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NBCOT |! Wheelchair |! Seating |! and |!
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A |! COTA® |! is |! assisting |! the |! OTR® |! in |! providing |! care |! to |! a |! child |! with |! lumbar- level |! spina |! bifida. |! The |! child |! spends |! the |! majority |! of |! time |! in |! a |! wheelchair |! and |! plays |! adapted |! basketball. |! What |! does |! evidence |! reveal |! as |! the |! most |! effective |! occupational |! therapy |! intervention |! for |! preventing |! pressure |! ulcers? |! Select |! the |! BEST |! 3 |! choices. A. |! Strategies |! to |! increase |! shear B. |! Functional |! activities C. |! Wheelchair |! seating |! assessment D. |! Weight-shifting |! training E. |! Client |! prevention |! education F. |! Safe |! transfer |! techniques |! - |! Correct |! answer |! ✔C. |! Wheelchair |! seating |! assessment E. |! Client |! prevention |! education F. |! Safe |! transfer |! techniques A |! COTA® |! works |! at |! a |! skilled |! nursing |! facility |! that |! provides |! wheelchairs |! for |! clients |! who |! need |! them. |! As |! a |! result, |! the |! facility |! has |! a |! room |! full |! of |! wheelchairs |! of |! varying |! sizes. |! The |! COTA |! is |! often |! expected |! to |! find |! the |! wheelchair |! that |! best |! fits |! each |! new |! client, |! which |! requires |! determining |!
whether |! the |! seat |! depth |! is |! appropriate |! for |! that |! client. |! Where |! should |! the |! front |! edge |! of |! the |! wheelchair |! seat |! be |! in |! relation |! to |! the |! client's |! hamstrings? A. |! 5 |! to |! 6 |! inches |! proximal |! to |! the |! posterior |! side |! of |! the |! bent |! knee B. |! 1 |! to |! 2 |! inches |! proximal |! to |! the |! posterior |! side |! of |! the |! bent |! knee C. |! At |! the |! knee |! crease |! on |! the |! posterior |! side |! of |! the |! bent |! knee D. |! 1 |! to2 |! inches |! distal |! to |! the |! posterior |! side |! of |! the |! bent |! knee |! - |! Correct |! answer |! ✔B. |! 1 |! to |! 2 |! inches |! proximal |! to |! the |! posterior |! side |! of |! the |! bent |! knee A |! COTA® |! is |! working |! in |! a |! skilled |! nursing |! facility |! and |! is |! on |! the |! restraint |! reduction |! team. |! A |! long-term |! resident |! has |! recently |! sustained |! several |! falls |! within |! a |! few |! days, |! and |! the |! team |! has |! been |! asked |! to |! assess |! the |! situation. |! What |! is |! the |! MOST |! important |! consideration |! during |! the |! assessment? A. |! The |! safest |! intervention |! that |! will |! eliminate |! all |! future |! falls B. |! The |! least |! restrictive |! intervention |! that |! reduces |! the |! need |! for |! staff |! intervention C. |! The |! least |! restrictive |! intervention |! that |! is |! also |! safe D. |! The |! safest |! intervention |! that |! is |! also |! not |! a |! financial |! burden |! to |! the |! facilty |! - |! Correct |! answer |! ✔C. |! The |! least |! restrictive |! intervention |! that |! is |! also |! safe A |! COTA® |! at |! a |! skilled |! nursing |! facility |! is |! working |! with |! an |! older |! client |! who |! appears |! to |! have |! a |! large |! gap |! between |! the |! back |! of |! the |! knees |! and |! the |! front |! of |! the |! seat |! cushion. |! What |! factors |! may |! be |! interfering |! with |! the |! client's |! positioning |! within |! the |! seat? |! Select |! the |! 3 |! BEST |! choices. A. |! Armrest |! height B. |! Back |! brace C. |! Seat |! back |! height D. |! Shortened |! seat |! depth |!
