An individual who has recently undergone a knee replacement is working on homemaking skills in the ADL suite. The PT has indicated the patient can
... [Show More] ambulate with close supervision using a cane. While the individual has arrived for therapy on time for the past 3 days, she has consistently left her cane back in her room. When the COTA asks her where is, the individual replies, " Oh, that cane, it's just so ugly." Which of the following actions is MOST appropriate for the COTA to take?
A. Discuss issues related to self-concept with the individual.
B. Evaluate the individual's short-term memory.
C. Evaluate the individual's long-term memory.
D. Devise strategies to address time management.
A. Discuss issues related to self-concept with the individual.
An individual with schizophrenia is newly admitted to the hospital. He is asked to describe what brought him to the hospital for admission. The individual responds by saying, " I took a cab." In the report, the OT practitioner is MOST likely to identify this response as:
A. Delusional thinking.
B. A dis-tractable response.
C. A concrete response.
D. An insightful response.
C. A concrete response.
While observing a client who has just been admitted to the rehab unit after a right CVA with left hemiplegia, the OT practitioner notices that the patient's left arm lays limply by the patient's side. This MOST likely indicates :
A. Normal UE function.
B. Flaccidity.
C. Subluxation.
D. Spasticity.
B. Flaccidity.
A child running on the playground trips and falls forward, landing on out-stretched arms. This behavior is BEST described as a(n):
A. Primitive reflex.
B. Righting reaction.
C. Equilibrium reaction.
D. Protective extension response.
D. Protective extension response.
A 4 year old child with spina bifida has a lesion at the lumbar level that causes her bladder to be flaccid. The parents are requesting a bladder training program. The MOST appropriate response would be to:
A. Explain to the parents that toilet training is not a feasible option.
B. Recommend waiting until the child is 5 years old.
C. Begin a toiler training program.
D. Assess the child's ability to remove lower extremity garments.
A. Explain to the parents that toilet training is not a feasible option.
An OT practitioner is performing an environmental assessment to determine accessibility for a client who will be returning home. The FIRST step in this process is to:
A. Identify the barriers to movement and function in the home movement.
B. Identify and analyze the tasks and occupations that the client will be performing in the home.
C. Identify the aspects of the environment that support movement and function in the home.
D. Determine the social environment of the client.
B. Identify and analyze the tasks and occupations that the client will be performing in the home.
During an initial interview, parents describe their child as having severe difficulty in communicating and interacting with others. The COTA also observes that the child exhibits many repetitive and ritualistic behaviors. The behaviors described are MOST likely to be associated with:
A. Attention deficit hyperactivity disorder.
B. Childhood conduct disorder.
C. OCD
D. Pervasive developmental disorder of childhood.
D. Pervasive developmental disorder of childhood.
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:
A. Motivation.
B. Interest.
C. Level of arousal.
D. Attention span.
C. Level of arousal.
To develop the MOST relevant goals and objectives for a child's OT program, the COTA should focus goals on:
A. The child's priorities.
B. The priorities of the parents or caregivers.
C. The therapist's priorities for solution of problems identified in the OT evaluation.
D. Child, caregiver, and therapist priorities.
D. Child, caregiver, a [Show Less]