COTA EXAM #4 Part 1 | 100 questions with 100% Correct Answers | Updated 2024, Exams of Advanced Education

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COTA EXAM #4 Part 1 | 100 questions with 100%

Correct Answers | Updated 2024 | Guaranteed A+

A child is lacing a series of geometric beads from a stimulus card and is unable to identify a moon-shaped bead when it is turned sideways on the table. This MOST likely indicates difficulty with: ✔✔Form constancy perception An individual with underreactive sensory processing has been referred to OT. Based on a sensory integration frame of reference, activities for this individual should have which of the following facilitory characteristics? ✔✔Arhythmic and unexpected The COTA is working with the parents of a 4-year old boy who demonstrates strong tonic bite reflex when eating. What type of utensils will the COTA MOST likely recommend to the child's parents? ✔✔Rubber- coated spoons A child with poor sitting balance is unable to put on and remove LE clothing. Which of the following approaches would the COTA recommend to BEST address this functional issue? ✔✔Teach the child to dress in sidelying position Setting up an obstacle course that provides several options for allowing a child to choose the direction he will take (unstructured) would be MOST appropriate if the COTA wished to encourage: ✔✔Exploratory play

A COTA and an OTR are working on discharge plans for a child with paraplegic spina bifida who has just started using a powered w/c. The community resource that would be recommended as MOST critical for this child is: ✔✔A local w/c equipment vendor A COTA is demonstrating bathing techniques for a child with hypertonic muscle tone. Which of the following suggestions would be MOST appropriate for the COTA to recommend to the child's parents? ✔✔Handle the child slowly and gently During the evaluation of a 6-month old baby the COTA gently pulls the infant from a supine position into a sitting position by the hands. The child demonstrates the ability to hold her up and trunk in alignment against gravity. This observable movement can MOST accurately be described by the COTA as a(n): ✔✔Flexion righting reaction A child with athetoid CP demonstrates a jaw and tongue thrust when a fod filled spoon is placed in his mouth. To decrease this problem, the COTA is MOST likely to recommend a positioning strategy that includes increased: ✔✔Neck flexion A COTA observes a 5-year old child with down syndrome who has low muscle tone sitting on the floor exclusively using a "W" sitting position. This observation MOST likely indicates that the child is: ✔✔Demonstrating typical development for a child with Down syndrome A child is on a pureed diet because of an inability to chew food. The most effective method for the COTA to facilitate the child's ability to chew would be to: ✔✔Increase the management of texture by slowing increasing texture of food with a baby food grinder

An OT is administering a standardized test to a young client who suddenly becomes uncooperative and complains that the test is "too hard." The MOST appropriate response would be to: ✔✔Follow administration instructions and note changes in behavior A child with poor anticipatory postural control demonstrates inadequate playground skills, losing her balance when trying to anticipate movement. Which of the following activities will BEST promote the development of these skills? ✔✔Ballet A 3-year old child with a diagnosis of mental retardation is dependent in all areas of dressing. If the COTA uses a developmental approach with this child, which skill should FIRST be addressed? ✔✔Removing pants The COTA has fitted a 6-year old child for an adapted seat for use in the home for mealtime and other tabletop activities. Which of the following instructions is MOST appropriate to convey to the parents? ✔✔Bring the seat in for reevaluation within 6 months The BEST activity to encourage the bilateral use of a child's hands is: ✔✔Playing clapping games A COTA is working with a child who has mild spastic cerebral palsy. The evaluation has shown that the child has poor in-hand manipulation skills. Practicing what type of activity would be BEST to improve this inability? ✔✔Removing a nut from a bolt

A preschooler is having difficulty performing tasks requiring eye-hand coordination as a result of poor visual tracking skills. The FIRST activity the COTA uses to promote visual tracking skill is: ✔✔catching and bursting soap bubbles A 1-year old child is working on increasing neck flexor strength. At this time, the child can maintain head alignment when tilted backward from an upright supported sitting position, to a 45-degree incline, but loses control when tilted further back. The COTA recommends that the NEXT important step in the intervention is to work on head and neck alignment: ✔✔By tilting backward up to 60 degrees while rocking A COTA learns that a young child receiving OT is easily aroused because of a sensory- modulation disorder. Which of the following describes the MOST effective environmental adaptation for assisting the child to fall asleep? ✔✔A noise machine producing white noise at bedtime To promote play skills and self-expression in a child who is withdrawn, a COTA should FIRST select activities that: ✔✔Promote open-ended symbolic play, such as using action figures, puppets, and dolls A child has poor sitting balance, which interferes with seated tabletop activities. Which of the following should the COTA suggest to the child's teacher for the promotion of on going postural adjustments in sitting? ✔✔Provide a therapy ball to sit on while the child is playing a game of checkers

