA needs to report the result of an ADL evaluation to the supervising OTR the OTR, who is on her way to the cafeteria for lunch, states she has to leave immediately after lunch to another facility. which is the best method for the COTA to use to communicate the evaluation results to the OTR -Answer- in a written report when evaluating sensation of an individual with hemiplegia, the COTA should first - Answer- Apply the stimuli to the uninvolved area proximally too distally in a random pattern when assessing the sense of proprioception at an individuals joint, movement within the range would best be performed -Answer- The midrange of the joint an individual who attends a day program for adults with developmental disabilities has difficulty participating group activities bc of extreme anxiety related to being around others. the BEST way to determine whether the individual is experiencing anxiety during group sessions would be to. -Answer- Observe the individual's body language doing group sessions infants and preschool children with musculoskeletal disorders require ongoing examination of their upper extremity strength, coordination and functional abilities. the OT practitioner will obtain the majority of assessment information during infancy and preschool through -Answer- Observed of play in hand functionan individual is able to complete full range of shoulder flexion while in a sider lying position during an evaluation, how ever against gravity, the client is not quite able to achieve 50% of the range for shoulder flexion. this muscle should be grade as -AnswerFair minus (3-) the mother of a 3 month old infant recently returned to her job as a bookkeeper on a part time basis. she reports that she has difficulty concentrating at work bc she keeps thinking about the baby, and that when shes at home, she is distracted bc she feels she should be at work. this primarily indicates a problem in the area of -Answer- role performance the treatment goal for a 4 year old child with hypotonia is to improve grasp. which of the following activities would be best for preparing the Childs hand for grasps activities - Answer- Weight-bearing on hands an older adult with diabetes is working on a macrame project as a way of increasing standing tolerance. the most relevant safety factor for the COTA to take into consideration is the -Answer- Texture of the cords she will be using the treatment goal that best addresses the psychosocial skill of self expression is - Answer- The client will use facial expressions and gestures that are consistent with stated emotions doing a assertive, passive and aggressive role play situations in planning a therapeutic dressing intervention for a first grade child who is mentally retarded, the cotas first consideration should be the need for -Answer- Adapted teaching techniques a Cota is fabrication a resting pan splint for a client with extremely fragile skin. which of the following areas will the cota have to inspect most carefully for signs of skin breakdown -Answer- ulnar styloid, distal head of radius and thumb CMC joint the cota needs to identify an activity that will address psychosocial goals by (1) allowing the individual to experience success using a messy process, and (2) requiring the individual to delay gratification. the activity process that is best for providing this experience -Answer- Applying grout to a tile trivet And waiting for it to dry a school age child demonstrates aggressive and disruptive behavior in school as a result of a low sensory threshold. which of the following suggestions would be most useful to discuss with the teacher regarding an upcoming class bus trip to the zoo - Answer- Let the child sit at the front of the bus and use a tape player with earphones which of the following interventions is most appropriate for an individual who has recently been diagnosed with rheumatoid arthritis and is in the acute stage of the disease -Answer- Positioning, adaptive equipment, and patient educationa cota is working with an individual who was admitted to an inpatient psychiatric program for major depression. this individual is also diagnosed with stage 4 AIDS. the best general focus of treatment at this point would be -Answer- Restore and maintain performance of self chosen occupations the support performance a valued occupational roles a 5 grade child with significantly low muscle tone caused by Duchennes muscular dystrophy is losing trunk control when sitting. which of the following approach is - Answer- Biomechanical frames of reference should the cota consider when planning the treatment program - Answer- Playing balloon volleyball a cota is planning a program for an individual who needs to increase shoulder strength, range of motion, and endurance, which of the following activities is most suitable for periodic upgrading -Answer- to arive at work on time consistently the COTA is selecting activities for an 8 year old child with Duchenne's muscular dystrophy. which of the following developmental issues is most important to consider when identifying activities for this child -Answer- Reinforcements of competence which individual would benefit the most from using a wrist driven flexor hinge splint during a prehension activity -Answer- A client with a C6 injury an individual with a history of depression and social isolation is hospitalized for the third time due to suicide ideation. completion of an interest checklist indicates in crafts, cooking. and participation in social activities. in planning treatment for a short hospitalization, which of the following activities would be most appropriate for this individual -Answer- Identify social opportunities using a local phone book a cota who is beginning treatment for a child with athetoid CP is concerned about the child's inability to control flexion and extension of the arm when reaching for a toy. the child flexes or extends to much, which makes placement of the hand very difficult. the most appropriate goal for this type of problem in hand function would be to improve the - Answer- Ability to grade movement a COTA is working with a patient recovering from a hand injury who complains of pain when any sensation is felt on the affected hand. in planning in a