COTA Boards Exam 2 Questions and Solutions
A COTA® is working in an outpatient clinic with a child with ADHD. The client reports having difficulty keeping the bedroom neat and tidy without the mother's assistance. On the basis of this condition, which activity demand related to cleaning one's roo...
COTA Boards Exam 2 Questions and
Solutions
A COTA® is working in an outpatient clinic with a child with ADHD. The client reports
having difficulty keeping the bedroom neat and tidy without the mother's assistance. On
the basis of this condition, which activity demand related to cleaning one's room would
be problematic for the client?
A. The mother's expectation that food not be eaten in bedrooms
B. Drawers that are not designated for specific types of clothing
C. A small wastepaper basket
D. Lack of space under the client's bed - answer The right answer is B
According to AOTA (2008, pp. 634), "Activity demands include the specific objects and
their properties used in the activity, the physical space requirements of the activity, the
social demands, sequence and timing, the required actions or skills needed to perform
the activity, and the required body functions and structures used during the performance
of the activity." The lack of designated drawers for different types of clothing may
prevent the client from keeping the room neat and tidy.
Why might a client with early-stage dementia appear less spontaneous when
performing daily routines?
A. The client may be compensating for memory loss.
B. The client may be compensating for decreased orientation.
C. The client may be compensating for decreased spatial orientation.
D. The client may be compensating for decreased temporal organization. - answer
The right answer is A
The client may be aware of memory loss at this stage and compensate by becoming
rigid in routines so that the client still appears to others to have intact memory skills.
A COTA® is working with a child with ADHD who is transitioning from elementary
school to middle school and discussing the child's concerns with the educational team.
Given the child's condition, with which occupation might the child need support?
A. Meeting a new friend
B. Initiating a routine
C. Listening to instructions or conversations
D. Forming a bond with more than one teacher - answer The right answer is C
, Children with ADHD typically have difficulty paying attention to details and may miss
important information that is conveyed verbally, such as with instructions or
conversations.
A COTA® in a private clinic is discussing with other practitioners potential peers
who can be paired or grouped with a 3-year-old client. The client has autism, and the
goals include improving play and social skills. Which potential peer has appropriate
characteristics to consider when choosing peers to partner with this client?
A. A child of the other gender, to promote gender diversity and exposure to children of
that gender
B. A child with the same diagnosis who has not been paired with another child during
therapy sessions
C. A child with the same diagnosis and developmental level as the client
D. A slightly older child with a slightly higher developmental level than the client -
answer The right answer is D
Peers of different ages and different developmental statuses can promote different
types of play and leisure behaviors and can advocate a multitude of play skills.
A COTA® in an adult day treatment program decides to use a group intervention with
clients with schizophrenia who live in a supported living environment with 24-hour
supervision. The COTA believes that a sensorimotor approach would help the clients
reach their goal to increase independence in overall function and goal-directed activity
in the home context. What would be an appropriate group activity that uses the
sensorimotor approach?
A. Discussing task performance
B. Exercising to music
C. Using a sensory room
D. Baking cookies - answer The right answer is B
Exercising to music is used in sensorimotor approaches to enhance motor learning and
sensory functioning. It can be used by the COTA to improve skills for daily living and
has been recommended as an evidence-based approach for people with schizophrenia.
A COTA® is working in the burn unit of a hospital. A client has undergone skin grafting
to close wounds on the dorsum of the hand. What occupational therapy treatment is
MOST appropriate for the 5 to 7 days post skin graft?
A. Instruct client in AROM of the wrist and hand but limit PROM until the staples are
removed
B. Fabricate and fit the client with a safe position splint over the dressings
C. Involve the use of the grafted hand in ADLs that involve resistive grasp
D. Perform PROM to the wrist and hand but instruct the client to limit use of the hand
outside of occupational therapy treatment sessions - answer The right answer is B
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