A toddler is diagnosed with developmental delays does not finger feed when presented with food in the clinic. The BEST way to obtain further information about his feeding skills is to: ✔✔Observe him in his home during feeding time During an initial visit with a 5-year old child with a suspected learning disability, the COTA observes the child run across the room, hop around on one foot, pick up a pencil, and draw a stick figure using a tripod grasp. When asked to complete a 4-piece puzzle, the child gives up after several unsuccessful attempts. Which type of assessment would MOST effectively address this child's area of difficulty? ✔✔Visual perceptual A child with athetoid cerebral palsy is learning to use augmentative communication and is frustrated because it takes so long to produce a sentence. Which of the following would the COTA recommend as the BEST solution for this problem? ✔✔Word prediction software Which of the following is the BEST position for promoting isolated head control in a child with very limited postural control and significant upper and lower extremity weakness? ✔✔Prone over a wedge An 8 year old boy is being treated in OT for social withdrawal and depression. At the time of discharge, the BEST recreational activity for the COTA to recommend is? ✔✔Boy Scouts A child with CP demonstrates poor head control, high LE extensor tone, and high UE flexor tone. The COTA should recommend which of the following to BEST position the child for feeding? ✔✔A corner chair with head support and padded abductor post

When developing a self-care program for a 3-year old child with significant visual impairment, the home care COTA would MOST likely implement which of the following? ✔✔Create a reliable route to the bathroom, encouraging the child to familiarize herself with the smells and sounds of the bathroom A COTA is working on prewriting skills with an 11-month old child. Which of the following activities would be MOST appropriate for the COTA to instruct the child to perform? ✔✔Scribble on a piece of paper A COTA positions an infant in the prone position to provide an opportunity to work against gravity. This position is MOST effective for developing which ability? ✔✔Stability of the head and neck A COTA is working with a school-age child to improve her power grasp technique. Which of the following activities would the COTA MOST likely request the child perform in order to elicit the power grasp position? ✔✔Brushing her own hair A child with limited UE ROM is being prepared for discharge. The MOST important home adaptation for the COTA to recommend concerning use of the toilet is: ✔✔Installation of bidet with a spray wash and air drying mechanism. The COTA is planning treatment to promote developmental acquisition for an infant in the NICU. Which of the following actions will have the most PERMANENT impact? ✔✔Create a comfortable foundation for fostering parent skills through parent-therapist collaboration

A 3rd grader's readiness for discharge from direct OT, as a related service, has been determined on the basis of: ✔✔Whether the areas of concern to the OT interfere with the child's education A COTA is working with a 3-year old child who has spastic diplegia. The mobility device which would be MOST appropriate to use in assisting this child to explore space would be: ✔✔A body length prone scooter A preteen with a hx of TBI is relearning to prepare simple foods, but has been having difficulties with sequencing, so the COTA has provided the patient with a chart of steps to follow. The child has learned to prepare his favorite sandwich without "losing his place" in the process, but continues to need occasional verbal reminders to look at the chart to ensure safety. At this point, the child's MOST recent level of independence would be documented as: ✔✔Supervision A child has difficulty controlling food in her mouth when swallowing. In helping the parents plan snacks, the COTA would be MOST likely to recommend: ✔✔Applesauce A 5th grade child with hypertonicity adducts her legs and extends her hips and spine when seated to do schoolwork. The BEST way for the COTA to encourage better postural control in sitting would be to position the child: ✔✔upright A COTA and OTR are planning for the discharge of a child from an early intervention program. What advice to the parents will MOST likely result in effective carryover of a therapeutic home program? ✔✔Incorporate therapeutic activities into family routines

