COTA EXAM #4 Part 2 with Correct
Answers
A COTA is preparing to complete part of an initial evaluation on an individual diagnosed
with OCD. Which of the following environmental modification strategies is likely to be
MOST effective? - ✔ Limit the time available to answer each question
A COTA is using a functional skill, or task-specific training approach, with an individual
with severe memory impairment who is learning to brush his teeth. This approach will
rely on: - ✔ Gradual fading cues
An individual with moderate cognitive limitations lives in a group home and has difficulty
telling the difference between his toothbrush and everyone else's. This individual will
benefit MOST from: - ✔ Having the only red toothbrush
A young adult who sustained a severe TBI has begun participating in a community re-
entry program. The OTR will evaluate self-care skills, and the COTA will evaluate the
individual's ability to perform work and productive activities. Which of the following are
MOST appropriate for the COTA to address? - ✔ Clothing care, cleaning and
volunteering
A COTA is leading a social skills group for clients in a community mental health center.
The group members have learned about social skills and their components, and the
COTA has spent time in modeling and demonstrating ways to perform social skills.
Which of the following would be the NEXT step in the process of learning new social
skills? - ✔ Role playing of social situations
Which one of the following interventions will most successfully enable an individual to
develop and maintain good coping skills? - ✔ Eat well, exercise, and participate in
meaningful occupations
An individual with chronic pain from a back injury is participating in a work hardening
program. At what point should the COTA instruct the individual to take a break? - ✔
When the individual has worked to tolerance
A patient with schizophrenia is leaving a half-way house (community mental health
setting) and will return home to live with his family. Which area of education would be
MOST beneficial to address with the family prior to discharge? - ✔ Information about
the disease, its management, and communication strategies
A COTA is working with a group of individuals with substance abuse disorders. The
COTA wants to use an activity that will allow the clients to experience success after
making a mess and one that will delay gratification. The activity process that BEST
provides this experience is: - ✔ Applying grout to a tile trivet and waiting for it to dry
, A patient who sustained head trauma is receiving an OT program of repetitive
pegboard, paper and pencil tasks, and computer activities to remediate attention and
memory deficits. The COTA is implementing these cognitive remediation tasks because
the patient is MOST likely demonstrating which of the following? - ✔ Awareness,
minimal deficits, and learning potential
The OTR has asked the COTA to administer the last portion of an assessment to an
individual who was recently admitted to an inpatient psychiatric unit. When presented
with the standardized evaluation, a checklist to determine the individual's interests in
various leisure activities, the individual is unable to read the evaluation because he
does not have his glasses with him. Which of the following options is MOST
appropriate? - ✔ Read the questions to the individual and check off his response
A COTA is planning to run a coping skills group for individuals diagnosed with bulimia
for the primary purpose of: - ✔ Bringing about change among the members
Upon completion of the initial interview and chart review, the NEXT step to be taken in
the OT process is to: - ✔ Select appropriate evaluation procedures
An older adult with schizophrenia lives in a group home for individuals with chronic
mental illness. During a socialization activity in the community living room, the COTA
notices beginning signs of agitation. Which of the following methods is MOST likely to
decrease agitation? - ✔ Have the individual sit in a rocking chair
A COTA is training an adult worker with a developmental disability to put a pencil in a
box before putting a score pad in the box for a game packaging task in a sheltered
workshop assembly line. The employee has not done this task before. Which of the
following reinforcement schedules would MOST likely achieve the goal of learning this
task sequence? - ✔ Continuous reinforcement of correct responses
During a craft group comprised of individuals diagnosed with substance abuse, a COTA
observes one individual having difficulty gluing two pieces of a bird house together. The
individual becomes increasingly agitated. As the COTA approaches him, he storms out
of the room and heads to the smoking area for a cigarette. This behavior MOST likely
indicates a problem with which of the following? - ✔ Stress management
While running a discussion group, the COTA encounters a group member who
frequently monopolizes the discussion and interrupts other members. The COTA is
unsuccessfully attempted various subtle and indirect methods to decrease the client's
behavior. Which direct intervention should the COTA implement NEXT to modify the
client's behavior? - ✔ Confront the client's behavior and ask, "are you aware that your
frequent interruptions prevent others from having a chance to contribute?"
