COTA EXam Prep: purple book Questions & Answers Verified Review Solution
In assessing the dressing skills of a 5 y/o child, the COTA observes that the
... [Show More] child is able to put on a
jacket, zip the zipper, and tie a knot in the draw string, but needs verbal cueing to tie the bow. The COTA
would MOST likely determine that the child's dressing skills are:
a. Age appropriate
b. Delayed
c. Advanced
d. Limited - ANS-a. Age appropriate
The child being observed is preforming dressing activity which is age appropriate for a 5 y/o child. A
typical child at this age can dress unsupervised and is able to tie and untie knots, but generally does not
know how to tie a bow independently.
In administering an assessment of finger-tip pinch strength, the OT practitioner would instruct the
individual being tested to place his or her fingers in which position?
a. Thumb against the tip of the index finger
b. Thumb against the side of the index finger
c. Thumb against the tips of the index and middle fingers
d. Thumb against the tips of all the fingers at once - ANS-a. Thumb against the tip of the index finger
The correct position for tip pinch is the thumb against the tip of the index finger. The thumb against the
side of the index finger describes the position for lateral inch. The thumb against the tip of the index and
middle fingers describes the test position for three jaw chuck, or palmar pinch. The thumb against the
tips of all the fingers is not a standard test position.
The OT treatment approach that will MOST likely meet the overall needs experienced by individuals with
substance abuse problems is to:
a. Assist with skill development in the areas of leisure, self-expression and ADLs
b. Educate the family members about making safety modifications to the kitchen area
c. Encourage AA involvement, address personal appearance, and issues of loss
d. Make aftercare arrangements for vocational counseling and AA; provide time management education
for self-care activities - ANS-a. . Assist with skill development in the areas of leisure, self-expression and
ADLs
In general, the areas of focus with OT intervention for individuals identified with substance abuse
problems are alternative leisure time use, improved expression of feeling, and the acquiring of social
and occupational roles. The approach described in answer B addresses the cognitive disability frame of
reference approach, Answers C and D my address specific needs of the patient, but the overall needs of
this population.
A COTA observes that a 10-month old child is able to sit alone by propping himself forward on his arms,
but consistently loses his balance when reaching for a toy. His behavior most likely indicates: [Show Less]