COTA exam green book 1
Terms in this set (58)
A toddler attends an early intervention program as a result of developmental delay. Over the past 2 weeks the toddler has successfully completed the activities the OTA has provided in order to develop a palmar grasp. Which action should the OTA take next in response to the childs progress?
Provide activités to develop a radial palmar grasp
An adolescent student with Duchenne muscular dystrophy and depression is being evaluated for a power wheelchair. Which is the most important area for the OT and OTA to evaluate to determine the students readiness for the wheelchair?
A person diagnosed with dementia Alzheimers type is evaluated by an OT and an OTA. Although the client demonstrates diminished memory skills the OT and OTA determine that the patient is still able to live at home with supportive structure. They collaborate with the client to identify activities to include in a structured routine that enables the clients continues OT performance. Which activity is best to recommend to the client
walking with a neighbor
An older adult recovering form a myocardial infarction is referred t OT for a home care evaluation. The referee stages that the client has high blood pressure and medication related orthostatic hypotension. Which precaution is most important for the OTA to observe with this client?
Avoidance of activities that require sudden postural changes
An OTA has scheduled a discharge planning session wit an individual recovering from hip replacement surgery. In prep for this session, the OTA reviews the nursing reports and learns that the person has mycobacterium TB that is currently in the dormant phase. Which type of precautions should the OTA use when entering the patients room
An OTA conducts a communication group in a wellness program for a large corporation. In this mature level group what should the OTA do?
participate as a member
An adult with right hemisphere damage resulting from a CVA is referred to OT. The OTA contributes to the screening and eval process. Which deficits will the patient most likely demonstrate upon eval?
poor judgment and difficulties with safety issues
An OTA is working with an individual recovering from a traumatic hand injury. The person regularly attends all outpatient intervention sessions but has little energy and is very difficult to engage. The person reports disinterest in performing the prescribed home program. Which is the best action for the OTA to take in response to this situation.
inform the OT that the patient is exhibiting behaviors that indicate the need to screen for depression
An OTA reviews the positioning protocol for a creature infant with severe spastic CP with the infants parents. The protocol is in written format. During the review the OTA notices that the parents do not seem able to follow along with the protocols text. Which action is best for the OTA to take initially in response to this observation?
ask the parents if they have any concerns about positioning their infant
During an initial eval session, an OTA completes a standardized assessment with an older adult to determine the persons functional abilities. The assessment includes multiple timed subtests. The client successfully completes several components of the first subtest but runs out of time to complete the remaining subtest components. Which action is best for the OTA to take in response to the clients performance?
ask the client to complete the subtests task and continue the assessment in an untimed manner
An OTA provides OT services in a program for survivors of domestic violence. The OTA uses a client centered approach. Which should the OTA do during intervention sessions
paraphrase the consumers statements about past difficulties to help clarify feelings
An individual with an incomplete C6 spinal cord injury has a secondary diagnosis of thromboangitis obliterates. The OTA conducts a pre discharge home eval of the patients rented apartment. Which is the most important area for the OTA to assess
the apartments water temp
The supervising OT of a home care agency tells an OTA that all intervention plans will need to be submitted to clients third party payers, prior to the inplementaion of treatment. By adhering to this policy the OTA is participating in which type of review
After a work related injury to the left index finger an assembly line worker is fit with a buddy strap incorporating the index and middle fingers. In describing the primary purpose of the strap to the client which of the following explanations is most accurate for the OTA to state
the strap provides passive ROM to the index finger
An OTA provides home based services to a homemaker who incurred a right CVA 8 months ago. The individual and the therapist have chosen to focus on kitchen activities during the intervention session. The OTA has the client stand in front of the counter with an open dishwasher to the left. The OTA asks the client to put the clean dishes into an open overhead cabinet to the right of the client. By setting up the activity in this manner, which proprioceptive neuromuscular facilitation PNF technique is the OTA using?
diagonal patters of D1 flexion extension
An adult with OCD is hospitalized due to the exacerbation of symptoms. Durning the parties first OT therapy group which is theist beneficial activity for the OTA to employ with this person
A person recovering from a CVA has left sided weakness and dysphagia. The OTA collaborates wit the OT to plan intervention. Which is the most effective direct treatment approach to include in the intervetrionv plan to help the person successfully swallow ingested food
provide small warm boluses
During an intervention session in a school the OTA observes a young child turn the pages of a book. The OTA identifies this behavior as an example of an inland manipulation task. What task should the OTA report to the OT that the child is capable of performing
A patient who is status post left frontal lobe ischemia has difficulty wearing weight though the right lower extremity during reaching activities (eg standing at a sink durning morning self care routine. The OTA implements a Motor Relearning Program. Which is the best intervention for the OTA to provide according too this approach
verbal and visual feedback while practicing reaching
An older adult with RA is provided with a rational hand spring to help prevent deformity. The OTA also advises the individual about action that can be taken to help prevent deformity. Which of the following is most important for the OTA to advise the individual to do?
