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 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

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.

A tx plan for a child with a visual discrim. problem would most likely include which adaptation of visual materials?

High contrast & defined borders

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

OTA intervention for MS includes: (choose 3 )

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

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

What is not a method of task analysis?

pt report of how they complete the task

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

following the instruction manual closely

A family member of a pt with mental illnesses addresses the OTP with frustration & questions. What's the best approach?

Listen without judgement during the expressed frustration

A COTA has a ct experiencing a manic episode. What activity would the COTA most likely select?

prefabricated wooden birdhouse from a kit

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

Values, beliefs, and mental functions

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

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

An OTA student asks an OTP about best practice for pts with a neurocognitive disorder. What's the likely response?

family-centered models addressing the needs of the client and the caregiver

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

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

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

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

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

Hand controls for acceleration & braking

A COTA is on a home visit for an elderly pt who has severe hand weakness from arthritis. What is the focus for safety?

work locks & latches on doors and windows

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

Choose 3 interventions that are a primary focus of Cardiac Rehab Intervention in Acute Care:

enhance independence with self care, energy conservation education, strategies to decrease anxiety

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

Which of the following methods is best for assessing the hook grasp?

Have the client hold a heavy bag by the handles

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Final QUIZ Review

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Questions 98

Answers

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

Final QUIZ Review Flashcards | StudBud