This action might not be possible to undo. Are you sure you want to continue?
rehabilitation facility and is beginning OT. One of the client’s goals is to be able to prepare family meals. After identifying the client’s typical family mealtime routines and habits, what should the OTR do NEXT to most effectively promote progress toward the client’s goal? Answer: A. Observe the client during a standardized meal preparation task. B. Assess current physical skills and abilities during a kitchen task. C. Discuss the lay-out and type of appliances in the client’s home kitchen. D. Provide assistive devices typically used by clients who have quadriplegia. Correct response: B Rationale: After identifying the client’s typical mealtime habits and routines, the OTR should conduct a screening by observing the client perform a kitchen task. This will assist the therapist to generate hypotheses regarding performance deficits. Incorrect responses: A: This stage would occur after generating hypotheses regarding performance deficits in order to quantify impairments or deficits flagged during a screening. C: This information is typically gathered during the initial interview as part of the process in identifying the client’s typical meal preparation routines and habits. D: The OTR should collect information about the habits, routines, and environments the client is used to prior to providing assistive devices. 7/23/12 COTA Question: COTA Prep Question: An inpatient had an uncomplicated total hip replacement, anterolateral approach one week ago. What movement of the affected hip is typically CONTRAINDICATED based on standard hip precautions? Answer: A. Abduction beyond 25° B. Internal rotation C. Flexion to 90° D. External rotation Correct response: D Rationale: Total hip precautions for an anterolateral approach include the following movement restrictions: hip external rotation, hip extension, crossing the operated leg over the unoperated leg, adduction of the operated leg. Incorrect responses: A: Lower extremity abduction is not contraindicated after a total hip replacement. B: Hip internal rotation is contraindicated after a total hip replacement for a posterolateral approach but not for an anterolateral approach. C: Hip flexion up to 90o is acceptable, but hip flexion beyond 90° is contraindicated after a total hip replacement 8/3/12 OTR Prep Question: A client who has cognitive and motor deficits secondary to the onset of Huntington's disease is participating in OT. One of the client's goals is to be independent with dressing. Which intervention activity is BEST to include as part of the initial intervention plan?
Asking the parents to complete a questionnaire B. Having the child complete a simple checklist Correct Response: B Rationale: B: Observation provides information about the child’s actual BADL skills and abilities based on current routines. Cognitive symptoms typically are not associated with onset HD C: These devices would not be helpful for the client due to the choreo-athetoid movements associated with HD 8/3/12 COTA Prep Question: A COTA is gathering information about the dressing skills of a 10-year-old child who has moderate cognitive and developmental delays secondary to autism. Task 01. C: A screening may provide preliminary information about dressing. but this method does not provide as much objective information as observing the child during a variety of dressing tasks. Washing the interior sides of single pane windows B. Incorrect Responses: A: This provides the parents perception of the child’s skills and is not as objective as observing the child completing the task. Which data-gathering method would provide the MOST OBJECTIVE information about the child’s current dressing skills? Answer: A. Symptoms typically include choreo-athetoid movements and alterations in behavior and cognitive functions. Administering a functional independence screen D. Following written instructions for installing curtain rods Correct Response: D . Use backward chaining methods and hand-over-hand assistance to teach adapted dressing skills Correct response: A Rationale: HD is a disorder characterized by progressive neurodegeneration. Observing the child during BADL routines C. Vacuuming floors in the main living area of the home D. A client who is in the early stages of HD would most benefit from learning techniques to compensate for motor deficits Classification code: Domain 03. Knowledge 01 Incorrect responses: B. Using a roller brush to paint an interior wall of the home C. D: These cognitive strategies may be indicated in the later stages of HD.Answer: A. D: Considering the child’s cognitive and developmental status. Educate the client and caregivers about methods for adapting the fasteners on the client’s clothing B. Teach the client to use a sequenced checklist to mark off tasks as they are completed during dressing C. 8/6/12 OTR Prep Question: OTR Prep Question: During which home maintenance tasks would symptoms related to constructional apraxia be MOST EVIDENT? Answer: A. this would not be the most objective method for gathering the information. Have the client practice using a button-hook and long-handled reacher when completing dressing tasks D.