program of desensitization training for the patient, the most appropriate sequence for grading the sensory stimuli that will be applied to the patients hand is from -Answer- Soft to hard to rough a cota is conducting an on going assertivenesses training group. which of the following strategies would be most helpful in the development of group cohesion -AnswerEncourage group members to share similar experiences and reaction with each othera school age child with multiple handicaps is beginning to develop some controlled movement in the upper extermities. it would be most appropriate to introduce switch operated assistive technology when the child -Answer- Demonstrate any reliable, controlled movements a cota is working with an individual with amyotrophic lateral sclerosis who is no longer able to ambulate for kitchen or home management activities. which of the following interventions best addresses the goals of independence in meal preparation for this individual -Answer- meal preparation techniques using a wheelchair in carrying out inpatient treatment groups for individuals with schizophrenia, the cota should routinely -Answer- You simple and high structured activities a child with behavioral problems has difficulty with peer interactions. which of the following aspects of the treatment plan is most important -Answer- Provide enjoyable activities and a safe and accepting in in environments a long term goal for a client following a hip arthroplasty is independence in lower extremity dressing. the most relevant short term goal for the cota to work on would be that the -Answer- Clients would demonstrate appropriate hip precautions a cota is planning a craft activity for an adolescent who has been hospitalized following a suicide attempt. an interest checklist indicates experience with fiber arts, which of the following activities would be considered most appropriate for this individual -Answerdecoupage Wooden key fob a 9 year old child with sensory integration problems has not developed a preferred hand for printing or writing. which intervention option would most likely result in eventful development of a preferred hand to use in writing activities -Answer- Consider and treat underlying sensory integration problems as a possible cause a COTA is preparing a work conditioning program for a patient who has decreased endurance. the cotas first step in developing a work conditioning program for this patient would be -Answer- Creating non-specific job stimulated work task a cota is planning a college activity tasak group for several clients with depression. the primary purpose of using an OT task group with these clients is to -Answer- Encourage here and now explorations of members behaviors and issues will promote and learning through doing the cota review various functional activities that are being incorporated into her clients hand rehabilitation program. the cota explains to the client that functional activities may include -Answer- Crafts, games, and self task a cota who works in an outpatient facility recommends that client with parkinson's disease be treated in a therapeutic group. the cota is most likely to select grouptreatment for these clients because. -Answer- It provides social interaction and support, as well as activity a cota is planning a meal preparation activity for an adult client with attentional and organizational deficits secondary to alcohol abuse. the treatment goals address the clients difficulties in properly sequencing tasks. the most appropriate activity to use first is -Answer- Baking cookies using a recipe when teaching children with moderate mental retardation to feed, groom, and dress themselves, the cota is most likely to use which technique -Answer- chaining an individual with an IV drug abuse problem has developed aids. the ot evaluation revealed that the individuals major problems are with daily tasks, self esteem, physical reconditioning and anxiety. which of the following approaches would be most beneficial to the client -Answer- Have the patient practice stress reduction using medications, yoga, and energy conservation techniques an individual with an anxiety disorder feels so overwhelmed he cannot get himself from his room to OT group each morning. which of the following strategies will be most helpful -Answer- Give him a tour of the OT department and a schedule of activities the cota is attempting to increase play fulness with a 7 year old girl with sensory integrative dysfunction. the child experiences difficulties with motor tasks and often complains that non one likes her. after establishing rapport with the child, the cota would most likely introduce which of the following -Answer- role play a tea party with barbie dolls a patient with a short below elbow amputation is lacking sensation in the residual limb. the most appropriate intervention would be for the cota to teach the patient -Answer- To routinely inspect the skin closely for signs of skin breakdown a cota is running a discharge planning group in which individuals discuss their personal feeling and concerns about returning to the community. which of the following would be the best method to facilitate this process -Answer- Patients write fears and concerns on index cards and then the CO TA collects and reads the cards to the group for discussion a cota is working with a child whose poor visual attention is affection his ability to perform school work. an adaptation of the sensory environment that would best improve attention during a visual task is to have the child -Answer- Use headphones during work to reduce competing sensory input a cota is treating a client with parkisons disease whose primary functional problems are cause by a shuffling gait. the most relevant environmental recommendations the cota could make to address a potential safety hazard in the home is to -Answer- Remove scatter rugs throughout the houseafter a 30 year hospitalization, an individual with mental illness has been discharged to a community group home. she is used to being told what to do and where to go. which of the following would be best approach to take for this individual first meal preparation - Answer- Give the individual one task to do such as making drinks the cota