COTA EXAM #2 Part 1 Questions and
Correct Answers
An individual with depression refuses to participate in an initial evaluation process. He
sits away from the other clients, does not make eye contact with anyone, and states he
just doesn't "feel like doing anything right now." Which of the following actions is the
MOST appropriate for the COTA to take? - ANS Approach the client briefly several
times throughout the session without making any demands on him.
While observing a newly referred child in the playground, the COTA suspects that the
child had dyspraxia. The MOST relevant assessment to determine the child's level of
performance will be one which determines that child's ability to: - ANS Plan new motor
tasks
The BEST way for the OT practitioner to evaluate the presence of unilateral neglect is
by using which of the following evaluations? - ANS Line bisection
An OT practitioner wishes to identify how a patient spends his leisure time, which
leisure activities he especially enjoys, and which others he has participated in that he
would be interested in renewing. The MOST appropriate tool for this purpose is a(n): -
ANS Interest checklist
A young child with a diagnosis of spina bifida has been referred for an assessment.
When collecting the initial data by interviewing the child's mother, the OT practitioner
should focus PRIMARILY on: - ANS The mother's concerns and goals for her child
An OT practitioner is performing a home management evaluation of an ambulatory
individual with cerebral palsy who is cognitively in tact, but exhibits an ataxic gait
pattern. The PRIMARY focus of the evaluation should be: - ANS Safety and stability
An individual who has recently undergone a knee replacement is working on
homemaking skills in the ADL suite. The PT has indicated the patient can ambulate with
close supervision using a cane. While the individual has arrived for their therapy on time
for the past 3 days, she has consistently left her cane back in her room. When the
COTA asks where her cane is, the individual replies, "Oh, that cane, it's just so ugly."
Which of the following actions is MOST appropriate for the COTA to take? - ANS
Discuss issues related to self-concept with the individual
While working with an 8-month old child, the COTA observes him assume a quadruped
position and then begin to rock back and forth. This behavior MOST likely indicates: -
ANS Normal development
, When administering an evaluation of upper extremity function to a newly admitted
patient with Guillain-Barre syndrome, it is MOST important to: - ANS Perform the
evaluation over several sessions
A COTA working in a long-term care facility frequently evaluates cognitive performance.
Which of the following methods is BEST for evaluating remote memory? - ANS Ask the
individual about the grade school he or she attended
While observing a child for the first time, the COTA notes that the child responds to loud
noise by abducting and extending the arms. The reflex, or reaction, observed in this
child is documented by the COTA as: - ANS Moro reflex
As an OT practitioner who is a member of an assistive technology team evaluating an
adult with severe motor limitations is MOST likely to: - ANS Make recommendations for
ways of operating the technology
An Individual with schizophrenia is newly admitted to the hospital. He is asked to
describe what brought him to the hospital for admission. The individual responds by
saying, "I took a cab." In the report, the OT is MOST likely to identify their response as: -
ANS A concrete response
An OT observes a child with a learning disability use an unusually tight grip when writing
with a pencil. The child also frequently breaks the pencil point by applying too much
pressure on the paper. This type of problem is MOST likely caused by inadequate
sensory information from the: - ANS Somatosensory system
Which of the following methods is BEST for evaluating a hook grasp? - ANS Have the
individual hold a heavy handbag by the handles
Which of the following activities would MOST effectively evaluate group interaction skills
during a 45-minute OT session? - ANS All group members construct one tower that
incorporates all the pieces provided in a set of constructional materials (i.e. Legos,
Tinker-toys, or Erector set)
Through the evaluation process, the OT practitioner may consider many possibilities for
intervention, however, the specific plan for implementation of intervention is MOST often
developed at which point in the OT process? - ANS After the development of the goals
and objectives
While observing a client who has just been admitted to the rehabilitation unit right after a
right CVA with left hemiplegia, the OT notices that the patient's left arm lays imply by the
patient's side. This MOST likely indicates: - ANS Flaccidity
What should the OT do FIRST to obtain accurate information about a patient's family
situation and about their occupational, cultural, and educational background? - ANS
Read the social worker's report
Correct Answers
An individual with depression refuses to participate in an initial evaluation process. He
sits away from the other clients, does not make eye contact with anyone, and states he
just doesn't "feel like doing anything right now." Which of the following actions is the
MOST appropriate for the COTA to take? - ANS Approach the client briefly several
times throughout the session without making any demands on him.
