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

Values, beliefs, and mental functions

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 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

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 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

An intelligent inpatient with paranoid schizophrenia is starting OT. What's the best activity to engage the pt?

building a complex model using detailed directions

What activities should be avoided with carpal tunnel syndrome? Choose 3

wrist flexion with a static grip, wrist flexion with repetitive finger flexion, extreme wrist flexion

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

a cotton swab applied lightly to a small area

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

following the instruction manual closely

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

Have the client hold a heavy bag by the handles

OTA intervention for MS includes: (choose 3 )

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

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

Which 3 interventions are at MET level 1-2?

grooming at the sink, bed mobility, static standing

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

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 pt with Parkinson dx has difficulty starting & stopping movements. What's the best strategy for the COTA to teach?

avoid crowds & potential distractions & perform tasks slowly while walking

What is not a method of task analysis?

pt report of how they complete the task

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

Proper hand splint positioning for a burn to the hand includes: (choose 3 )

IP joints in full extension, thumb abducted and extended, wrist in 20-30 degrees of extension

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.

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 provides a child with dysphagia a cup with a cutout area at the rim. What's the best way to clarify the purpose?

Allows the chin to remain tucked

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

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

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

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

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

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Final QUIZ Review

80 termsStudBud Administration

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Questions 80

Answers

1
Which type of clinical reasoning is an OTA using when listening to a ct's values, roles, and occupational story?
procedural reasoning
pragmatic reasoning
interactive reasoning
narrative reasoning
2
A ct wants to plant a veggie garden. What ct factors are involved in the activity analysis?
Motor, cognitive, and perceptual skills
Values, beliefs, and mental functions
IADL, leisure, and social participation
Sequencing, space, & social demands
3
An obese pt is having difficulty with ADLS due to ROM limits. What adapted dressing tool would an OTP likely recommend?
weighted wrist cuffs and an electric razor
front opening shirts with large buttons
dressing stick and sock aids
Spray deodorant and floss aids
4
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
position in space
figure-ground
visual sequencing
5
A COTA has a 5yr old ct with feeding difficulty due to limited forearm supination. What would the COTA recommend?
swivel spoons
weighted forks
pediatric universal cuffs
foam tubing on the handles
6
A COTA is working with a group of people with eating disorders. When running a cooking group what should be emphasized?
learning the caloric intake of various foods
consuming healthy, normal-size portions of food
preparing nutritious, appealing-looking meals
increasing knowledge of weight loss techniques
7
A 13 yr old with paraplegia wants to bathe independently. What would the COTA recommend to increase independence?
a hydraulic lift with a sling seat
an inflatable tub and bath mitt
a transfer tub bench with a handheld shower
a wheeled shower chair with commode cut out
8
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
employment of primitive reflexes
adaptive equipment and techniques
Utilization of assistive technology
9
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
Ask the pt if they feel like they can continue the activity
Stop the activity immediately
Document all the symptoms
10
A ct with impaired memory is unable to follow verbal directions. The OTA gives a visual demo. What technique is this?
Activity selection
activity adaptation
grading the activity
clinical reasoning
11
A ct with a C6 SCI is unable to button their shirt. What would a COTA most likely recommend for adaptive equipment?
A .5" diameter long wooden handle
Standard handle attached to a universal cuff
A large knob handle
A long flexible handle
12
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
engaging in reminiscence discussion
playing a competitive game of chess
building a complex model using detailed directions
13
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
4 feet by 4.5 feet
5 feet by 5 feet
3 feet by 5 feet
14
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
Brachial
Ulnar
Median
15
What's the first best meal prep activity for a ct with organization & sequencing challenges due to alcohol abuse?
planning an entire meal
preparing a shopping list
baking a cake from a box
setting the kitchen table
16
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
17
What activities should be avoided with carpal tunnel syndrome? Choose 3
wrist flexion with a static grip
