Prep for Exit Exam #1 (Pre-Assessment)
An OTA serving on the board of her local historical society has been made aware that a complaint has been filed against an iconic historic home open for tours because the entrance is not wheelchair accessible. The complainant requests that a ramp be installed at the front entrance of the home. What information can the OTA give the board about the best response to this complaint?
he ADA requires historic sites to provide accessible entrances but alternate entrances may be used if changing the front entrance of the site alters the historic significance of the site
What is the next developmental step for a 14-month-old toddler who has just mastered scooping food and bringing it to his mouth?
The next developmental step would be to drink using a straw.
Using the The Functional Independence Measure (FIM™) to assess a patient's level of disability, the patient is able to complete 75% of an ADL task. What FIM score does this correlate to?
4 -Minimal Contact Assistance.
What does the Biomechanical FOR assume? Select the 3 best answers.
-Purposeful activities can be used to treat loss of range of motion (ROM), strength, and endurance. -After ROM, strength, and endurance are regained, the patient automatically regains function. -First, the body must rest to heal itself.
A patient who has been diagnosed with COPD complains of shortness of breath while walking up stairs, and performing her grooming routine and household chores. Which subjective information would the OTA document in their SOAP note, which would indicate to the OTA that this patient needs further education regarding her disease?
"I wake up in the morning and rush to get my clothes on, wash my teeth, and make breakfast. Then I am exhausted"
An OTA is treating a patient who dislocated his hip three days ago. The primary goal of the treatment session is to ensure that this patient adheres to precautions during functional mobility and self-care tasks, to prevent injury. What are the 3 most useful types of adaptive equipment the OTA should recommend to this patient, which would reduce his risk of injury? Select the best 3 choices.
-Bedside commode -Raised toilet seat -Shower chair with grab bars
An OTA working in an outpatient clinic has been asked to provide in-service training on injury prevention to the employees of a local warehouse. What topics would be appropriate for the OTA to address during her presentation? (Select the best 3 choices.)
-Body mechanics during lifting and carrying -Joint protection techniques -Stress management techniques
When applying for "medically necessary equipment" which will be used by a patient at their home to help them perform their ADLs, which of the following Durable Medical Equipment (DMEs) would be covered by Medicare? Select the best 3 answers.
-Commode chair. -Hospital beds. -Patient lifts
When applying for "medically necessary equipment" which will be used by a patient at their home to help them perform their ADLs, which of the following Durable Medical Equipment (DMEs) would be covered by Medicare? Select the best 3 answers
-Commode chair. -Hospital beds. -Patient lifts.
An OTA is working with a patient with mild vision loss. One of the goals for this patient is to read while sitting in a recliner in their living room. What three interventions would be BEST to introduce with this patient? Select the best 3 answers.
-Enlarged font. -Magnification. -Auditory recordings
What are some of the most common suspected causes of spina bifida? Select the 3 best answers.
-Environmental factors, such as exposure to harmful substances. -Poor maternal nutritional intake. -Insufficient intake of folic acid during pregnancy.
Violet is a 93-year-old female with multiple medical diagnoses who lives in a long-term care facility. She has developed a stage 3 pressure ulcer on her right buttock which is being treated by physical therapy. What treatment techniques should the COTA® provide to assist in the healing of this ulcer? Select the 3 best answers
-Incorporate weight-shifting techniques into morning ADLs. -Issue a gel cushion to the woman for use in her wheelchair. -Work with the activities department to include the woman in Wii© Sports games during the day.
An OTA is devising an intervention plan for a patient in the intensive care unit who recently sustained third degree burns to 70% of her body. What treatment techniques should the OTA incorporate into her intervention plan, at this stage of the patient's recovery? Select the 3 best choices
-Positioning -Compression wrapping for edema control -Passive and active range of motion activities as the patient will tolerate
George, a 68-year-old male who recently had a left Ischemic CVA attends regular occupational therapy as a part of his rehabilitation program. George presents with poor trunk control and as a result, he has an asymmetrical posture (leans to his right side) and poor sitting balance. How can the OTA address George's seating during therapy sessions? (Select the best 3 choices.)
-Practicing a correct sitting posture in front of a mirror -Use handling techniques to make sure George's posture is correct before initiating activity -Using dynamic weight-shifting during reaching tasks to practice trunk control during weight shifting
A 55-year old housewife and mother of 4 adolescent children has COPD. She reports fatigue and a Borg rating of 3/10 for moderate breathlessness which interferes with her ability to complete her morning routines. Her goal is to improve her endurance so that she can make breakfast for her children before they leave for school. Which techniques would be beneficial to teach the patient to use for supporting this goal? Select the best 3 choices
-Pursed lip breathing technique. -Positioning techniques. -Diaphragmatic breathing
You are running a topical group to educate patients on "What to Look for in RA-Friendly Devices". What are the 3 most important properties to consider when purchasing any product for the kitchen? Select 3 best choices.
-Put safety first. -Consider the benefits of texture. -Avoid anything heavy.
An OTA working in the field of cardiac rehabilitation is asked to give a presentation on her role in the unit. What are the 3 most important aspects about her role that she should include in her presentation? Choose the best 3 answers.
-Recommendations about pacing and energy conservation. -Provision of equipment and self-help aids. -Assessment of performance in ADLs.
An OTA is working in a rural community hospital with a 72-year-old male patient who recently fell and fractured his right hip. When working with this patient, which tasks adhere to the principle of Beneficence? Select the 3 best answers.
-Referring to an optometrist when the elderly patient begins to have trouble reading a newsletter about "home safety" -Terminating therapy when the patient's insurance coverage no longer covers it. -Incorporating therapeutic practices that are evidence based and are in lined with the patient's goals.
What level of assistance would you expect to provide to a person with a C5 spinal cord injury? Select the 3 best choices.
-Set-up help and use of universal cuff for grooming tasks. -Minimal to moderate assistance with upper body bathing with use of a sponge mitt. -Total assist with home management.
A 28-year-old nursing student was recently admitted to the hospital for vertigo, secondary to early stage cancer. The patient is able to independently and safely complete all her ADLs but as she lives alone in a two-story house, she will benefit from using adaptive equipment at home. What types of adaptive equipment would be appropriate to recommend to this patient ? Select the 3 best choices.
-Stair lift - Grab bars in kitchen, stairway, bathroom, and walkways -Walking aid.
An OTR® has asked a COTA® to help prepare information for a patient's monthly care plan meeting. What actions can the COTA® take to help prepare for the meeting? Please select the best three answers.
