NBCOT COTA Exam Review
A COTA working in a skilled nursing facility is planning an ADL session for a client who has dementia and is functioning at Allen
... [Show More] Cognitive Level 3 (Manual Actions). One of the objectives of the session is to support the client's successful participation in oral hygiene. What strategy should the COTA use as part of the intervention for supporting the client's independence during this self-care task?
A) Have the client sit in a chair at the sink, and provide hand-over-hand physical assistance for each step of the task.
B) Set up toothbrush and toothpaste in front of the client on the counter, and offer verbal cues during the task as needed.
C) Post a laminated step-by-step list of instructions on the bathroom mirror for the client to refer to during the task. - B) Set up toothbrush and toothpaste in front of the client on the counter, and offer verbal cues during the task as needed.
A COTA is planning a cooking group for several residents of a long-term care facility who are functioning at Allen Cognitive Level 4 (Goal-Directed Actions). What is the BEST way for the COTA to provide activity instructions considering the residents' level of cognitive function?
A. Use sequential picture cards to reinforce each step of the cooking task.
B. Provide the residents with a simple written recipe to follow.
C. Demonstrate one-step of the meal preparation task at a time. - C. Demonstrate one-step of the meal preparation task at a time.
A COTA working in an early intervention setting is observing a parent feeding a toddler who has cerebral palsy. After the parent places a child-sized spoonful of chunky applesauce into the toddler's mouth, the toddler coughs and makes a gagging sound, then swallows the food. What INITIAL action should the COTA take in response to this observation?
A. Ensure the toddler is in a fully upright and chin-tuck position.
B. Apply the Heimlich maneuver to clear the toddler's airway.
C. Mash the toddler's food to a pureed consistency.
D. Recommend the parent give the toddler a drink of water. - A. Ensure the toddler is in a fully upright and chin-tuck position.
A COTA working in an acute care setting is preparing for an intervention session with a patient who had a CVA 3 days ago. Medical records indicate standard precautions should be implemented when providing care for this patient. Based on these requirements, which precautions MUST the COTA follow during the therapy session? [Show Less]