The patient reports using cocaine only when under a deadline at work or when having to entertain business clients. which accommodation is the employer required to provide to ensure the workstation meets accessibility standards? Answer: A. a workstation should have a clear space of 60 in (152.Incorporating a bottom-up method to enable the child to learn dressing tasks in a developmentally appropriate sequence C.Turning radius of at least 60 inches (152. The patient’s account indicates a lack of insight related to which of the following performance areas? Answer: .Tile or low-pile carpeting in open spaces B.5 cm) diameter to allow a wheelchair to make a 180-degree turn. Incorrect Responses: 8/24/12 OTR Prep Question: During an initial OT interview. 8/3/12 COTA Prep Question: A client sustained a work-related injury resulting in paraplegia. According to the ADA Accessibility Guidelines. The OTR plans to use a cognitive approach during a dressing session with this child. a patient denies frequent cocaine use and cites a recent bonus as proof that work performance is not being negatively affected by substance use.5 cm) D.Allowing the child to select preferred clothing in preparation for learning an age-appropriate dressing task D.Employing a top-down approach to encourage the child to problem solve when difficulties are encountered during the dressing task B.Extenders to raise the desk height to 40 inches (101.6 cm) Correct Response: C Rationale: C: According to the ADA Accessibility Guidelines.Adapting the child's clothing and teaching compensatory strategies to use during a dressing task Correct Response: A Rationale: “Top-down” strategies are the cornerstone of a cognitive approach. Which method exemplifies this approach? Answer: A. One of the child’s goals is to be more independent with dressing.Rationale: D: Individuals who have constructional apraxia have difficulty constructing/assembling objects. as in following instructions for installing curtain rods. 8/16/12 OTR Prep Question: A 10-year-old child has cerebral palsy with moderate athetosis and age-appropriate cognition. The client now uses a manual wheelchair to maneuver within an office workstation. The child currently requires moderate assistance with BADL.Space to transfer from the wheelchair to a chair C. They are characterized by interventions that incorporate cognitive strategies such as problem solving to improve overall task performance.
despite a progressive decline in the client’s cognition. Correct Response: A Rationale: A: Maintaining a schedule of familiar daily activities is an effective technique for managing a client’s cognitive decline while maximizing engagement in tasks. Encourage friends to visit the home to provide reality orientation activities. During the first group session. Which theoretical model does this approach exemplify? Answer: A. B. Establish a routine schedule of familiar daily activities to encourage engagement. Have the client use a variety of assistive devices to minimize task demands. The spouse wants the client to remain at home as long as possible. Motivational D. Cognitive-behavioral B. What strategy should be included in the recommendations for supporting the client’s aging-in-place? Answer: A. Numbness of the small finger . C. Positive Tinel’s sign at the wrist B. Decreased light touch of all digits C. These performance areas should be addressed by developing an intervention plan that facilitates effective interpersonal and coping skill acquisition with the goal of promoting participation in all areas of occupation. the OTR describes how trigger events and irrational thinking can lead to substance misuse. the dependence on cocaine use appears to be in direct relation to the patient’s inability to manage stress appropriately. Psychodynamic C. Leisure-time management B. Plan most activities for the morning to avoid the effects of sundowning. 8/31/12 OTR Prep Question: An OTR is facilitating a group for clients with polysubstance use. Problem-solving and ethical behavior Correct response: C Rationale: Based on the patient’s account. Human occupation Correct Response: A Rationale: The premise behind cognitive-behavioral therapy is that the individual can change their behavior (substance misuse) by first challenging their negative assumptions (cognitions) relating to trigger events. D. Current values and interests C. Interpersonal and coping skills D. 8/24/12 COTA Prep Question: A client in the mid-stage of Alzheimer’s disease lives at home with a spouse as the primary caregiver.A. 8/31/12 COTA Prep Question: What clinical symptom is typically present in the affected hand of a client who has severe carpal tunnel syndrome? Answer: A.
Typical symptoms include decreased muscle strength and fatigue. the resident has to stabilize the arm to prevent reaching beyond or short of the shirt. Decreased motor planning B. The client has Fair Plus (3+/5) functional strength of bilateral upper extremities. Energy conservation methods will help minimize the impact of this disease on occupational performance and should be included as part of a home program instruction. Dysmetria D. During the assessment.org/index. Energy conservation methods B. a positive Tinel’s sign elicits a sensation of tingling in the median nerve distribution." When reaching for the shirt. 9/17/12 OTR Prep Question: OTR Exam Prep Question: Review this: http://www. When documenting the session what term should the OTR use to BEST describe the resident’s action? Answer: A. Atrophy of the extrinsic muscles Correct Response: A Rationale: A: The Tinel’s sign is a provocative test for nerve compression.D. In carpal tunnel syndrome (CTS). Nursing staff referred the resident to OT after observing a decline in the resident’s function following an exacerbation of COPD one month ago. Generalized weakness C. Medical history is also significant for residual cerebellar symptoms secondary to an excision of a brain tumor 5 years ago. What information is important to include in home program instructions for minimizing the impact of the disease on occupational performance? Answer: A.php?option=com_content&view=article&id=241 An OTR is evaluating the ROM of a client who has rheumatoid arthritis. Perceptual-motor exercises D.nbcot. 9/10/12 OTR Prep Question: An OTR is completing a self-care assessment with a resident in a long term care facility. the OTR asks the resident to "pick up your shirt from the night stand. Visual scanning strategies Correct Response: A Rationale: Myasthenia gravis is a neuromuscular disease affecting voluntary muscle. Dysdiadochokinesia Correct Answer: C Rationale: Dysmetria is a common side-effect of cerebellar dysfunction. 9/10/12 COTA Prep Question: A COTA is providing a home program for a client who has early stage myasthenia gravis. Joint protection techniques C. Goniometric measurements of the long finger are as follows: What do the findings indicate? Answer: . It is characterized as overshooting or undershooting an intended target.
