What's the best env. adaptation, for a ct post THR with poor vision to be able to get to & from their 2nd floor bedroom?

Marking the end of each step with high-contrast tape

What would an OTA expect to observe in a pt with a TBI at Rancho Los Amigo Level V? (choose 1)

not oriented to person, place, or time

What should the COTA use to assess light touch of the primary somatic system?

a cotton swab applied lightly to a small area

A ct with a C6 SCI is unable to button their shirt. What would a COTA most likely recommend for adaptive equipment?

Standard handle attached to a universal cuff

A ct with L4 SCI wants to drive a car independently. What adaptive equipment is most appropriate?

Hand controls for acceleration & braking

What's the most important aspect of administering and scoring a standardized test?

following the instruction manual closely

A ct with paranoia prefers to stay away from the group, working alone at a table. What's best for the COTA to do?

Tell the ct they can stay there until they feel they can join the others

What is not a method of task analysis?

pt report of how they complete the task

When txing pts in acute phase of cardiac rehab post MI, activities eliciting which of the following should occur first?

Decrease the effect of prolonged inactivity

What type of treatments are most likely for a COTA using a biomechanical approach while treating a pt with a TBI?

range of motion and strengthening

A child with a TBI demonstrates tongue thrust. What should the COTA do first, prior to feeding?

position the trunk in proper alignment with the neck in slight flexion

Choose 2 benefits of member participation in group goal setting.

increased understanding of requirements to achieve the goal, match between member goals and group goals

A COTA re-assesses a 3-pt pinch test with a pinch meter for a ct with a hand injury. What's the best finger placement?

thumb against the tips of the index and middle fingers

A COTA has a pt with state IV cancer for palliative care. What is the most likely emphasis of intervention?

Emphasizing the quality of life and engagement in meaningful occupations

A COTA is working with a group of people with eating disorders. When running a cooking group what should be emphasized?

consuming healthy, normal-size portions of food

A ct dx'd with a hypomanic episode is referred to OT. What changes in routines are likely on the occupational profile?

psychomotor agitation, decreased sleep, High-risk behaviors

A ct wants to plant a veggie garden. What ct factors are involved in the activity analysis?

Values, beliefs, and mental functions

When adapting a toilet for a 6yr old with limited postural control, what should the COTA primarily focus on?

If the child's feet rest firmly on the floor

Tremors are interfering with a pt with MS's ability to self-feed. What should be tried first to enhance independence?

Lean the forearm on the edge of the table

Which adapted technique would a COTA most likely use to teach independent dressing to an 8 yr old with hemiparesis?

Teach the child to dress their involved extremities first

A COTA is treating a pt 2 days post hip arthroplasty, and is being d/c'd home in 2 days. What's the most important focus

adaptive equipment and caregiver assistance

A ct with back pain has a LTG to return to work as an illustrator, which requires extended sitting. What's the best STG?

client will draw for 1 hr, stretching every 20 minutes

When assessing light touch of the primary somatic system, what is the COTA most likely to use?

A cotton swab applied lightly to a small area

A COTA will treat a pt with a dx they haven't worked with before. Why is using an evidence-based approach best?

It would indicate the most clinically & cost-effective interventions

An OT has a pt with a recent MI. To i.d. the pt's current endurance level the OT observes ADL performance. What's first?

Take vitals at rest before starting treatment.

OTA intervention for MS includes: (choose 3 )

sensory re-education and safety training, family/caregiver education, ADL retraining and adaptations

What is not a conservative OT intervention for rotator cuff tendonitis?

above the shoulder range of motion

A 13 yr old with paraplegia wants to bathe independently. What would the COTA recommend to increase independence?

a transfer tub bench with a handheld shower

An OTA position in early intervention uses a transdisciplinary approach. What service provision will they likely see?