-Take range of motion measurements using a goniometer. -Write a progress summary that includes objective information. -Administer a standardized test that the COTA® has been trained to administer by the OTR®.
An OTA is working with a patient who has recently been diagnosed with COPD. The focus of the session is on establishing a routine for the patient's ADLs, incorporating appropriate energy conservation techniques. What is the BEST strategy the OTA should recommend to help this patient remain independent in bathing?
-Use a shower chair -Use warm water from a handheld shower -Use pursed lip breathing -Exhale on exertion
A patient who has been diagnosed with AMD (Age-related Macular Degeneration) is having difficulty applying her make-up in the mornings. She completes her morning ADL routine in her bathroom which is lit by a large central fluorescent light, and when applying her make-up, she uses a standard mirror which hangs on the wall. In terms of lighting, which adaptations are the MOST appropriate to recommend to this patient, to improve her efficiency when applying her make-up? Select the best 3 answers.
-Use non-glare bulbs. -Avoid using fluorescent lighting -Use lighting on a flexible arm
Wanda is a 72-year-old woman with Parkinson's Disease who attends regular outpatient occupational therapy. What specific strategies can the OTA use to facilitate improved movement and participation during Wanda's sessions? (Select the best 3 choices.)
-Visual cues - Rhythmic cues -Visualization
An OTA working at an in-patient psychiatric unit, is planning a topical group for patients with schizophrenia. What type of environment would be optimal for this group?
. Quiet and structured
At what age does a toddler typically begin to scoop food with a spoon and bring it to their mouth?
15 to 18 months.
A patient who works as a janitor at a local school recently had a MI. His work duties include washing windows, mopping floors, and vacuuming. What MET level does the patient need to reach before he is allowed to return to work?
3.0-4.0 MET's
According to the National Institute for Occupational Safety & Health (NIOSH) guidelines, what is the maximum weight an OT practitioner should handle before using a lift to assist with patient handling becomes necessary?
35 lbs.
A fish supply company is remodeling their store and are consulting with an OT practitioner to find out what the maximum height their serving counters can be so that they can accommodate people in wheelchairs. What is the maximum height for a counter top according to ADA Guidelines?
36"
An OTA is working with a patient who sustained a proximal humerus fracture, from a fall. As the fracture was a displaced fracture, an ORIF (Open Reduction and Internal Fixation ) surgical procedure was performed. When can the patient start performing isometric exercises?
6-8 weeks post surgery.
A patient was recently admitted to acute care after acquiring a full-thickness burn to both upper extremities. How long after having a skin graft, can this patient's AROM be assessed?
7-10 days post-op.
At what age does the Symmetric Tonic Neck Reflex (STNR) start to become integrated?
8-12 months.
A home health OT is working with a 82 year old patient who was recently diagnosed with CHF (chronic heart failure). The patient has stated that he wants to modify his home to help him conserve energy , and finances are not an issue. Which type of assistive device would be the most appropriate to recommend in this situation?
A environmental control unit
An OT practitioner is working with a child who has CP, in a school setting. To enable this child to sit on the floor and play games with his peers, what type of adaptive seating should the OT practitioner recommend?
A floor sitter
A fourth-grade student with cerebral palsy is unable to use his hands to access a computer keyboard. What assistive technology device should the OTA recommend FIRST to help the student access the keyboard independently?
A head pointer.
A patient with Muscular Dystrophy contacts the OTA to ask for assistance with his work as Data Capturer. He is having great difficulty typing on his PC which is negatively impacting on his work performance. What type of adaptive keyboard would be most useful to recommend to this patient?
A light touch or soft touch keyboard
A woman with a diagnosis of generalized weakness is unable to wash her back or lower extremities while taking a shower. She cannot lift her arms to reach around to her back and every time she attempts to bend to wash her feet she becomes dizzy. What piece of adaptive equipment would be best for the OTA to recommend to help the woman with bathing?
A long-handled sponge with an angled sponge head
Sherry is a 42-year-old woman with a C5 spinal cord injury. What adaptive feeding equipment should the OTA train Sherry to use in order to enable her to be independent in self-feeding?
A mobile arm support.
An OTA is working with a patient who has been diagnosed with fibromyalgia. During a home visit, the patient reports that her greatest challenge has become performing her household tasks such as: cleaning, vacuuming and changing bed sheets, due to her constant pain and fatigue. In order to help this patient cope with her limitations, what OT intervention is most appropriate?
A schedule designed to provide a balance of work, rest and leisure needed for optimal symptom management
A patient with a diagnosis of Parkinson's disease wants to feed herself, but her tremor prevents her from getting the food to her mouth. What adaptation should the OTA recommend in order for the patient to be more independent with self feeding?
A swivel spoon
Anton is a 7th grade student with a diagnosis of severe cognitive impairment and generalized hypotonia. He is non-verbal, prompt dependent, and has poorly developed motor skills. When Anton eats lunch at school, he holds a spoon with his fingertips. He is not able to manipulate the spoon to position it in order to scoop food, and he requires hand over hand assistance with this task. He also displays tremor-like movements as he brings the spoon to his mouth, often spilling food on his shirt. What type of adaptive equipment would help Anton become more independent in feeding himself at school?
A swivel spoon
A COTA® is working with a 70 year-old male patient who has Parkinson's disease. The focus of the session is on toileting, specifically transitioning from sitting to standing and managing clothing during this task. Currently, the patient requires maximum assistance for sit-to-stand. As the patient stands up, the COTA® notices that the patient's trunk and hips are not in alignment with his base of support. What should the COTA® do next?
A. Carefully guide the patient back down onto the wheelchair/toilet.
This reflex is present in utero and typically integrates by 6-7 months of age. It is an important reflex that needs to be integrated for separating head and arm movements. If a child has not integrated this reflex, they will typically rest their head on their non-dominant hand and simultaneously straighten the leg on their dominant side when writing. Their head also tends to lean to one side when they are writing. Which reflex is being described?
ATNR
An OTA instructs a patient to place his hand behind his head and then reach as far down his spine, as possible. What type of shoulder range of motion is this an example of?
Abduction and External Rotation
An COTA® is working with a group of 8 elderly patients in an adult day care program. The COTA® is planning on taking the group on an outing to a local restaurant. This restaurant is very popular especially during mid-week lunch hour. Many of the patients have difficulty hearing. As the host is about to seat the patients, the COTA® approaches the host to make a request. What is the MOST APPROPRIATE request the COTA® should make in order to promote socialization during the meal?
Ask the host to seat them at a round dining table versus a long dining table
An OTA is working with an overweight patient who appears to be extremely tired and lethargic. When asked to perform a physical task, he seems to lack energy and he is unable to complete the task. What term best describes the patient's state?