wrist flexion with repetitive finger flexion
wrist flexion with a dynamic grip
extreme wrist flexion
18
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
19
A ct presents with chronic poststroke UE edema of RUE. What would the OT most likely suggest for tx?
hot pack application
manual mobilization
sensory re-education
paraffin treatments
20
What should the COTA use to assess light touch of the primary somatic system?
warm and cold water tubes placed on the skin
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
21
What's the most important aspect of administering and scoring a standardized test?
memorizing all tasks to be presented
relying on previous experience to gauge results
following the instruction manual closely
using judgement to determine how to present items
22
Which of the following methods is best for assessing the hook grasp?
Have the client hold a heavy bag by the handles
Observe the individual lifting a half-filled tall glass of water
Direct the client to hold a sewing needle while threading it
Instruct the ct to place a key in a lock
23
OTA intervention for MS includes: (choose 3 )
sensory re-education and safety training
family/caregiver education
ADL retraining and adaptations
energy conservation
24
During an infant's OT session the baby has difficulty swallowing & frequently choking. What position reduces aspiration?
neutral position
gentle rotation
slight flexion
some extension
25
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 there's a non-skid mat available
If the toilet paper is in reach
If the flush handle is easy to manipulate
26
What would the COTA recommend for a 12 yr old with a visual impairment and wants to use the home phone independently?
Hands-free phone
Speaker phone
Phone with a receiver holder
Phone with extra large buttons
27
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
Use a rocker knife
Ask for help
28
A computer programmer complains to the OTP about pain while working. What is the most likely work related injury?
Edema & parasthesias
Cubital tunnel syndrome
Carpal tunnel syndrome
burns and eletrocution
29
Which 3 interventions are at MET level 1-2?
making the bed
grooming at the sink
bed mobility
static standing
30
A new ct c/o frequently dropping lightweight items & reports numbness in both hands. Which tool is best for assessment?
Boley Gauge
Dynamometer
Pinch Gauge
Goniometer
31
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
clear expectations and reinforcement for desired performance
Play activities that encourage interaction between all children
Role play to rehearse and practice desired performance
32
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
maximizing independence in perineal care
addressing the psychological issues associated with death and dying
improving strength and pain management
33
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
Have the pt mentally identify the series of steps needed to initiate mvmt
Practice the heel strike phase of the gait cycle
avoid crowds & potential distractions & perform tasks slowly while walking
34
What is not a method of task analysis?
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
pt report of how they complete the task
35
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
place the feeders' digits directly under the chin
provide upward pressure under the lower jaw
36
Proper hand splint positioning for a burn to the hand includes: (choose 3 )
IP joints in full extension
thumb abducted and extended
wrist in 20-30 degrees of extension
mcp joints in 50 degrees of flexion
37
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.
Document the pts heart rate after completing the activity
Observe the pt for signs and symptoms during the activity
38
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
foam
wide webbing
gauze
39
Which adapted technique would a COTA most likely use to teach independent dressing to an 8 yr old with hemiparesis?
Coach the child to do most of it while lying in bed
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
40
The focus of subacute cardiac OT intervention may include all except:
return to work
home evaluation
community activities
family education
41
Which of the following is the most essential component to include when designing a work-hardening program?
energy conservation techniques
pain management techniques
vocational counseling
achieving a balance between work and leisure
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 extension
0-30 degrees of extension
0-30 degrees of flexion
40-50 degrees of flexion
43
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
Slows the drinking process
Allows the chin to remain tucked
minimizes the bite reflex
44
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 side of the index finger
thumb against the tips of all the fingers
thumb against the tip of the index finger
thumb against the tips of the index and middle fingers
45
Choose 3 interventions that are a primary focus of Cardiac Rehab Intervention in Acute Care:
bathing
energy conservation education
strategies to decrease anxiety
enhance independence with self care
46
A COTA is using a therapy dog to calm a ct with a neurocognitive disorder. What is the most appropriate approach to use?
Home Environment Skill Building
Cognitive Disabilities Reconsidered
Animal-Assisted Therapy
Augmentative Communication
47
A COTA is developing an ergonomic tool design for a construction company. What's most important for a vertical surface?
pistol grip
Loop handle
inline grip
trigger strip
48
An aide is transporting a pt with an indwelling catheter to the OT/PT gym. Where should they have the catheter bag?
