COTA Exam Questions from NBCOT 3rd Edition

An OTA is asked to develop a discharge planning group for clients being discharged within the next month from a long term facility for adults with serious and persistent metal illness. Which action is best for the OTA to take initially? A. Obtain prospective group members occupational profile and postd/c goals and options. B. Identify community resources to develop a community reintegration program and enhance post-d/c participation. C. Develop a self medication management teaching module to increase post-d/c medication compliance. D. Complete an evidence based search to identity best practices in community based mental health occupational therapy. Correct Answer : A Rationale is on page 429 An elementary school aged child holds a pencil with a tightly held static tripod grasp and forms letters at an average rate of speed. The child demonstrates the ability to write all class and homework assignments. Which approach is best for the OTA to recommend this child use to improve grasp? A. Perform all written work with a larger pencil and jumbo crayons on a horizontal surface. B. Take a break every 15 mins while writing to open and close the hand several times. C. Practice moving coins from the fingertips to the palm and then from the palm to the fingertips. D. Write all written work on a vertical surface, such as an easel or classroom wall board. Correct Answer: C Rationale is on page 435 A 19 year old with spastic diplegia and an IQ in the range of 55-69 is graduating from a special education program. The student has been involved in transitional programming since the age of 14. The OTA collaborates with the occupational therapist and the student to complete a discharge plan to meet the student's post secondary goals. Which of the following should the OTA recommend be included as a post d/c referral? A. A vocational rehabilitation workshop