Dedicated time to learn about other disciplines

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Final QUIZ Review

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Questions 98

Answers

1
An OTP is planning a w/c ramp to the front door for a family. What's the minimum space needed in front of the door?
5 feet by 5 feet
4.5 feet by 3 feet
4 feet by 4.5 feet
3 feet by 5 feet
2
What's first for an OTP teaching prosthetic training for a 60 yr old man with ATK amputation who has diabetes?
retirement plans
returning to work
visual skin inspection
grooming techniques
3
What's the best pain scale to use for a pt post-CVA with written language deficits, who grimaces during ROM
simple descriptive
Numerical rating
FACES scale
visual analog
4
A pt with a MI several days ago, has nausea during a bathing eval. Which is the first action the COTA should take?
Ask the pt if they feel like they can continue the activity
Document all the symptoms
Stop the activity immediately
Instruct the pt to sit down and discontinue the activity
5
What's the best env. adaptation, for a ct post THR with poor vision to be able to get to & from their 2nd floor bedroom?
Installing a stair glide
Marking the end of each step with high-contrast tape
Instructing the pt to take only one step at a time
Mounting handrails
6
What would an OTA expect to observe in a pt with a TBI at Rancho Los Amigo Level V? (choose 1)
max assist for novel tasks
mood variability
not oriented to person, place, or time
alert & heightened state of activity
7
What should the COTA use to assess light touch of the primary somatic system?
A tuning fork with a frequency of 30 cycles /sec
Alternating pressure of both ends of a safety pin
warm and cold water tubes placed on the skin
a cotton swab applied lightly to a small area
8
A ct with a C6 SCI is unable to button their shirt. What would a COTA most likely recommend for adaptive equipment?
Standard handle attached to a universal cuff
A long flexible handle
A large knob handle
A .5" diameter long wooden handle
9
What's the most appropriate gardening adaptation for a ct with a back injury?
Raised-bed garden
Wheelbarrow with long handles
12" high seat with tool holders
Ergonomic tools
10
A ct with L4 SCI wants to drive a car independently. What adaptive equipment is most appropriate?
Hand controls for acceleration & braking
A spinner knob on the steering wheel
A palmar cuff for the steering wheel
Pedal extensions for acceleration & braking
11
What's the most important aspect of administering and scoring a standardized test?
using judgement to determine how to present items
memorizing all tasks to be presented
following the instruction manual closely
relying on previous experience to gauge results
12
A ct with impaired memory is unable to follow verbal directions. The OTA gives a visual demo. What technique is this?
grading the activity
activity adaptation
Activity selection
clinical reasoning
13
What w/c feature would be best to recommend for a ct traveling with the w/c in a family car?
one-arm drive
manual assis propulsion
lightweight foldable frame
reclining back
14
A teenager with FM incoordination reports difficulty with self-care. Which option would the teen find most beneficial?
Large handle comb
spray deodorant
toothpaste with flip-open cap
Toothbrush with built up handle
15
A ct with paranoia prefers to stay away from the group, working alone at a table. What's best for the COTA to do?
Encourage the ct to be near other group members
Tell the ct they can stay there until they feel they can join the others
Demand the person sit with other group members
Work side by side with the person until they are ready to join the others
16
A COTA is developing an ergonomic tool design for a construction company. What's most important for a vertical surface?
inline grip
Loop handle
pistol grip
trigger strip
17
What is not a method of task analysis?
choose a frame of reference to identify which parts of the task to analyze
pt report of how they complete the task
specify the task being analyzed
analyze the task under typical conditions
18
When txing pts in acute phase of cardiac rehab post MI, activities eliciting which of the following should occur first?
Decrease the effect of prolonged inactivity
relearn aspects of ADLS
promote strength
prompt dyspnea
19
What type of treatments are most likely for a COTA using a biomechanical approach while treating a pt with a TBI?
range of motion and strengthening
adaptive equipment and techniques
employment of primitive reflexes
Utilization of assistive technology
20
A ct c/o hypersensitive fingers after a crush injury to the hand. What's best to achieve desensitization?