process, |! it |! is |! important |! to |! consider |! seat |! width. |! When |! considering |! seat |! width, |! what |! should |! be |! the |! COTA's |! MAIN |! objective? A. |! To |! distribute |! weight |! over |! the |! widest |! possible |! surface |! while |! keeping |! the |! width |! of |! the |! chair |! as |! narrow |! as |! possible B. |! To |! support |! the |! client's |! body |! in |! the |! wheelchair |! while |! maintaining |! the |! thighs |! in |! a |! position |! that |! is |! parallel |! to |! the |! floor C. |! To |! maintain |! proper |! posture |! and |! balance |! and |! to |! provide |! support |! and |! alignment |! for |! the |! upper |! extremities D. |! To |! provide |! for |! maximal |! function |! and |! support |! of |! the |! back |! while |! allowing |! for |! change |! in |! body |! positioning |! - |! Correct |! answer |! ✔A. |! To |! distribute |! weight |! over |! the |! widest |! possible |! surface |! while |! keeping |! the |! width |! of |! the |! chair |! as |! narrow |! as |! possible A |! COTA® |! is |! treating |! a |! client |! who, |! because |! of |! increased |! right |! leg |! weakness, |! has |! recently |! begun |! using |! a |! right |! footrest |! to |! avoid |! foot |! drag |! during |! wheelchair |! propulsion. |! What |! would |! be |! the |! benefit |! of |! using |! a |! heel |! loop |! on |! the |! footplate |! of |! the |! wheelchair? A. |! To |! prevent |! the |! foot |! from |! sliding |! backward B. |! To |! accommodate |! for |! ankle |! flexion C. |! To |! accommodate |! for |! preferred |! knee |! flexion |! angle D. |! To |! prevent |! falls |! during |! transfers |! - |! Correct |! answer |! ✔A. |! To |! prevent |! the |! foot |! from |! sliding |! backward A |! COTA® |! is |! working |! with |! a |! client |! who |! has |! decreased |! visual |! acuity. |! The |! client |! is |! concerned |! about |! falling |! while |! walking |! up |! and |! down |! the |! stairs. |! Which |! of |! the |! following |! environmental |! adaptions |! is |! BEST |! for |! this |! issue? A. |! Railings |! along |! the |! length |! of |! both |! walls |! of |! the |! stairwell B. |! Strips |! of |! various |! colors |! at |! the |! edge |! of |! each |! step
C. |! Safety |! grip |! strips |! placed |! on |! the |! edge |! of |! each |! step D. |! A |! chair |! lift |! for |! the |! entire |! length |! of |! the |! stairwell |! - |! Correct |! answer |! ✔B. |! Strips |! of |! various |! colors |! at |! the |! edge |! of |! each |! step An |! OTR®-COTA® |! team |! is |! evaluating |! a |! client |! for |! a |! power |! wheelchair. |! The |! client |! lives |! at |! home |! with |! a |! caregiver. |! After |! the |! intake |! interview, |! the |! team |! is |! concerned |! that |! Medicare |! Part |! B |! will |! not |! reimburse |! the |! cost |! of |! the |! wheelchair. |! Which |! client |! statements |! support |! the |! client's |! eligibility? |! Select |! the |! 3 |! BEST |! choices. A. |! "I |! have |! diabetes |! and |! arthritis, |! which |! make |! it |! difficult |! for |! me |! to |! walk." B. |! "I |! don't |! have |! enough |! room |! to |! move |! the |! wheelchair |! between |! rooms |! in |! my |! home." C. |! "I |! use |! my |! cane |! when |! I |! am |! at |! home." D. |! "I |! am |! unable |! to |! do |! any |! of |! my |! daily |! activities |! without |! help |! from |! my |! daughter." E. |! "My |! doctor |! quit |! accepting |! Medicare |! last |! month." F. |! "I |! am |! unable |! to |! push |! myself |! in |! a |! wheelchair |! because |! of |! my |! arthritis." |! - |! Correct |! answer |! ✔A. |! "I |! have |! diabetes |! and |! arthritis, |! which |! make |! it |! difficult |! for |! me |! to |! walk." D. |! "I |! am |! unable |! to |! do |! any |! of |! my |! daily |! activities |! without |! help |! from |! my |! daughter." F. |! "I |! am |! unable |! to |! push |! myself |! in |! a |! wheelchair |! because |! of |! my |! arthritis." The |! COTA® |! assisted |! with |! evaluating |! a |! client |! who |! recently |! sustained |! an |! L |! spinal |! cord |! injury |! with |! lower-extremity |! paralysis. |! The |! evaluation |! found |! that |! the |! client's |! upper-extremity |! function |! is |! intact. |! During |! treatment, |! what |! would |! be |! the |! MOST |! appropriate |! way |! to |! teach |! the |! client |! to |! complete |! functional |! transfers?
