COTA EXAM #3 Part 2 Questions and
Correct Answers Latest 2022
A young client who is diagnosed with depression tells a COTA about feelings
associated with being alone and afraid. A chart review reveals that the individual leads a
very isolating lifestyle. The BEST way for the COTA to respond is to: - ✔ Use active
listening techniques
When preparing a home program with a goal of independent toileting for a young child
with postural instability, the MOST important adaptation the COTA can recommend is: -
✔ Mounting a safety rail next to the toilet
An individual with low endurance complains of becoming too fatigued during sexual
activity to enjoy it. The BEST strategy for the COTA to recommend is for the individual
to: - ✔ Take the bottom, supine position
When teaching deep breathing techniques to manage stress, the COTA should instruct
the individual to: - ✔ Deeply inhale and slowly exhale
A child with a head injury is impulsive during self-feeding and frequently attempts to
place too much food in her mouth at one time. Which of the following methods should
the COTA recommend to MOST effectively control her rate of intake during self-
feeding? - ✔ Have her put the utensil down until she swallows
An individual with MS reports extreme frustration because he house is so dirty. When
she does attempt to clean it, she is too exhausted to do anything else afterward. She
does not think she can afford to pay someone else to clean. Which of the following
strategies is MOST appropriate for the COTA to recommend to this individual? - ✔
Alternate tasks that require standing with those that can be performed sitting
During treatment the COTA responds to a client who recently lost her spouse in a car
accident by paraphrasing. The COTA is MOST likely implementing this technique in
order to: - ✔ Show acceptance and understanding regarding the client's situation
A child has mastered brushing her teeth with the COTA giving verbal and physical cues.
What would be the next step in the process of reducing the intrusiveness of cues? - ✔
Verbal and gestural cues
A client with CP has severe motor impairment resulting in insufficient arm and hand
motion, and insufficient grasp or prehension to access a computer keyboard. The COTA
should recommend which of the following as the BEST low tech solution for improving
the client's ability to access the keyboard? - ✔ A head pointer and slanted keyboard
, A client in a group home makes frequent sexual advances to a COTA. When group time
arrives, he refuses to come down from his room. The MOST important action for the
COTA to take is to: - ✔ Avoid any physical contact with the individual
A school-age child has Duchenne's muscular dystrophy. Although he is able to use a
manual w/c for distances between classes, he is tired on arrival. What would be the
BEST recommendation the COTA could make for w/c use at school? - ✔ Change to a
power w/c to reduce effort
A patient with Parkinson's disease has particular difficulty with both starting and
stopping movements. The BEST strategy for the COTA to teach the person and the
person's caregivers is to: - ✔ Provide a sensory cue, such as saying "stop!"
A COTA is planning treatment for individuals with a variety of personality disorders who
have inaccurate perceptions of themselves. The treatment method that might BEST
address these problem areas is a: - ✔ Cooperative group activity that both provides
and elicits consistent and accurate feedback about interactions within the group
A resident in a long-term care facility is being treated by the COTA to regain self-feeding
skills. The MOST effective strategy for beginning self-feeding with a resident who is
tactilely defensive around the facial area is to: - ✔ Use a guiding technique by placing
food in the resident's hand and bringing it to the mouth
The goal for a patient who has had a CVA is to be able to put on a shirt independently.
The MOST effective way for the COTA to structure dressing training for maximum
learning retention and generalization of this skill is: - ✔ Practicing the whole task of
putting on a shirt in a setting similar to the real environment
A man with a successful landscaping business is completing detoxification after many
years of alcohol abuse. This is his first treatment experience. During a discharge
planning group, he asks the COTA for community resources to "help him stay sober."