Visual compensation & functional use of the extremity
AROM, massage, and pressure
Massage & functional electrical stimulation
PROM, massage, & pressure
21
An OTP is working with a ct in a work program setting. What's the 1st step to prevent re-injury?
Performing a post offer screening
engaging in vocational counseling
learning proper body mechanics
22
A child with a TBI demonstrates tongue thrust. What should the COTA do first, prior to feeding?
recline the seat backward and position the neck in slight extension
position the trunk in proper alignment with the neck in slight flexion
place the feeders' digits directly under the chin
provide upward pressure under the lower jaw
23
A COTA has a 5yr old ct with feeding difficulty due to limited forearm supination. What would the COTA recommend?
weighted forks
swivel spoons
pediatric universal cuffs
foam tubing on the handles
24
Choose 2 benefits of member participation in group goal setting.
increased understanding of requirements to achieve the goal
effective communication between group members
match between member goals and group goals
compromising and collaboration
25
A COTA re-assesses a 3-pt pinch test with a pinch meter for a ct with a hand injury. What's the best finger placement?
thumb against the tip of the index finger
thumb against the tips of the index and middle fingers
thumb against the side of the index finger
thumb against the tips of all the fingers
26
A COTA has a pt with state IV cancer for palliative care. What is the most likely emphasis of intervention?
maximizing independence in perineal care
improving strength and pain management
Emphasizing the quality of life and engagement in meaningful occupations
addressing the psychological issues associated with death and dying
27
A COTA has an 11 mo old pt., born 3 mos premature and spent 2 mos in the NICU. Developmental level of baby?
An infant who is 8 months old
An infant who is 9 months old
An infant who is 6 months old
28
A COTA is working with a group of people with eating disorders. When running a cooking group what should be emphasized?
preparing nutritious, appealing-looking meals
learning the caloric intake of various foods
consuming healthy, normal-size portions of food
increasing knowledge of weight loss techniques
29
A ct dx'd with a hypomanic episode is referred to OT. What changes in routines are likely on the occupational profile?
psychomotor agitation
decreased sleep
work-related issues
increased sleep
loss of ADL interest
High-risk behaviors
30
A ct wants to plant a veggie garden. What ct factors are involved in the activity analysis?
Sequencing, space, & social demands
IADL, leisure, and social participation
Values, beliefs, and mental functions
Motor, cognitive, and perceptual skills
31
When adapting a toilet for a 6yr old with limited postural control, what should the COTA primarily focus on?
If the child's feet rest firmly on the floor
If the toilet paper is in reach
If there's a non-skid mat available
If the flush handle is easy to manipulate
32
Tremors are interfering with a pt with MS's ability to self-feed. What should be tried first to enhance independence?
Lean the forearm on the edge of the table
Apply a weight to the dominant wrist
Use utensils with built-up handles
Purchase a mechanical self-feeder
33
What would the COTA recommend for a 12 yr old with a visual impairment and wants to use the home phone independently?
Phone with a receiver holder
Speaker phone
Hands-free phone
Phone with extra large buttons
34
An OTA is observing a pt to inform the evaluation. What is not important regarding the observation?
observing in multiple contexts
confirming the observations with the pt or family member
collaborating with OTR to interpret the observations
reviewing the pts chart
35
Which adapted technique would a COTA most likely use to teach independent dressing to an 8 yr old with hemiparesis?
Instruct the child to dress their non-involved extremities first
Educate the child's parent in how to assist with dressing
Teach the child to dress their involved extremities first
Coach the child to do most of it while lying in bed
36
Recovery has changed public policy. Which U.S. policy has influenced holistic care for physical & behavioral health?
Americans with Disabilities Act
Affordable Care Act
Return to Work Act
Excellence in Mental Health Act
37
A COTA is treating a pt 2 days post hip arthroplasty, and is being d/c'd home in 2 days. What's the most important focus
cognitive and perceptual functions
work, self-care, and leisure skills
upper body strength, ROM, and coordination
adaptive equipment and caregiver assistance
38