maintain active range of motion
The OTA completes an intervention session with a client in a work hardening program. As the individual is leaving the person gives the OTA a hug and expresses much gratitude. The individual then tries to kiss the OTA on the lips. Which action is best for the OTA to take in response to this sitation
state that the individuals behavior oversteps the professional boundaries and mess the OTA uncomfortable
During a home visit a client who had incurred a CVA reports difficulty finding objects during BADL and IADL. The client reports that the directions family members provide are not helpful. When discussing this behavior with the OT which cognitive perceptual ability should the OTA report as requiring further evaluation
An OTA working in a partial hospitalization program collaborates with the OT to expand the OT program to include a psychoeducational group based on the recovery model. Which group is best for the OTA and therapist to develop
a reminiscence group
An OT and an OTA collaborate to provide a wellness and prevention education series to a community senior center. The topic of the week is point protection. Which joint protection principle is best to include in the presentation
start an activity only if it can be immediately stopped when it requires capacities beyond excising capabilities
An OTA works in a subacute rehab center that is experiencing significant staffing shortages. As a result, the director of rehab services has temporarily suspended all predicharge in-home evals to ensure all essential direct services re provided to clients. The OTA is working with an older adult who requires a wheelchair for mobility due to hemiplegia and a lower extremity amputation. The client will be discharged to live with an adult child who will provide supportive care to the client. During an initial intervention planning meeting with the client and the family caregiver the client and caregiver express concern that the caregiver home is not wheelchair accessible. Which is the base action for the OTA to take in response to the clients and caregiver expressed concerns?
provide the caregiver with a home accessibility checklist and guidelines for videotaping key aspects of the hoe which the OTA will review with the client and caregiver during family care plan meetings
An OTA works with an individual recovering from a TBI in a rehab hospital. The OTA uses a transfer of training approach to help the patient develop and carry out a daily schedule of activities upon the patients return home. Which is the most effective activity for the OTA to use during an intervention session with this client?
organization of a list of daily activities
A client sustained a below knee amputation on the right side secondary to complication of diabetes myelitis. The client is being treated on the rehab unit while waiting for the prosthesis. The OT has determined that the client is attempting to transfer independently for the first time. Which proaction should the OTA assume to insure safety>
stand on the clients right side
An OTA working in a hand clinic has established service competence in the eval of upper extremity disorders. During eh eval the therapist users the Froment's sign. When documenting the outcome of this eval procedure which is most accurate for the OTA to stage was assessed
motor function of the ulnar nerve
An OTA working in a partial hospitalization program collaborates with the OT to expand the OT program to induce a psychoeducational group based on the recovery model. Which group is best for the OTA and therapist to develop
a discharge planning group
A 4 year old child with a complete myelomeningocele at the T12 level is referred for outpatient OT and PT. In setting goals with the parents, the OT established a goad to increase independence in dressing skills and the PT established a goal to improve ambulation. When the OTA begins the initial eval session the parents state they want their child to only work on ambulation. They do not wan the OTA to provide interventions to develop their childs dressing skills. Which action is best for the OTA to take first to address the family stated preference
work with the OT and parents to determine a desired focus for intervention
An OTA is hired two work in the OT department for an acute psychiatric unit. The OTA requests an orientation to the hospital policies and procedures. Which are the most important policies and procedures for the OTA to learn during the initial orientation session
An OT and an OTA provided services to a small private pre-school. The OTA serves on the school committee, which plans community based trips throughout the school year. Several students have hypersensitivity and over responsively to touch. Which is best for the OTA to recommend to support the participation and enjoyment of al the students?
a zoo with large animals in their natural habitats
A person who incurred a TBI and multiple fractures in a car accident has been receiving hospital based OT services for 4 weeks. Currently the patient is highly distractible forgetful, and confused and often repeats the same questions thought the day. The patients daily and friends visit consistently and have asked the OTA for an activity recommendation that they can do with the patient during visiting hours. Which activity is best for the OTA to recommend
reviewing the patients memory picot book of familiar people and activities
An OT and an OTA provide consultation services to a manufacturing company which is seeking to decrease their employees incidence of repetitive stress disorders. Which action is best for the therapist and OTA to take first to address this need
conduct an ergonomic risk assessment of the employees work tasks.
An adult is referred to an outpatient hand clinic for treatment of de Quervains syndrome. Which is the most beneficial splint for the OTA to construct for this client
a forearm based thumb spica splint
An OTA working on an acute cardiopulmonary rehab unit implements activities for an individual in stage II cardiac recovery at a MET level of 1.4-2.0. Which activities are best for the OTA to sue during intevention
shaving and crafts
A single parent with RA and two school aged children reports difficulty completing a home exercise program. The parent stages that multiple familial, work, and home management responsibilities fill the day and additional activities cannot fit into the day. Which is the best action for the OTA to take in response to these realities.
