COTA Exam questions from NBCOT 3rd edition

COTA Exam questions from NBCOT 3rd edition All Verified An OTA is asked to develop a discharge planning group for clients being discharged within the next month from a long term facility for adults with serious and persistent metal illness. Which action is best for the OTA to take initially? A. Obtain prospective group members occupational profile and postd/c goals and options. B. Identify community resources to develop a community reintegration program and enhance post-d/c participation. C. Develop a self medication management teaching module to increase post-d/c medication compliance. D. Complete an evidence based search to identity best practices in community based mental health occupational therapy. Ans- Correct Answer : A Rationale is on page 429 An elementary school aged child holds a pencil with a tightly held static tripod grasp and forms letters at an average rate of speed. The child demonstrates the ability to write all class and homework assignments. Which approach is best for the OTA to recommend this child use to improve grasp? A. Perform all written work with a larger pencil and jumbo crayons on a horizontal surface. B. Take a break every 15 mins while writing to open and close the hand several times. C. Practice moving coins from the fingertips to the palm and then from the palm to the fingertips. D. Write all written work on a vertical surface, such as an easel or classroom wall board. Ans- Correct Answer: C Rationale is on page 435 A 19 year old with spastic diplegia and an IQ in the range of 55-69 is graduating from a special education program. The student has been involved in transitional programming since the age of 14. The OTA collaborates with the occupational therapist and the student to complete a discharge plan to meet the student's post secondary goals. Which of the following should the OTA recommend be included as a post d/c referral? A. A vocational rehabilitation workshop B. State vocational rehabilitation services C. A community college. D. A transitional employment program Ans- Correct Answer: B Rationale is on page 437 A OTA is conducting a community transportation group with individuals attending a TBI day treatment program in an urban area. Which should the group do first? A. Read a subway map B. Take a subway as a group C. Determine a destination D. Purchase a subway free card Ans- Correct Answer: C Rationale is on page 443 An individual with a spinal cord injury at the level of T1 is practicing a stand pivot transfer in the OT department of a rehabilitation center. The patient complains of dizziness and nausea. Which action is most important for the OTA to take first? A. Call for help according to the facility procedures B. Return the patient to the w/c for a 5 min rest break C. Return the person to the w/c and immediately recline it D. Return the patient to the w/c and transport the patient back to rest in bed Ans- Correct Answer: C Rationale is on page 445 An adolescent with myelomeningocele (spina bifida) at the C8 level wants to access a new computerized play system. Which is the best adaptation for the OTA to recommend the adolescent use to access this system? A. A chin switch B. A tenodesis splint C. A dorsal wrist splint with a universal cuff D. A joystick control Ans- Correct Answer: D Rationale is on page 446 A child with spastic quadriplegic cerebral palsy demonstrates a consistent gag reflex. Which technique should the OTA use to help inhibit the reflex? A. Move a spoon from side to side on the tongue B. Press a spoon down firmly on the center of the tongue C. Stroke the tongue in a circular motion with a tongue depressor Ans- Correct Answer: B Rationale is on page 447 An OTA works with the new foster parent of a 2 year old child diagnosed with major developmental delays and severe hypotonia. The OTA advises the foster parent to position the head in midline during feeding. Which additional positioning recommendations for feeding are best for this child? A. Sitting with hips/knees at 90 degrees flexion, neck in neutral B. Sitting with hips/knees at 90 degrees flexion, neck in extension C. Semi-reclined with neck in neutral D. Semi-reclined with neck in extension Ans- Correct Answer: C Rationale is on page 459 An adult recently diagnosed with scleroderma receives occupational therapy services to deal with the functional changes by this disease. Which recommendations are best for the OTA to make to this individual? Select the three best A. Dress in layers for neutral warmth B. Wear protective cotton, insulated gloves C. Dress in lightweight clothing for thermal comfort D. Use cold packs on hands when pain in hands occurs E. Modify activities to prevent trauma to fingers and toes F. Use hand splints to immobilize affected joints and promote rest Ans- Correct Answers: A, B, E Rationale is on page 465 A person fell and sustained bilateral Colles fracture. The client wore bilateral short arm casts for 6 weeks. After cast removal, the client began OT sessions to increase endurance and strength prior to returning to work. The client tends to work hard when performing resistive exercises with both wrists. The OTA monitors the client for overexertion. Which behavior indicates overexertion? A. Decreased respiration rate during resistive wrist flexion B. Increased ability to achieve full ROM of the wrist C. Complaints of pain in the wrist extensors D. Consistent strength in wrist extension activities Ans- Correct Answer: C Rationale is on page 468 An older teenager with a congenital right, below elbow amputation had never wanted a prosthesis. Now the teen wants a prothesis "to look good at the prom and for going on dates." Which action would be most beneficial to meet the client's expressed need? A. Recommend. a prosthesis with a cosmetic passive hand B. Recommend a prosthesis with a voluntary. opening hook C. Recommend a prosthesis with a myoelectrically controlled hand D. Recommend counseling to explore the client's sudden preoccupation with body image. Ans- Correct Answer: C Rationale is on page 473 An OTA is working in an in patient rehabilitation facility for persons with SCI. A patient sustained a C5 complete SCI following an automobile accident two weeks ago. The OTA is working with the patient to attain the patient's goal to independently self feed. Which pieces of adaptive equipment are best for the OTA to teach the patient to use during intervention? Select the best three A. A rocker knife B. Dycem to place under plates C. A plate guard or scoop dish D. A sip and puff mobile arm support E. A dorsal wrist splint with universal cuff F. A drinking cup with a drinking spout Ans- Correct Answers: B, C, E Rationale is on page 477 An adult who incurred a traumatic brain injury 3 months ago receives home care OT services. During meal preparation tasks, the client ignores items on the left side of the counter. Which is the best remediation approach for the OTA to use with this client to enhance performance? A. Place a brightly colored placemat on the left side of the counter B. Encourage bilateral activities C. Place all items on the right side of the counter D. Practice scanning activities Ans- Correct Answer: A Rationale is on page 479 An OTA provides home based occupational therapy. services. An ambulatory older adult with hemiparesis and presbycusis has recently moved in with an adult child. The child requests information from the OTA to help maintain the parent's functional ability in the home. Which should the OTA recommend? A. Remove knobs from the stove when the parent is home alone B. Speak directly, clearly, and slowly to the parent C. Add bright color strips to the edge of each stair tread D. Provide the parent with lists of the sequence of routine tasks. Ans- Correct Answer: B Rationale is on page 478 The parent of two elementary school aged children receives home care hospice servi