Answers
A COTA is preparing to complete part of an initial evaluation on an individual diagnosed
with OCD. Which of the following environmental modification strategies is likely to be
MOST effective? - ✔ Limit the time available to answer each question
A COTA is using a functional skill, or task-specific training approach, with an individual
with severe memory impairment who is learning to brush his teeth. This approach will
rely on: - ✔ Gradual fading cues
An individual with moderate cognitive limitations lives in a group home and has difficulty
telling the difference between his toothbrush and everyone else's. This individual will
benefit MOST from: - ✔ Having the only red toothbrush
A young adult who sustained a severe TBI has begun participating in a community re-
entry program. The OTR will evaluate self-care skills, and the COTA will evaluate the
individual's ability to perform work and productive activities. Which of the following are
MOST appropriate for the COTA to address? - ✔ Clothing care, cleaning and
volunteering
A COTA is leading a social skills group for clients in a community mental health center.
The group members have learned about social skills and their components, and the
COTA has spent time in modeling and demonstrating ways to perform social skills.
Which of the following would be the NEXT step in the process of learning new social
skills? - ✔ Role playing of social situations
Which one of the following interventions will most successfully enable an individual to
develop and maintain good coping skills? - ✔ Eat well, exercise, and participate in
meaningful occupations
An individual with chronic pain from a back injury is participating in a work hardening
program. At what point should the COTA instruct the individual to take a break? - ✔
When the individual has worked to tolerance
A patient with schizophrenia is leaving a half-way house (community mental health
setting) and will return home to live with his family. Which area of education would be
MOST beneficial to address with the family prior to discharge? - ✔ Information about
the disease, its management, and communication strategies
A COTA is working with a group of individuals with substance abuse disorders. The
COTA wants to use an activity that will allow the clients to experience success after
making a mess and one that will delay gratification. The activity process that BEST
provides this experience is: - ✔ Applying grout to a tile trivet and waiting for it to dry
, A patient who sustained head trauma is receiving an OT program of repetitive
pegboard, paper and pencil tasks, and computer activities to remediate attention and
memory deficits. The COTA is implementing these cognitive remediation tasks because
the patient is MOST likely demonstrating which of the following? - ✔ Awareness,
minimal deficits, and learning potential
The OTR has asked the COTA to administer the last portion of an assessment to an
individual who was recently admitted to an inpatient psychiatric unit. When presented
with the standardized evaluation, a checklist to determine the individual's interests in
various leisure activities, the individual is unable to read the evaluation because he
does not have his glasses with him. Which of the following options is MOST
appropriate? - ✔ Read the questions to the individual and check off his response
A COTA is planning to run a coping skills group for individuals diagnosed with bulimia
for the primary purpose of: - ✔ Bringing about change among the members
Upon completion of the initial interview and chart review, the NEXT step to be taken in
the OT process is to: - ✔ Select appropriate evaluation procedures
An older adult with schizophrenia lives in a group home for individuals with chronic
mental illness. During a socialization activity in the community living room, the COTA
notices beginning signs of agitation. Which of the following methods is MOST likely to
decrease agitation? - ✔ Have the individual sit in a rocking chair
A COTA is training an adult worker with a developmental disability to put a pencil in a
box before putting a score pad in the box for a game packaging task in a sheltered
workshop assembly line. The employee has not done this task before. Which of the
following reinforcement schedules would MOST likely achieve the goal of learning this
task sequence? - ✔ Continuous reinforcement of correct responses
During a craft group comprised of individuals diagnosed with substance abuse, a COTA
observes one individual having difficulty gluing two pieces of a bird house together. The
individual becomes increasingly agitated. As the COTA approaches him, he storms out
of the room and heads to the smoking area for a cigarette. This behavior MOST likely
indicates a problem with which of the following? - ✔ Stress management
While running a discussion group, the COTA encounters a group member who
frequently monopolizes the discussion and interrupts other members. The COTA is
unsuccessfully attempted various subtle and indirect methods to decrease the client's
behavior. Which direct intervention should the COTA implement NEXT to modify the
client's behavior? - ✔ Confront the client's behavior and ask, "are you aware that your
frequent interruptions prevent others from having a chance to contribute?"