The BEST way for a COTA to utilize sensory stimulation for a child with tactile defensiveness is to: ✔✔Allow the child to self-apply tactile stimuli to maximize the child's tolerance A COTA is planning treatment activities to use for a child with an underreactive vestibular system. The activities selected would MOST likely address: ✔✔Poor postural responses During assessment of a 10-month old child with Down syndrome, the COTA notes hyperextensibility of all joints, which MOST likely reflects: ✔✔Decreased muscle tone While standing and holding onto furniture, a 3-year old boy with delayed motor development shifts his weight onto one leg and steps to the side with the other. This movement pattern is BEST described as: ✔✔Cruising A COTA is using visual perceptual frame of reference to plan intervention for a child with visual perception problems. The FIRST activities planned should address which type of visual skills? ✔✔Visual attention skills A young child with hypertonicitiy is unable to bring his hands to midline to reach for a toy while in the supine and sitting positions. The BEST position to use in order to reduce the effects of abnormal patterns and facilitate midline grasp is: ✔✔The sidelying position When providing OT for children who have been diagnosed with a terminal illness, the PRIMARY focus for OT intervention would be: ✔✔Play and self- care activities

A young boy with hemiplegia has difficulty putting on his socks each morning before school. Which of the following should the COTA recommend? ✔✔Teach the child to sit in a chair and lift and place the affected foot up on a small stool A student is unable to focus on a blackboard 20 feet away and then refocus on the book on her desk to copy a math problem. This MOST likely indicates a problem with: ✔✔Accomodation A COTA observes a child with autism waving his right hand in front of his eyes. Repeatedly in an apparent purposeless manner. This behavior MOST likely indicates: ✔✔The presence of self- stimulatory behavior The COTA is working on dressing skills with a 7-year old child with limited pincer grasp. The child wishes to zip his own pants in school, and mentioned that he "feels embarrassed" that he sometimes needs to ask his teacher for assistance after using the bathroom. Which of the following should the COTA recommend the child try FIRST? ✔✔A large key ring The COTA is selecting activities for a young school age child with postural control deficits. Which activity would BEST promote postural control? ✔✔Playing on a trampoline A COTA is working on hand function with a school-aged child diagnosed with JRA. Which of the following devices should the COTA recommend to MOST effectively prevent hand fatigue? ✔✔Pencil gripper

A COTA is discussing discharge plans with the parents of a 7 year old child with sensory defensiveness problems. The MOST appropriate activity the COTA could recommend to provide proprioceptive input for this child would be to: ✔✔Perform slow push-ups against the wall The COTA is setting up a feeding session with a normally developing 24- month old boy. The COTA should encourage the child to eat a bowl of peas and carrots with which of the following? ✔✔A small spoon Which of the following would the COTA recommend to a 12-year old child with mild visual impairments who desires independent use of the telephone within his home? ✔✔A phone with extra large buttons Which of the following activities should the COTA introduce FIRST when treating a child for tactile defensiveness? ✔✔Having the child roll around in a carpeted barrel A child with cerebral palsy has tongue thrust. Prior to feeding, the COTA should do which of the following FIRST? ✔✔Position the child's trunk, head, neck, and shoulders in proper alignment The COTA is attempting to increase dressing independence with a 13 year old boy with hemiplegia. The child has been unsuccessful for the past 2 months with button hooks, zipper pulls and appears frustrated with his performance. He also complains about the time that it takes to fasten his pants after toileting while in school. Which of the following should the COTA suggest NEXT? ✔✔Place Velcro fasteners in the child's clothing in place of zippers and buttons

An OT has been asked to design a series of stress management sessions for individuals with multiple sclerosis. The first session should include: ✔✔Self- assessment A patient with mild retardation and schizophrenia receive OT services in a mental health facility to improve his daily living skills. In developing the discharge summary for this patient, which section of the summary would the sole responsibility of the OTR complete? ✔✔Discharge recommendations An OT is working as a consultant to a long-term care facility that is designing a dementia care unit. The OT would MOST likely recommend which type of environmental attributes as therapeutic? ✔✔Controlled stimulation with meaningful sensory cues The goal for an adolescent with anorexia is to improve self-concept. Which component of a meal preparation activity BEST addresses this goal? ✔✔State strengths and limitations regarding performance in the activity A COTA is running a group for individuals who have difficulty managing anger. Based on a cognitive-behavioral frame of reference, which of the following steps would the COTA BEGIN with? ✔✔Develop awareness about what produces anger and how the clients respond to anger An individual with a hx of substance abuse lives in a group home. The residential manager has asked the COTA to work with the individual to develop house-cleaning skills. Which of the following interventions is MOST appropriate when a cognitive approach is desired? ✔✔Conduct a group discussion about responsibilities people have when living in a group home