is observing a 3 year old child during tooth brushing. the child demonstrates good bilateral upper extremity hand strength, but decreased dexterity. which piece of equipment would the cota most likely encourage the child to use during brushing - Answer- Any electric toothbrush an individual with chronic obstructive pulmonary disease and low endurance is taught to modify his bathing techniques for carryover after discharge. the cota should recommend which of the following as the best bathing methods -Answer- Using a bath chair in a hand-held shower with tepid water an individual consistently confuses white glue with white grout during a tile activity. which of the following actions would the cota implement to remain consistent with an activity adaptation approach -Answer- replace the white glue with blue glue a 6 grade with a diagnosis of athetoid cerebral palsy needs an adapted computer for communication. her upper extremity control is poor because of fluctuating muscle tone. the cota suggests that the best way for her to operate her computer is to use -AnswerSingle pressure switched, firmly mounted within easy reach a cota is instructing a person with arthritis how to maintain range of motion while performing household activities. which of the following activities would be the cota most likely recommend to accomplish this -Answer- Use a dust mitt to keep fingers fully extended an individual with mental retardation lives in a group home and is expected to participate in laundry activities. the individual is usually successful with routine performance of daily tasks, is able to recognize whether clothing is clean or dirty, demonstrates sequencing skills, and is independent in most self care activities. what advice should the cota provide to the individual to perform laundry activities at the highest level of independence possible -Answer- The staff may only need to monitor water temperature in the amount of soap being used a child with athetoid cp is woking in ot to develop self feeding skills. the cota observes that when the child attempts to pic up food, it slides off the plate. which adaptation does the cota provide to solve this problem -Answer- A scoop dish A patient who had a CVA has difficulty using his left upper extremity he for reaching activities because of fluctuating muscle tone. According to the neurodevelopment treatment approach, one of the most effective ways to teach a person to normalize highmuscle tone in affected extremity's prior to functional activities is by -Answer- Weightbearing through the upper extremity in sitting or standing An individual with memory and attention deficits exhibits poor table manners and is working to address this in an ADL group. Which method is most appropriate for this individual? -Answer- role Play that include practicing good table manners Which of the following would a CO TA most likely introduced to a group of 10-year-old children with paraplegia -Answer- A tabletop air hockey competition The go for an elderly person with Parkinson's disease is to dress herself independently. The best adaptation to compensate for this person's physical deficits would be -AnswerVelcro closures on front opening clothing Client is participating in an assertiveness training group within a work setting. The expected outcome of this intervention is that the client will most likely improve the ability to? -Answer- Expresses discouragement with coworkers in a productive manner a young child exhibits tactile defensiveness with all addressing task. which of the following would CO TA recommend as the most effective handling method for this child -Answer- Hold him firmly when picking him up and dressing him An individual who is being discharged after participating in an inpatient pulmonary rehabilitation program for chronic obstructive pulmonary disease is given a list of tips from the CO TA to used in the home to promote function. Which of the following items with a CO TA it was likely recommend -Answer- Perform pursed-lip breathing when doing activities A CO TA is organizing a group picnic outing to a park. The most important precaution for the CO TA to implement for those group members taking neuroleptic medication is - Answer- Encourage the use of PABA-free sunblock and hats CO TA is positioning a child with low muscle tone and postural instability into a prone stander to develop head righting. the child rapidly shows fatigue and associated reactions. how can this CO TA best adjust the stander to decrease these reactions will continue to address the goal head righting -Answer- Position stander at 75 to 90° from the floor during a stress management group, an individual recently diagnosed with multiple sclerosis complains that his teenage children are resistive to helping with chores that were previously his responsibility example mowing the lawn and taking out the trash. Which of the following stress management techniques with the CO TA most likely recommend to adjust this clients concerns -Answer- Using effective communication skillsan Individual with a history of depression and low self-esteem has just begun to participate in a home management group. This individual has previously identify Cookin as a leisure interest that he is good at. Which of the following approaches will most effectively promote individual growth and self confidence -Answer- Doing a meal preparation activity, have the individual demonstrate a step that he is familiar with to two or three group members CO TA is working with the family of a three-year-old child who lack sitting balance in the bathtub. The family is requesting an alternative to a shower bench, because the child seems to enjoy submersing herself in the warm bath water, and their insurance does not cover durable medical equipment costs. which of the following with the CO TA most likely recommend -Answer- place a foam-line Plastic laundry basket in the tub A resident of a long-term care facility is receiving OT because of difficulties with eating. The first step of intervention the CO TA performs with this resident at meal time is to - Answer- Position the person in an upright position posture, making sure head is flex slightly in a midline Which of the following is most important