Misc

Question 1

Forward chaining

Answer 1

involves the therapist encouraging the child to complete the first step of the task, and then the therapist completes the rest of the task.

Question 2

Durin a treatment session with a client with COPD, the client suddenly experiences extreme shortness of breath, and panics. Which response by the COTA® would be MOST appropriate?

Answer 2

Ask the client to lean forward and place the forearms on the thighs (releases the diaphragm, making breathing easier), then practice pursed-lip breathing (slows breathing and reduce anxiety).

Question 3

A 4-year-old child with attention deficit hyperactivity disorder is using a tire swing for vestibular input to feel more organized. After a few minutes, the child appears to have some autonomic reactions to the fast swinging. Which course of action for the COTA® is BEST?

Answer 3

Ask the child to slow down the swinging by pulling a trapeze bar for proprioceptive input.

Proprioceptive input inhibits vestibular stimulation.

Question 4

NDT Approach to Handwriting

Answer 4

ideally be used for children who have tone issues, poor postural control, poor limb function, poor automatic reactions, and poor proximal stability.

Question 5

CMC Joint Pain and Weakness

Answer 5

Often caused by instability of the thumb metacarpal on the trapezium, leading to joint subluxation.

Avoid painful pinching and observe joint protection techniques to limit further damage to the CMC joint.

A hand-based thumb spica splint will support the thumb as a functional post, allowing the client to complete pain-free activities.

Question 6

A COTA® is treating a client with a boutonniere deformity using conservative splinting. Which statement can the COTA use to educate the client about the proper use of the circumferential proximal interphalangeal (PIP) joint orthosis?

Answer 6

Continuous use of the PIP joint extension splint allows the central slip to reestablish tissue continuity and prevents further flexion deformity.

Question 7

Where should the front edge of the wheelchair seat be in relation to the client’s hamstrings?

Answer 7

1 to 2 inches proximal to the posterior side of the bent knee

Having the seat of the wheelchair very close to the bent knee without touching it allows for the client’s body weight to be evenly distributed, which prevents pressure sores, while allowing for knee clearance from the edge of the seat upholstery.

Question 8

A COTA® observes as a client with multiple sclerosis (MS) demonstrates ataxia in the upper extremities when reaching for an item on the table. Which intervention is BEST to modify tabletop activities to control ataxia in task performance?

Answer 8

Supporting the arms and trunk against the table provides three points of stability against a stable surface, offering optimum support for task performance.

Question 9

A COTA® is treating a client who sustained second- and third-degree burns on the dorsal (back) forearm and hand. Which splint would be appropriate for this client?

Answer 9

Intrinsic plus splint also referred to as an antideformity splint or a safe position splint.

Puts the MCP joints to be splinted in 70°–90° of flexion to prevent clawing of the fingers and shortening of the tendons and ligaments.

Question 10

Festinating Gait

Answer 10

small, rapid steps resulting from a forward-tilted posture of the head and trunk; seen in Parkinson’s disease

Question 11

Sensorimotor Approach to Handwriting

Answer 11

includes the incorporation of a variety of sensory experiences, different media, and novel instructional materials during a handwriting intervention session.

May also include different writing tools, writing surfaces, and positions for writing.p

Question 12

Modified Ashworth Scale

Answer 12

measure of spasticity

Question 13

Trigger Point Evaluation

Answer 13

a measure of localized soft-tissue pain

Question 14

ROM After Radial Head Fracture

Answer 14

client will regain wrist ROM before elbow ROM, because elbow stiffness is the most common complication after elbow injury.

Question 15

A COTA® is working with a client who has a diagnosis of obesity and is considered bariatric. What key issue must the COTA consider when fitting the client to a wheelchair ?

Answer 15

The center of gravity of a person who is considered bariatric tends to be more forward than that of a nonbariatric person. Many wheelchairs have the axle on the rear wheel. When working with a bariatric client, it is important to have an axle that moves to accommodate the shift in the center of gravity.

Question 16

What is the BEST suggestion that a COTA® might provide to a caregiver who is living with a client who has Alzheimer’s disease (AD)?

Answer 16

Providing structure to unoccupied time is an important consideration to prevent behavior problems and maintain QOL.

Question 17

A COTA® continues to work with and charge for services with a client after all goals are met and there is no further need for occupational therapy services. Which Occupational Therapy Code of Ethics (2015) principle best describes this situation?

Answer 17

Beneficence hold personnel accountable to integrity for goals related to treatment.

“Occupational therapy personnel shall terminate occupational therapy services in collaboration with the service recipient or responsible party when the services are no longer beneficial.”

Question 18

A COTA® is working with a client who presents with lateral epicondylitis secondary to the leisure occupation of playing tennis. In the final 2 or 3 OT visits, what treatment intervention would be the most appropriate?

Answer 18

To prevent future flare-ups, progressive resistive exercise should be initiated at the end of therapy visits when the lateral epicondylitis has subsided.