Use retrograde motions with the ice until the client reports numbing. which type of knife would be beneficial for the client to use? Answer: A. a loss of full extension is represented by a minus sign. Lengthening of the lateral slips of the extensor digitorum communis tendon D. In this case. This is characterized by flexion of the PIP joint and hyperextension of the DIP joint. 9/24/12 OTR Prep Question: The client enjoys cooking large family meals but pain in the MCP joints and wrist are interfering with the ability to cut meats and vegetables. These ROM measurements indicate a boutonniere deformity. Rupture of the flexor digitorum superficialis tendon C. B: Rupture of the flexor digitorum superficialis tendon may result in a swan neck deformity C: Lengthening of the lateral slips of the extensor digitorum communis tendon results in a swan neck deformity 9/17/12 COTA Prep Question: A COTA who has established service competency in the use of physical agent modalities is preparing to use ice massage as an adjunct to an intervention for a client who has an acute soft tissue injury. Rupture of the central slip of the extensor digitorum communis tendon Correct Answer: D Rationale: "When documenting ROM measurements. Dorsal subluxation of the MCP joint B. the -50 – 90 measurement for the PIP joint indicates a loss of 50 degrees extension (extension lag) and the ability to flex the PIP joint to 90 degrees. D. Serrated knife with finger contoured handle B. Wheel configured knife with non-slip padded grip D. C. Carving knife with handle set at 90 degree angle Correct Answer: D . Universal cuff attachment for standard slicing knife C.A. Which clinical application procedure is recommended for this form of cryotherapy? Answer: A. Use circular motions to move the ice on the skin for 4-5 minutes. Hyperextension is documented using the plus sign (+): +30 – 40 degrees of DIP joint motion indicates there is 30 degrees of hyperextension and the joint is able to flex from 30 degrees of hyperextension to 40 degrees of flexion. To effectively achieve vasoconstriction and to avoid tissue damage. Firmly rub the ice parallel to the muscle fiber for 10-15 minutes. B. It is typically caused by rupture or lengthening of the central slip of the extensor digitorum communis tendon. Incorrect Rationale: A: Dorsal subluxation of the MCP joint is not typically associated with the deformity described. ice should be moved in circular motions to massage the area for approximately 4-5 minutes. Move the ice on one area of the skin for 1-2 minutes. In addition to recommending the use of an adapted cutting board. Correct Response: B Rationale: Ice massage is an effective modality to use on small and very targeted areas of soft tissue.
. Ideomotor apraxia Correct Response: B Rationale: Unilateral neglect is a perceptual motor impairment in which messages from the hemiplegic side of the body are unable to be interpreted. Teach the client protective sensory re-education strategies C. the patient is unable to initiate the dressing task without verbal prompts. Assessing fine motor patterns during classroom activities Correct Response: C Rationale: Administering and scoring standardized assessments are within the scope of practice for a service competent school-based COTA practitioner. Contact the case manager to modify the client’s job tasks D.Rationale: This type of grip minimizes ulnar forces against the MCP joints during cutting. Unilateral neglect C. If the clothing is placed on the bed to the left of the patient. The client has been undergoing rehabilitation and resumed light work as a warehouse stocker several days ago. It presents as ignoring the affected half of the body or space. Which part of the student’s evaluation is within the scope of practice for the COTA to complete? Answer: A. the OTR observes several blisters on the client’s index finger. 10/1/12 OTR Prep Question: A client had a repair of the median nerve on the dominant upper extremity after sustaining a work-related laceration of the wrist 6 weeks ago. Visual closure deficit B. During a follow-up appointment. 9/24/12 COTA Prep Question: A service competent school-based COTA is collaborating with an OTR prior to the initial evaluation of a student who has a developmental delay. Determining the impact of social interactions on development B. 10/1/12 COTA Prep Question: An inpatient who had a right CVA one month ago is participating in a dressing session. Documenting outcomes of unstructured parent interviews C. What INITIAL action should the OTR take based on this observation? Answer: A. Asomatognosia D. The patient is able to complete adaptive dressing when each article of clothing is handed to the patient one at a time. Advise the client to file an incident report with the employer B. Administering and scoring standardized handwriting assessments D. Recommend strategies for minimizing the use of the index finger Correct Answer: B Rationale: It is important for the client to learn visual compensation techniques to reduce secondary injury or trauma due to the loss of sensation. Which perceptual deficit does this represent? Answer: A.
