COTA Review Guide Prep Bank_ 1000+ Q&A all answered correctly 2022.

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COTA Review Guide Prep Bank_ 1000+ Q&A all answered correctly 2022. 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 zip... per, and tie a knot in the draw string, but needs verbal cueing to tie a bow. the Cota would most likely determine that the childs dressing skills are Correct ANS - age appropriate in administering an assessment of finger tip pinch strength, the ot practitioner would instruct the individual being tested to place his or her fingers in which position Correct ANS - Thumb against the tip of the index finger the ot treatment approach that will most likely meet the overall needs experienced by individuals with substance abuse problems is to Correct ANS - Assist with skill development in the areas of leisure, self expression, and ADLs a cota observes that a 10-month old child is able to sit alone by propping himself forward on his arms, but consistnetly loses his balance when reaching for a toy. this behavior MOST likely indicates Correct ANS - a Developmental delay an individual demonstrates the ability to pick up a penny from a flat surface. this represents which of the following prehension patterns Correct ANS - tip when conducting a structured interview, it is most important for the ot practitioner to Correct ANS - Ask the questions as they are stated on the interview sheet a 3 year old child demonstrates the ability to use the toilet independently except for wiping and readjusting clothing afterwards. this behavior indicates the child is performing at which of the following Correct ANS - At age level the cota is observing dressing skills in an individual with COPD. while putting on his shirt, the individual becomes SOB and stops to rest before finishing with the shirt and going on to his trousers. this behavior most likely indicates a deficit in. Correct ANS - Endurance 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 Correct ANS - Distractibility in screening a child who has been referred to OT, the primary goal of the to practitioner is to Correct ANS - Determine the need for future evaluation 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. Correct ANS - Visual agnosia when reporting data collected to the OTR, it is most important for the COTA to Correct ANS - Provide a summary of observations of the patient's behavior, including what the patient said and did during the interview a child is observed grabbing toys from others, becoming easily frustrated, and is unable to sit still. this behavior most likely indicates. Correct ANS - ADHD an individual who had a stroke is copying a picture of a clock. the drawing appears as a lopsided circle with a flat side on the left. the numbers one through eight are written in numerical order around the right side of the clock. the hands are correctly drawn on the clock to represent three o'clock. the individuals performance appears to demonstrate. Correct ANS - Left unilateral neglect an individual alternatively exhibits laughing and crying throughout a treatment session. this behavior should be documented as Correct ANS - Emotional lability evaluation of a school age child diagnosed with moderate mental retardation should generally focus on Correct ANS - Communication, self-care, and social skills an individual who use a wheelchair is being discharged from a rehabilitation facility to home. in determining accessibility of the interior home environment, the area the cota should be most concerned with Correct ANS - Steps, width of doorways, and threshold Heights a woman experienced repeated sexual abuse by her father as a child. she now describes her fathers abusive actions fired from a job because of new management. the defense mechanism she is most likely using Correct ANS - rationalization a child has considerable difficulty with problem solving when playing with lego blocks and becomes frustrated and gibes up easily. this most likely indicates a problem in which area of play Correct ANS - constructional 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 individuals ability to Correct ANS - Work with locks and latches on the doors and windows a supermarket employee with obsessive compulsive disorder tasks 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 bc all the labels were not lined up exactly in the same direction. which of the following methods would most effectively evaluate this individuals work performance Correct ANS - Functional assessment of work related skills, such as carrying and opening cartons and shelving items which of the following assessment methods would an OT practitioner most likely choose in order to earn about a families values and priorities Correct ANS - Interview a person with functional limitations in shoulder abduction and external rotation is performing self care activities which of the following is most essential for the cota to assess? Correct ANS - combing the hair a COTA is scheduled to interview an individual with a head injury about her home environemnt, and family and child care responsibilities. knowing the individual has an attention span of 10 to 15 minutes, whicih of the following should the cota do first Correct ANS - Obtain as much information as possible from the chart during the interview with the parents of a 3 year with mild CP, the OT practitioner learns that the child is regularly fed by his grandmother and does not have any independent feeding skills. the first issues the Ot practitioner needs to explore further is Correct ANS - The cultural context and family interaction patterns a method that an Ot practitioner can use to document total finger flexion without recording the measurement in degrees would be to measure the Correct ANS - Distance from the