when using remotivation approach with a group of elderly individuals -Answer- Use pictures, music, and discussion to encourage discussions of memories A child with quadriplegia complains of frequently slumping to the side when sitting in the wheelchair. The CO TA would most likely recommend which of the following to enable to the child to maintain optimal wheelchair positioning. -Answer- lateral trunk support In individual with a C6 spinal cord injury is unable to button his shirt. The CO TA would most likely to select which type of adaptive equipment to assist this child with buttoning. -Answer- A buttonhook attached to a cuff that fits around the palm An individual diagnosed with borderline personality disorder tells the CO TA that she is the only one she can trust. The next day she accused the cota of lying to her. The best way for the CO TA to respond as to -Answer- Remain matter of fact and consistent in approach A teenager with fine motor and incoordination report difficulty with self-care. Which of the following options with this individual find most beneficial -Answer- Toothpaste with a flip open Cap A CO TA is working with a group of patients who have orientation deficits resulting from head injuries. Using adaptive or compensatory approach the most appropriate intervention would be -Answer- Provide verbal cues, external aids such as calendars and family pictures, and opportunities to practice using the external aids a CO TA instructs a client with chronic neck pain to use psychosocial pain management techniques. Which of the following strategies should the CO TA implement to assist inthe management of this individuals chronic pain -Answer- bioFeedback, distraction, and relaxation techniques The parent of an infant with hypertonia reports that dressing the child is extremely difficult. When teaching this parent how to put shoes and socks on the child, the CO TA should recommends first flexing the child's -Answer- hips A CO TA is treating a restaurant walker with carpal tunnel syndrome. The most important instruction for the CO TA to give the client is to avoid or modify activities that encourage. -Answer- prolonged wrist flexion, such as scrubing post and pans And working with an individual who is severely depressed and demonstrates psychomotor retardation, it is most important to -Answer- Give simple directions and patiently wait for response a child diagnosed With ataxic CP exhibits tremors and the upper extremity. When she feeds herself, the tremors cause most of the food to fall off her spoon before can we reach her mouth. Which of the following adaptions so it should the CO TA recommend - Answer- replaced the spoon with a blunt end folk A client is having difficulty getting around her house as a result of low vision. The most appropriate strategy the CO TA can recommend to improve accessibility would be to - Answer- Provide strong color contracts at key areas to identify steps, pathways, etc A CO TA has been working on laundry skills with an adult with developmental disabilities who lives at home with her aging parents. Although the client is able to use the washer and dryer successfully with only verbal cues, her mother continues to do her laundry. The CO TA should -Answer- Discuss the meaning and value of clients doing her own laundry with the mother and client An early intervention CO TA is working with a toddler whose significant physical disabilities have limited the child's ability to explore the environment. The best low-tech assistive technology play aid to allow the child to experience cause and effect and some control over an aspect of his a her environment would be -Answer- A switch adapted battery operated toy car that knocks down a block tower The best way to instruct an individual with hemiparesis to button a short is -Answer- Get the shirt all the way on, then line up the buttons and holes, and begin buttoning from the bottom A young man with a history of depression constantly makes negative statements about himself. the goal set for him in the task group is to increase self-esteem. After services sessions, he showing more self-confidence and ask the CO TA for her phone number because you're so nice to me. The most appropriate responses for the CO TA to - Answer- In private, explain the nature of client therapist relationshipA child is unable to bring her hand to her mouth for feeding because of weakness and supination. The most helpful adapted utensil for this child would be -Answer- Swivel spoon in a Working hardening program, a CO TA's teaching a warehouse worker with low back pain how to lift objects from the floor and place them on the shelf. Before doing this, the CO TA should first review -Answer- Proper body mechanics Individual has demonstrated competence in heating canned soup. Big CO TA recommends modifying the treatment plan in upgrading the cooking activity to -AnswerBaking brownies The mother of a physical disabled 3-year-old believe it has a goal that her child will be walking independently around the house. this is an unrealistic goal for the child but one that would be helpful to the mother who is finding her child difficulty to lift. The best way to assist in the development of family centered interventions for this child would be to - Answer- propose is a modified goal that still meets the parents needs an Individual with Guillain-barre syndrome demonstrates poor to fair strength throughout the upper extremities. Which is the most appropriate approach for the CO TA to use in the early stages -Answer- Gentle, Nonresistive activities a CO TA is planning a community living program for clients who are to be discharge after an average of 25 to 30 years of hospitalization. One of the goals of this program is the train to clients to effectively manage their money. Which of the following activities would be used first -Answer- use a Board game to introduce the concept of receiving and spending money a CO TA is working with a group of children in an early intervention program. All of the children in the group are able to sit independently on the floor except for one child with cerebral palsy. John has told the CO TA that he wishes to sit on the floor like his peers and not in his wheelchair the CO TA would