A ct with back pain has a LTG to return to work as an illustrator, which requires extended sitting. What's the best STG?
client will paint while standing at an easel
Teach the ct stretches to be done every 20 minutes
client will draw for 1 hr, stretching every 20 minutes
Instruct the client to use proper body mechanics
39
A COTA is planning tx activities to use for a child with postural instability. What are the best preparatory activities?
prone over a wedge
proprioceptive
weight shifting
upright against gravity
40
A COTA is using a therapy dog to calm a ct with a neurocognitive disorder. What is the most appropriate approach to use?
Augmentative Communication
Home Environment Skill Building
Cognitive Disabilities Reconsidered
Animal-Assisted Therapy
41
When assessing light touch of the primary somatic system, what is the COTA most likely to use?
A cotton swab applied lightly to a small area
A tuning fork with a frequency of 30 cycles/sec
Alternating pressure of both ends of a safety pin
Warm and cold water tubes placed on the skin
42
A COTA will treat a pt with a dx they haven't worked with before. Why is using an evidence-based approach best?
It identifies the interventions preferred by the patients
It would i.d. all possible interventions that have been used
It identifies the interventions preferred by the clinicians
It would indicate the most clinically & cost-effective interventions
43
A ct with SCI at T-10 (2 mo. post) c/o swelling & warmth in distal thigh and decreased knee ROM. What should the OTP do?
apply superficial cold
monitor it for the next session
tell the ct not too worry
contact the physician
44
What visual perception is challenged if a child is lacing beads from a card copy and can't i.d. a moon shape sideways?
visual sequencing
figure-ground
form constancy
position in space
45
An OT has a pt with a recent MI. To i.d. the pt's current endurance level the OT observes ADL performance. What's first?
Document the pts heart rate after completing the activity
Take vitals at rest before starting treatment.
Observe the pt for signs and symptoms during the activity
46
Which type of clinical reasoning is an OTA using when listening to a ct's values, roles, and occupational story?
narrative reasoning
procedural reasoning
pragmatic reasoning
interactive reasoning
47
OTA intervention for MS includes: (choose 3 )
sensory re-education and safety training
energy conservation
family/caregiver education
ADL retraining and adaptations
48
What is not a conservative OT intervention for rotator cuff tendonitis?
Strengthening below the shoulder level
above the shoulder range of motion
pain management
activity modifications
49
A 13 yr old with paraplegia wants to bathe independently. What would the COTA recommend to increase independence?
a transfer tub bench with a handheld shower
a wheeled shower chair with commode cut out
a hydraulic lift with a sling seat
an inflatable tub and bath mitt
50
A new ct c/o frequently dropping lightweight items & reports numbness in both hands. Which tool is best for assessment?
Pinch Gauge
Goniometer
Dynamometer
Boley Gauge
51
An OTA position in early intervention uses a transdisciplinary approach. What service provision will they likely see?
The direction of team members to reach priorities
Dedicated time to learn about other disciplines
Discipline-specific goal setting
Collaboration and goal setting
52
A truck driver is in a work hardening program due to low back pain after an MVA. What driving aspects should be assessed
Proprioception & kinesthesia in both feet
cognitive & visual perceptual skills
Ability to use the turn signal and windshield wipers
seating & positioning in the vehicle
53
A pt with Parkinson dx has difficulty starting & stopping movements. What's the best strategy for the COTA to teach?
Perform deep breathing when they are frozen
Practice the heel strike phase of the gait cycle
Have the pt mentally identify the series of steps needed to initiate mvmt
avoid crowds & potential distractions & perform tasks slowly while walking
54
Which of the following is the most essential component to include when designing a work-hardening program?
vocational counseling
pain management techniques
achieving a balance between work and leisure
energy conservation techniques
55
An OTP would most likely fill which role as part of an assistive technology team?
recommending ways to operate the device
assisting with vocational goal setting
solving mechanical or software problems
seeking job placement for the client
56
What's the first best meal prep activity for a ct with organization & sequencing challenges due to alcohol abuse?
preparing a shopping list
