COTA NBCOT Exam Prep Questions & Answers With Rationales
A client had a posterolateral approach total hip arthroplasty 10 days ago. During which of the
... [Show More] following
activities would assistive devices be MOST BENEFICIAL for the client to use during the rehabilitative
phase of recovery?
A. Putting a sock on the unaffected foot while seated on the edge of the bed
B. Slipping the foot of the affected leg into a non-tie shoe while standing
C. Getting clothing that is hanging on a hanger in the bedroom closet - ANS-Correct Answer: A
Rationale: The client would have to flex the affected hip more than 90 degrees to complete this task.
This movement is contraindicated this soon after the surgery. The client would benefit from the use of a
sock-aid during this task.
Incorrect Responses: B, C: These tasks can be completed without a significant amount of hip flexion.
Therefore, assistive devices are not indicated during these tasks.
Classification Code: Domain 02, Task 02, Knowledge 07
Reference: Early, M.B. (Ed.). (2013). Physical dysfunction: Practice skills for the occupational therapy
assistant (3rd ed.). St. Louis, MO: Elsevier Mosby. Page: 624, 629-633
A young adult client has a short transhumeral amputation of the dominant extremity and has been
measured and fitted for a prosthesis. The client has full use of the non-dominant arm and does not plan
to use the prosthetic during BADL. Which of the following devices would maximize the client's
performance during self-care tasks?
A. Universal cuff, long-handled comb or hairbrush, and spray can adapters
B. Electric razor, roll-on deodorants, and built-up handles for a comb or toothbrush
C. Bath mitt, suction brush, position-adjustable hair dryer, and wall-mounted soap dispenser
D. Button hook, dressing stick, sock aid, and an electric toothbrush - ANS-Correct Answer: C
Rationale: These assistive devices are designed for individuals who have use of only one upper extremity
and would be helpful for maximizing independence with BADL. The client may eventually learn
compensatory strategies for completing BADL without assistive devices.
Incorrect answers: A, B: The client has functional use of the non-dominant arm. The equipment listed is
not necessary for the client's level of function. D: A button hook may be helpful to the client initially, but
the other pieces of equipment listed are not necessary for the client's level of function.
Classification Code: Domain 02, Task 02, Knowledge 07 [Show Less]