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COTA Neurological Disorders and Intervention Approaches > Misc > Flashcards

Flashcards in Misc Deck (14):

Vocational Evaluations

most appropriate for people who have never worked or are unable to return to a previous job due to disability.


Eccentric Viewing Training

involves teaching the client to move the scotoma (blind spot) out of the line of vision by turning the head to one side, helps the client improve vision for ADL performance.


A client with (MS) presents with balance deficits and impaired lower-body ADL resulting from increased spasticity in both lower extremities. To promote safety during bathing tasks, what recommendation should the COTA® FIRST make to the client?

Maintain at least 90° of hip flexion on a shower chair.

Using a shower chair addresses both the balance deficits and the spasticity that interfere with lower-body ADLs. By sitting down to wash, the client reduces the risk of falls, and flexed hips may lessen spasticity in the lower extremities.


Signs of Low Registration of Sensory Information

demonstrated by sensory seeking behaviors such as showing hyperactive movements, frequently bumping into objects with no injury, and crashing into pillows or cushions.


How would the COTA® best assess grip strength to determine whether client is exhibiting maximal effort?

The five-level grip test on the Jamar dyamometer is used to determine maximum and consistent effort by clients. The COTA should expect the strongest grip on the second and third handle settings


An OTR®; decides to use the CO-OP approach to encourage use of effective and appropriate social behaviors for a 9-year-old with ADHD. Which example illustrates an application of the CO-OP approach?

The OTR asks questions to allow the child to process what behaviors were appropriate and inappropriate in a situation.

This approach is an example of the “ask, don’t tell” principle of guided discovery using CO-OP. The OTR asks rather than tells the child the sources of breakdown during performance in occupations.


A patient has an anxiety disorder and has been undergoing treatment in a psychiatric facility. During an occupational therapy session, the COTA® observes the patient's anxiety increasing and level of concentration has diminished compared to the behaviors observed in previous sessions. What INITIAL action should the COTA® take based on these observations?

Talk with the patient about the changes in function

Clients who begin demonstrating increased anxiety should be encouraged to express their feelings.


A COTA® is working with a client presenting with a claw hand deformity who has both decreased grip and lateral pinch strength. Before reading the medical notes, what type of injury would the COTA® suspect?

A claw hand is the result of an ulnar nerve injury.


Reddened Area After Wearing Prosthetic Device

Reddened areas that last more than 20 minutes are indicative of pressure in the prosthetic device that will eventually cause skin breakdown. The prosthesis must be adjusted by the prosthetist to ensure proper fit.


Decerebrate Rigidity

involves the client's lower and upper extremities in a position of spastic extension, adduction, and internal rotation.


Decorticate Rigidity

involves upper extremities in spastic flexed position with internal rotation and adduction and the lower extremities in spastic extended position with internal rotation and adduction.


A COTA® is fabricating a splint for a patient who had a recent palmar contracture release. What is the PRIMARY purpose of the splint?

To maximize finger extension

Palmar contracture release is to bring the fingers out of flexion and into extension; splinting postsurgically allows the fingers to rest in extension.


What is the primary cause of kyphosis in osteoporosis?

Pathological deterioration of the vertebrae of the thoracic spine


What is the primary cause of lordosis in osteoporosis?

Pathological deterioration of the vertebrae of the lumbar spine