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 - ANS ✓C. 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 pt.
C. ask the questions as they are stated on the interview sheet
D. ask additional questions (other than those listed) to gain further insight
into the pt. - ANS ✓C. A structured interview requires following the procedure,
order, and wording of the questions to be asked. Answers A, B, and D are
appropriate for semi structured interviews (e.g. in pursuit of more details and
information)
1
COTA Examination
, COTA
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 - ANS ✓C. At 3 y.o., a child is expected to know when he or
she has to 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 years. By the age of 2 years (answer B), most
children have daytime control over elimination, with occasional accidents, so
they still need to be reminded to go to the toilet. 1 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 hsirt, the individual becomes short of breath and stops to
rest before finishing with the shirt and going on to his trouser. This
behavior MOST likely indicates a deficit in:
A. postural control
B. muscle tone
C. strength
D. endurance - ANS ✓D. A deficit in endurance is demonstrated by the
individual's inability to sustain cardiac, pulmonary, and musculoskeletal exertion
for the duration of the activity. Answer A, a deficit in postural control, would be
correct if the client had been unable to maintain his balance while putting on the
shirt. A deficit in muscle tone (answer B) would have been evident if the client
had demonstrated spasticity while putting onto eh shirt. Inability to push his
arms through the resistance created by the shirt sleeve would demonstrate a
deficit in strength (answer C).
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:
A. memory
2
COTA Examination
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamitorMagnus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