planning an entire meal
setting the kitchen table
baking a cake from a box
57
A COTA is fabricating an orthosis for an individual with carpal tunnel. What's the best position for the pt?
greater than 20 degrees of flexion
greater than 20 degrees of extension
no more than 20 degrees of extension
no more than 20 degrees of flexion
58
A COTA provides a child with dysphagia a cup with a cutout area at the rim. What's the best way to clarify the purpose?
Gives control of the flow of liquid
Allows the chin to remain tucked
Slows the drinking process
minimizes the bite reflex
59
A pt with a CVA with ataxia is being dc'd from inpatient rehab. What is the most difficult type of cup to drink from?
Plastic
Glass
Pottery
Paper
60
A pt with ALS & mild dysphagia is extremely fatigued at meals. Which is the 1st intervention the COTA should recommend?
Discuss tube feedings with the physician
Have six small meals per day
change diet to pureed foods
Sit in a semi-reclined position while eating
61
A COTA is making a resting hand splint for a pt with fragile skin. Where should the COTA inspect for skin breakdown?
Ulnar styloid, distal head of radius, and thumb CMC joint
Volar PIP joints, medial fifth digit, and thumb MP joint
Thumb IP joint, pisiform, and hook of hammate
Metacarpal heads, pisiform, and trapezium
62
Which of the following methods is best for assessing the hook grasp?
Observe the individual lifting a half-filled tall glass of water
Instruct the ct to place a key in a lock
Have the client hold a heavy bag by the handles
Direct the client to hold a sewing needle while threading it
63
A ct c/o sensory changes in dorsal thumb, proximal phalanx of the index, long, and 1/2 of the ring finger. Which nerve?
Radial
Median
Brachial
Ulnar
64
A COTA is working on handwriting with a child with decreased proprioception in hand & wrist. What's the best adaptation?
weighted pen
Ring splints
Wide pencil
Triangle grip
65
A pt dx'd with Guillain-Barre acute syndrome shows good UE strength. What activity would promote strength & endurance?
washing windows
polishing furniture
making a twin bed
66
A static split is fabricated for a ct who had a cast removed from a wrist fx. What's the best position for the wrist?
0-30 degrees of extension
0-30 degrees of flexion
40-50 degrees of flexion
40-50 degrees of extension
67
What activities should be avoided with carpal tunnel syndrome? Choose 3
wrist flexion with repetitive finger flexion
wrist flexion with a static grip
wrist flexion with a dynamic grip
extreme wrist flexion
68
Which 3 interventions are at MET level 1-2?
grooming at the sink
making the bed
bed mobility
static standing
69
A ct has difficulty with awareness of how to socially respond to others, impacting employment. What is the client factor
executive functioning
cognition
empathy
emotion perception
70
A COTA is leading a self-feeding group for cts who had a CVA. 1 ct is pocketing food. What's best to teach the ct?
tongue sweeping
double swallows
mendelsohn maneuver
supraglottic swallow
71
A pt is in inpt rehab following brain tumor removal. The pt is incontinent during OT. What strategy would help first?
Prompted voiding
Timed voiding
bladder training
Biofeedback
72
Choose 3 interventions that are a primary focus of Cardiac Rehab Intervention in Acute Care:
bathing
enhance independence with self care
strategies to decrease anxiety
energy conservation education
73
The focus of subacute cardiac OT intervention may include all except:
community activities
return to work
home evaluation
family education
74
A COTA is on a home visit for an elderly pt who has severe hand weakness from arthritis. What is the focus for safety?
demo energy conservation techniques
Use built-up utensils while eating
work locks & latches on doors and windows
Manipulate fasteners and clothing
75
Treatment for ALS focuses on which of the following secondary complications? (choose 3)
assistive technology
pain management
sensory re-education
positioning to prevent decubiti
76
A ct with a CVA & Broca's aphasia needs to communicate. What's the lowest level of alternative communication for the ct?
pencil
Tablet
speech output device
communication board
77
What's the best strapping for a splint for a ct post wrist arthroplasty with an infected incision on dorsum of hand
hook and loop
gauze
wide webbing
foam
78
During an infant's OT session the baby has difficulty swallowing & frequently choking. What position reduces aspiration?
neutral position
slight flexion
some extension
gentle rotation
79
Proper hand splint positioning for a burn to the hand includes: (choose 3 )
thumb abducted and extended
mcp joints in 50 degrees of flexion