fingertip to the distal palm palmar creased with the hand in a fist a COTA needs to report the result of an ADL evaluation to the supervising OTR the OTR, who is on her way to the cafeteria for lunch, states she has to leave immediately after lunch to another facility. which is the best method for the COTA to use to communicate the evaluation results to the OTR Correct ANS - in a written report when evaluating sensation of an individual with hemiplegia, the COTA should first Correct ANS - Apply the stimuli to the uninvolved area proximally too distally in a random pattern when assessing the sense of proprioception at an individuals joint, movement within the range would best be performed Correct ANS - The midrange of the joint an individual who attends a day program for adults with developmental disabilities has difficulty participating group activities bc of extreme anxiety related to being around others. the BEST way to determine whether the individual is experiencing anxiety during group sessions would be to. Correct ANS - Observe the individual's body language doing group sessions infants and preschool children with musculoskeletal disorders require ongoing examination of their upper extremity strength, coordination and functional abilities. the OT practitioner will obtain the majority of assessment information during infancy and preschool through Correct ANS - Observed of play in hand function an individual is able to complete full range of shoulder flexion while in a sider lying position during an evaluation, how ever against gravity, the client is not quite able to achieve 50% of the range for shoulder flexion. this muscle should be grade as Correct ANS - Fair minus (3-) the mother of a 3 month old infant recently returned to her job as a bookkeeper on a part time basis. she reports that she has difficulty concentrating at work bc she keeps thinking about the baby, and that when shes at home, she is distracted bc she feels she should be at work. this primarily indicates a problem in the area of Correct ANS - role performance the treatment goal for a 4 year old child with hypotonia is to improve grasp. which of the following activities would be best for preparing the Childs hand for grasps activities Correct ANS - Weight-bearing on hands an older adult with diabetes is working on a macrame project as a way of increasing standing tolerance. the most relevant safety factor for the COTA to take into consideration is the Correct ANS - Texture of the cords she will be using the treatment goal that best addresses the psychosocial skill of self expression is Correct ANS - The client will use facial expressions and gestures that are consistent with stated emotions doing a assertive, passive and aggressive role play situations in planning a therapeutic dressing intervention for a first grade child who is mentally retarded, the cotas first consideration should be the need for Correct ANS - Adapted teaching techniques a Cota is fabrication a resting pan splint for a client with extremely fragile skin. which of the following areas will the cota have to inspect most carefully for signs of skin breakdown Correct ANS - ulnar styloid, distal head of radius and thumb CMC joint the cota needs to identify an activity that will address psychosocial goals by (1) allowing the individual to experience success using a messy process, and (2) requiring the individual to delay gratification. the activity process that is best for providing this experience Correct ANS - Applying grout to a tile trivet And waiting for it to dry a school age child demonstrates aggressive and disruptive behavior in school as a result of a low sensory threshold. which of the following suggestions would be most useful to discuss with the teacher regarding an upcoming class bus trip to the zoo Correct ANS - Let the child sit at the front of the bus and use a tape player with earphones which of the following interventions is most appropriate for an individual who has recently been diagnosed with rheumatoid arthritis and is in the acute stage of the disease Correct ANS - Positioning, adaptive equipment, and patient education a cota is working with an individual who was admitted to an inpatient psychiatric program for major depression. this individual is also diagnosed with stage 4 AIDS. the best general focus of treatment at this point would be Correct ANS - Restore and maintain performance of self chosen occupations the support performance a valued occupational roles a 5 grade child with significantly low muscle tone caused by Duchennes muscular dystrophy is losing trunk control when sitting. which of the following approach is Correct ANS - Biomechanical frames of reference should the cota consider when planning the treatment program Correct ANS - Playing balloon volleyball a cota is planning a program for an individual who needs to increase shoulder strength, range of motion, and endurance, which of the following activities is most suitable for periodic upgrading Correct ANS - to arive at work on time consistently the COTA is selecting activities for an 8 year old child with Duchenne's muscular dystrophy. which of the following developmental issues is most important to consider when identifying activities for this child Correct ANS - Reinforcements of competence which individual would benefit the most from using a wrist driven flexor hinge splint during a prehension activity Correct ANS - A client with a C6 injury an individual with a history of depression and social isolation is hospitalized for the third time due to suicide ideation. completion of an interest checklist indicates in crafts, cooking. and participation in social activities. in planning treatment for a short hospitalization, which of the following activities would be most appropriate for