the presenters discussed anecdotal evidence for the use of nutritional supplements to improve sensory processing. Inverse correlation MC3: Which type of research should the OTR review to obtain the strongest level of evidence regarding this intervention? A. p. The OTR is uncertain if nutritional supplements are within the professional standards of practice for the occupational therapy profession.20-. Single subject design. 263) 3)D Rationale: Systematic reviews are considered to be the strongest level of evidence because they provide an overall conclusion based on review of all the evidence available on the topic. . Two-groups.01 (r = 0.80 is a high correlation • . National Autism Association (NAA) C. 2006. case series D. non-randomized studies C. MC1: Which organization should the OTR contact for obtaining the most up-to-date resources for resolving this uncertainty? A: National Board Certification in Occupational Therapy (NBCOT) B. Case report with expert opinion B.01) between the use of a specific nutritional supplement and sensory processing skills.20 suggests a negligible correlation • .60 is a moderate correlation • . The following is how values are typically interpreted • 0 -.10/8/12 OTR Prep Question: Scenario: An OTR attended a professional development activity on sensory integration strategies for children with autism spectrum disorder. Low correlation C. meta-analyses Answer: 1) D Rationale:The American Occupational Therapy Association (AOTA) publishes the Standards of Practice for Occupational Therapy and the Reference Manual of Official Documents of the American Occupational Therapy Association. 2) A Rationale: "When calculating correlation. Systematic reviews. “The interpretation of the correlation coefficient is the strength of the relationship.60-. Inc. No correlation B.80-1. These documents clarify and support occupational therapy practice and define the minimum standards for the practice of occupational therapy. During the seminar. American Council on Occupational Therapy Education (ACOTE) D. High correlation D.00 is a very high correlation” (Kielhofner.40 is a low correlation • . the OTR reads a peer-reviewed article that indicates a correlation of 0. In researching the topic.40-. the symbol representing correlation = r. American Occupational Therapy Association (AOTA) MC2: What do the research findings from the peer-reviewed article indicate for the level of correlation? A.
Cognitive and academic progress made since the start of the current school year B. the student speaks very rapidly. Weight bearing to tolerance Correct Answer: D Rationale: After an uncomplicated total knee replacement. 10/16/12 OTR Exam Prep Question: SCENARIO: An OTR is preparing for a three-year multi-disciplinary case study and transition planning meeting for a student. What amount of lower extremity weightbearing is TYPICALLY indicated during this phase of rehabilitation? Answer: A. The OTR has observed that the student participates alongside peers during age-appropriate social and academic group activities but does not initiate or sustain interaction with peers. Non-weight bearing B. is able to type on a computer keyboard using both hands with fair accuracy and speed. rocks back and forth. patients are typically encouraged to weightbear to tolerance on the surgical leg. Toe-touch weight bearing C.10/8/12 COTA Prep Question: An inpatient had a total knee replacement 3 days ago and is progressing without complication. The student has autism spectrum disorder and is attending the 11th grade in high school. Life skills that the parents expect for their child to master prior to graduation D. Partial weight bearing D. and perseveration and finger-flapping motions become more pronounced. Food preparation employee at a fast food restaurant . When responding to direct questions. The patient has been cleared to use a walker to move from the bed to the bathroom with stand-by assistance. Customer service clerk in a bulk grocery store C. The student reads at the 8th grade level. The student’s language skills are above normal. Computer-based communications system C. Data entry clerk in a public library D. Teacher and therapist verbal instructions D. Visual supports and structured schedules MC#3: Which job would provide a “just right challenge” based on the student’s current strengths and interests? A. Current abilities and responses to environmental demands in a variety of contexts C. The teacher has observed that the student covers both ears. and plays beginner-level piano. Scores from standardized assessments of sensory processing and motor skills MC#2: Which method should the teachers use in the classroom to promote this student’s ability to transition from one classroom activity to another? A. Plans after high school include transitioning to structured work program. Mail-sorter in a sheltered workshop B. MC#1: What information about the student is MOST IMPORTANT for the OTR to provide to the Individualized Education Program team? A. The COTA will be supervising the patient during a self-care session. Peer-mediated support and training B. and occasionally has verbal outbursts when the noise level or activity level in the classroom increases.