Anergia
With which type of patient is it appropriate to use the MOHO?
Any patient of any age who is experiencing problems in their occupational life
A patient who recently had a right CVA has been admitted to an inpatient rehabilitation unit. During upper body dressing, he demonstrates leaning to one side and neglects dressing the left side of his body. What is this an example of?
Asomatognosia
Although a 78-year-old man who has been diagnosed with RA is mostly independent, he requires the safety and security of 24-hour support and access to care if needed. He also needs help with his IADLs especially preparing meals, general housework, and laundry. For mobility, he uses the aid of a 4-wheel rolling walker and is able to perform most of his BADLs independently. Which facility should the OT recommended for this patient?
Assisted living facility
When walking outside in the sunlight, a patient puts her hand in her purse to find her sunglasses without directly looking inside her purse. If she is unable to find her sunglasses with her vision occluded, what is the condition called?
Astereognosis
Stacy has just been admitted into a skilled nursing facility after experiencing complications following a recent total knee replacement. The OT and OTA enter her room in order to conduct an initial evaluation. Upon entering the room, Stacy states "I do not want OT services, please leave". Despite the patient's request, the clinicians return multiple times throughout the day attempting to persuade Stacy to accept their services. Which principle are the clinicians MOST LIKELY violating, in this scenario?
Autonomy
After screening a patient with Dementia using the Allen Cognitive Level Screening tool, the OT determines that the patient is functioning at level 5. What would be the best treatment intervention for this patient?
Baking a cake Global cognition is mildly impaired
A patient who has an acute injury for which surgery is not indicated goes to his bathroom and notices that his wife has placed the mouthwash on the upper shelf in the bathroom cabinet. Reaching for the bottle would involve having him flex and abduct his shoulder, and extend his elbow. The patient has however been informed that this action is contraindicated for his type of injury. What injury is this patient likely to have?
Brachial Plexus Injury
A patient who presents with arthritic deformities in her hands is unable to grasp a fork due to these deformities. How can this patient's fork and other eating utensils be adapted to enable her to grasp and use them more effectively?
Built up handle or foam tubing
A patient who was recently admitted to hospital with a diagnosis of Guillain-Barre Syndrome has been referred to OT. The patient is being ventilated and has muscle weakness at Poor Minus in her upper limbs and paralysis of her lower extremities. What would the focus of treatment be, at this stage?
Caregiver education on: -Passive range of motion -Positioning -Training in low-tech assistive devices
A 12-year-old boy sustained an epiphyseal fracture of his left proximal humerus after falling from a tree. The boy's doctor has ordered physical agent modalities as a part of his occupational therapy treatment. Which modality is the safest for the OT to use for this type of injury?
Cold pack
A level-entry OTA who recently received their license is working at an assisted living facility. What job task can the OTA complete without close supervision?
Complete a medical chart review
Scarlet is a 16 year old girl who has lost her hearing due to a progressive neurological condition. What advice can be given to Scarlet's mother regarding improving Scarlet's ability to communicate with others via telephone?
Contact the local phone company for information on telecommunication devices for the hearing impaired.
Mr. Smith, a 62-year-old patient who has been diagnosed with secondary-progressive MS, has recently been admitted to an inpatient rehab facility due to an exacerbation of his MS. He lives with his spouse who is also his primary caregiver. In terms of assistance, Mr. Smith has only needed minimal assistance for transferring to and from his power scooter which he has been using for in-home and community mobility. Lately however, he has had a significant decline in his function and currently needs moderate assistance for his BADLs, bed mobility, and transfers. To ensure that the patient's wife will be able to cope with taking care of her husband's needs once he is discharged, what is the best way to prepare her for this transition?
Coordinate with the caregiver, to establish a schedule for her to participate in the patient's therapy sessions
Linda, an inpatient at a mental health facility who has been diagnosed with Major Depressive Disorder, is being seen by a COTA® for intervention. Linda was evaluated by the OTR® and this will be her first interaction with the COTA®. Which initial activity would address the goal of increasing Linda's sense of mastery and develop leisure interests?
Creating a mosaic tile, using a template
Layla is a 60-year-old woman with early stage diabetic retinopathy. What home modifications should the COTA® recommend during this stage of Layla's OT intervention?
Help Layla clear the clutter from her main hallway
When does the discharge planning process begin for any patient who has been referred for OT services?
Day 1
Your patient refuses to admit that she has anorexia and believes that she eats a proper amount every day. What type of thinking is this an example of?
Denial
An OTA works in the outpatient department at a local hospital. In order for the OTA's 42-year-old female patient to get maximum reimbursement from her insurance company, what information should the OTA include in the treatment report?
Details of the skilled services that were provided during the patient's treatment intervention
A 67-year-old man who has recently been diagnosed with glaucoma is receiving OT services. The patient lives independently and he has stated that he wants to continue living an independent life in his own home. In his spare time, he directs a choir at his local church, usually twice a week. His ability to read the music book while on the podium has, however, become very difficult for him due to the reflective glare from the glossy pages of the music book. Which adaptation would be MOST BENEFICIAL for helping him cope with his visual difficulties, while supporting his participation in his preferred leisure activity?
Direct a lamp from behind the patient's shoulders while he is reading the music from matte sheet music paper.
An OTA is conducting a home health session with a patient who has stage 2 Parkinson's Disease and Glaucoma. The patient reports that he spends most of the day watching television in his recliner, in the family room.The OTA observes that the patient is having difficulty seeing the TV clearly. She notices that the blinds on the windows are down and that there is only one table light on the table. The OTA recommends raising the blinds for natural light and increasing the artificial lighting in the room. The patient is not interested in following th
Discuss alternative solutions to increase lighting in the house
What action should OTA take if they see a patient who has been admitted for heart disease, indulging himself with a large order of fries, soda, and a hot-fudge sundae?
Document and contact the physician
Which splint is typically used for a patient who has a Flexor Tendon Injury?
Dorsal Blocking Splint
Using the compensatory approach, what is the best intervention for a patient who wants to perform lower body dressing following a RCVA?
Dress your left side first
Sarah is an 89-year-old woman with a diagnosis of generalized weakness. She is unable to put up her long hair or to don her stockings. Sarah follows the Pentecostal faith and refuses to cut her hair or to wear pants. The OTA trains Sarah to use a long-handled brush and stretchy elastic hair ties to put up her hair and a stocking aide to put on her stockings. What frame of reference is the OTA using as she provides these adaptations to Sarah?
Ecology of human performance.
