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COTA EXam Prep: purple book With Questions And 100% ALL DETAILED SURE ANSWERS
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JACKLINECOTA EXam Prep: purple book With Questions And 100% ALL DETAILED SURE
ANSWERS
Terms in this set (109)
In assessing the dressing skills of a 5 y/o child, the a. Age appropriate
COTA observes that the child is able to put on a The child being observed is preforming dressing activity which is age appropriate for a 5 y/o child. A
jacket, zip the zipper, and tie a knot in the draw typical child at this age can dress unsupervised and is able to tie and untie knots, but generally does
string, but needs verbal cueing to tie the bow. The not know how to tie a bow independently.
COTA would MOST likely determine that the child's
dressing skills are:
a. Age appropriate
b. Delayed
c. Advanced
d. Limited
,In administering an assessment of finger-tip pinch a. Thumb against the tip of the index finger
strength, the OT practitioner would instruct the The correct position for tip pinch is the thumb against the tip of the index finger. The thumb against
individual being tested to place his or her fingers in the side of the index finger describes the position for lateral inch. The thumb against the tip of the
which position? index and middle fingers describes the test position for three jaw chuck, or palmar pinch. The thumb
a. Thumb against the tip of the index finger against the tips of all the fingers is not a standard test position.
b. Thumb against the side of the index finger
c. Thumb against the tips of the index and middle
fingers
d. Thumb against the tips of all the fingers at once
The OT treatment approach that will MOST likely a. . Assist with skill development in the areas of leisure, self-expression and ADLs
meet the overall needs experienced by individuals In general, the areas of focus with OT intervention for individuals identified with substance abuse
with substance abuse problems is to: problems are alternative leisure time use, improved expression of feeling, and the acquiring of social
a. Assist with skill development in the areas of and occupational roles. The approach described in answer B addresses the cognitive disability frame
leisure, self-expression and ADLs of reference approach, Answers C and D my address specific needs of the patient, but the overall
b. Educate the family members about making safety needs of this population.
modifications to the kitchen area
c. Encourage AA involvement, address personal
appearance, and issues of loss
d. Make aftercare arrangements for vocational
counseling and AA; provide time management
education for self-care activities
A COTA observes that a 10-month old child is able a. a developmental delay.
to sit alone by propping himself forward on his Typically developing children (answer c) should be able to sit unsupported for several minutes by
arms, but consistently loses his balance when the age of 8 to 9 months; therefore, this child demonstrates delayed development (answer A) The
reaching for a toy. His behavior most likely indicates: ability to sit while propped forward on his arms indicates primitive reflexes have been integrated
a. a developmental delay. (answer b). Sitting unsupported earlier than 8 months could indicated advanced development
b. unintegrated primitive reflexes. (answer D).
c. normal development.
d. advanced development.
, c. Tip
An individual demonstrates the ability to pick up a Tip prehension is accomplished by flexing the IP joint of the thumb, and the PIP and DIP joints of the
penny from a flat surface. this represents which of finger, and bringing the tips of the thumb and finger together. This type of prehension is used to pick
the following prehension patterns? up objects such as a pin, nail, or coin. Lateral prehension (answer A) is formed by positioning the pad
a. lateral of the thumb against the radial side of the finger. This prehension pattern is used for holding a pen,
b. palmar utensil or key. Palmar prehension (answer b), also known as three-jaw chuck (answer d), is formed by
c. tip positioning the thumb in opposition to the tips of the index and middle fingers, forming a pad-to-pad
d. three-jaw chuck opposition. This form of prehension is commonly used to lift objects from a flat surface and to tie a
shoelace.
When conducting a structured interview, it is MOST c. ask the questions as they are stated on the interview sheet.
important for the OT practitioner to: A structured interview requires following the procedure, order, and wording of the questions to be
a. rephrase the interview questions in his or her own asked, Answers a, b, and d are appropriate for semistructured interviews .
words.
b. ask questions that he or she thinks are pertinent
to this patient.
c. ask the question as they are stated on the
interview sheet.
d. ask additional questions(other than those listed)
to gain further insight into the patient.