D. What would be the PRIMARY purpose of this splint? Answer: A. B. 3) Correct Answer: C Rationale: The social and environmental demands of this job are compatible with the student’s current level of function. which is typically aggravated by holding the elbow in a flexed position. D. These services must begin by the time the student is 16 years old. Observe specific client factors during a typical BADL task. MC#1: What is the FIRST step the OTR should take when evaluating this client? A. Prevent elbow flexion during hours of sleep. 10/22/12 OTR Exam Prep Question: SCENARIO: A client has moderate hemiplegia. C. This information can then be used to help determine the type and focus of the remainder of the evaluation. Substitute for absent muscle function. B. An OTR and COTA in an outpatient setting are collaborating to initially evaluate the client using an ecological model. C. MC#2: Which task-oriented approach would be MOST BENEFICIAL to include as part of the intervention plan for maximizing the client’s physical abilities? .Answer: 1 )Correct Answer: B Rationale: The Individuals with Disabilities Education Act (IDEA) requires school-to-adult life transition services. Block ring and small finger MCP joint hyperextension. Correct Answer: B Rationale: Cubital Tunnel syndrome is a compression of the ulnar nerve at the elbow. A client wears a long-arm splint at night to prevent elbow flexion when sleeping. 2) Correct Answer: D rationale: These provide visual structure. Identify the areas of occupation the client wants or needs to do. dysarthria and diplopia secondary to having had a CVA several weeks ago. Information about the student’s current functional abilities and responses to environmental demands in a variety of contexts would be of most importance to the team for planning the student’s transitional services. visual organization. and visual clarity which are key elements of a structured-teaching approach for promoting function in a school setting. The client plans to return to work as a librarian. 10/16/12 COTA Exam Prep Question: A COTA is fabricating a thermoplastic splint as conservative treatment for a client who has early symptoms of cubital tunnel syndrome. Perform a standardized assessment of motor and process skills. Correct Answer: D Rationale: The practitioner should begin the evaluation process by learning what the client wants or needs to do. Assess deficits related to the client’s performance skills and patterns. Records indicate the client is a single parent of an adolescent. Minimize wrist flexion and extension during work.
Correct Answer: A Rationale: The physician or charge nurse should be notified immediately about the new onset of symptoms. Repetitive practice of an occupational performance skill in context B. D. The COPM is a client-centered tool that supports this model by addressing a client’s perception of their performance in areas of occupation and their satisfaction with this performance across 3 key areas: self-care. Visual attention and scanning exercises Correct Answer: B Rationale: Constraint-induced movement therapy is a task-oriented approach to motor control acquisition. MC#4: Which assessment should be included as part of the initial evaluation and can be administered by the COTA? A. This is a standardized assessment that a service competent COTA could administer. 10/2212 COTA Exam Prep Question: An inpatient who has been prescribed antipsychotic medication is attending an OT group. Document changes in function due to the onset of symptoms. environments. Report the symptoms to the physician or charge nurse. During one of the group sessions the patient begins to show symptoms of tardive dyskinesia. Allen Diagnostic Module (ADM) Correct Answer: C Rationale: The ecological model looks at the unique and dynamic relationship between people. and occupations. Dominance retraining activities D. Weight bearing through the affected upper extremity prior to an activity D. B. Training on the use of adaptive equipment to support an area of occupation C. C. Monitor the duration of symptoms and the patient's reactions. Dominance retraining during a variety of writing and drawing tasks Correct Answer: A Rationale: Evidence indicates that repetitive practice of a skill in context will help with cortical map reorganization for regaining functional use of the affected extremity. What action should the COTA take INITIALLY in response to this observation? Answer: A.A. productivity and leisure skills. Functional Independence Measure (FIM) B. Bay Area Functional Performance Evaluation (BaFPE) C. The patient may develop permanent tardive dyskinesia if medication is not discontinued. Observe the impact of symptoms on the patient's task performance. Augmentative communication B. MC#3: Which type of activity should be included as part of the INITIAL intervention to remediate the client’s motor impairment? A. Canadian Occupational Performance Measure (COPM) D. Constraint-induced movement therapy C. This approach focuses on facilitating use of the affected arm during activities and helping the client overcome learned nonuse. 11/5/12 OTR Exam Prep Question: .