this individual Correct ANS - Identify social opportunities using a local phone book a cota who is beginning treatment for a child with athetoid CP is concerned about the child's inability to control flexion and extension of the arm when reaching for a toy. the child flexes or extends to much, which makes placement of the hand very difficult. the most appropriate goal for this type of problem in hand function would be to improve the Correct ANS - Ability to grade movement a COTA is working with a patient recovering from a hand injury who complains of pain when any sensation is felt on the affected hand. in planning in a program of desensitization training for the patient, the most appropriate sequence for grading the sensory stimuli that will be applied to the patients hand is from Correct ANS - Soft to hard to rough a cota is conducting an on going assertivenesses training group. which of the following strategies would be most helpful in the development of group cohesion Correct ANS - Encourage group members to share similar experiences and reaction with each other a school age child with multiple handicaps is beginning to develop some controlled movement in the upper extermities. it would be most appropriate to introduce switch operated assistive technology when the child Correct ANS - Demonstrate any reliable, controlled movements a cota is working with an individual with amyotrophic lateral sclerosis who is no longer able to ambulate for kitchen or home management activities. which of the following interventions best addresses the goals of independence in meal preparation for this individual Correct ANS - meal preparation techniques using a wheelchair in carrying out inpatient treatment groups for individuals with schizophrenia, the cota should routinely Correct ANS - You simple and high structured activities a child with behavioral problems has difficulty with peer interactions. which of the following aspects of the treatment plan is most important Correct ANS - Provide enjoyable activities and a safe and accepting in in environments a long term goal for a client following a hip arthroplasty is independence in lower extremity dressing. the most relevant short term goal for the cota to work on would be that the Correct ANS - Clients would demonstrate appropriate hip precautions a cota is planning a craft activity for an adolescent who has been hospitalized following a suicide attempt. an interest checklist indicates experience with fiber arts, which of the following activities would be considered most appropriate for this individual Correct ANS - decoupage Wooden key fob a 9 year old child with sensory integration problems has not developed a preferred hand for printing or writing. which intervention option would most likely result in eventful development of a preferred hand to use in writing activities Correct ANS - Consider and treat underlying sensory integration problems as a possible cause a COTA is preparing a work conditioning program for a patient who has decreased endurance. the cotas first step in developing a work conditioning program for this patient would be Correct ANS - Creating non-specific job stimulated work task a cota is planning a college activity tasak group for several clients with depression. the primary purpose of using an OT task group with these clients is to Correct ANS - Encourage here and now explorations of members behaviors and issues will promote and learning through doing the cota review various functional activities that are being incorporated into her clients hand rehabilitation program. the cota explains to the client that functional activities may include Correct ANS - Crafts, games, and self task a cota who works in an outpatient facility recommends that client with parkinson's disease be treated in a therapeutic group. the cota is most likely to select group treatment for these clients because. Correct ANS - It provides social interaction and support, as well as activity a cota is planning a meal preparation activity for an adult client with attentional and organizational deficits secondary to alcohol abuse. the treatment goals address the clients difficulties in properly sequencing tasks. the most appropriate activity to use first is Correct ANS - Baking cookies using a recipe when teaching children with moderate mental retardation to feed, groom, and dress themselves, the cota is most likely to use which technique Correct ANS - chaining an individual with an IV drug abuse problem has developed aids. the ot evaluation revealed that the individuals major problems are with daily tasks, self esteem, physical reconditioning and anxiety. which of the following approaches would be most beneficial to the client Correct ANS - Have the patient practice stress reduction using medications, yoga, and energy conservation techniques an individual with an anxiety disorder feels so overwhelmed he cannot get himself from his room to OT group each morning. which of the following strategies will be most helpful Correct ANS - Give him a tour of the OT department and a schedule of activities the cota is attempting to increase play fulness with a 7 year old girl with sensory integrative dysfunction. the child experiences difficulties with motor tasks and often complains that non one likes her. after establishing rapport with the child, the cota would most likely introduce which of the following Correct ANS - role play a tea party with barbie dolls a patient with a short below elbow amputation is lacking sensation in the residual limb. the most appropriate intervention would be for the cota to teach the patient Correct ANS - To routinely inspect the skin closely for signs of skin breakdown a cota is running a discharge planning group in which individuals discuss their personal feeling