wrist in 20-30 degrees of extension
IP joints in full extension
80
A pt with CVA & hemiparesis is mod assist for transfers. Where should COTA position the arms for a transfer out of bed?
On the armrests
behind them
on the brakes
lying on their lap
81
What activity would promote crossing midline for a ct post-TBI with a visual field cut & difficulty crossing midline?
stringing a beaded necklace
weaving on a frame loom
making a macrame planter
82
An aide is transporting a pt with an indwelling catheter to the OT/PT gym. Where should they have the catheter bag?
Hung on an intravenous pole
against the back of the chair
placed in the pts lap
in the bag beneath the seat
83
A family member of a pt with mental illnesses addresses the OTP with frustration & questions. What's the best approach?
I.D. goals for the collaboration & plan to achieve the goals
Assume the doctor explained the condition & treatment options
Advise them on how to navigate through their daily challenges
Listen without judgement during the expressed frustration
84
An OTA student asks an OTP about best practice for pts with a neurocognitive disorder. What's the likely response?
Provision of direct service to the client in a clinical setting
family-centered models addressing the needs of the client and the caregiver
Restoring physical condition, strengthening muscles to ensure ambulation
Referral to home health care to complete IADL & ADL
85
A ct with RA has limits in shoulder abduction & external rotation. What self-care activity should the COTA assess?
combing hair
buttoning a shirt
tucking in a shirt
86
An obese pt is having difficulty with ADLS due to ROM limits. What adapted dressing tool would an OTP likely recommend?
Spray deodorant and floss aids
dressing stick and sock aids
weighted wrist cuffs and an electric razor
front opening shirts with large buttons
87
What is not an Ethics consideration for OTAs regarding OT assessments?
collaborating with OTR regarding data collection
having the proper training in using the assessment
accurately reporting the assessment data
ensuring the assessment is evidence-based
88
An intelligent inpatient with paranoid schizophrenia is starting OT. What's the best activity to engage the pt?
making a small car kit with simple directions
building a complex model using detailed directions
playing a competitive game of chess
engaging in reminiscence discussion
89
A COTA is working with a 2nd grader with a conduct disorder. What would the COTA most likely observe?
Fixation on a particular item
Frequent emotional outbursts
Destruction of class property
Vindictiveness toward others
90
Which level of SCI benefits most from a wrist-driven flexor hinge splint during a prehension activity?
C6
C3
C1
91
A COTA has a ct experiencing a manic episode. What activity would the COTA most likely select?
prefabricated wooden birdhouse from a kit
watercolor painting project
detailed needlepoint project
modeling clay to make any desired project
92
A ct presents with chronic poststroke UE edema of RUE. What would the OT most likely suggest for tx?
sensory re-education
hot pack application
paraffin treatments
manual mobilization
93
A computer programmer complains to the OTP about pain while working. What is the most likely work related injury?
Edema & parasthesias
burns and eletrocution
Carpal tunnel syndrome
Cubital tunnel syndrome
94
A tx plan for a child with a visual discrim. problem would most likely include which adaptation of visual materials?
Low contrast & shaded borders
High contrast & defined borders
Low contrast & defined borders
High contrast & shaded borders
95
What would you recommend for a pt with right hemiparesis who requires set up for cutting food & wants to be independent
Only consume finger foods
Request bite-size food only
Ask for help
Use a rocker knife
96
A pt with right-sided hemiparesis puts his button front shirt on backwards & pants inside out. What does this indicate?
poor sequencing skills
limited judgment
dressing apraxia
impaired coordination
97
A COTA is planning intervention for a child using a behavioral approach. What are the best activities to include?
clear expectations and reinforcement for desired performance
Role play to rehearse and practice desired performance
Opportunities for the child to express their interests
Play activities that encourage interaction between all children
98
A ct with LUE flaccidity is observed in their wc at the lunch table with left arm dangling. What's the best strategy?
placing a non-skid mat under the arm on the table
attaching a lap tray
using an arm sling
positioning the arm back on the wc rest

Final QUIZ Review Flashcards | StudBud