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COTA PURPLE BOOK SIMULATION EXAM 1: 1-50
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COTA PURPLE BOOK SIMULATION EXAM 1: 1-50
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COTA PURPLE BOOK SIMULATION EXAM 1: 1-50A)age appropriate. - answer- 1. In assessing the dressing skills of a 5-year-old 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 a bow. The COTA would MOST likely
determine that the child's dressing skills are: A)age appropriate. B)delayed.
C)advanced. D)limited.
A)Thumb against the tip of the index finger - answer- 2. In administering an assessment
of fingertip pinch strength, the OT practitioner would instruct the individual being tested
to place their 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
A)assist with skill development in the areas of leisure, self-expression, and ADLs. -
answer- 3. 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
Alcoholics Anonymous (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)a developmental delay - answer- 4. 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. This behavior MOST likely indicates: A)a
developmental delay. B)unintegrated primitive reflexes. C)normal development.
D)advanced development.
C)Tip - answer- 5.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
C) ask the questions as they are stated on the interview sheet. - answer- 6.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 questions as they are stated on the
interview sheet. D)ask additional questions (other than those listed) to gain further
insight into the patient.
C)At age level - answer- 7. A 3-year-old 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
D)endurance. - answer- 8.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 the shirt and going on to his trousers. This behavior MOST
likely indicates a deficit in: A)postural control. B)muscle tone. C)strength. D)endurance.
D)distractibility. - answer- 9.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. B)spatial
operations. C)generalization of learning. D)distractibility.
D)determine the need for further evaluation. - answer- 10.In screening a child who has
been referred to occupational therapy, the PRIMARY goal of the OT practitioner is to:
A)obtain necessary information for an occupational therapy consultation with teachers
or parents. B)test a wide variety of developmental behaviors. C)establish an information
base for the occupational therapy treatment plan. D)determine the need for further
evaluation.
C)visual agnosia. - answer- 11. A COTA is working with an individual who is unable to
name or demonstrate the use of common household objects. This behavior MOST likely
indicates: A)apraxia. B)stereognosis. C)visual agnosia. D)alexia.
D)rationalization. - answer- 18.A woman experienced repeated sexual abuse by her
father as a child. She now describes her father's abusive actions as being caused by his
stress of being fired from a job because of new management. The defense mechanism
she is MOST likely to be using is: A)identification. B)projection. C)denial.
D)rationalization.
C)Constructional - answer- 19. A child has considerable difficulty with problem solving
when playing with Legos© and becomes frustrated and gives up easily. This MOST
likely indicates a problem in which area of play? A)Sensorimotor B)Imaginary
C)Constructional D)Game
A)work locks and latches on doors and windows. - answer- 20.An OT practitioner is
making a home visit to an elderly client who lives alone. The client exhibits severe hand
weakness. When addressing safety in the home, the MOST important area to assess is
the individual's ability to: A)work locks and latches on doors and windows. B)use built-
up utensils while eating. C)use energy conservation techniques. D)manipulate fasteners
on clothing.
A)Functional assessment of work related skills, such as carrying and opening cartons
and shelving items - answer- 21.A supermarket employee with obsessive-compulsive
disorder takes an hour to stock 24 soup cans on the shelf. He reports that once he has
placed all the cans on the shelf, he removes them all and starts over because "all the
labels were not lined up exactly in the same direction." Which of the following methods
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