An OTA is facilitating a wellness group for individuals who have multiple cardiac risk factors. One of the goals of the group is to help the participants learn methods for enhancing their occupational performance. What information should the OTA include in the group sessions to support this goal?
Educate the patients on lifestyle modification strategies
An OTA is working with six patients in the inpatient unit at a local hospital. All six patients have anxiety . Which method represents a cognitive-behavioral therapy (CBT) approach that the patients can use to effectively manage their anxiety in daily living?
Educate the patients on ways to replace distorted thoughts and fears with positive ones
A home health OTA is working with a 82-year-old patient who has been diagnosed with CHF. The focus of the session is on energy conservation and the patient is interested in making home modifications. He is specifically interested in high tech adaptive equipment. What is the most useful adaptive equipment for this patient?
Environmental control unit
An OTA is working with a group of female teenagers with the goal of developing their self-esteem. For 4-weeks, the group meets in an outpatient mental health facility twice a week. The OTA aims to promote a certain level of independent functioning and decision making among the group members by selecting the activity with the members and sharing the responsibility of the group process with them. What type of leadership is required for this group to be MOST successful?
Facilitative Leadership
An OT Practitioner is working with a 4-year-old child who was born with Spina Bifida Myelomeningocele. At this stage, the main goal of OT intervention is to teach this child the skill of self-catheterization. What type of activities would be the MOST important to incorporate into the therapy sessions to help this child achieve their goal of independent self-catheterization?
Fine motor activities
What type of burn affect only the epidermis?
First-Degree Burn
An OT is evaluating a teenager who recently sustained a complete injury to her brachial plexus. The patient has been searching the internet for answers related to her diagnosis and prognosis. She is desperate to find a way to gain some function in her affected arm and asks the OT for her help. What type of splint can the OT recommend for this patient?
Flail Arm Splint
A patient has sustained an injury to his right hand due to a knockout punch, at a recent boxing match. After an extensive evaluation of his injuries, an ulnar gutter splint made of thermoplastic material was fabricated and fitted along his right forearm, wrist, and digits 4 and 5. During a follow-up visit, after 3 days of wearing the splint, the COTA® notices redness over the ulnar head. After inspecting the patient's skin to make sure that his skin is intact and there are no signs of an ulcer forming, what action should the COTA® take?
Flare the edge of the splint over the bony prominence using a heat gun
An OT working in a hand clinic, is assessing a patient who has been referred to her for intervention. As part of her evaluation. she tests for the Froment's sign. What does Froment's sign test ?
Froment's sign tests for the action of adductor pollicis, which is weak with an ulnar nerve palsy
An OT practitioner is working in the school system with a student who has a developmental delay. The OT practitioner asks the student to hold a regular crayon and observes the student holding the crayon in a static tripod grasp. What is the BEST intervention to incorporate into the NEXT treatment session?
Give the student a smaller crayon (crayon that's been broken in half).
When reviewing a patient's medical chart, the OTA notices that the patient has abnormally high intraocular pressure. What is the patient's medical diagnosis, based on this information?
Glaucoma
Currently a patient is able to throw a slightly weighted ball overhead. What MMT level is this patient functioning at?
Good (Level 4)
An OTA is performing a manual muscle test on a patient who is recovering from a brain aneurysm. The patient is able to move his arm through all planes with no assistance. However, when the OTA asks the patient to hold his arm straight in front of him while she applies pressure downwards, the patient is unable to maintain his arm position. When the OTA asks the patient to lift a 2-pound dumbbell off a table, the patient is unable to do so. What muscle grade should the OTA give to the patient's arm strength?
Grade 3 (fair)
From the activities listed, which activity would a patient with an ulnar nerve injury, find difficult to manage.
Gripping a pillow
A 59-year-old carpenter who has been diagnosed with Fibromyalgia, has been referred for chronic pain management. Which of the following is a valuable mindfulness technique that can be taught to the patient, to help him manage his chronic pain?
Guided meditation
A patient is being treated in a hand therapy clinic following an amputation of his 4th and 5th digits, as a result of uncontrolled Diabetes Mellitus. The goal of OT intervention is to address the patient's pain and help him regain function. The patient has been motivated to participate in OT and has been following a home exercise program. Recently, however, the patient's attendance has been erratic and the COTA® has noticed that he appears to be depressed. Based on this information, what is the NEXT step the COTA® should take?
Have a discussion with the patient about your observations and concerns
A year ago, a 55 year old female patient was diagnosed with Primary Progressive Multiple Sclerosis. Recently, the patient contacted the COTA® to ask for assistance as she is having difficulty getting dressed in the morning. The lengthy time it takes for her to dress is having a negative impact on her daily life as she has frequently missed her transport and consequently she has been unable to attend many of her scheduled appointments. For mobility, the patient uses a manual wheelchair in the community and a rolling walker in her home. What is the FIRST action the COTA® should take, in order to help this patient with her dressing?
Have a discussion with the patient to further explore her difficulties and to identify factors that may be influencing her ability to pace herself when dressing.
An OTA is using the Brunnstrom approach while working with a patient who is recovering from a right CVA. The patient must stand up from an armchair to pull up his pants. What facilitation technique should the OTA use to help the patient push up from the chair using both arms?
Have the patient push on the chair with his unaffected arm while the OTA taps on the triceps of the affected arm to elicit a response
An OT practitioner is attending a 2-hour lecture on the importance of sleep for ADLs. How many CEUs will be earned?
If the OT practitioner attends a 2-hour lecture, the OT practitioner will receive .2 CEUs.
When should you recommend that a patient move to a long-term care facility?
If the person requires 24-hour personal care and does not require skilled nursing care.
After treating an elderly patient in an outpatient clinic, the patient stands up to thank the female OT practitioner for the session and then proceeds to kiss the OT practitioner on the lips. In this scenario, how should the OT practitioner respond?
Immediately let the patient know that his behavior makes her uncomfortable and oversteps professional boundaries
A patient who works as a custodian at a local high school has recently been diagnosed as having a nondisplaced distal radius fracture of his right-dominant upper extremity. Symptomatically, the patient has been complaining of having "wrist and finger tightness" which has been making it difficult for him to perform his janitorial duties such as lifting chairs and mopping floors. How can the OTA incorporate the biomechanical approach into the patient's first intervention, to help him with his job tasks?
Incorporate gentle range of motion exercises to increase strength.
After a PTSD relapse, a patient has recently been re-admitted to an inpatient psychiatric unit. From an OT point of view, what is the BEST type of intervention the OT should implement?
Initiate a schedule of daily meditation and yoga Relaxation
A patient has recently been admitted to acute care for second and third-degree burns on the dorsal surface of his forearm and hand. Which splint would be appropriate for this patient?
