EXAM:COTA Exam Prep: purple book;
Questions & Answers
In assessing the dressing skills of a 5 y/o child, the COTA observes that the child
is able to put on a jacket, zip the zipper, and tie a knot in the draw string, but
needs verbal cueing to tie the bow. The COTA would MOST likely determine...
EXAM: COTA Exam Prep: purple book;
Questions & Answers
In assessing the dressing skills of a 5 y/o child, the COTA observes that the child
is able to put on a jacket, zip the zipper, and tie a knot in the draw string, but
needs verbal cueing to tie the bow. The COTA would MOST likely determine that
the child's dressing skills are:
a. Age appropriate
b. Delayed
c. Advanced
d. Limited Correct Answer-a. Age appropriate
The child being observed is preforming dressing activity which is age appropriate
for a 5 y/o child. A typical child at this age can dress unsupervised and is able to
tie and untie knots, but generally does not know how to tie a bow
independently.
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?
a. Thumb against the tip of the index finger
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 Correct Answer-a. Thumb
against the tip of the index finger
The correct position for tip pinch is the thumb against the tip of the index finger.
The thumb against the side of the index finger describes the position for lateral
inch. The thumb against the tip of the index and middle fingers describes the
test position for three jaw chuck, or palmar pinch. The thumb against the tips of
all the fingers is not a standard test position.
, EXAM: COTA Exam Prep: purple book;
Questions & Answers
The OT treatment approach that will MOST likely meet the overall needs
experienced by individuals with substance abuse problems is to:
a. Assist with skill development in the areas of leisure, self-expression and ADLs
b. Educate the family members about making safety 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 Correct Answer-a. . Assist with
skill development in the areas of leisure, self-expression and ADLs
In general, the areas of focus with OT intervention for individuals identified with
substance abuse problems are alternative leisure time use, improved expression
of feeling, and the acquiring of social and occupational roles. The approach
described in answer B addresses the cognitive disability frame of reference
approach, Answers C and D my address specific needs of the patient, but the
overall needs of this population.
A COTA observes that a 10-month old child is able to sit alone by propping
himself forward on his arms, but consistently loses his balance when reaching
for a toy. His behavior most likely indicates:
a. a developmental delay.
b. unintegrated primitive reflexes.
c. normal development.
d. advanced development. Correct Answer-a. a developmental delay.
Typically developing children (answer c) should be able to sit unsupported for
several minutes by the age of 8 to 9 months; therefore, this child demonstrates
delayed development (answer A) The ability to sit while propped forward on his
arms indicates primitive reflexes have been integrated (answer b). Sitting
, EXAM: COTA Exam Prep: purple book;
Questions & Answers
unsupported earlier than 8 months could indicated advanced development
(answer D).
An individual demonstrates the ability to pick up a penny from a flat surface.
this represents which of the following prehension patterns?
a. lateral
b. palmar
c. tip
d. three-jaw chuck Correct Answer-c. Tip
Tip prehension is accomplished by flexing the IP joint of the thumb, and the PIP
and DIP joints of the finger, and bringing the tips of the thumb and finger
together. This type of prehension is used to pick up objects such as a pin, nail, or
coin. Lateral prehension (answer A) is formed by positioning the pad of the
thumb against the radial side of the finger. This prehension pattern is used for
holding a pen, utensil or key. Palmar prehension (answer b), also known as
three-jaw chuck (answer d), is formed by positioning the thumb in opposition to
the tips of the index and middle fingers, forming a pad-to-pad 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 important for the OT
practitioner to:
a. rephrase the interview questions in his or her own 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.
, EXAM: COTA Exam Prep: purple book;
Questions & Answers
d. ask additional questions(other than those listed) to gain further insight into
the patient. Correct Answer-c. ask the questions as they are stated on the
interview sheet.
A structured interview requires following the procedure, order, and wording of
the questions to be asked, Answers a, b, and d are appropriate for
semistructured interviews .
A 3 y/o child demonstrates the ability to use the toilet independently except for
wiping and readjusting clothing afterward. This behavior indicates the child is
performing at which of the following levels?
a. significantly below age level
b. slightly below age level
c. at age level
d. above age level Correct Answer-c. at age level
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 and off the toilet. 3 y/o children may need assistance to
cleanse themselves effectively and to manage fasteners or difficult clothing.
Complete independence in using the toilet (answer d) is usually achieved by the
age of 4 to 5 y/o. By the age of 2 (answer b), most children have daytime control
over elimination with occasional accidents, so thy still need to be reminded to
go to the toilet. One y/o infants (answer a) indicate discomfort when wet or
soiled.
The COTA is observing dressing skills in an individual with COPD. While putting
on his shirt, the individual becomes short of breath and stops to rest before
finishing with that shirt and going on to his trousers. This behavior MOST likely
indicates a deficit in:
a. postural control
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