Care coordination with the multi-disciplinary team meets best practice standards. Variation in voice quality or loss of voice after swallowing D. Presence of upper extremity athetoid movements Answer: 1) D Rationale: Screening results indicate the resident’s functional status may be declining. 2) C Rationale: Amytrophic lateral sclerosis (ALS) is a progressive neurological disease. Ask the physician to write an order for an immediate video fluoroscopy and a pureed diet. MC2: Which symptoms is this resident MOST at risk for experiencing during a meal? A. Advise the dietary staff to provide the resident with a room temperature clear liquid at every meal. 3) C Rationale: Amytrophic lateral sclerosis (ALS) is a progressive neurological disease. Ability to attach the device to the patient’s wheelchair C. Heavy sweating. B. Light-headedness when moving from a wheelchair to the dining chair B. A symptom associated with dysphagia is variation in voice quality or loss of voice after swallowing. 11/5/12 OTR Exam Prep Question: A COTA is gathering information about the dressing skills of a 10-year-old child who has moderate cognitive and developmental delays secondary to autism. Independent evaluation and intervention of the resident’s swallowing difficulties is beyond the scope of practice for the entry-level OTR.Scenario: An entry-level OTR who works in a long term care facility is screening a resident who has amyotrophic lateral sclerosis and uses a wheelchair. Observing the child during BADL routines C. Screening results indicate this resident has significant weakness secondary to the disease. Asking the parents to complete a questionnaire B. Having the child complete a simple checklist B . Regurgitation of food and liquids after swallowing MC3: Which factor is MOST IMPORTANT for the OTR to initially determine when considering if this resident would benefit from a mobile arm support? A. Staff’s ability to set up the device for the resident B. D. flushed skin. C. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. The resident’s symptoms of coughing while eating/swallowing could indicate dysphagia. The resident must have sufficient passive ROM to effectively use a mobile arm support. and a pounding headache after eating C. Inform the dining staff to cut the resident’s food into small pieces and provide built-up utensils. MC1: What care coordination task should the OTR complete FIRST based on the results of the screening? A. The resident’s upper extremity functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. Administering a functional independence screen D. Amount of upper extremity passive joint mobility D. Coordinate with the multi-disciplinary team to identify specific feeding and swallowing objectives. Which data-gathering method would provide the MOST OBJECTIVE information about the child’s current dressing skills? Answer: A.
nbcot. Assist the patient to successfully complete key steps with the current task. the patient begins to work on a simple task. bilateral upper extremities. C. Allow the patient to find a safe place in the clinic to work alone. Berg Balance Scale D. The validity score for this test is 0. but suddenly moves to a corner of the clinic to be alone. Medical records indicate it is safe for the patient to participate in activities requiring a maximum of 2 metabolic equivalents (METs)." Which intervention strategy would be MOST BENEFICIAL for meeting the patient’s emotional and social needs during task completion? Answer: A. B. Correct Answer: B Rationale: The OTR should grade the demands of the intervention to accommodate the patient’s current ability to deal with social isolation due to a chronic medical condition. Ambulation from the bed to bathroom with contact-guard assistance of a one caregiver D. 11/26/12 COTA Exam Prep Question: An inpatient had open heart surgery 5 days ago and has just been transferred from the intensive care unit to the cardiac care unit. Upper and lower body dressing while seated on the edge of the bed with stand-by assistance for balance Correct Answer: A Rationale: Simple hygiene in a semi-reclined sitting position uses 1-2 METs.php?option=com_content&view=article&id=282 MC#1: Which instrument is BEST for measuring the characteristic or construct of balance A. The patient has been socially isolated as a consequence of the multiple medical procedures.Rationale: Observation provides information about the child’s actual BADL skills and abilities based on current routines 11/26/12 OTR Exam Prep Question: A 15-year-old adolescent inpatient has renal disease. Tinetti Balance Test C. D. and torso while semi-reclined in bed B.92 which is the highest validity rating of the tools examined . 12/03/12 OTR Exam Prep Question: View this link: http://www. Provide a group task experience with two or three peers of a similar skill level. stating "the other kids can always do things better. Personal hygiene and grooming activities with minimal assistance while standing at the bathroom sink C. Have the patient engage in a simple but competitive game with just one peer. Independent sponge-bathing of the face. During an OT session. Clinical Test of Sensory Interaction and Balance B. Physical Performance Test Correct Answer: B Rationale: Construct validity indicates how well a test measures what it is intended to measure.org/index. Which BADL activity is within the prescribed MET-level limitations? Answer: A. This option allows the patient to participate in a social activity with peers of equal skill level in order to promote successful task completion. One of the patient’s goals is to “be with other kids”.