against the back of the chair
in the bag beneath the seat
placed in the pts lap
Hung on an intravenous pole
49
A ct has difficulty with awareness of how to socially respond to others, impacting employment. What is the client factor
executive functioning
cognition
emotion perception
empathy
50
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
It identifies the interventions preferred by the clinicians
It would i.d. all possible interventions that have been used
It identifies the interventions preferred by the patients
51
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
52
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
positioning the arm back on the wc rest
using an arm sling
attaching a lap tray
53
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
Warm and cold water tubes placed on the skin
A tuning fork with a frequency of 30 cycles/sec
Alternating pressure of both ends of a safety pin
54
What is not a conservative OT intervention for rotator cuff tendonitis?
pain management
Strengthening below the shoulder level
above the shoulder range of motion
activity modifications
55
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
grooming techniques
visual skin inspection
56
Recovery has changed public policy. Which U.S. policy has influenced holistic care for physical & behavioral health?
Affordable Care Act
Excellence in Mental Health Act
Return to Work Act
Americans with Disabilities Act
57
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
client will draw for 1 hr, stretching every 20 minutes
Instruct the client to use proper body mechanics
Teach the ct stretches to be done every 20 minutes
58
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
Work side by side with the person until they are ready to join the others
Tell the ct they can stay there until they feel they can join the others
Demand the person sit with other group members
59
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
work, self-care, and leisure skills
upper body strength, ROM, and coordination
adaptive equipment and caregiver assistance
cognitive and perceptual functions
60
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
Manipulate fasteners and clothing
demo energy conservation techniques
Use built-up utensils while eating
61
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
tongue sweeping
mendelsohn maneuver
62
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
watercolor painting project
detailed needlepoint project
63
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 6 months old
An infant who is 9 months old
64
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
65
When txing pts in acute phase of cardiac rehab post MI, activities eliciting which of the following should occur first?
promote strength
prompt dyspnea
relearn aspects of ADLS
Decrease the effect of prolonged inactivity
66
A ct dx'd with a hypomanic episode is referred to OT. What changes in routines are likely on the occupational profile?
increased sleep
decreased sleep
loss of ADL interest
work-related issues
psychomotor agitation
High-risk behaviors
67
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
Destruction of class property
Fixation on a particular item
68
An OTA is observing a pt to inform the evaluation. What is not important regarding the observation?
observing in multiple contexts
collaborating with OTR to interpret the observations
confirming the observations with the pt or family member
reviewing the pts chart
69
An OTA position in early intervention uses a transdisciplinary approach. What service provision will they likely see?
Discipline-specific goal setting
Dedicated time to learn about other disciplines
Collaboration and goal setting
The direction of team members to reach priorities
70
Which level of SCI benefits most from a wrist-driven flexor hinge splint during a prehension activity?
C6
C3
C1
71
What's the best pain scale to use for a pt post-CVA with written language deficits, who grimaces during ROM
Numerical rating
simple descriptive
FACES scale
visual analog
72
Treatment for ALS focuses on which of the following secondary complications? (choose 3)
assistive technology
positioning to prevent decubiti
sensory re-education
pain management
73
Choose 2 benefits of member participation in group goal setting.
match between member goals and group goals
increased understanding of requirements to achieve the goal
compromising and collaboration
effective communication between group members
74
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 extension
greater than 20 degrees of flexion
no more than 20 degrees of extension
no more than 20 degrees of flexion
75
A pt with right-sided hemiparesis puts his button front shirt on backwards & pants inside out. What does this indicate?
poor sequencing skills
dressing apraxia
limited judgment
impaired coordination
76
What is not an Ethics consideration for OTAs regarding OT assessments?
accurately reporting the assessment data
ensuring the assessment is evidence-based
having the proper training in using the assessment
collaborating with OTR regarding data collection
77
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
78
Tremors are interfering with a pt with MS's ability to self-feed. What should be tried first to enhance independence?
Apply a weight to the dominant wrist
Lean the forearm on the edge of the table
Use utensils with built-up handles
Purchase a mechanical self-feeder
79
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
80
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?
Pottery
Paper
Plastic
Glass

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