most likely will command of the child uses an -Answer- Floor sitter an Individual with complete C7 quadriplegia strength demonstrates fair plus 3+ strength and the whisk extensors. Which of the following interventions would the CO TA introduced to most effectively and strengths in the wrist extensors -Answer- A craft activity using an increasingly heavy hand tool a COTA is using leather stamping as part of a group activity but feels the need to increase the problem-solving processes within the group. The best approach for encouraging problem-solving in a craft media group is to -Answer- Begin with activities that have obvious solutions in high probability of success, and then gradually increase the complexity ofThe CO TA and physical therapists are attempting to order a wheelchair for a child with severe cerebral palsy who will most likely never ambulate. The child has no cognitive limitations and frequently expresses the desire to be independent in mobility, especially within the school setting. The CO TA and physical therapist will most likely recommend that the family order a -Answer- power wheelchair An individual with ALS and mired dysphagia becomes extremely fatigued and breakfast lunch and dinner. Which is the first intervention the CO TA should consider the recommended -Answer- eat six meals a day A CO TA is working with an elderly woman with a diagnosis of depression and dementia during the cleanup pushing of a cooking activity the patient begins to dry the plate and utensils she has already dried the CO TA should -Answer- put the dried dishes away and begin to hand her wet dishes And 8-year-old boy with Conduct this photo is disruptive, uncooperative, and occasionally combative during therapy. From a behavior point of you, the most appropriate strategy to use to address the child's conduct would be to -Answer- set clear expectations for behavior and enforce consequences, such as a time out, if the child loses control An individual with Left Upper extremity flaccidity is observed sitting in a wheelchair with his own dental in over the side. The first position and device the CO TA should introduce to the client is -Answer- arm trough A very confuse nursing home resident is frequently found in the rooms of other residents in the middle of the night. Which of the following environmental adaptations would most likely fictively prevent wandering -Answer- disguises the bedroom door with wallpaper so it blends in with the surrounding On the following, which is the best activity a CO TA could offer a preschooler to develop letter recognize Asian skills -Answer- forming letters out of clay an unMarried patient with a spinal cord injury is on a rehab unit and constantly flirts with a CO TA. The most appropriate action for the CO TA to take would be -Answer- set personal boundaries appropriate to the therapist-patient relationship a CO TA is working with an individual who is unable to complete the multiple steps that are necessary to brush his teeth. In response to this, the Practitioner modifies the activities by having the client perform the task one step at a time while gradually adding more steps with each success. The CO TA is attempting to employ which of the following -Answer- chaining A CO TA working in the school system is adapting a chair for a student with extensor tone. Which of the following should the CO TA recommend to the teacher in order toinhibit the child extensor tone, while maintaining a functional seated position in the classroom -Answer- place a seatbelt at a 45 degree angle at the hips during a cooking evaluation, an individual with a history of traumatic brain injury exhibits moderate upper extremity and coordination. Which of the following recommendations would be most beneficial for this individual -Answer- use heavy utensils, pots, and pans Task-specific training is being used to train an individual with severe cognitive limitations to put on a T shirt. This training will be most effective if it takes place - Answer- in the individual's bedroom A CO TA is working with a child with developmental disabilities who frequently bites his siblings and parents. Which of the following with the CO TA a most likely recommend - Answer- encourage the child to wear a necklace with chewable objects attached An individual with joint changes that limit finger flexion would be most comfortable using utensils with -Answer- built up handles A client with severe depression and suicidal ideation stops the CO TA as she is about to leave the inpatient unit at the end of the day and ask her to except her favorite necklace as a gift of things which of the following response is most appropriate -Answer- report the incident to the client physician a CO TA works in a public elementary school. Which of the following activity should be CO TA suggest to promote prewriting skills for a child in kindergarten -Answer- drawing lines and shapes using shaving cream, sand, or finger paints When treating individuals in the acute phase of the cardiac rehabilitation, it is important for the CO TA to first select activities that -Answer- decrease the effects of prolonged inactivity a Client with paranoia prefers to stay away from the group, walking alone at another table the best action for the CO TA to take is to -Answer- tell the client it's okay to work where he is until he feel comfortable in joining the group A CO TA is preparing for the discharge of a preadolescent child with limited strength endurance. Which of the following home adaptations is most important for recommend - Answer- mount lever handles on doors and faucets Individual with a high level spinal cord injury is returning home. Which type of adaptive technology with the client most likely required to ensure safety in the home -Answer- a call system for emergency and non emergency use Which of the following is the most effective way for a CO TA to structure the intervention environment for a patient who exhibits seductive a sexual acting out behavior -Answerprovide a larger area of personal space, where the person is protected from physical contact with others A student has been working on learning to activate a switch for a communication device needed in the fourth grade classroom. The switch is