1/07/12 OTR Exam Prep Question: An OTR employed at a university-based hospital hand therapy clinic is completing a research proposal investigating the effectiveness of copper tooling versus therapy putty for increasing pinch strength of patients attending the clinic. 12/03/12 COTA Exam Prep Question: A client sustained a work-related injury resulting in paraplegia.70.5 cm) D.MC#2: Which word MOST ACCURATELY describes the test-retest reliability of the Physical Performance Test? A. Perform a small pilot study on similar subjects B.6 cm) Correct Answer: C Rationale: According to the ADA Accessibility Guidelines. MC#3: Which balance assessment instrument is the most valid and reliable tool that meets the criterion outlined by the OTR? A. Functional Reach Test Correct Answer: B Rationale: This tool best meets the criterion considering administration time as well as reliability and validity characteristics. a workstation should have a clear space of 60 in (152. Submit the proposal to the facility review board Correct Response: D . Which step should the OTR take NEXT as part of research process? Answer: A. The test-retest reliability of this test is 0. Initiate the data collection procedures D. Unstable Correct Answer: C Rationale: The closer the test-retest reliability value is to 1.0 the better. This score indicates a better than average (0. Excellent B. Tinetti Balance Test C.50) chance that individuals would score the same each time the test is administered. Tile or low-pile carpeting in open spaces B. Fair D. Obtain informed consent from the subjects C. Space to transfer from the wheelchair to a chair C. Equivalent C. According to the ADA Accessibility Guidelines. Clinical Test of Sensory Interaction and Balance B. Extenders to raise the desk height to 40 inches (101.5 cm) diameter to allow a wheelchair to make a 180-degree turn. The client now uses a manual wheelchair to maneuver within an office workstation. Timed "Up and Go" Test D. which accommodation is the employer required to provide to ensure the workstation meets accessibility standards? Answer: A. Turning radius of at least 60 inches (152.
Which feature should be considered FIRST for achieving optimal functional seating? Answer: A. The apartment is located several city blocks from the classroom buildings. Programmable talking prescription bottle with auto alert C. 1/07/12 COTA Exam Prep Question: A high school aged student has a T9 spinal cord injury and will be transitioning to college. Adhere reflective strips on the wheelchair and use strobe lights when traveling on streets at night. The student will live in an off-campus apartment and will be attending both day and night classes. Register for on-line courses instead of in person night classes to eliminate the need to go out in the dark. Width and placement of lateral trunk supports B. Correct Response: C Rationale: These adaptations will enable the student to be more visible to others when traveling on streets at night or during hours of low visibility. 1/14/12 COTA Exam Prep Question: An older adult client has glaucoma and mild dementia. B. Configuration and attachment of chest harness Correct Response: C Rationale: Posture is directly linked to overall functional performance. Which compensatory option would be MOST BENEFICIAL for the COTA to teach the client to use for supporting success with personal medication management? Answer: A. The student plans to use a power wheelchair as the primary mode of transportation to class. The client lives alone and reports difficulty remembering to take prescription medications. Position and stability of the pelvis in the chair D. 1/14/12 OTR Exam Prep Question: An OTR is designing a wheelchair seating system for a student who has scoliosis secondary to spina bifida. What should the COTA recommend to the student for maximizing safety when navigating to classes? Answer: A. Alarm wristwatch pre-set to beep at a designated time Correct Response: B Rationale: This option compensates for both the client’s visual and memory deficits. C. The position and stability of the pelvis is critical in achieving optimal sitting posture.Rationale: Prior to conducting research in a hospital setting the study must be approved by the facility’s Institutional Review Board (IRB). D. Type and contour of the chair seat cushion C. The IRB has a legal responsibility to approve and monitor the ethical conduct of research within the facility. 1/22/12 OTR Exam Prep Question: . Hire an attendant to be available to accompany the student during travel to night classes. Medication journal for tracking daily dosages B. Arrange for Para transit during nighttime hours to assist with travel to classes at night. Pill storage box pre-filled with weekly medication dosages D.
B. 1/28/12 OTR Exam Prep Question: OTR Exam Prep: An 8-year-old student has fluctuant muscle tone and delayed postural responses due to cerebral palsy. Correct Response: A Rationale: Clients with this diagnosis require guidance and direction. Inform the clients of the expected end product by showing them a completed frame at the start of the group. Store the glasses in the drawer of a bedside table after each use. One of the group goals is for the clients to follow directions to complete a tile picture frame. Show the clients several pictures of completed frames and each client decide which frame to make. Place the project materials on the table and ask the clients to design a simple picture frame from materials provided. What explanation should the OTR provide to the student’s parents? Answer: A. . The student has met all Individualized Education Program (IEP) goals and is performing school tasks at age level. The student’s physical disabilities are not severe enough to warrant additional OT services. Provide examples of three different framing materials and give general guidelines for how the items could be used. the student is discharged from OT with recommendations for annual assessments. C. The OTR should limit choices and provide clear expectations and guidance throughout the activity. D. Correct Response: B Rationale: Termination of school-based OT services is indicated if all goals have been achieved and the student is performing age-appropriate curriculum-based tasks. After receiving weekly school-based OT for the past 5 years. What option should the COTA initially recommend to the client for reducing the occurrence of this problem? Answer: A. C. The client frequently misplaces the glasses. The family reports the client becomes frustrated and agitated when unable to locate the glasses. Students who have received services in the public school system for 5 consecutive years are no longer eligible for OT.An OTR is planning a group for clients who have mild-moderate cognitive decline secondary to Alzheimer's disease. What strategy illustrates the use of this group leadership style? Answer: A. the student’s parents are questioning why OT has been discontinued. Students with physical disabilities are eligible for ongoing OT only if they are having difficulty with curriculum-based tasks. D. Progress has plateaued and the student will no longer benefit from OT services. The OTR plans to use a directive leadership style during the group. Fasten the eyeglass frames to an eyeglass chain to wear around the neck. Give the eyeglasses to a family member or caregiver to store after each use. Purchase bifocal contact lenses for the client to wear instead of framed lenses. 1/22/12 COTA Exam Prep Question: A client who has mild to moderate memory deficits secondary to dementia recently started using prescription eyeglasses for near vision tasks. B. However. D. B. Correct Response: C Rationale: This is the simplest option for helping the client remember where the glasses are located. C.
