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7/13/15 NBCOT Exam > Questions > Flashcards

Flashcards in Questions Deck (52):

Which of the following describes the BEST treatment activity for improving coordination?
-walking sideways on a balance beam
-crawling over and along a rope tape to the floor
-kicking a ball with alternating feet when sitting on a T-stool
-Tossing a ball w/alternating hands

-crawling over and along a rope tape to the floor


A cota is planning a treatment activities to use for a child w/an underreactive vestibular system. The activities selected would MOST likely address:
-poor postural responses
-discomfort w/motion activities
-anxiety when his/her feet are off the ground
-gravitational insecurity

-poor postural responses


What are some signs of an overeactive vestibular system?

-discomfort w/motion activities
-anxiety when his/her feet are off the ground
-gravitational insecurity


An OT practitioner 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:
-switch to easier items to improve the child's self-esteem
-terminate the session and schedule another session to administer the remainder of the test.
-follow administration instructions and note changes in behavior.
-adapt the remaining test items to ensure success.

-follow administration instructions and note changes in behavior.


What is the appropriate technique for assessing light touch sensation in a client with left hemiplegia?

-demonstrate the procedure on the unaffected extremity, then occlude the client's vision while testing the affected extremity.


A COTA provides a leather-working activity to an individual with C7 quadriplegia in order to increase grip strength. Which component of this activity would be MOST effective in promoting this goal?
-holding the stamping tool
-holding the hammer
-squeezing the sponge to wet the leather
-lacing w/the needle

-holding the hammer


The BEST recommendation for activities to reduce the physical symptoms of muscle tension associated with anxiety disorder would be?

-aerobic exercise


what does an orthotist do?

specializes in fitting/fabricating permanent splints and braces.


An individual w/memory and attention deficits exhibits poor table manners and is working to address this in an ADL group. Which method is MOST appropriate for this individual?
-Reward the individual w/dessert when he uses good manners
-instruct the group members to remind him when he forgets his good manners
-role plays that include practicing good manners
-reinforce use of good manners w/praise and rewards

-role plays that include practicing good manners

Because pts must learn to do situational problem solving, or when skills need to be generalized to other situations. So role playing, rehearsal, imagery, memory enhancement.


What are some behavioral approaches to use with individuals impaired by psychosis?

-cause-effect associations
-reinforcement/behavioral modifications


A cota is working w/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 for improving this inability?
-grasping blocks to build a building
-removing a nut from a bolt
-carrying a bag of lego blocks w/a handle
-placing pegs from one pegboard to another

-removing a nut from a bolt


leather stamping requires what?

-visual-motor integration


putting a puzzle together requires?

perception of spatial relations


Playing the game concentration requires?

-attention span


The COTA is setting up a feeding session w/a normally developing 24-month old boy. The COTA should encourage the child to eat a bowl of peas/carrots w/which of the following?
-small spoon
-his fingers
-a swivel spoon
-small fork

-a small spoon


At what age can a child experiment w/forks to stab at food?

30-36 months


Which child would need to use a swivel spoon?

when the child is unable to deviate the wrist radially or supinate the forearm.


A COTA is planning a feeding session w/a client w/a C5 SCI. Which feeding utensil or AE would be most appropriate to introduce during the session.
-An electric self-feeder
-Utensils w/built-up grips
-Mobile arm support
-Tenodesis orthosis

Mobile arm support


A COTA is treating an inpatient who has myasthenia gravis and is preparing for discharge to live alone at home. What information is most important for the COTA to discuss w/the patient.
-Precaution against overexertion, emotional stress, and fluctuations in temperature
-Types of communication devices and environment control units that promote ADL independence
-The importance of resistive activities for improving muscular strength and endurance
-Compensatory strategies for adapting to changes in visual status

-Precaution against overexertion, emotional stress, and fluctuations in temperature


myasthenia gravis

is characterized by weakness and rapid fatigue of any of the muscles under your voluntary control.


A COTA has been treating a client who has sustained a chemical burn to both hands 6 months ago while cleaning up a spill at the adhesive manufacturing plant where the client is employed as a janitor. The client has been participating in a work conditioning program for the past 6 weeks and has made gains in all areas. The client plans to transition back to full-time, full-duty employment within the next 2 weeks. The COTA included instruction in proper body mechanics as part of the clients treatment program to reduce the clients risk for reinjury. What type of intervention would this treatment program be considered.
-Primary intervention
-Secondary intervention
-Tertiary intervention
-Well intervention

-Primary intervention


Primary programs focuses on...

protecting healthy workers against a targeted condition before the condition occurs.