mounted on the wheelchair tray, but the student is having difficulty operating it because of excessive muscle tone. Despite practicing for extended periods of time, the student is not making any progress. The CO TA decides to -Answer- work on coordinated reach in a sidelying position first and then transfer the skill to sitting position. while Participating in activities to improve strength. An individual with multiple sclerosis who was recently admitted to the hospital complains of fatigue. Which of the following actions is the most appropriate for the CO TA to take -Answer- give the individual a rest break A CO TA is leading a craft media group with a docents diagnosed with schizophrenia. Which of the following is the best method to use to facilitate problem solving -Answerbegin with activities that have obvious solutions and high probability of success and then gradually increase the level of complexity the most Appropriate device a CO TA can recommend to a child's parents to promote the development of upper lip control will feed and is -Answer- shallow spoon In OTR/COTA team is performing in assistive technology intervention with a client who has severe limitations of motor function resulting from CP. The first function of the OTR/CO TA team in this process is to -Answer- identity the abilities, needs, and life goal of the client Prior to discharging a client from the hospital, the OTR request that the CO TA instruct a patient in some quick and easy to learn stress management techniques. Which of the following should the CO TA with you first -Answer- deep breathing and verbalization The CO TA is working with a child who has insignificant thumb opposition. This position makes it difficult for the child to write efficiently. Because the CO TA recommends that the child practice oppositions by -Answer- pulling tiny object out of clay An individual complains of perspiration, which is causing his resting hand splint to be uncomfortable. The best action for the CO TA to take his to -Answer- provide a stockinette sleeve for the individual to wear inside the splint A client with schizophrenia begins to experience hallucinations will participate in a life skill group led by a CO TA. Which environmental strategy would best to minimize the hallucinations -Answer- move the person to a quieter, less stimulating environment A school grade Child has a diagnosis of Muscular dystrophy. The child Operates a manual wheelchair, but his mobility is slow because of muscle weakness. The CO TAshould consider discuss in a powered wheelchair with the OTR when the -Answerchild's speed over long distances becomes less then that of a walking person The spouse of a patient with a progressive disease has come into the OT department to learn how to help the spouse perform functional activities at home. The CO TA should first instruct the family member regarding -Answer- techniques on how to perform activities safely An individual Attending an adult day program has expressed interest in obtaining employment. And groups, however, the individual grab tools from others, for Frequently acts out of turn, and has difficulty excepting feedback. Participating in which of the following intervention is most appropriate for addressing this individual is limitations and preparation for a work environment -Answer- handubf out trays and utensils in a food service group First grade child with diagnosed of attention deficit disorder, hyperactivity type, is receiving OT to increase his attention span. Keeping this in mind, the CO TA introduce construction activity. When blocks were placed in front of the child, the child swiped many of them into the floor and started throwing the remaining ones around the room. How can the CO TA most effectively we structure the activity to facilitate a successful experience for this child -Answer- present only a few blocks at a time a CO TA is applying PNF techniques for weight shift during an activity that requires an individual to use the right hand to improve remove groceries from a bag on the floor to the right. The most benefit would be gained from this activity by then place in the groceries -Answer- in the upper cabinet to the left side CO TA is leading a discussion with a group of individuals who are diagnosed with major depression. The most help for approach for the CO TA to take is -Answer- offer even tempered acceptance, reflecting back what is heard without agreeing that the situation is hopeless a Child who has difficulty with visual perception of position in space will soon be discharged from an outpatient OT program. of the following, which would be the best activity to recommend to the child's classroom teacher and parents -Answer- following directions about objects located in front, in back and to side An individual with ALS swims three times a week to maximize strength and endurance. Initially able to swim for 10 minutes, the individual is not able to swim 20 minutes without becoming fatigued. The next step is to -Answer- increase swimming time yo 25 minutes or to tolerance A client with a history of anger self control issues has met the goals of independently identifying stressors in his home and work life, which tend to provoke his anger and identifying his typical behaviors when dealing with anger provoking situations. the COTA's next action should be -Answer- begin instruction in anger management strategies, such as relaxation which of the following is the most important precaution to emphasize to parents when discharging a child with low extremity paralysis As a result of myelomeningocele - Answer- practices regularly skin inspection A 45 your client with COPD has a long-term goal of being able to stop independently for groceries. The client has achieved a short term going to going to the convenient store and purchasing three items. Which statement is the best revised short term goal for this client -Answer- client will purchase 10 items at the supermarket with supervision a CO TA is working on laundry skills within a dog with cognitive disabilities. Initially, the OT practitioner recommend that the group home staff work with the individual for two minutes on how to recognize when close is dory in these to be laundry day. After two