Question 5
A COTA observes that a 10mos child is able to sit alone by propping himself forward on his arms, but consistently loses his balance when reaching for a toy. This behavior most likely indicates:
A Development Delay
An inpatient sustained an incomplete cervical spinal cord injury 2mos ago. The patient's UE functional strength is Trace(1/5) on L and Poor Minus(2-/5) on R. Pt's goals is to eat meals I. Which factor must be considered when determining if this patient is a candidate for a mobile arm support?
Amount of UE Passive Joint Mobility
A COTA is told by a teacher that her student with CP often "Tenses up, his legs shoot straight out, his body extends backwards, and he starts sliding out of his w/c". Which of the following w/c cushions should the COTA consider trying?
Anti-Thrust Cushion
You are working with an adolescent who has difficulty making eye contact with you, often plays with a wooden spatula he keeps in his back pocket and often gives you information about WW2. He is performing ADLs at a developmentally app level. What diagnosis does this adolescent likely have?
Autism Spectrum Disorder
A COTA suggest using aromatherapy diffuser with calming essential oils such as lavender, as a strategy to reduce irritability and anxiety for an elderly man with dementia who often gets up from bed at night and is in danger of falling. What type of environmental modification is this COTA suggesting?
Changing the olfactory environment
An OT practitioner is asked by administration to complete billing early by projecting therapy time for pts that are yet to be seen. One of these patients later refused therapy because of medical illness. What is the best course of action to take?
Contact administration to let them know of the unforeseen change in service delivery and make appropriate adjustments to billing
In order to increase the overall skill development needed for an individual with substance abuse to better cope with life stressors without relapsing, the OTA should do all except:
Encourage the individual to cut out any friends, family, etc. whom he/she encountered during the times they were abusing substances most frequently
Which strategy is best for promoting a positive exploration of feelings with a group of adolescents who have anorexia?
Incorporate valued activities that the participants select
The COTA is leading a grooming group of women in a mental health day program. During the group, the COTA notices one of the members continues to talk about how great her hair and makeup looks and keeps adding more and more makeup to her face. She even gives make up tips to some of the other women in the group and insists on doing their makeup for them. She continues to talk over group members and insists that she is going to sign up for cosmetology school once her mother picks her up from the day program. This group member is likely experiencing which of the following mood disorders?
Manic Episode
An inpatient who has schizo, paranoid type, is beginning to tolerate being around several other people at the same time. Which type of group activity is BEST for the patient to attend to promote socialization?
Parallel Task
A student who has moderate developmental delay has been participating in school-based OT. Which information is most important for the COTA to provide to the supervising OTR prior to the students upcoming reevaluation?
Performance patters during curriculum-based activities
A COTA who is going to run a series of life-skills group for individuals in a half-way house is looking over the basic info about the proposed group members such as their age, gender, socioeconomic status and education level. According to the OT Practice Framework this COTA is considering which type of context?
Personal Context
A client who has a substance abuse disorder has been able to maintain employment, but has difficulty managing time, interacting with others, and attending to homemaking activities. What should be the PRIMARY goal of intervention when working with this client?
Promoting practical skills for basic personal life management
Many individuals with these types of disorders demonstrate deficits in cognitive-perceptual and social interaction skills that affect all areas of function:
Pyschotic Disorders
Which activity is best for bilateral UE coordinated movements for a group of children who are 3yrs old and have a mild developmental delay?
Rolling a large therapy ball to each other
Which craft material is contraindicated to use for an inpatient who has cancer and decreased platelet level due to chemotherapy medications?
Self-Opening Scissors
A young adult with shizo is discharging from an inpatient setting to a psychosocial clubhouse. The OTA is assisting the team with the d/c plan. What is the most important information for the OTA to provide to the team about this person?
The person's Instrumental ADL skills
Which of the following is a definition for "Social Network"
The web of voluntary relationships that make up an individuals social environment
A COTA is involved in creating an OT program for adolescent girls with eating disorders such as anorexia nervosa and bulimia nervosa. Which of the following general topics would be best for the COTA to recommend for the first couple of group sessions?
Trust Building exercises between the group members and group leader