incorporate the parent engagement in a diversity of role activities into the home program
an individual recovering from myasthenia graves has fair minus muscle strength in both upper extremities. The OT and OTA develop an intervention plan to include the goal of increasing muscle strength. According to the biomechanics approach, what should the OTA work on with the patient during intervention
complete active ROM thought complete range against gravity
An OTA collaborates with an OT to develop a life skills group for high school students wit mile intellectual disorders. The students have established the post secondary goal of living independently. TO develop the students IADL's which is most relevant for the OTA and therapist to include in the goup
safety and emergency mainteneance
An OTA works with a survivor of a house fire. The client has burns on both hands that limit them mobility. The client identifies a personal goal of being able to pick up and hold cans to enable independent shopping and meal prep activities. The OTA collaborates wit the OT to establish a long term goal for the client. Which movement of the thumb should the goal stement include as the desired functional outcome
CMC palmar abduction
An OTA constructs a splint for a person who has incurred burns to the polar surface of the hand. Which splint is best for the OTA to construct for this client
a palmar extension splint
An OTA is providing intervention for an individual recovering from a CVA who has residual body neglect. The OTA is using a deficit specific approach to intervention. Which type of activities is best for the OTA to use with the client?
bilateral using both upper extremities
An OTA works with a person who is recovering from the removal of a brain tumor from the occipital lobe. The client expresses a strong desire to return to the hobby of woodworking. Which compensation technique is best for the OTA to teach the client to facilitate the ability to successfully complete the woodworking projects
these of stereognosis to distinguish the pieces of a wood project
An OTA implements intervention for individuals on an inpatient cardiopulmonary rehab unit. The OTA assesses a patients heart rate during intervention by palpating peripheral pulse. Which most accurately describes the timing the OTA should use to complete this assessment
1-2 minutes prior to, during, and at cessation of the activity and 5 minutes post activity
An individual recovering form a head trauma exhibits a motor pattern indicative of being influenced by the symmetrical tonic neck reflex. Which is the most likely for the OTA to observe the client having difficulty with during functional mobility
moving from lying supine to sitting
An OTA is interviewing a patient with a recent right CVA . The patient exhibits flaccidity of the left side of the body. The patients states that the arm and leg are "just sleeping" and that the ability to move and walk will return once the limbs "wake up" In documenting the results of this interview, which deficit is most accurate for the OTA to use to describe the patients symptoms?
A hospital based OTA is committed to promoting the profession to hospital staff and the general public. Which is the most effective action for the OTA to take to accomplish this goal?
display information sheets about major areas of OT practice on the hospitals cafeteria bulletin boars
A person blinded in an accident begins an OT community reentry program for persons with visual loss. The OTA collaborates with the individual t develop an intervention plan. Which should be included in the plan as and initial focus of intervention.
organizing the clients morning routine
A person blinded in an accident begins an OT community reentry program for persons with visual loss. The OTA collaborates with the individual to develop an intervention plan. Which should be included int he plan as an initial focus of intervention?
organizing the clients morning routine
An OTA provides intervention to develop independent feeding skills in an 18 month old child with significant developmental delays. The child has mastered the ability to hold a spoon and bang it on the tray of the high chair. The clild can also hold and such on a cracker. Which activity is best for the OTA to provide next during intervention
scooping and brining foor to the mouth
Which is the most effective approach for an OTA to use when giving directions for a task to an individual with schizophrenia who is experiencing auditory hallucinations.
written directions for making vanilla pudding
An individual recovering from hip replacement surgery prepares for discharge home. The client has a secondary diagnosis of GERD. Which is the best bed position for the OTA rio recommend to this client?
supine with elevation of the soldiers and head
An individual recovering from Hep C has decreased upper and lower extremity muscle strength and hypertension. SIs months ago the client had an angioplasty and is ver fearful of having a heart attack. Which should the OTA advise the client to perform to increase muscle strength
A 17 year old student with a diagnosis of bipolar disorder and a history of self abusive behaviors attends a transitional school to work program conducted by and OTA and an OT. During the vocational skills group the subtend expresses feelings of hopelessness about the future and questions the point of participating in the program. The student asks to leave the group due to being to tired to concentrate as a result of sleepless nights. The OT asks the OTA to address the students concerns while the therapists works with the other group members. Which action is best for the OTA to take in response t the students statements?
pull the student aside from the group and ask if the student is feeling self destructive
Ten members of a community reintegration group are not working will together and show decreased levels of trust. The OT and OTA establish a goal to enhance the level of cohesiveness in the group. To begin the next group session which is the best action for the OTA to take?
verbally review the goals and purposes of the group
A school based OT and OTA consult with the director of an elementary after school program to increase the participation of students with disabilities. The current program provides two groups. One group provides activities for children in kindergarten to first grade and the other provides activities for children in grades two to 4. Which activities are best for the therapist and OTA to modify for members of the yonder grade group to enable the students with disabilities to participate more actively with their peers
verbally review the goals and purposes of the group
An OTA implements a group for adolescents newly admitted to an eating disorders unit. Which activity is most beneficial for the OTA to use to develop the client task and social skills?
competition of a group collage about personal interests
A young adult admitted to a locked inpatient psychiatec unit is referred to OT. The referral states that the client is exhibiting symptoms of bipolar disorder, manic episode, with anxiety. Which approach is best for the OTA to use to engage the client in the OT program
in a cooking group have the client cut shapes to construct a gingerbread house using templates and written directions
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