months however the individual continues to wear solid garments. The OT practitioner determines that the individual is unable to recognize or judge when clothing is dirty. What is the next step that should be taken to maximize the individual is independent and doing laundry -Answer- instruct the individual to wear clothes for 2 days and to then launder those items Worked OT services of being discontinued for student with attention defect disorder, but consolation will be provided to help the child adjust to the new classroom. Which recommendation can the CO TA make to help this teacher adapt the environment to promote up tomorrow long and without affecting and other students -Answer- provide a screen to reduce peripheral visual stimuli A patient with poor visual acuity is about to be discharge after completing a we have rehabilitation program following a total hip replacement. The most appropriate environmental to ensure that the client can go up and down stairs safely is -Answermarking the end of each step with high contrast tape A CO TA is working with an individual who has identify alcohol abuse as a contributing factor to the depression that he has been experiencing. A discharge, the most appropriate type of group to recommend to this individual is -Answer- self help group A 12-year-old student will be discharge after receiving treatment for anxiety disorder. Which would be the most appropriate recommended recommendation for the extra school activity -Answer- school newspaper Individual with low extremity paralysis uses a standard manual wheelchair and is ready to be discharged to home. Doing a home evaluation. Doing a home evaluation the CO TA notes that the entrance to the bathroom is 32 inches wide and the toilet is 15 inches high which of the following recommendations will be best facilitate use of the bathroom to for this individual -Answer- raise the toiletIndividual with alzheimers disease have dick difficulty following multiple step in instructions. Which method where the CO TA instruct the caregiver to use when presenting instructions -Answer- give frequently repeated one or two step instructions A CO TA is formulating a home program of play activities for the parents of a child with developmental delay. The type of activities that would be best for development of symbolic play skills would be -Answer- doll house and dress up clothes A CO TA has completed patient education with an individual who has just received a splint for carpel tunnel syndrome. When documenting the session the CO TA will indicate that the patient was instructed in precautions, splint wearing scheduled, and care of -Answer- a wrist cook up splint A patient who sustained a mild head injury is about to be discharged to his home and return to work. He is still having difficulties with memory particularly remember when appointments and activities. External memory device that the CO TA can recommend to assist this patient would be -Answer- calendars During OT treatment, a child has a seizure seizure. The most important action for the OT practitioner doing the seizure are to -Answer- raise the child to a lying position, remove or pad nearby objects and loosen clothing A CO TA in an acute hospital care is having the soap note format to document information about an individual with dementia. Which statement with the CO TA place in the subjective section of the note -Answer- the individual asks for more beverages during meals, but appears surprised when the therapist indicates beverages in cloosed containers are on the meal tray In individual about to be discharge from an inpatient psychiatric unit ask when I apply for jobs what should I put down when the application ask if you have been hospitalized in the past six months? the therapists response should include strategies that addressed - Answer- managing stigma A preteen with a diagnosis of spastic cerebral palsy is enjoying computer assisted learning well making significant progress in Witten communication, but he complains of general fatigue bpdy ash aches and eye strain. To adapt the computer activity to decrease fatigue which aspect of activity should to see you to consider those -Answerthe time he spends at the computer The CO TA is instructing a carpenter Recovering from a work injury in the proper use of body mechanics. Which of the following statements in the discharge note would most likely indicates that the patient was using proper body mechanics -Answer- patient reinstalled a door without reinjuryA CO TA needs needs to document the following statement patient states she is frightened by the anger she feels when doing ceramics in which cushion of the soap note with the CO TA place this information -Answer- subjective section A CO TA is leading a discussion relapse prevention for a group of clients about to be discharged. The most useful strategy for the CO TA to stress for the preventing relapse and persons with mental health issues is to -Answer- self monitor signs of illness and seek help if signs occur A patient with quadriplegia was unable to grab said to flush with the built-up handle and use tenodesis, At the time of her initial evaluation. After working on Apple extremity strengthening and grooming skills for two weeks, the CO TA needs to determine the degree of progress that has been achieved in this area. The best way to determine progress using a functional method of evaluation is for the CO TA to -Answer- assess the patients ability to hold the toothbrush with a built up handle CO TA is employed as an activities director in a nursing home efforts should primarily be directed towards -Answer- providing a variety of physical, creative, production and educational activities The OT staff of a psychiatric hospital recognize the need to develop a transition program to help the clients with chronic mental illness successfully re enter and remain in the community. Which of the following activity should come first in predischarge program for individuals who has experience long-term hospitalization, and do not feel ready to leave the hospital -Answer- introduce and discuss concepts of community living, give clients an opportunity to voice their concerns a CO TA is involved with a parenting skills group for