Intrinsic plus splint
What exercise is best to recommend to a patient who needs to maintain strength when active motion is not possible or is contraindicated?
Isometric exercises
A COTA® is due to renew her State License. How many continuing education units (CEUs) do they need to accrue during a renewal cycle, in order for their license renewal to be approved?
It depends on the licensure requirements of the state where the OTA lives.
An OTA is working with a child who has generalized hypotonia in the classroom. As part of her intervention, the OTA suggests placing a balance disc on top of the student's seat. The teacher asks the OTA how using a balance disc will benefit the student. How should the OTA respond to this question?
It improves core stability and posture
What would be the best action for an OTA to take if her patient begins to slip while she is assisting the patient with a commode-to-bed transfer?
It would be best to ease the patient to the floor, then get assistance
An OT is working in a newly established medical rehab department and sees several employees from an organization reviewing the quality of care in order to provide accreditation. What organization are these employees MOST likely from?
Joint Commission
Jonathan, a 19-year-old male who lives with his mother in a single-story house, sustained a T10 SCI when he was accidentally shot while handling a firearm. It has been 6-months since Johnathan was injured and he is finding propelling his manual wheelchair increasingly challenging due to a chronic shoulder injury which he sustained in high school from a baseball injury. Based on the PEOP FOR, which factors are considered to be environmental factors, when addressing Johnathan's need for a power wheelchair?
Jonathan's power wheelchair and his relationship with his mother
A 23-year-old patient was recently admitted into a mental health group for PTSD. Upon observation, the patient listens to other group members speak about their diagnosis, but the patient does not communicate throughout the session and does not engage in the OT activity. How should the OT help this patient participate in the next session?
Let the patient know he is welcome to participate in the conversation when he is ready.
A patient is able to sit down, stand up, walk, and perform gross motor movements. He may however wander off if left unsupervised. At what ACL level is this patient functioning?
Level 2
An OT conducts a screening of a 71-year-old patient who recently sustained a traumatic brain injury. The OT observes the patient turning his head towards the TV when it is on. He is often awake for short periods throughout the day, and he is able to squeeze the OT's hand when instructed to. At what Rancho Los Amigos level is this patient functioning?
Level 3 (localized responce)
If a patient who is recovering from a TBI is able to follow a set schedule and follow a self-care routine independently, at what Rancho level is he functioning?
Level 7: Automatic and Appropriate
An OTA is treating an inpatient who recently sustained a TBI. The OTA uses the following strategies during her intervention: She limits the noise level around the patient, she asks him to perform only simple tasks and she answers his questions with short and simple sentences. At what level on the Rancho Los Amigos Scale is this patient currently functioning?
Level V - Confused, Inappropriate, Non-agitated Response.
What activity would be best to incorporate for a 15-year-old with Down Syndrome exhibiting poor motor planning and gross motor incoordination?
Line dancing
An OTA is working with a 75-year-old female patient who has RA. As a result, she has difficulty bending down to pick up objects from the floor. She also enjoys playing a game of tossing bean bags into a hole, with her grandchildren, and is no longer able to participate in the game due to her limitations. What type of adaptive equipment would be best to recommend to this patient?
Long-Handled Reacher
What type of wheelchair should be recommended FIRST to a patient who has a C6 spinal cord injury?
Manual Wheelchair
An OTR® asks the COTA® to assist in preparing for a patient's care plan meeting. Which task is the COTA® permitted to perform for this meeting?
Measure the patient's active ROM using a goniomete
Asking a patient with a suspected peripheral neuropathy to make an "O.K." sign is used as a quick screening to assess which nerve?
Median
You are working with a patient with cognitive dysfunction in inpatient rehab. What psychological assessment will provide you with a quick screening test of cognitive functioning?
Mini-Mental State Examination
This picture is illustrating a reflex which is present from birth and becomes integrated by 6 months of age. What is this reflex called?
Moro Reflex
A 6-year-old student with Diplegic Cerebral Palsy is in the process of transferring schools as she and her family have moved to a different state. She is non-ambulatory, and uses a powered wheelchair for mobility. As the student's new OT, which area of occupation should be a priority to focus on during the INITIAL evaluation?
Motor skills for managing clothing during toilet transfers
From the list of FORs listed below, which FOR is the MOST appropriate to use when working with a patient who is recovering from a traumatic brain injury?
Neurodevelopmental Treatment (NDT)
An OTA working in the inpatient rehabilitation clinic observes a co-worker working in the kitchen with a patient who is recovering from a head injury. The co-worker steps out of the kitchen to take a phone call and leaves the patient stirring food in a pan on a hot stove. The patient appears to be unsafe. This action violates which Code of Ethics' principle?
Nonmaleficence
What type of information should be included in the O portion of the SOAP note?
Objective data that measures progress
An OT is using the Semmes-Weinstein Monofilament Examination to test a patient's sensation in his right hand. After resting the patient's hand on a stable and padded surface, what is the next step, the OT should take?
Occlude the patients vision
An OTA is leading a cooperative group for adults with reactive depression secondary to newly acquired physical disabilities. What is the OTA's main role in this type of group?
The OTA acts as an advisor and shares responsibility for the group with the group members
An OTA is working with a patient who is currently functioning at Level V (Confused-inappropriate) on the Rancho Los Amigos scale. The focus of therapy is on improving this patient's efficiency in self-feeding. The patient has been served a plate of food with a variety of different foods. He however, appears disorganised and takes much longer to finish his meal than is expected. How can the OTA help the patient achieve efficiency in self-feeding?
Only give the patient one food type at a time.
When working with a patient who has been diagnosed with complex regional pain syndrome, what aspect of OT intervention should the therapist focus on initially?
Pain.
A 16-year-old female who has been diagnosed with anorexia nervosa has recently been admitted to the inpatient psychiatric unit for intervention. As part of a multidisciplinary program, the patient has been participating in a social skills group. When documenting the patient's participation and progress, using the SOAP format, what information should the OTA document under the "A" section?
Patient appears to use appropriate judgement when role-playing various tasks that involve social skills
A patient in an inpatient mental health facility is working on a mosaic craft activity. The therapy room is crowded, and the patient clearly has difficulty concentrating and problem-solving, and he is becoming visibly upset. What environmental modification would be BEST to help this patient focus his attention on the task at hand so that he can complete his project?
Perform the activity in a quiet, separate area within view of the therapist
A 67-year-old male patient has moderately low vision secondary to macular degeneration. One of the patient's goals is to make a Thanksgiving dinner for his entire family. What is the MOST important client factor to consider when working with this patient?