and concerns about returning to the community. which of the following would be the best method to facilitate this process Correct ANS - Patients write fears and concerns on index cards and then the CO TA collects and reads the cards to the group for discussion a cota is working with a child whose poor visual attention is affection his ability to perform school work. an adaptation of the sensory environment that would best improve attention during a visual task is to have the child Correct ANS - Use headphones during work to reduce competing sensory input a cota is treating a client with parkisons disease whose primary functional problems are cause by a shuffling gait. the most relevant environmental recommendations the cota could make to address a potential safety hazard in the home is to Correct ANS - Remove scatter rugs throughout the house after a 30 year hospitalization, an individual with mental illness has been discharged to a community group home. she is used to being told what to do and where to go. which of the following would be best approach to take for this individual first meal preparation Correct ANS - Give the individual one task to do such as making drinks the cota is observing a 3 year old child during tooth brushing. the child demonstrates good bilateral upper extremity hand strength, but decreased dexterity. which piece of equipment would the cota most likely encourage the child to use during brushing Correct ANS - Any electric toothbrush an individual with chronic obstructive pulmonary disease and low endurance is taught to modify his bathing techniques for carryover after discharge. the cota should recommend which of the following as the best bathing methods Correct ANS - Using a bath chair in a hand-held shower with tepid water an individual consistently confuses white glue with white grout during a tile activity. which of the following actions would the cota implement to remain consistent with an activity adaptation approach Correct ANS - replace the white glue with blue glue a 6 grade with a diagnosis of athetoid cerebral palsy needs an adapted computer for communication. her upper extremity control is poor because of fluctuating muscle tone. the cota suggests that the best way for her to operate her computer is to use Correct ANS - Single pressure switched, firmly mounted within easy reach a cota is instructing a person with arthritis how to maintain range of motion while performing household activities. which of the following activities would be the cota most likely recommend to accomplish this Correct ANS - Use a dust mitt to keep fingers fully extended an individual with mental retardation lives in a group home and is expected to participate in laundry activities. the individual is usually successful with routine performance of daily tasks, is able to recognize whether clothing is clean or dirty, demonstrates sequencing skills, and is independent in most self care activities. what advice should the cota provide to the individual to perform laundry activities at the highest level of independence possible Correct ANS - The staff may only need to monitor water temperature in the amount of soap being used a child with athetoid cp is woking in ot to develop self feeding skills. the cota observes that when the child attempts to pic up food, it slides off the plate. which adaptation does the cota provide to solve this problem Correct ANS - A scoop dish A patient who had a CVA has difficulty using his left upper extremity he for reaching activities because of fluctuating muscle tone. According to the neurodevelopment treatment approach, one of the most effective ways to teach a person to normalize high muscle tone in affected extremity's prior to functional activities is by Correct ANS - Weight-bearing through the upper extremity in sitting or standing An individual with memory and attention deficits exhibits poor table manners and is working to address this in an ADL group. Which method is most appropriate for this individual? Correct ANS - role Play that include practicing good table manners Which of the following would a CO TA most likely introduced to a group of 10-year-old children with paraplegia Correct ANS - A tabletop air hockey competition The go for an elderly person with Parkinson's disease is to dress herself independently. The best adaptation to compensate for this person's physical deficits would be Correct ANS - Velcro closures on front opening clothing Client is participating in an assertiveness training group within a work setting. The expected outcome of this intervention is that the client will most likely improve the ability to? Correct ANS - Expresses discouragement with coworkers in a productive manner a young child exhibits tactile defensiveness with all addressing task. which of the following would CO TA recommend as the most effective handling method for this child Correct ANS - Hold him firmly when picking him up and dressing him An individual who is being discharged after participating in an inpatient pulmonary rehabilitation program for chronic obstructive pulmonary disease is given a list of tips from the CO TA to used in the home to promote function. Which of the following items with a CO TA it was likely recommend Correct ANS - Perform pursed-lip breathing when doing activities A CO TA is organizing a group picnic outing to a park. The most important precaution for the CO TA to implement for those group members taking neuroleptic medication is Correct ANS - Encourage the use of PABA-free sunblock and hats CO TA is positioning a child with low muscle tone and postural instability into a prone stander to develop head righting. the child rapidly shows fatigue and associated reactions. how can this CO TA best adjust the stander to decrease these reactions will