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Exam (elaborations)

COTA and OT relationship Questions and Answers

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COTA and OT relationship Questions and Answers A COTA® in an acute rehabilitation facility has been working with a client for four consecutive sessions. The COTA® learns that the client has two cats at home for which the client is the sole caregiver. Which option BEST describes the COTA®'s role...

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  • October 11, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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COTA and OT relationship Questions
and Answers

A COTA® in an acute rehabilitation facility has been working with a client for four
consecutive sessions. The COTA® learns that the client has two cats at home for which
the client is the sole caregiver. Which option BEST describes the COTA®'s role in
making pet care a goal?
A. The COTA® can write this IADL goal into the next progress note and alert the OTR®
to the change in the plan of care.
B. The COTA® cannot add a goal once the evaluation has been completed.
C. The COTA® can discuss this possible IADL goal with the OTR® to determine its
appropriateness and how to address it as an intervention.
D. The COTA® can write this IADL goal into the daily treatment note and update the
OTR® on the addition. - answer The right answer is C

Ultimately, the OTR® is responsible for creating the intervention plan, but the OTR®
and COTA® partner with the client to develop this plan. After the evaluation is
completed, new information may arise, such as learning that a client is responsible for
pet care at home. The COTA® has valuable client-centered information that can help to
adjust the intervention plan in a meaningful way.

Wrong Answers:
A, D: The COTA® must first collaborate with the OTR®; moreover, goals must be added
to progress notes or recertification notes, not to daily treatment notes.

B: The notion that a COTA® cannot add a goal once the evaluation has been completed
is not accurate because new information about clients often emerges once rapport is
developed.

Initiating treatment of a client as a COTA - answer A COTA® is not permitted to
initiate treatment of a client; the OTR® must do the initial assessment of the client.

Describe the ethical principle: Justice - answer The principle of justice refers to the
fair, equitable, and appropriate treatment of persons and access to occupational
engagement for clients.

A client with hip osteoarthritis has been referred for an occupational therapy
assessment and treatment. What can the OTR® have a COTA® contribute to the
assessment and treatment process?
A. Identify whether the client will need occupational therapy.
B. Decide which evaluations should be completed.
C. Select and implement therapeutic activities.

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