A COTA working in a group home with individuals with serious mental illness is developing a program to promote healthier eating habits. Which of the following activities BEST represents a psycho-educational approach? ✔✔Show a video about nutrition and keep a meal diary for a week An individual with cognitive disability has recently joined a sheltered workshop setting and has been referred to OT for assignment to an appropriate group. The individual demonstrates the ability to copy demonstrated directions when presented one step at a time. The individual can visualize an end product, but is unable to recognize errors, and may not be able to correct them when they are pointed out. According to Allen's Cognitive Disability Theory, the MOST appropriate group for this individual is one involved with: ✔✔Assembling packets that include a knife, fork, spoon, and napkin based on a sample A COTA is evaluating self-care skills with an individual who has recently come out of a coma following a TBI. The individual is able to pick up a toothbrush and apply toothpaste independently. He takes up to 15 minutes to brush his teeth. This behavior most likely indicates difficulty in which of the following areas? ✔✔Termination of an activity An individual with a hx of anxiety is in an OT group that meets twice a week. However, he frequently interrupts the COTA during other OT groups of which he is not a member. What is the MOST effective approach for the COTA to use in this situation? ✔✔Set a time to meet with the individual after group and let him know that you will hear what he has to say at that time While observing a group of individuals eating lunch, a COTA observes one individual who grabs the ketchup away from her neighbor, chews with her mouth open, and does not make eye

contact with those around her. The behaviors exhibited by this individual MOST likely indicate a deficit in which of the following? ✔✔Social conduct An individual diagnosed with substance abuse has recently begun attending a partial hospitalization program and the COTA has received a request to evaluate the individual's leisure performance. Which of the following methods would MOST effectively evaluate how this individual spends his leisure time? ✔✔Administer a time-use assessment A COTA is working in a psychosocial setting with clients who are classified as being at risk for suicide. In selecting craft media, the activity that would MOST likely be the safest is a: ✔✔Stenciling project on poster board An individual with borderline personality disorder has been referred to OT. Which of the following would be MOST important to evaluate? ✔✔Relationships with others An individual in an adult day program demonstrates poor social skills and frequent sexual acting out. The activity that would MOST effectively provide relearse for this individual's sexual tension is: ✔✔Jogging While in the hospital, a 48 year old roofing contractor experienced extrapyramidal syndrome after being placed on neuroleptic medications. The patient is to continue taking the medication after discharge from the hospital. It is MOST important to advise the patient to: ✔✔Avoid use of power tools and sharp instruments

A COTA is running a sensorimotor group for individuals diagnosed with severe depression who tend to withdraw from social activities. Which of the following would be the MOST appropriate opening activity? ✔✔Group members pass around and smell a basket of scented potpourri An individual with depression is ready to return to the job held before taking a leave of absence. Which of the following is the FIRST action the OT should take? ✔✔Perform a job analysis A COTA is evaluating the decision making, problem solving, and sequencing skills of a woman with a long standing hx of mental illness as she makes brownies from a mix. He observes the individual put the whole egg, shell and all, into the bowl. Which of the following actions should the COTA take FIRST? ✔✔Determine the individuals home environment and her need for meal preparation skills In planning intervention for an adult with schizophrenia who has tactile defensiveness, a COTA has selected a ceramics activity. Which element of ceramics would be MOST difficult for the client? ✔✔Wedging the clay A COTA has been asked to develop a program of self-awareness activities for a group of substance abusers. A graded program to develop an individuals self awareness MUST include activities that: ✔✔Are structured by the COTA to encourage self-reflection and feedback An elderly client was hospitalized for an episode of acute depression after the death of his spouse. The client is preparing for discharge and would like to return to his home, but is fearful