continue to address the goal head righting Correct ANS - Position stander at 75 to 90° from the floor during a stress management group, an individual recently diagnosed with multiple sclerosis complains that his teenage children are resistive to helping with chores that were previously his responsibility example mowing the lawn and taking out the trash. Which of the following stress management techniques with the CO TA most likely recommend to adjust this clients concerns Correct ANS - Using effective communication skills an Individual with a history of depression and low self-esteem has just begun to participate in a home management group. This individual has previously identify Cookin as a leisure interest that he is good at. Which of the following approaches will most effectively promote individual growth and self confidence Correct ANS - Doing a meal preparation activity, have the individual demonstrate a step that he is familiar with to two or three group members CO TA is working with the family of a three-year-old child who lack sitting balance in the bathtub. The family is requesting an alternative to a shower bench, because the child seems to enjoy submersing herself in the warm bath water, and their insurance does not cover durable medical equipment costs. which of the following with the CO TA most likely recommend Correct ANS - place a foam-line Plastic laundry basket in the tub A resident of a long-term care facility is receiving OT because of difficulties with eating. The first step of intervention the CO TA performs with this resident at meal time is to Correct ANS - Position the person in an upright position posture, making sure head is flex slightly in a midline Which of the following is most important when using remotivation approach with a group of elderly individuals Correct ANS - Use pictures, music, and discussion to encourage discussions of memories A child with quadriplegia complains of frequently slumping to the side when sitting in the wheelchair. The CO TA would most likely recommend which of the following to enable to the child to maintain optimal wheelchair positioning. Correct ANS - lateral trunk support In individual with a C6 spinal cord injury is unable to button his shirt. The CO TA would most likely to select which type of adaptive equipment to assist this child with buttoning. Correct ANS - A buttonhook attached to a cuff that fits around the palm An individual diagnosed with borderline personality disorder tells the CO TA that she is the only one she can trust. The next day she accused the cota of lying to her. The best way for the CO TA to respond as to Correct ANS - Remain matter of fact and consistent in approach A teenager with fine motor and incoordination report difficulty with self-care. Which of the following options with this individual find most beneficial Correct ANS - Toothpaste with a flip open Cap A CO TA is working with a group of patients who have orientation deficits resulting from head injuries. Using adaptive or compensatory approach the most appropriate intervention would be Correct ANS - Provide verbal cues, external aids such as calendars and family pictures, and opportunities to practice using the external aids a CO TA instructs a client with chronic neck pain to use psychosocial pain management techniques. Which of the following strategies should the CO TA implement to assist in the management of this individuals chronic pain Correct ANS - bioFeedback, distraction, and relaxation techniques The parent of an infant with hypertonia reports that dressing the child is extremely difficult. When teaching this parent how to put shoes and socks on the child, the CO TA should recommends first flexing the child's Correct ANS - hips A CO TA is treating a restaurant walker with carpal tunnel syndrome. The most important instruction for the CO TA to give the client is to avoid or modify activities that encourage. Correct ANS - prolonged wrist flexion, such as scrubing post and pans And working with an individual who is severely depressed and demonstrates psychomotor retardation, it is most important to Correct ANS - Give simple directions and patiently wait for response a child diagnosed With ataxic CP exhibits tremors and the upper extremity. When she feeds herself, the tremors cause most of the food to fall off her spoon before can we reach her mouth. Which of the following adaptions so it should the CO TA recommend Correct ANS - replaced the spoon with a blunt end folk A client is having difficulty getting around her house as a result of low vision. The most appropriate strategy the CO TA can recommend to improve accessibility would be to Correct ANS - Provide strong color contracts at key areas to identify steps, pathways, etc A CO TA has been working on laundry skills with an adult with developmental disabilities who lives at home with her aging parents. Although the client is able to use the washer and dryer successfully with only verbal cues, her mother continues to do her laundry. The CO TA should Correct ANS - Discuss the meaning and value of clients doing her own laundry with the mother and client An early intervention CO TA is working with a toddler whose significant physical disabilities have limited the child's ability to explore the environment. The best low-tech assistive technology play aid to allow the child to experience cause and effect and some control over an aspect of his a her environment would be Correct ANS - A switch adapted battery operated toy car that knocks down a block tower The best way to instruct an individual with hemiparesis to button a short is Correct ANS - Get the shirt all the way on, then line up the buttons and holes, and begin buttoning from the bottom A young man with a history of depression constantly makes negative