Which is the BEST resource the COTA could provide for him? - ✔ AA
A child with CP tends to flex forward while riding her adapted tricycle, even though her
lower extremities are correctly positioned. Which of the following adaptions should the
COTA recommend to BEST enable the child to maintain an upright position while
riding? - ✔ Raising the handlebars
A child diagnoses with mental retardation has been participating in a craft group
structured as a parallel group. The child is now developing skills such as sharing
materials and interacting with other group members. The NEXT level of structured
activity which the COTA would recommend for the child is a(n): - ✔ Project group
An adult with schizophrenia walks with a shuffling gait and hunched posture. Using a
movement-centered frame of reference, which of the following activities would MOST
Correct Answers Latest 2022
A young client who is diagnosed with depression tells a COTA about feelings
associated with being alone and afraid. A chart review reveals that the individual leads a
very isolating lifestyle. The BEST way for the COTA to respond is to: - ✔ Use active
listening techniques
When preparing a home program with a goal of independent toileting for a young child
with postural instability, the MOST important adaptation the COTA can recommend is: -
✔ Mounting a safety rail next to the toilet
An individual with low endurance complains of becoming too fatigued during sexual
activity to enjoy it. The BEST strategy for the COTA to recommend is for the individual
to: - ✔ Take the bottom, supine position
When teaching deep breathing techniques to manage stress, the COTA should instruct
the individual to: - ✔ Deeply inhale and slowly exhale
A child with a head injury is impulsive during self-feeding and frequently attempts to
place too much food in her mouth at one time. Which of the following methods should
the COTA recommend to MOST effectively control her rate of intake during self-
feeding? - ✔ Have her put the utensil down until she swallows
An individual with MS reports extreme frustration because he house is so dirty. When
she does attempt to clean it, she is too exhausted to do anything else afterward. She
does not think she can afford to pay someone else to clean. Which of the following
strategies is MOST appropriate for the COTA to recommend to this individual? - ✔
Alternate tasks that require standing with those that can be performed sitting
During treatment the COTA responds to a client who recently lost her spouse in a car
accident by paraphrasing. The COTA is MOST likely implementing this technique in
order to: - ✔ Show acceptance and understanding regarding the client's situation
A child has mastered brushing her teeth with the COTA giving verbal and physical cues.
What would be the next step in the process of reducing the intrusiveness of cues? - ✔
Verbal and gestural cues
A client with CP has severe motor impairment resulting in insufficient arm and hand
motion, and insufficient grasp or prehension to access a computer keyboard. The COTA
should recommend which of the following as the BEST low tech solution for improving
the client's ability to access the keyboard? - ✔ A head pointer and slanted keyboard
, A client in a group home makes frequent sexual advances to a COTA. When group time
arrives, he refuses to come down from his room. The MOST important action for the
COTA to take is to: - ✔ Avoid any physical contact with the individual
A school-age child has Duchenne's muscular dystrophy. Although he is able to use a
manual w/c for distances between classes, he is tired on arrival. What would be the
BEST recommendation the COTA could make for w/c use at school? - ✔ Change to a
power w/c to reduce effort
A patient with Parkinson's disease has particular difficulty with both starting and
stopping movements. The BEST strategy for the COTA to teach the person and the
person's caregivers is to: - ✔ Provide a sensory cue, such as saying "stop!"
A COTA is planning treatment for individuals with a variety of personality disorders who
have inaccurate perceptions of themselves. The treatment method that might BEST
address these problem areas is a: - ✔ Cooperative group activity that both provides
and elicits consistent and accurate feedback about interactions within the group
A resident in a long-term care facility is being treated by the COTA to regain self-feeding
skills. The MOST effective strategy for beginning self-feeding with a resident who is
tactilely defensive around the facial area is to: - ✔ Use a guiding technique by placing
food in the resident's hand and bringing it to the mouth
The goal for a patient who has had a CVA is to be able to put on a shirt independently.
The MOST effective way for the COTA to structure dressing training for maximum
learning retention and generalization of this skill is: - ✔ Practicing the whole task of
putting on a shirt in a setting similar to the real environment
A man with a successful landscaping business is completing detoxification after many
years of alcohol abuse. This is his first treatment experience. During a discharge
planning group, he asks the COTA for community resources to "help him stay sober."
Which is the BEST resource the COTA could provide for him? - ✔ AA
A child with CP tends to flex forward while riding her adapted tricycle, even though her
lower extremities are correctly positioned. Which of the following adaptions should the
COTA recommend to BEST enable the child to maintain an upright position while
riding? - ✔ Raising the handlebars
A child diagnoses with mental retardation has been participating in a craft group
structured as a parallel group. The child is now developing skills such as sharing
materials and interacting with other group members. The NEXT level of structured
activity which the COTA would recommend for the child is a(n): - ✔ Project group
An adult with schizophrenia walks with a shuffling gait and hunched posture. Using a
movement-centered frame of reference, which of the following activities would MOST
