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COKO Professional Practice exam 2024 with 100% correct answers

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What sentence best describes the roles of the College and professional associations? i. The College serves the public interest and the professional associations serve the interests of the profession. ii. The College and the professional associations both serve the public interest. iii. The Colle...

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  • January 13, 2024
  • 22
  • 2023/2024
  • Exam (elaborations)
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COKO Professional Practice exam 2024
with 100% correct answers

What sentence best describes the roles of the College and professional associations?

i. The College serves the public interest and the professional associations serve the interests of the
profession.

ii. The College and the professional associations both serve the public interest.

iii. The College and the professional associations both serve the interests of the profession.

iv. The professional associations direct the operations of the College. - correct answer The best answer
is i. The College's mandate is to regulate the profession in order to serve and protect the public interest.
Answer ii is not the best answer because professional associations are designed to serve the interests of
their members. While professional associations care about the public interest and often take actions
that assist the public interest, they are under no statutory duty to do so and are accountable only to
their members. Answer iii is not the best answer because the College is not permitted to serve the
interests of its members under its statute. While it tries to ensure that it regulates its members
sensitively and fairly, and consults with its members, the College's mandate is the public interest.
Answer iv is not correct. While the College consults with the professional associations and considers
seriously their views and respects their expertise, the College is not under the control of any
professional association.



Ethics Scenario:

David, a kinesiologist, is always polite to his patients/clients, in a formal way. He feels good about
himself. However, he often says "God" to express surprise. The phrase means nothing to him and no one
has ever expressed concerns about it. One of his patients/clients, Paul, has shared that he is very
religious. Whenever David says "God" Paul flinches a bit. What should David do? - correct answer David
notices and asks Paul if the use of the word "God" bothers Paul. Paul says that, actually it does. David
makes a point of not saying "God" anymore in front of Paul. After discussing the incident with a
colleague, David decides that the ethical thing for him to do is to stop using the word "God" as an
expression of surprise whenever he is with a patient/client because David cannot tell in advance who
will be offended. This relates to the Code of Ethics that kins must follow.



Discontinuing Professional Services Scenario - correct answer Donna, a kinesiologist, wants to stop
treating a patient/client because the patient/client has stopped paying. She reads an article in the
College's newsletter suggesting that patients/clients should be given at least two weeks to find a new
kinesiologist before one stops treating the patient/client. Donna cannot see why she needs to see a

,patient/client who is not paying for her services and does not follow the newsletter suggestion. The
patient/client experiences pain once the treatment stops and misses ten days of work before the
patient/client can find another kinesiologist to treat him. The patient/client complains to the College.
After investigating the complaint the College requires Donna to appear before it to receive a verbal
caution because Donna abandoned a patient/client who was in pain without giving the patient/client
adequate time to find another kinesiologist. The fact that Donna was not paid did not remove her duty
to the patient/client who was in pain.



David, a kinesiologist, is registered with the College. David's father is no longer registered with the
College. David's father sometimes drops into David's office to treat his former long term patients/clients.
The office assistant refers to David's father as "Doctor" when booking patients/clients. A patient/client
complains to the College when her extended health insurance refused to pay for David's father's
services because he was unregistered. Is David at risk for his father's conduct? - correct answer The
answer is yes. It is professional misconduct to permit a person to hold themselves out as practising the
profession when they are not registered. Similarly, permitting a person to illegally use the title "Doctor"
in one's practice would often be seen as professional misconduct if David knew about it. David
condoned the conduct that occurred at David's office. David, by being registered, gave credibility and
status to the illegal conduct of his father. David could face a discipline hearing.



Donna, a kinesiologist, does not really assess her patients/clients. She just asks the patient/client what is
wrong and then gives all of them exactly the same treatment. A patient/client, Paula, came in with a
serious condition. Donna did not recognize it. Paula's condition worsened. Donna still did not recognize
it. After three months Paula went to the emergency department of the hospital and was immediately
diagnosed and treated correctly. What is this a case of? - correct answer This is an Incompetence
Scenario. Paula complained to the College about Donna's incompetence. The Inquiries, Complaints and
Reports Committee looked at Donna's records and heard Donna's explanation for what she had done. It
sent the case to discipline. The Discipline Committee agreed that Donna showed a lack of knowledge,
skill and judgment. It ordered Donna to participate in specific upgrading courses aimed at assessment.



David, a kinesiologist, has been drinking a lot more alcohol the last few months. He has been coming to
work with a hangover. More recently he has been drinking at lunch. One day David comes back after
lunch drunk. Paul, a patient/client, notices that David smells of alcohol and that David is stumbling
around the office. What is this a case of? - correct answer This is an Incapacity Scenario.

Paul tells the College. At first David denies he has a problem. However, during the investigation, the
College learns that some of David's colleagues have noticed a significant change in David's behaviour in
recent months. The College also learned that David has been charged with impaired driving. The College
sends David to a medical specialist who diagnoses David with a serious substance abuse disorder. The
College encourages David to go for treatment at a treatment centre in his area. David agrees. The matter
is referred to the Fitness to Practise Committee. David and the College agree to an order requiring David

, to stop drinking, attend Alcoholics Anonymous group meetings, see his new substance abuse specialist
regularly and have a colleague watch David at work and send regular reports to the College.



The sentence "Kinesiologists are sensitive to the wishes of their patients/clients" is most likely to be
found in which of the following provisions?

i. The definition of incapacity.

ii. The definition of incompetence.

iii. The definition of professional misconduct.

iv. Professional standards published by the College.

v. The Code of Ethics. - correct answer The best answer is v. Striving to be sensitive is an ideal that
kinesiologists strive towards. Answer i is not the best answer because incapacity deals with the
kinesiologist's health condition. Seriously insensitive behaviour may accompany some illnesses (e.g.,
addictions), but it is the illness that must be treated first. Answer ii is not the best answer because
incompetence deals with kinesiologists having an adequate level of knowledge, skill and judgment.
Answer iii is not the best answer because professional misconduct deals with the minimum conduct that
is necessary to avoid discipline. The corresponding professional misconduct provision would likely be
that kinesiologists shall not abuse their patients/clients. Answer iv is not the best answer because
professional standards deal with ways in which to practice safely, effectively and professionally. A
professional standard would likely provide practical suggestions about how to practice sensitively (e.g.,
advice on how to listen to the patient/client first before doing anything else.).



Consent Scenario No. 1 - correct answer Donna, a kinesiologist, meets a new patient/client Paula. Paula
complains about feeling stressed and tired. Donna says: "I would like to fully understand your personal
and family background and your medical history. There could be a lot of things making you feel tired and
stressed and this information will help me try to figure out why. If you are uncomfortable with any of my
questions, please let me know. OK?" Donna has just obtained informed consent for taking a full history.



Obtaining a broad consent (often called a "blanket consent") in writing from the patient/client on his or
her arrival at the office is probably a bad idea because:

i. The patient/client does not know if they will need someone to drive them home afterwards.

ii. The patient/client does not have confidence in the kinesiologist yet.

iii. The patient/client does not know what they are agreeing to.

iv. The patient/client does not know how long the visit will be. - correct answer The best answer is iii.
Informed consent requires the patient/client to understand the nature, risks and side-effects of the
specific procedure proposed by the kinesiologist, as well as who will be performing the assessment or
treatment. It is impossible for the patient/client to know these things upon their arrival at the office.

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