teenage mothers who have HIV and for their children. Which of the following is most important when working with the mothers of infants -Answer- activities that promote mother child communication and foster attachment The administrator of an assisted living facility has ask a CO TA two helped implement programming that will decrease the number of residents needing to move from the ALF to nursing homes. The most important area for the CO TA to address is -Answer- fall prevention an OT Practitioner is planning to provide a program to address the needs of persons with alzhimers disease and their families as part of a hospital outreach program. one of the areas of intervention which would be most beneficial to maintain safety and supporting function at home and the advanced stage of alzheimer is -Answerenvironment modification an OT practitioner working with for the school system has identify a general need to enhance fine coordination skills of elementary elementary school for students to facilitate better writing skills. The best intervention to treat this population would be to -Answer- recommend activities to develop fine coordination that teachers can incorporate into classroom programming an OT practitioner is working to reduce the application of restraints for the population of a long-term care facility. The most appropriate form of intervention for the OT practitioners to provide is -Answer- providing staff education, recommendations and support for restraint alternatives Which of the following is the most appropriate emphasis of a cooking group for young women with eating this order -Answer- preparing and consuming nutritional and normal size portions Which of the following activities would be most appropriate for vacation no skills training for high school students with severe learning disability's -Answer- stocking the shelves at a local grocery an OT practice wishes to assist the results of a life skills training program provided to individual at a shelter for abused women. Which of the following methods would be the most comprehensive method for obtaining this information -Answer- program evaluation an Individual has accepted his first job as a CO TA. which would be the most appropriate level supervision of for this individual -Answer- daily, direct contact at the site of work OT practitioner is leading a grooming group for female clients in a psychosocial treatment setting. Which of the following options best complies with universal precautions -Answer- use disposable cotton swabs and have clients bring their own cosmetics OTR with expertise in handle and rehabilitation is assessing an CO TA's service competence in hand function and assessment. And which point is service competed and establish -Answer- When the cota consitenly off and the same results as the OTR An OT practitioner providing the services to a community mental health program has been asked to examine the effectiveness of the OT groups that have been provided over the past 6 months. Which of the following procedures should be used to accomplish this goal -Answer- program evaluation One week after a CO TA begins a new job, half of the OT department is out with the flu, including the CO TA supervisor. The CO TA observes an aid carrying out a an ADL training session with a patient who is scheduled for discharge the next day which of the following actions should the CO TA take -Answer- discuss the observations with an OTR who is presenta CO TA has expressed interest in taking on some administrative duties in an OT department. Which of the following duties would be most appropriate for the CO TA two assume -Answer- supervision of nonvertified personnel CO TA is prepared to lead a cooking group. He is new to the facility, and uncertain of the facilities policies and procedures relating to food storage and handling. Which of the following actions would be most appropriate for the CO TA to take -Answer- read the facility infection control plan Doing a group community reentry outing, one individual complains of chest pain. The CO TA monitors the clients heart rate and blood pressure. The clients resting heart rate is 120 BPM, and blood pressure is 220/180 MMHG. The most appropriate action for the CO TA to take is to -Answer- call 911 while documenting the weeks OT sessions in an individual chart, a CO TA noticed that a progress note from two weeks ago was not completed. The CO TA recalls providing treatment that week and how the patient respond. The only appropriate action for the CO TA to take us to -Answer- document serving provided, and date the note as a late entry a CO TA recently hired by hand rehabilitation center is required, As part of the job description to perform paraffin treatments with the bags ignited the designated patients. Which of the following actions must be practitioner take in order to comply with this requirement -Answer- demonstrates service competency in the use paraffin An instructor from a local nursing school who has ask a CO TA to speak about OT to a class of first year nursing students. The CO TA feels uncertain about giving the lecture because of a lack of resources. The most appropriate action for the CO TA to take us to -Answer- use brochures, posters, videotapes and films available from the aota to enhance the presentation An OT practitioner is asked by administration to complete billing early by projecting therapy time for patients that are yet to be seen. Which one of these patients need to refuse therapy because of medical illness. What is the best course of action to take - Answer- contact administration to let them know of the unforseen change in service delivery and make appropriate adjustment to billing A CO TA working with an elderly client in a skilled nursing facility determines that the client appears to have met all of her goes. The client is not scheduled for discharge until the following week the most appropriate plan of action is for the CO TA to -Answercollaborate with the OTR to determine discharge options and actions And OT practitioner spends 15 minutes review and a new patient's chart and talking to the nurse, who indicates that the patient is preoccupied with finan [Show More]

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