Secondary programs focus on...

early detection and intervention w/asymptomatic workers at risk for work-related medical problems or treatment of workers w/mil medical symptoms or reversible stages of injury.


Tertiary prevention program focuses on...

after the worker sustains an injury, illness, or disease. It includes treatment of medical problems and attempts to restore maximum function in the workplace and prevention of injury, illness, or disease-related complications.


A COTA is working w/a client who is being treated medically with a wound vacuum-assisted closure (Wound VAC). What precautions does the COTA need to take during a therapy session w/the client with a wound VAC?
-Do not turn off the wound VAC during treatment
-Do not have the client ambulate
-Keep the client in a supine position
-Avoid moving the extremity w/the wound VAC

-Do not have the client ambulate

-Shouldn't be turned off w/o the nurse's knowledge because it can only be turned off for 2 hours within a 24-hour period.


Which type of pt uses a buttonhook w/a built-up handle?

Pt with finger weakness or incoordination (quadriplegia)


COTAs remediation of identified deficits can be organized into three general approaches in psychosocial settings

1)Enhancing the individual’s skills and performance
2)Assisting the individual in adjusting their perspective on skills and performance
3)Altering the environment


General supervision is…

Made monthly


Minimal supervision is…

As needed


Routine supervision is…

Direct contact is made every two weeks


Dynamic finger-extension splints are appropriate for which type of pts

Pts who have active finger flexion but limited active finger extension


A COTA is working with an infant observes the presence of the first stage of voluntary grasp. Which of the following would be the most appropriate statement for documenting this behavior?

The infant is exhibiting ulnar palmar grasp.


How do infants grasp progress?

1)Ulnar palmar grasp
2)Palmar grasp
3)Radial grasp

-Pincer grasp is the highest level of grasp


When are pins/straightened paper clips used?

For testing superficial pain


Changing the topic or redirecting attention is used for what mental disorder?

Psychotic disorders


Being firm about expectations would be useful for establishing consistent limits, as with a patient who is?



Stating that there is nothing to fear, is useful for clarifying reality, as with a person who is

Experiencing hallucinations


Conditional reasoning is

A form of clinical reasoning that takes into account various systems and dynamics involved w/the pt and their illness/injury


Reasoning based on corresponding an individuals deficits and physical symptoms with a procedure that may benefit the area of need is…

Procedural reasoning


Interactive reasoning is…

A process by which the practitioner and pt collaborate so that the practitioner may better understand the pts environment or situation


Narrative reasoning is…

A form of “story telling” in which practitioners share similar experiences allowing for problem solving to occur.


Social skills emphasis is appropriate for pts with what mental disorder?



Habit restructuring is appropriate for pts with what mental disorder?

Substance abuse


Role resumption is appropriate for what mental disorder?

Mood disorders


A pt with Guillian-Barre syndrome demos poor/fair strength throughout the UE. What is the most appropriate approach for the COTA to use in the EARLY stages?

Gentle, non-resistive activities

-You want to do PROM/splinting and positioning to protect weak muscles and prevent contractures.


What child mental disease is described as having severe difficulty in communicating and interacting with others as well as many repetitive/ritualistic behaviors?

Pervasive developmental disorder of childhood


Pervasive developmental disorder of childhood

A group of conditions that involve delays in the development of many basic skills.


While participating in the first session of a group a pt states they often miss a dose of their meds because they forget to take it. What should the COTA do?

Ask the pt to discuss how they feel about taking their meds.


What do you do when the splint causes a reddened area along the ulnar styloid process?

Flange the area around the ulnar styloid.


How would you evaluate a hook grasp? (digits 2-5 only and no thumb)

Have the pt hold a heavy handbag by the handles.


A pt has had a CVA, and has mildly impaired proprioception in the right hand, which results in uneven letter formation during writing. What can the COTA do to help?

Have the pt trace letters through a pan of rice with her fingers.


A young pt w/anorexia nervosa is finished have lunch and has asked to use the bathroom. What should the COTA do?

Pull her aside and ask her if she is upset.