statements about himself. the goal set for him in the task group is to increase self-esteem. After services sessions, he showing more self-confidence and ask the CO TA for her phone number because you're so nice to me. The most appropriate responses for the CO TA to Correct ANS - In private, explain the nature of client therapist relationship A child is unable to bring her hand to her mouth for feeding because of weakness and supination. The most helpful adapted utensil for this child would be Correct ANS - Swivel spoon in a Working hardening program, a CO TA's teaching a warehouse worker with low back pain how to lift objects from the floor and place them on the shelf. Before doing this, the CO TA should first review Correct ANS - Proper body mechanics Individual has demonstrated competence in heating canned soup. Big CO TA recommends modifying the treatment plan in upgrading the cooking activity to Correct ANS - Baking brownies The mother of a physical disabled 3-year-old believe it has a goal that her child will be walking independently around the house. this is an unrealistic goal for the child but one that would be helpful to the mother who is finding her child difficulty to lift. The best way to assist in the development of family centered interventions for this child would be to Correct ANS - propose is a modified goal that still meets the parents needs an Individual with Guillain-barre syndrome demonstrates poor to fair strength throughout the upper extremities. Which is the most appropriate approach for the CO TA to use in the early stages Correct ANS - Gentle, Nonresistive activities a CO TA is planning a community living program for clients who are to be discharge after an average of 25 to 30 years of hospitalization. One of the goals of this program is the train to clients to effectively manage their money. Which of the following activities would be used first Correct ANS - use a Board game to introduce the concept of receiving and spending money a CO TA is working with a group of children in an early intervention program. All of the children in the group are able to sit independently on the floor except for one child with cerebral palsy. John has told the CO TA that he wishes to sit on the floor like his peers and not in his wheelchair the CO TA would most likely will command of the child uses an Correct ANS - Floor sitter an Individual with complete C7 quadriplegia strength demonstrates fair plus 3+ strength and the whisk extensors. Which of the following interventions would the CO TA introduced to most effectively and strengths in the wrist extensors Correct ANS - A craft activity using an increasingly heavy hand tool a COTA is using leather stamping as part of a group activity but feels the need to increase the problem-solving processes within the group. The best approach for encouraging problem-solving in a craft media group is to Correct ANS - Begin with activities that have obvious solutions in high probability of success, and then gradually increase the complexity of The CO TA and physical therapists are attempting to order a wheelchair for a child with severe cerebral palsy who will most likely never ambulate. The child has no cognitive limitations and frequently expresses the desire to be independent in mobility, especially within the school setting. The CO TA and physical therapist will most likely recommend that the family order a Correct ANS - power wheelchair An individual with ALS and mired dysphagia becomes extremely fatigued and breakfast lunch and dinner. Which is the first intervention the CO TA should consider the recommended Correct ANS - eat six meals a day A CO TA is working with an elderly woman with a diagnosis of depression and dementia during the cleanup pushing of a cooking activity the patient begins to dry the plate and utensils she has already dried the CO TA should Correct ANS - put the dried dishes away and begin to hand her wet dishes And 8-year-old boy with Conduct this photo is disruptive, uncooperative, and occasionally combative during therapy. From a behavior point of you, the most appropriate strategy to use to address the child's conduct would be to Correct ANS - set clear expectations for behavior and enforce consequences, such as a time out, if the child loses control An individual with Left Upper extremity flaccidity is observed sitting in a wheelchair with his own dental in over the side. The first position and device the CO TA should introduce to the client is Correct ANS - arm trough A very confuse nursing home resident is frequently found in the rooms of other residents in the middle of the night. Which of the following environmental adaptations would most likely fictively prevent wandering Correct ANS - disguises the bedroom door with wallpaper so it blends in with the surrounding On the following, which is the best activity a CO TA could offer a preschooler to develop letter recognize Asian skills Correct ANS - forming letters out of clay an unMarried patient with a spinal cord injury is on a rehab unit and constantly flirts with a CO TA. The most appropriate action for the CO TA to take would be Correct ANS - set personal boundaries appropriate to the therapist-patient relationship a CO TA is working with an individual who is unable to complete the multiple steps that are necessary to brush his teeth. In response to this, the Practitioner modifies the activities by having the client perform the task one step at a time while gradually adding more steps with each success. The CO TA is attempting to employ which of the following Correct ANS - chaining A CO TA working in the school system is adapting a chair for a student with extensor tone. Which of the following should the CO TA recommend to the teacher in order to inhibit the child extensor tone, while