Selecting and Implementing Interventions
A COTA is educating a client who recently had a transfemoral amputation about prolonged positions to avoid. The most important positions to emphasize are (choose all that apply) A. Prolonged hip flexion B. Sustained hip extension C. Leg elevation in supine D. Leg extension in supine E. Limiting sitting to 30 minutes F. Sit rather than stand.
A. C. E.
While Evaluating an individual with arthritis, the COTA observes PIP joint hyperextension and DIP joint flexion in the digits. How would the COTA most likely document this deformity? As a Boutonniere, mallet finger, congenital, or swan neck deformity?
Swan Neck Deformity
An experienced COTA recently hired to a facility has previously utilized high voltage Current stimulation for edema control. The modaility is available, but the supervision OT has never used it before. A PT in the clinic has competence. What should the OTA do NEXT? A. Ask the PT TO cosign a Tx Note. B. Provide an inservice training all of the OT staff. C. Administer the Tx since it would benefit the pt. D. Not use the technique until the supervising OT is trained.
D.
The COTA just observed a child eating lunch in the school lunch room. Which statement best describes an objective observation? A. The child did not appear to like the food present. B. The child demonstrated tongue thrust in 4 out of 5 trials. C. The child was uncooperative and despondent. D. The child was apparently not hungry at the time.
B.
An individual diagnosed with schizophrenia is demonstrating psychotic symptoms. What would the COTA most likely see in their treatment session?
Hallucinations and Delusions
A child has mastered brushing their teeth while the COTA gives verbal and physical cues. To progress with the process of reducing the necessity of cues, what is the COTA's next step?
Verbal and Gestural Cues only
What is the next step for an OTR/COTA team to follow after initial evaluation of a 1 year old requiring early intervention services? A. Independently develop an IEP. B. Collaboratively develop an IEP. C. Independently develop an IFSP. D. Collaboratively develop and IFSP.
D. Collaboratively develop an IFSP
An OTR/COTA team want to design a study examining the usefulness of a particular treatment technique for individuals with depression. They decide to examine and summarize previous random controlled trials. What level of evidence would they MOST likely be using?
Level I
primitive reflex - righting reaction - equilibrium reaction - protective extension
Protective Extension
Swallowing thin liquids.
The spouse of a client with dysphagia is concerned about giving medications to them. What is the best way for this person to take their medication?
A. With a sip of water. B. With a cup of water. C. Crushed with gelatin D. Crushed with ice cream.
C . Crushed with Gelatin
The parent of an 18 month old child with hypertonia reports that dressing is extremely difficult. When teaching the parent how to put on the child's shoes and socks, what should the COTA suggest the parent do first - flex the child's hips, neck, or knees?
Flex the child's hips
A COTA initially passed their certification exam, continues to renew NBCOT cert, and maintains requirements of their state licensure. What are the appropriate credentials to use when signing clinical documentation?
COTA/L
When the OTP suspects tactile defensiveness as a rationale for the child's challenges, in what are of participation should the COTA focus first?
Dressing Habits
Which of the following methods is best for assessing a hook grasp? A. Direct the client t hold a sewing needle while treading it? B. Observe the individual lifting a half filled tall glass of water. C. have the client hold a heavy bag by the handles. D. Instruct the individual to place a key in a lock.
C.
At an inpatient psychiatric facility, a pt with anxiety d/o feels so overwhelmed they cannot get from their room to the OT grp room each a.m. Which of the following strategies will be most helpful for this individual? A. Reduce environmental distractions and keep lighting low. B. Provide a stimulating environment with real life opportunities. C. Give a tour of the department and a schedule of the activities. D. Keep the doors open and avoid being alone with the individual.
C. Give a tour of the department and a schedule of the activities.
An individual has sustained a large, full thickness burn to both upper extremities and is in the acute phase. Which is the best ST rehab goal in acute stage?
A. Maintain and prevent loss of ROM and skin mobility. B. Educate in the use of AE for ADL's C. Provide compression and vascular support garments. Prevent scar hypertrophy with scar management techs.
A COTA, who needs to transfer a bariatric patient, is not confident that it can be managed by one person. What is the best action for the COTA to take?
Ask another person for assistance.
When a COTA uses a standardized test to assess a child, what is the most accurate assumption the clinician can make about the test?
it is valid, has normative data, a standard format, or is reliable.
It has a standard format
An OTP is providing caregiver training to the spouse of an elder with Alzheimer's Disease who has difficulty with following multi-step instructions. What is the best method for the spouse to use when giving instructions?
Provide on to two step instructions and repeat frequently.
Which of the following actions should the OTP instruct a pt. on performing First when initiating a safe w/c t/f
Check for locked brakes
An OT practitioner is assessing a client who has schizophrenia and appears to be experiencing negative symptoms of the disease. Which of the following is considered to be a negative symptom of schizophrenia that the OT might document in the assessment? Incoherency - delusions - low energy - anhedonia - inattention - echolalia
A.
A child with CP and a visual impairment is learning to use a computer for classroom work and is frustrated because it takes a long time to type a sentence. What is the best solution for this problem? A. A wide screen monitor. B. Voice recognition word processing software. C. word prediction software. D. Masking some of the keys on the keyboard.
B.
As a result of MS, a patient currently requires max A with ADL's due to weakness. The patient verbalizes a goal of transferring from their bed to wheelchair I'ly so they can dress in the chair. The patient can bear wt. on their legs but has difficulty maintaining an upright posture. What type of transfer should the COTA attempt first to reach this desired goal?
Squat Pivot Transfer