Peripheral Vision
Hunter is a 5th grade student with a diagnosis of ADHD who has trouble keeping up in class. His teacher reports that Hunter always requires directions repeated, has difficulty taking notes during lessons, and never finishes assignments during independent work time. The OTA recommends to the teacher that directions be written on the classroom board, that outlines of lesson notes be provided, and that Hunter be given a quiet, distraction-free place to complete his assignments. What frame of reference is the OTA using when making these recommendations?
Person, Environment, Occupational Performance
A patient has diabetes and recently had a lower extremity amputation. After the surgery, the patient reports feeling the presence of the limb and itching of the amputated limb. What is this patient experiencing?
Phantom Sensation
An OTA is working with a 7-year-old boy who has Down Syndrome. One of the therapy goals is to improve the boy's fine motor skills, specifically his in-hand manipulation. What activity would achieve this goal?
Place 3 coins in the child's hand and ask him to post the coins into a piggy bank, one coin at a time
Ethel has severe osteoarthritis in her neck and shoulders. She lives alone in her own home and is independent with most activities, but she has trouble reaching into the upper cupboards of her kitchen to retrieve dishes. What adaptation could the OTA recommend to help Ethel access her dishes?
Place frequently used dishes on the countertop
The current focus of OT intervention is on developing grasp and release techniques with an 8-year-old boy who recently had a right upper extremity prosthesis fitted. The goal is to facilitate self-feeding so that he can regain his independence in this ADL. What is the BEST position for the prosthesis to be placed, in the initial stages of his prosthetic training?
Position the child's elbow at 90 degrees of flexion and the shoulder at 0 degrees of internal rotation
The use of your hand to manipulate objects is described by which of the following terms?
Prehension
An OT practitioner is working with a patient who is recovering from a CVA. The patient has identified meal preparation as a main goal they want to work on in OT. The patient has successfully learnt to prepare a bowl of cold cereal. Which activity is the BEST to incorporate into the NEXT session?
Prepare a hot beverage, soup, or heat a prepared dish
What is the purpose of a compression garment ?
Prevent re-accumulation of fluids post retrograde massage
An OT practitioner is working with a group of teen moms with the goal of educating them about ways to stimulate their babies in order to promote their babies' development. Which level of prevention is being described in this scenario?
Primary prevention
A COTA® enters a patient's room to complete morning ADLs. She walks in on the social worker, who is taking goniometer measurements of the patient's right arm. When the COTA® asks the social worker about the measurements, the social worker replies that she is working on discharge-planning for the patient and wants to know about her right arm function. She states that she needs up-to-date, specific measurements for her report. How should the COTA® respond?
Proceed with the patient's ADL session and discuss the incident with the OTR® immediately following the session
A COTA® enters a patient's room to complete morning ADLs. Upon entering the room, she sees the matron taking goniometer measurements of the patient's right arm. When the COTA® confronts the matron, she replies that she is updating the patient's medical records and wants to know about the patient's right arm function. The matron states that she needs up to date, specific measurements for her records. How should the COTA® respond?
Proceed with the patient's ADL session and discuss the incident with the OTR® immediately following the session.
An OTA is working with a patient who has low vision in her 2-bedroom single story house. What intervention should the OTA try to incorporate first when working with this patient?
Provide a dark colored bath mat on a white tiled bath floor
A patient who presents with early stage dementia is working with the OTA on grooming. During the activity, the patient becomes confused and does not know which items to pick up and use first. What is the BEST way to help this patient with selecting and using the correct items in the appropriate sequence?
Provide a visual chart.
Before a patient who is recovering from a knee replacement is discharged from the hospital, the OTA meets with this wife to discuss strategies to help with his dressing. The patient's biggest challenge is performing lower body dressing. The patient lives with his wife in a one bedroom apartment, and she has agreed to assist him with dressing and some other tasks. What is the first step the OTA should take in order to make sure that the patient's wife is capable of assisting her husband at home?
Provide caregiver training for his wife and evaluate her ability to perform lower body dressing on the patient
An OTA is implementing a treatment plan which has been designed for a specific child who has been diagnosed with tactile defensiveness. During the session, the OTA rolls the child in a yoga mat. What is the reason for this?
Provide deep pressure and proprioceptive input
A patient with Germaphobia becomes extremely anxious when asked to participate in a group activity of pizza-making. How should the OTA react in this situation?
Provide the patient with latex-free gloves
A patient who has been diagnosed with major depression has been experiencing difficulty participating in a daily OT group, in the in-patient psychiatric department. Recently, the patient has started taking antidepressant medication and she has expressed that although she has more energy, she continues to feel depressed. Based on the patients subjective statement, how should the OTA BEST proceed with the intervention session?
Providing structured activities will provide the patient with opportunities for success and provide a task oriented/ goal oriented focus.
An OTA has been working with a 57-year-old patient who has been recovering in an inpatient unit after undergoing a right total hip arthroplasty. The patient wants to practice ambulating to the bathroom with a single-point cane. The OTA is aware that the patient has been placed on partial weight-bearing precautions for the next two weeks and advises the patient to use a wheelchair or a front-wheeled walker instead. With which core value is this scenario associated?
Prudence
An OT is treating a 2.5-year-old child who sustained a traumatic injury to his right dominant arm resulting in a below-elbow amputation. He is currently attending occupational therapy for prosthetic training. What is the most effective activity that the OT can select for the child's first intervention - prosthetic training phase of treatment?
Pushing a large therapy ball towards a target with both his arms
An OTA has formed a co-operative group for adults who have recently been diagnosed with a physical disability and now present with reactive depression. What type of role would be BEST for the OTA to take as leader of this group?
The OTA should act in an advisory role as the group members interact
A 7-month-old baby is observed picking up a cheerio, using a specific type of grasp which is characterized by him using finger flexion and no thumb opposition to scrape the cheerio into his palm. What is this grasp called?
Raking grasp.
At which Rancho level would you place a recent TBI patient who blinks at light, turns towards sound, responds to family members, and whose eyes follow an object?
Rancho Level 3
When working with a patient who has COPD, the focus of OT intervention is typically on energy conservation. When addressing a bathing task, which recommendations would be the BEST to help the patient conserve their energy?
Recommend a shower chair and a terry bath robe
A patient with schizophrenia is engaged in the activity of preparing breakfast with assistance from the OTA. As the patient picks up a cup of juice to take it to the table, he shouts "Look out! It's burning!" The OTA does not see fire or smell smoke. What is the role of the OTA at this point?
Redirect him to the activity.