of spending his days alone. The BEST environment for the client to continue socialization and participation in meaningful occupation would be: ✔✔Adult daycare A COTA is running a parallel group. What level of assistance should the COTA offer to address the needs of this particular group? ✔✔Assist the clients in the selection of simple, short-term tasks A COTA is selecting treatment activities to use with a young adult diagnosed with schizophrenia (undifferentiated type) that would help to increase the patient's ability to receive, process, and respond to sensory information. The MOST suitable activities for this patient would include: ✔✔Vestibular stimulation and gross motor exercises The goal of an arts and crafts group for chronically mentally ill individuals is to improve their decision-making abilities. The MOST appropriate approach to initiating a mosaic tile activity would be to: ✔✔Provide each patient with an individual project and have him or her choose a tile color An individual with strong dependency needs is able to lace a leather wallet only with consistent verbal cueing. Which is the BEST way to grade this activity to decrease dependency? ✔✔Ask the individual to try some lacing with distant supervision and praise her for what she has been able to do A young women with bulimia is approaching readiness for discharge and is able to eat individually sized portions for the cafeteria without binging or purging. What is the BEST way to upgrade her next meal experience? ✔✔Dine as a group using a family style dining format

An adolescent boy is admitted to an acute psychiatric facility after several uncontrollable violent outbursts toward his mother. He admits to experimenting with marijuana and beer since he was 16 years old in order to be accepted by his peer group. Which of the following activities would MOST effectively address the goal of emotional expression? ✔✔Participate in writing a group rock song using "I" statements A patient diagnosed with an anxiety disorder tells a COTA that he can't go with his therapy group on a planned shopping trip because he feels fearful. The FIRST appropriate response for the COTA is to: ✔✔Encourage the patient to describe what makes him fearful about going on this trip During a group movement activity, a female client begins to pull at her clothes and move seductively around the room. She does not stop, despite repeated attempts by the group leader to end this behavior. Which response is MOST appropriate? ✔✔Dismiss her from the group An individual with a hx of substance abuse is working on skills she will need to take public transportation to an office where she will be working as a volunteer. She has successfully demonstrated the ability to ride the bus to her destination and return home again without assistance. What is the next challenge the COTA should introduce? ✔✔Require that the ride the bus according to a designated schedule An individual who demonstrates compulsive behaviors is unable to complete a cookie baking activity because he spends so much time measuring and remeasuring ingredients. Upon

observing this, how should the COTA respond? ✔✔Acknowledge that he uses rituals to cope with anxiety A COTA is working with an individual who has just broken up with his girlfriend. He spends most of his day in bed and reports feelings of helplessness and hopelessness. How should the COTA respond upon hearing about these feelings? ✔✔Listen to what the individual says and reflect back to him A COTA has been working with a young adult client with mental retardation and is providing information to assist the OTR in making work placement recommendations for the client. The COTA reports that the client functions best when preforming simple, highly structured tasks in a closely supervised environment. The MOST appropriate recommendation would be for work placement in a: ✔✔Sheltered work program A COTA asks a manic client what he would like to do in craft group. The client answers, "I'm a really good carpenter, so I'm going to build my kids a club house." The BEST response is to: ✔✔Suggest a more realistic activity An individual with mental illness attends group on a regular basis, but interrupts others, grabs tools and supplies, and bosses others around at almost every group session. What is the BEST way to respond to this disruptive behavior? ✔✔Have the individual contribute to the discussion identifying the "rules" for the group

An elderly man with chronic schizophrenia is frequently observed with his hand in his pants, sexually stimulating himself. The BEST approach is to: ✔✔Provide him with regular forceful gross motor activities The initial short-term goal for a client working on improving socialization skills is, "patient will verbally respond to others during performance of a common task three times per session with minimal verbal cues within 1 week." After several sessions, the COTA observes that the client is responding to others three times or more per session without cueing, but does not maintain eye contact or initiate conversation, Which of the following would be the MOST appropriate action for the COTA to take? ✔✔Collaboration with the OTR to change the short-term goal A young woman with anorexia nervosa is participating in a lunch preparation and cooking group. What should the COTA do when the moan asks to use the bathroom following the meal? ✔✔Pull her aside and ask her if she is upset An extremely withdrawn individual has developed the ability to tolerate interaction with one other group member while glazing slip molds in an ongoing ceramics group. Which of the following steps should be taken NEXT in order to develop this individuals ability to interact with others? ✔✔Involve the individual in a three-member task group A COTA is providing instruction to caregivers in a long-term care facility concerning assisting a resident whose severe attention span deficits impair the ability to participate in self-feeding. The COTA is MOST likely to recommend which method? ✔✔Hand-over-hand assistance