D. |! They |! observed |! that |! the |! client's |! feet |! do |! not |! touch |! the |! floor. |! - |! Correct |! answer |! ✔D. |! They |! observed |! that |! the |! client's |! feet |! do |! not |! touch |! the |! floor. A |! client |! has |! been |! using |! a |! wheeled |! walker |! for |! many |! years |! but |! has |! begun |! to |! complain |! that |! arthritis |! in |! the |! right |! hand |! is |! making |! it |! difficult |! to |! grasp |! the |! walker |! for |! any |! extended |! period |! of |! time, |! making |! functional |! ambulation |! difficult. |! Which |! recommendation |! would |! BEST |! help |! maintain |! this |! client's |! mobility? A. |! Use |! a |! wheelchair |! for |! the |! majority |! of |! functional |! activities. B. |! Add |! bilateral |! forearm |! troughs |! to |! the |! current |! walker. C. |! Add |! a |! padded |! grip |! to |! the |! right |! side |! of |! the |! walker. D. |! Use |! a |! cane |! on |! the |! left |! side |! during |! all |! activities. |! - |! Correct |! answer |! ✔C. |! Add |! a |! padded |! grip |! to |! the |! right |! side |! of |! the |! walker. A |! COTA® |! is |! working |! with |! a |! client |! who |! recently |! sustained |! a |! right-sided |! cerebrovascular |! accident |! with |! left-sided |! paresis. |! The |! OTR® |! wrote |! a |! goal |! for |! functional |! transfers, |! and |! the |! COTA |! is |! assisting |! the |! client |! with |! a |! wheelchair-to-bed |! transfer. |! What |! instructions |! would |! the |! COTA |! give |! the |! client |! BEFORE |! initiating |! the |! transfer? A. |! Shift |! weight |! into |! an |! anterior |! pelvic |! tilt, |! place |! the |! right |! hand |! on |! the |! wheelchair |! armrest, |! and |! point |! the |! heels |! away |! from |! the |! bed. B. |! Shift |! weight |! into |! an |! anterior |! pelvic |! tilt, |! place |! the |! right |! hand |! on |! the |! COTA's |! back, |! and |! point |! the |! heels |! toward |! the |! bed. C. |! Shift |! weight |! into |! an |! anterior |! pelvic |! tilt, |! place |! the |! right |! hand |! on |! the |! wheelchair |! armrest, |! and |! point |! the |! heels |! toward |! the |! bed. D. |! Shift |! weight |! into |! a |! posterior |! pelvic |! tilt, |! place |! the |! right |! hand |! on |! the |! wheelchair |! armrest, |! and |! point |! the |! heels |! toward |! the |! bed. |! - |! Correct |! answer |! ✔C. |! Shift |! weight |! into |! an |! anterior |! pelvic |! tilt, |! place |! the |! right |! hand |! on |! the |! wheelchair |! armrest, |! and |! point |! the |! heels |! toward |! the |! bed.