A 3 y/o child demonstrates the ability to use the c. at age level
toilet independently except for wiping and At 3 y/o age a child is expected to know when her or she has t use the toilet and be able to get on
readjusting clothing afterward. This behavior and off the toilet. 3 y/o children may need assistance to cleanse themselves effectively and to
indicates the child is performing at which of the manage fasteners or difficult clothing. Complete independence in using the toilet (answer d) is
following levels? usually achieved by the age of 4 to 5 y/o. By the age of 2 (answer b), most children have daytime
a. significantly below age level control over elimination with occasional accidents, so thy still need to be reminded to go to the
b. slightly below age level toilet. One y/o infants (answer a) indicate discomfort when wet or soiled.
c. at age level
d. above age level
The COTA is observing dressing skills in an d. endurance
individual with COPD. While putting on his shirt, the A deficit in endurance is demonstrated by the individual's inability to sustain cardiac pulmonary, and
individual becomes short of breath and stops to rest musculoskeletal exertion for the duration of the activity. Answer a a deficit in postural control, would
before finishing with that shirt and going on to his be correct if the client had been unable to maintain his balance while putting on the shirt. A deficit in
trousers. This behavior MOST likely indicates a muscle tone (answer b) would have been evident if the client had demonstrated spasticity while
deficit in: putting on the shirt. Inability to push his arm through the resistance of the shirt sleeve would
a. postural control demonstrate a deficit in strength (answer c).
b. muscle tone
c. strength
d. endurance
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An individual with the goal of increasing attention d. distractibility
span is frequently observed watching the person Distractibility involves losing ones focus because of other stimuli. Memory (answer a) is the ability to
next to her instead of performing her assigned task, recall knowledge and past events. Problems with spatial operations (answer b) are generally
This behavior MOST likely indicates a problem with: observed when individuals attempt to fit objects into specific spaces. Generalization of learning
a. memory. (answer c) may be observed by asking the client to use existing knowledge in a new situation.
b. spatial operations.
c. generalization of learning.
d. distractibility.
In screening a child who has been referred to OT, d. determine the need for further evaluation.
the PRIMARY goal of the OT practitioner is to: The purpose of screening is to determine whether further assessments are needed and if so which
a. obtain necessary information for an occupational tests would be appropriate for the child a screening test is not designed for planning programs
therapy consultation with teachers or parents. (answer c) or consultation (answer a) and they do not test any skills (answer b) in a comprehensive
b. test a wide variety of developmental behaviors way.
c. establish and information base for the
occupational therapy treatment plan.
d. determine the need for further evaluation.
A COTA is working with and individual who is unable c. visual agnosia
to name or demonstrate the use of common Visual agnosia is the inability to recognize common objects and demonstrate their use in an activity.
household objects. This behavior MOST likely Apraxia (answer a) is the inability to perform purposeful movement on command. A person with
indicates: alexia (answer d) is unable to understand written language. Stereognosis (answer b) is the ability to
a. apraxia identify an object by manipulating it with the fingers without seeing it.
b. stereognosis
c. visual agnosia
d. alexia
When reporting data collected to the OTR, it is c. provide a summary of observations of the patient's behavior, including what the patient said and
MOST important for the COTA to: did during the interview.
a. observe everything the patient said and did An observation summary should present a concise and accurate picture of what happened so that
during the interview and provide extensive notes for the OTR can understand almost as well as if they were present during the interview. It is a summary,
the OTR to read. and should not include extensive descriptions (answer A) or interpretations of the interview (answer
b. provide the OTR with a comprehensive treatment d). A treatment plan (answer b) should be developed collaboratively with the OTR.
plan based on the results of the evaluation.
c. provide a summary of observations of the
patient's behavior, including what the patient said
and did during the interview.
d. provide an interpretation of how the patient
behaved during the interview.
COTA EXam Prep: purple book
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