Reduce the intensity of the intervention activities used during scheduled sessions. This OTR should refer the client to an OT who is experienced in the use of ultrasound. Revise the IEP goals to focus on student preferences. Gather information from the client about symptoms and recent activity patterns.1/28/12 COTA Exam Prep Question: COTA Exam Prep: A client sustained a distal radius fracture 8 weeks ago. Environmental modifications needed to support developmental gains D. Ability of the caregiver to provide carry-over of the intervention within the home Correct Response: A Rationale: To promote optimal outcomes. the OTR and COTA must consider typical development in relation to the infant’s environment and context. Ask the physician to amend the client’s treatment order. After transitioning to the sixth grade in a new school. the client should receive PAM administered by an OTR who has demonstrated service competency with each specific modality. Decrease the frequency of the intervention sessions until the pain subsides. What INITIAL action should the OTR take in response to the teachers’ reports about this student? Answer A. Selection of developmental goals based the infant’s environment and context B. however. C. the teachers report the student is not using assistive devices. During the past two sessions. D. What should be the PRIMARY consideration when developing an intervention plan for this infant? Answer A. The state regulatory board allows occupational therapists to use physical agent modalities (PAM). Apply moist heat to the affected hand and wrist instead of ultrasound. Refer the client to an occupational therapist who is experienced in ultrasound. C. How should the OTR respond to this referral? Answer A. the OTR assigned to the client has not had PAM training. the client has reported increased pain when completing functional tasks. What INITIAL action should the COTA take based on this information? Answer A. . Activity selection consistent with the chronological age of the infant C. Correct Response: D Rationale: This should be done in advance of changing any aspect of the intervention or informing the OTR 2/5/12 OTR Exam Prep Question: A client sustained a non-displaced distal radius fracture 8 weeks ago. Correct Response: B Rationale: According to standards of practice for occupational therapy. Ask the OTR to complete a reevaluation and update the intervention plan. The OTR receives a consult from the client’s physician to initiate ultrasound and therapeutic exercise. D. Follow the protocol for ultrasound as outlined in the instruction manual. 2/11/12 OTR Exam Prep Question: An adolescent-age student has athetoid cerebral palsy and has been participating in school-based OT since pre-school. The client has been participating in outpatient OT 3 times per week for the past 6 weeks and has been making steady progress toward goals. B. 2/5/12 COTA Exam Prep Question: An OTR and COTA are collaboratively establishing an intervention plan for a 12-month-old infant who has Down syndrome. and does not interact with peers. B. is sullen. Evaluation results indicate the infant has a 6 month delay in achieving typical milestones.
Establish new goals to work toward self-sufficiency. Chaining. 2/11/12 COTA Exam Prep Question: A resident in a long-term care facility has advanced dementia. Complete an evaluation using a top-down approach. by using verbal cues to prompt the resident to eat the meal D. is disinterested in self-feeding and is dependent on staff during mealtimes. Bridging. D. Develop a transition plan for promoting autonomy. . C. Correct Response: D Rationale: The OTR should first assess the student’s current function in relation to context and curriculum-based needs prior to considering changes to the student’s IEP. In addition to minimizing distractions in the dining environment. what technique should the COTA teach staff to use for initially supporting the resident’s engagement with self-feeding? Answer A. by providing graded sensory input at various intervals during each meal Correct Response: A Rationale: This technique can help to focus the resident’s attention and decrease anxiety while supporting engagement in the task. Nursing staff report the resident is becoming increasingly more anxious when in the dining room. Modulating. by having the resident hold a utensil while the staff feeds the resident B.B. Re-directing. by using hand over hand guidance to move the resident’s hand to mouth C.
This action might not be possible to undo. Are you sure you want to continue?
We've moved you to where you read on your other device.
Get the full title to continue reading from where you left off, or restart the preview.