While observing a newly referred child in the playground, the COTA suspects that the
child had dyspraxia. The MOST relevant assessment to determine the child's level of
performance will be one which determines that child's ability to: - ANS Plan new motor
tasks
The BEST way for the OT practitioner to evaluate the presence of unilateral neglect is
by using which of the following evaluations? - ANS Line bisection
An OT practitioner wishes to identify how a patient spends his leisure time, which
leisure activities he especially enjoys, and which others he has participated in that he
would be interested in renewing. The MOST appropriate tool for this purpose is a(n): -
ANS Interest checklist
A young child with a diagnosis of spina bifida has been referred for an assessment.
When collecting the initial data by interviewing the child's mother, the OT practitioner
should focus PRIMARILY on: - ANS The mother's concerns and goals for her child
An OT practitioner is performing a home management evaluation of an ambulatory
individual with cerebral palsy who is cognitively in tact, but exhibits an ataxic gait
pattern. The PRIMARY focus of the evaluation should be: - ANS Safety and stability
An individual who has recently undergone a knee replacement is working on
homemaking skills in the ADL suite. The PT has indicated the patient can ambulate with
close supervision using a cane. While the individual has arrived for their therapy on time
for the past 3 days, she has consistently left her cane back in her room. When the
COTA asks where her cane is, the individual replies, "Oh, that cane, it's just so ugly."
Which of the following actions is MOST appropriate for the COTA to take? - ANS
Discuss issues related to self-concept with the individual
While working with an 8-month old child, the COTA observes him assume a quadruped
position and then begin to rock back and forth. This behavior MOST likely indicates: -
ANS Normal development
, When administering an evaluation of upper extremity function to a newly admitted
patient with Guillain-Barre syndrome, it is MOST important to: - ANS Perform the
evaluation over several sessions
A COTA working in a long-term care facility frequently evaluates cognitive performance.
Which of the following methods is BEST for evaluating remote memory? - ANS Ask the
individual about the grade school he or she attended
While observing a child for the first time, the COTA notes that the child responds to loud
noise by abducting and extending the arms. The reflex, or reaction, observed in this
child is documented by the COTA as: - ANS Moro reflex
As an OT practitioner who is a member of an assistive technology team evaluating an
adult with severe motor limitations is MOST likely to: - ANS Make recommendations for
ways of operating the technology
An Individual with schizophrenia is newly admitted to the hospital. He is asked to
describe what brought him to the hospital for admission. The individual responds by
saying, "I took a cab." In the report, the OT is MOST likely to identify their response as: -
ANS A concrete response
An OT observes a child with a learning disability use an unusually tight grip when writing
with a pencil. The child also frequently breaks the pencil point by applying too much
pressure on the paper. This type of problem is MOST likely caused by inadequate
sensory information from the: - ANS Somatosensory system
Which of the following methods is BEST for evaluating a hook grasp? - ANS Have the
individual hold a heavy handbag by the handles
Which of the following activities would MOST effectively evaluate group interaction skills
during a 45-minute OT session? - ANS All group members construct one tower that
incorporates all the pieces provided in a set of constructional materials (i.e. Legos,
Tinker-toys, or Erector set)
Through the evaluation process, the OT practitioner may consider many possibilities for
intervention, however, the specific plan for implementation of intervention is MOST often
developed at which point in the OT process? - ANS After the development of the goals
and objectives
While observing a client who has just been admitted to the rehabilitation unit right after a
right CVA with left hemiplegia, the OT notices that the patient's left arm lays imply by the
patient's side. This MOST likely indicates: - ANS Flaccidity
What should the OT do FIRST to obtain accurate information about a patient's family
situation and about their occupational, cultural, and educational background? - ANS
Read the social worker's report