maintaining a functional seated position in the classroom Correct ANS - place a seatbelt at a 45 degree angle at the hips during a cooking evaluation, an individual with a history of traumatic brain injury exhibits moderate upper extremity and coordination. Which of the following recommendations would be most beneficial for this individual Correct ANS - use heavy utensils, pots, and pans Task-specific training is being used to train an individual with severe cognitive limitations to put on a T shirt. This training will be most effective if it takes place Correct ANS - in the individual's bedroom A CO TA is working with a child with developmental disabilities who frequently bites his siblings and parents. Which of the following with the CO TA a most likely recommend Correct ANS - encourage the child to wear a necklace with chewable objects attached An individual with joint changes that limit finger flexion would be most comfortable using utensils with Correct ANS - built up handles A client with severe depression and suicidal ideation stops the CO TA as she is about to leave the inpatient unit at the end of the day and ask her to except her favorite necklace as a gift of things which of the following response is most appropriate Correct ANS - report the incident to the client physician a CO TA works in a public elementary school. Which of the following activity should be CO TA suggest to promote prewriting skills for a child in kindergarten Correct ANS - drawing lines and shapes using shaving cream, sand, or finger paints When treating individuals in the acute phase of the cardiac rehabilitation, it is important for the CO TA to first select activities that Correct ANS - decrease the effects of prolonged inactivity a Client with paranoia prefers to stay away from the group, walking alone at another table the best action for the CO TA to take is to Correct ANS - tell the client it's okay to work where he is until he feel comfortable in joining the group A CO TA is preparing for the discharge of a preadolescent child with limited strength endurance. Which of the following home adaptations is most important for recommend Correct ANS - mount lever handles on doors and faucets Individual with a high level spinal cord injury is returning home. Which type of adaptive technology with the client most likely required to ensure safety in the home Correct ANS - a call system for emergency and non emergency use Which of the following is the most effective way for a CO TA to structure the intervention environment for a patient who exhibits seductive a sexual acting out behavior Correct ANS - provide a larger area of personal space, where the person is protected from physical contact with others A student has been working on learning to activate a switch for a communication device needed in the fourth grade classroom. The switch is mounted on the wheelchair tray, but the student is having difficulty operating it because of excessive muscle tone. Despite practicing for extended periods of time, the student is not making any progress. The CO TA decides to Correct ANS - work on coordinated reach in a sidelying position first and then transfer the skill to sitting position. while Participating in activities to improve strength. An individual with multiple sclerosis who was recently admitted to the hospital complains of fatigue. Which of the following actions is the most appropriate for the CO TA to take Correct ANS - give the individual a rest break A CO TA is leading a craft media group with a docents diagnosed with schizophrenia. Which of the following is the best method to use to facilitate problem solving Correct ANS - begin with activities that have obvious solutions and high probability of success and then gradually increase the level of complexity the most Appropriate device a CO TA can recommend to a child's parents to promote the development of upper lip control will feed and is Correct ANS - shallow spoon In OTR/COTA team is performing in assistive technology intervention with a client who has severe limitations of motor function resulting from CP. The first function of the OTR/CO TA team in this process is to Correct ANS - identity the abilities, needs, and life goal of the client Prior to discharging a client from the hospital, the OTR request that the CO TA instruct a patient in some quick and easy to learn stress management techniques. Which of the following should the CO TA with you first Correct ANS - deep breathing and verbalization The CO TA is working with a child who has insignificant thumb opposition. This position makes it difficult for the child to write efficiently. Because the CO TA recommends that the child practice oppositions by Correct ANS - pulling tiny object out of clay An individual complains of perspiration, which is causing his resting hand splint to be uncomfortable. The best action for the CO TA to take his to Correct ANS - provide a stockinette sleeve for the individual to wear inside the splint A client with schizophrenia begins to experience hallucinations will participate in a life skill group led by a CO TA. Which environmental strategy would best to minimize the hallucinations Correct ANS - move the person to a quieter, less stimulating environment A school grade Child has a diagnosis of Muscular dystrophy. The child Operates a manual wheelchair, but his mobility is slow because of muscle weakness. The CO TA should consider discuss in a powered wheelchair with the OTR when the Correct ANS - child's speed over long distances becomes less then that of a walking person The spouse of a patient with a progressive disease has come into the OT department to learn how to help the spouse perform functional activities at home. [Show More]

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