What should an OTA do if, while in the middle of a scrapbook activity, her patient, a 40-year-old homeless veteran, starts experiencing delusions and believing that the other patients are scheming against him and his family?
Redirect the patients thoughts to reality-based thinking and actions
In the middle of your craft activity, a patient starts experiencing delusions and believes that someone is plotting against them or members of their family. What is the best action the OT should take?
Redirect thoughts to reality-based thinking and actions
A patient with a C5 spinal cord injury needs to learn pressure relief techniques. What pressure relief method should the OTA teach the patient to relieve pressure in bed?
Relieve pressure using an overhead trapeze and attached rope ladder
An OTA has trained a new occupational therapy aide in departmental procedures. Soon after the aide's induction, the OTA notices that the aide leaves a patient unsupervised in the clinic while she transports another patient to speech therapy. This is against the department's policy, but the OTA has never before observed the aide leaving patients unsupervised. What action should the OTA take?
Remind the aide about the department's policy as soon as possible
A patient is attending a group in which several women share their past experiences, life stories, and life challenges with one another in order to gain social support. What is the name of this group?
Reminiscence group
What is the name of the group in which the emphasis is on providing social opportunities for sharing life stories and feelings, expressing pride in past life experiences, and gaining support for past life difficulties, which enhances self-esteem and helps residents achieve acceptance of past and present life?
Reminiscence group
An entry-level OTA is hired to cover another OTA's caseload while she is on maternity leave. As the OTA is not familiar with the patients on their caseload, what should this entry-level OTA do FIRST?
Review the patients' medical charts
Every morning a patient with COPD wakes up at 5am and performs certain tasks in a specific order. He first goes to the bathroom, then washes his face, and then he drinks a glass of water with lemon. How would you describe this behavior?
Routine
An obese patient who is diagnosed with COPD and CHF is told by their doctor to stop eating sugar and fast food. The patient complies with the doctor's recommendation. What type of prevention is this patient demonstrating?
Secondary prevention
According to Rood, what is required for normalization of tone and evocation of desired muscular responses?
Sensory Input
When a harmless, typically non-irritating sensory input elicits a negative or alarmed reaction in a young child, what disorder is this indicative of?
Sensory defensiveness
An OTA has been assigned to work with a 6-year-old student who has difficulty concentrating in the classroom as he is overly sensitive to the lighting in the room and becomes overwhelmed when the other students make a noise. Which frame of reference would be BEST for the OTA to incorporate into this student's OT sessions?
Sensory integration
Fred is an 83-year-old man who recently had a right CVA which has resulted in a left hemiparesis. His left hand is therefore flaccid and he has been issued with a resting hand splint to wear according to a schedule. Fred lives at home with his wife, who brings him to therapy sessions and helps him with his ADLs at home. What action should the OT take to ensure that Fred's splint is effective?
Show Fred and his wife how to correctly don the splint and secure the splint straps
You are working with a 6-year-old girl who has difficulty performing her ADLs due to poorly developed fine motor skills. The focus of this session is on brushing her teeth. You hand the child a tube of toothpaste and instruct her to unscrew the toothpaste lid. What type of in-hand manipulation skill will this child be using for this task?
Simple Rotation
When transferring a patient from the hospital bed to a chair, the patient complains of feeling light-headed and dizzy. What is the FIRST action the OTA should take?
Sit the patient back on the bed and monitor the patient's blood pressure.
A patient who is recuperating from a recent cardiac event, is in Stage 1 of their recovery and is able to safely perform ADLs which expend 1.0 to 1.4 METs. From the list below, which ADL activity is this patient permitted to perform?
Sitting; Self-feeding
A patient had a left transfemoral amputation as a result of a complication from Diabetes Mellitus Type II. He is independent with the use of a wheelchair and will be returning home upon discharge. Which of the following interventions is the BEST example of tertiary intervention with this patient?
Skin care of the residual limb as well as skin and foot care of the right lower extremity
Name the type of grasp one adopts when holding a round object such as a small ball?
Spherical grasp
A 35-year-old airport shuttle driver sustained an injury to his left non-dominant arm resulting in an above elbow amputation. In order for this patient to return to work, what type of adaptation needs to be added to the vehicle?
Spinner knob
An OTA is assigned to work with a 6-year-old student to help him with handwriting adaptations. The student presents with upper limb weakness and currently uses a prone grasp to hold a pencil. Using the remedial approach, which work surface and position would be the MOST beneficial in supporting this student?
Standing upright and writing on a chalkboard.
A 67-year-old female patient who suffered a CVA 4 weeks ago, has reached her maximum recovery and is now functioning at a MIN assist FIM level. The patient is due to be discharged from the hospital in two days and the patient and her family need to make plans for the continuation of her care. In terms of insurance, what will Medicare not cover for this patient after she leaves this in-patient facility?
Stay at a long term care facility
April, a recent COTA® hire, is working with a patient on cooking skills in the OT clinic's kitchen. As the patient walks to the refrigerator, she loses her balance and falls to the ground. What is the FIRST thing that April should do?
Stay with the patient and call for help.
A patient who sustained a head injury as a result of a sports injury, is currently functioning at Level VI (Confused-Appropriate) on the Rancho Los Amigos Scale. The patient is due to be discharged and the plan is for him to go live with his 44-year-old sister. As she works from home, she has agreed to be available 24/7, to help with her brother's care. Before the patient is discharged, what is the most important information the patient's sister should be given to BEST equip her to take care of her brother?
Strategies to use to reduce or prevent caregiver burnout
An OTA is working with a patient who has a diabetic retinopathy on adapting her home, to compensate for low vision. The OTA recommends several low tech and low cost interventions, including increasing the level of lighting in areas where most of the patient's activities occur, clearing walkways and reducing clutter in the common areas in her home. Several weeks later, the patient's disease has progressed, and she is no longer able to read the dials on her stove. What adaptation should the OTA recommend to help the patient safely set her stove for cooking tasks?
Tactile pen marks on common stove settings
At a community clinic an OT is running a group with 8 patients, on wellness and mobility. Two of the patients have Spina Bifida, three of the patients have Spinal Cord Injuries, and three of the patients have Muscular Dystrophy. All these patients use manual wheelchairs for mobility. What should the OT focus on during the first group session?
Techniques to limit upper extremity fatigue from operating a wheelchair
The Person, Environment, Occupation and Performance (PEOP) Model considers how environmental factors influence a person's daily activities and occupations and highlights how changes in the environment can either be facilitators or barriers. Which is the BEST example of an environmental factor which would have a positive impact on the occupational performance of a patient with a high level SCI?
