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21 Cards in this Set
- Front
- Back
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The COTA is observing dressing skills in an individual with COPD. while putting on his shirt, the individual becomes short of breath and stops to rest before finishing with the shirt and going on to his trousers. This behavior MOST likely indicates a deficit in |
endurance |
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An individual with the goal of increasing attention span is frequently observed watching the person next to her instead of performing her assigned task. This behavior MOST likely indicates a problem with |
distractability |
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An individual who had a stroke is copying a picture of a clock. The drawing appears as a lopsided circle with a flat side on the left. The numbers 1-8 are written in numerical order aroung the right side of the clock. The hands are correctly drawn on the clock to represent three oclock. The individuals performance appears to demonstrate |
left unilateral neglect |
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A COTA needs to report the results of an ADL evaluation to the supervising OTR. The OTR who is on her way to the cafeteria for lunch, states she has to leave immediately after lunch to go to another facility. Which is the BEST method for the COTA to use to communicate the evaluation results to the OTR? |
written report |
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Which of the following interventions is MOST appropriate for an individual who has recently been diagnosed with rheumatoid arthritis and is in the acute stage of the disease? |
positioning, adaptive equipment, and patient education |
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A long term goal for a client following a hip arthroplasty is independence in lower extremity dressing. The MOST relevant short term goal for the COTA to work on would be that the |
client will demonstrate appropriate hip precautions |
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A COTA who works in an outpatient facility recommends that clients with Parkinson's disease be treated in a therapeutic group. The COTA is MOST likely to select treatment for these clients because |
it provides social interaction and support, as well as activity |
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A COTA is treating a client with parkinson's disease whose primary functional problems are caused by a shuffling gait. The MOST relevant environmental recommendation the COTA could make to address a potential safety hazard in the home is to |
remove scatter rugs throughout the house |
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An individual with chronic obstructive pulmonary disease and low endurance is taught to modify his bathing techniques for carryover after discharge. The COTA should recommend which of the following as the BEST bathing method? |
using a bath chair and a hand held shower with tepid water |
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The goal for an elderly person with Parkinsons disease is to dress herself independently. The BEST adaptation to compensate for this person's physical deficits would be |
velcro closures on front opening of clothing |
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An individual who is being discharged after participating in an inpatient pulmonary rehab program for chronic obstructive pulmonary disease, is given a list of tips from the COTA to use in the home to promote function. Which of the following items will the COTA MOST likely recommend? |
perform pursed lip breathing when doing activities |
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A patient who sustained a mild head injury is about to be discharged to his home and return to work. he is still having difficulty with memory, particularly remembering appointment and activities. External memory devices that the COTA could recommend to assist this patient would be |
calendar |
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A COTA needs to document the following statement, patient states she is frightened by the anger she feels when doing ceramics. In which portion of a SOAP note would the COTA place this information |
subjective section |
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While observing a client who has just been admitted to the rehab unit after a right CVA with left hemiplegia, the OT notices that the patient's left arm stays limp by the patient's side. This MOST likely indicates |
flaccidity |
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An individual who recently experienced an MI is now medically stable and has been referred to OT. To determine the individual's current endurance level, the OT plans to monitor performance of self care activities. The FIRST step is to |
take the individual's vital signs at rest |
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A COTA working in a geropsychiatric day program runs a craft group after lunch. Many of the clients doze off during the group, which prevents them from benefiting from the activity. The COTA should recognize this as a problem with |
level of arousal |
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A COTA is fabricating a splint for a client with swan neck deformities. The COTA should fabricate a spllint that will prevent further |
hyperextension of the PIP joint and flexion of the DIP joint |
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A COTA is working with a patient who demonstrates unilateral neglect. Of the following, which would be the MOST effective strategy for increasing attention to the left? |
encouraging any available hemiplegic limb movements before or during a task |
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An individual with Gullain Barre syndrome complains of pain during passive range of motion to the shoulder. Which is the MOST important technique for the COTA to use while performing PROM with this individual? |
proceed only to the point of pain |
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A homemaker who sustained a CVA with subsequent left hemiparesis is returning home to live with her husband and children. To enable the individual to carry out her prior responsibility of meal preparation, which item would MOST likely be recommended for stabilization when cutting a potato? |
a cutting board with 2 nails in it |
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A resident of a long term care facility is receiving O because of difficulties with eating. The FIRST step of intervention the COTA performs with this resident at mealtime is to |
position the person in an upright posture, making sure head is flexed slightly and in midline |