Technology
What is the term for a reciprocal motion of the wrist and fingers that occurs during active or passive wrist flexion and extension?
Tenodesis (grasp)
Which splint allows a C6 SCI patient to have a functional grasp, using active movement of their wrist?
Tenodesis splint
What law states that communities must provide accommodations for wheelchairs along with other transportation services for the disabled?
The Americans with Disabilities Act (ADA)
Miley is a student in the 4-year-old kindergarten class at the local elementary school. Miley's mother approaches the OT practitioner to complain that Miley's development is slow as she cannot tie her shoelaces. How should the OT practitioner respond?
The OT practitioner should tell Miley's mother not to worry as Miley is too young to independently tie her shoelaces
A female patient underwent surgery on her right dominant hand to repair a tendon. Two days post surgery she arrives at the outpatient hand clinic for occupational therapy intervention, as directed by her surgeon. She tells the OTA that she has had paraffin treatments in the past which she thoroughly enjoyed. She asks the OTA to apply paraffin wax to her right hand as she feels it will help with her discomfort. How should the OTA respond to this patient's request?
The OTA should explain to the patient that paraffin treatments are contraindicated at this stage of her recovery as her surgical scar has not yet healed.
An elementary school student who has not been identified as having special needs is demonstrating delays in both their speech and gross motor development. The student's teacher approaches the school OTA and asks if she can do something to help this student. How should the OTA respond?
The OTA should refer the teacher to the special education director
A 22-year-old male who was recently involved in a motorcycle accident asks his doctor what his prognosis is. The doctor informs the patient that he will most likely be able to walk again but that he may have a loss of function in his hips and legs, as well as little or no voluntary control of his bowel and bladder. What level of the patient's spinal cord was most likely injured as a result of the accident?
The SCI level would be S1-S5 Sacral Nerves
What is the best method for an OTA to prevent heterotopic ossification when working with a patient in the active phase of a C8 spinal cord injury?
The best method would be maintenance of joint ROM
An OTA is working with a one-year old child, on developing skills for successful finger feeding. The OTA is introducing the child to "O" shaped cereal. What is the most important factor, the OTA needs to consider in terms of structuring the activity?
The food is placed in front of the child
A coffee shop owner who is remodeling his store, contacts an OT to make inquiries about the recommended counter height for wheelchair accessibility. He would like to know what the maximum counter height should be, so that people in wheelchairs can access the counter to pay for and collect their orders. What recommendation should the OT give to the store owner?
The maximum height a person in a wheelchair can reach is 34"
A child who presents with generalized hypotonia is having difficulty dressing himself for school in the mornings. The biggest obstacle, which is impacting on his ability to be independent in this ADL, is his poorly developed balance in both sitting and standing. As a result, dressing has become a very tedious and frustrating task for him. What compensatory technique would be the MOST helpful to recommend, so that this child has the opportunity to dress himself independently and efficiently?
The most helpful compensatory technique would be to introduce side-lying
An experienced OTA has recently relocated to a different State and has secured employment at a pediatric hospital. Part of the OTA's role at their previous place of employment included administering certain standardized assessments. What protocol is the OTA required to follow before they can resume administering standardized assessments?
The process of establishing service competency in assessments must be completed again.
A patient who presents with an acute SCI, experiences orthostatic hypotension. What are the symptoms the OT would need to observe in order to identify orthostatic hypotension?
The symptoms would include lightheadedness, pallor, and visual changes
When a patient who is scheduled for a total hip replacement is referred for OT services, what should the focus of preoperative OT intervention be?
The use of equipment and modified techniques to perform transfers and BADLs
An OTA is treating a patient with visual perceptual difficulties, secondary to a traumatic brain injury (TBI). During an intervention, the patient is instructed to place pieces of a game onto a picture board in order to construct a design / picture. By using this activity, what three visual perceptual skills does this patient have to use to successfully complete the activity? Select the 3 best choices
This activity targets: -visual spatial awareness -figure ground -visual integration.
An OTA is running a group at an outpatient clinic. The group comprises of the OTA, and 8 women who have experienced domestic violence. The group is planned to run weekly, over a six week period. At the first group, the OTA hands out a questionnaire relating to leisure activities, communication styles, and assertiveness in different situations. Each patient is requested to complete the questionnaire and return it to the OTA before the end of the day. What is the purpose of this questionnaire?
To Identify Goals
A 47-year-old woman has been suffering from depression for over 5 years. After evaluating the patient, the OT determines that an appropriate intervention would be for the patient to wake up at 7 am, go to the bathroom, get dressed, groom herself, and then join the other patients for breakfast in the cafe at 7:30 am. What is the reason for this type of intervention?
To be successful at a routine
After sustaining a TBI, a 16-year-old boy presents with difficulty dressing, specifically aligning the buttons and buttonholes of his shirts. What task is the most appropriate to ask the patient to perform, to work on his deficit?
Use directional guides (up-down, front-back, right-left) and ask the patient to arrange items in specific positions.
A patient with SCI C7 is able to complete a depression transfer using a sliding board. What muscle is innervated that allows him to complete this task?
Triceps
A 12-year-old boy sustained an injury to his right distal radial epiphysis from falling off a tree. The boy's doctor has ordered physical agent modalities as a part of his occupational therapy treatment. Which modality is contraindicated for this type of injury?
Ultrasound.
When educating a caregiver on how best to communicate with a person who has dementia, what is the MOST important strategy to teach them?
Use visual cues to promote better understanding
When working with a group of patients who present with different stages of dementia, what is the recommended sequence of cues you should use to facilitate their participation in a cooking task?
Visual cue, short verbal cue, touch after you have the person's attention.
An OTA asks a five-year-old child to complete a worksheet that requires her to match objects that are the same. What skill does this activity address?
Visual discrimination
A retired surfer was recently injured in a boating accident. The OTA is working with the patient with the goal of improving his ROM in both his upper limbs. Based on the Model of Human Occupation (MOHO), the OTA decides to incorporate a surfing task into the patient's treatment plan. Which cognitive process, according to the MOHO, is the OTA using to promote the patient's participation in this therapeutic activity?
Volition
At what point is a COTA® permitted to modify intervention techniques?
When it is indicated to meet the needs of the patient.
A patient who recently sustained extensive injuries to both his lower limbs as a result of being shot multiple times, has had to have a bilateral above the knee amputation. After the patient has been medically cleared, what is the first aspect of OT intervention, the OTA should focus on?
Wrapping of the residual limbs for shaping and swelling
An OT has been referred a patient who has a posterior brachial plexus injury. What can the OT expect to observe when meeting this patient for the first time?
Wrist Drop