A |! frail |! older |! adult |! client |! who |! uses |! an |! ultra |! lightweight |! manual |! wheelchair |! with |! a |! foam |! cushion |! comes |! to |! the |! clinic |! is |! complaining |! of |! low |! back |! pain. |! The |! client's |! caregiver |! indicates |! that |! the |! skin |! on |! the |! client's |! coccyx |! is |! very |! pink, |! and |! there |! is |! concern |! about |! skin |! breakdown. |! The |! OTR®-COTA® |! team |! observes |! that |! the |! client's |! seated |! position |! is |! stable |! without |! supports, |! the |! client's |! upper |! extremities |! rest |! on |! the |! armrests |! without |! the |! shoulders |! hiking, |! the |! feet |! rest |! on |! the |! foot |! plates |! bilaterally, |! and |! the |! hips |! are |! at |! a |! 45° |! angle, |! which |! keeps |! the |! knees |! higher |! than |! waist |! level. |! The |! client |! indicates |! that |! this |! sitting |! posture |! is |! usual |! and |! is |! maintained |! most |! of |! the |! day. |! What |! intervention |! would |! the |! OTR®-COTA® |! team |! try |! INITIALLY |! to |! relieve |! the |! client's |! pain |! and |! protect |! the |! skin? A. |! Add |! an |! adjustable-tension |! back |! support |! so |! that |! the |! client |! can |! lean |! back |! further B. |! Lower |! the |! footrests |! so |! that |! the |! thighs |! are |! level |! with |! the |! seat |! of |! the |! - |! Correct |! answer |! ✔B. |! Lower |! the |! footrests |! so |! that |! the |! thighs |! are |! level |! with |! the |! seat |! of |! the |! chair |! and |! the |! feet |! rest |! flat |! on |! the |! footrests A |! client |! has |! difficulty |! with |! ankle |! flexion |! that |! is |! causing |! an |! issue |! with |! tripping |! over |! items. |! The |! client |! is |! especially |! concerned |! with |! tripping |! in |! the |! bathroom. |! Which |! is |! the |! MOST |! appropriate |! environmental |! adaptation |! that |! could |! be |! recommended |! for |! this |! issue? A. |! Removal |! of |! water |! spillage B. |! Installation |! of |! grab |! bars C. |! Removal |! of |! loose |! bath |! mat D. |! Installation |! of |! a |! shower |! chair |! - |! Correct |! answer |! ✔C. |! Removal |! of |! loose |! bath |! mat A |! client |! who |! uses |! an |! ultra |! lightweight |! wheelchair |! asks |! whether |! the |! chair |! can |! accommodate |! a |! wraparound |! lapboard. |! The |! COTA® |! is |! not |! familiar |! with
A |! COTA® |! is |! working |! with |! a |! client |! who |! has |! a |! diagnosis |! of |! obesity |! and |! is |! considered |! bariatric. |! The |! COTA |! needs |! to |! fit |! the |! client |! to |! a |! wheelchair |! while |! the |! client |! is |! at |! the |! facility. |! Which |! key |! issue |! must |! the |! COTA |! consider? A. |! Center |! of |! gravity B. |! Height |! of |! the |! client C. |! Upper-extremity |! strength D. |! Functional |! ability |! - |! Correct |! answer |! ✔A. |! Center |! of |! gravity Seating |! biomechanics |! take |! into |! account |! the |! client's |! stability, |! postural |! support, |! and |! mobility |! needs. |! When |! determining |! seating |! requirements, |! what |! primary |! body |! regions |! should |! the |! OTR®-COTA® |! team |! assess |! first? |! Select |! the |! 3 |! BEST |! choices. A. |! Trunk B. |! Pelvis C. |! Lower |! extremities D. |! Neck E. |! Head F. |! Upper |! extremities |! - |! Correct |! answer |! ✔A. |! Trunk B. |! Pelvis C. |! Lower |! extremities When |! measuring |! a |! client |! for |! a |! wheelchair, |! what |! are |! the |! four |! basic |! measurements |! the |! OTR®-COTA®team |! MUST |! take? A. |! Seat |! width, |! seat |! depth, |! seat |! height, |! seat-back |! height B. |! Seat |! width, |! seat |! depth, |! seat |! height, |! footrest |! length
C. |! Seat |! width, |! seat |! depth, |! seat-back |! height, |! footrest |! length D. |! Seat |! width, |! seat |! depth, |! footrest |! length, |! seat-to-back |! angle |! - |! Correct |! answer |! ✔A. |! Seat |! width, |! seat |! depth, |! seat |! height, |! seat-back |! height A |! COTA® |! is |! writing |! a |! SOAP |! note |! on |! a |! treatment |! with |! a |! client |! that |! focused |! on |! wheelchair |! mobility |! training. |! Which |! is |! the |! BEST |! example |! of |! what |! might |! be |! written |! in |! the |! A |! section |! of |! the |! note? A. |! "Client |! will |! be |! seen |! for |! 45 |! minutes |! daily |! to |! address |! independent |! wheelchair |! mobility." B. |! "Client |! requires |! supervision |! with |! wheelchair |! mobility |! secondary |! to |! short- term |! memory |! loss." C. |! "Client |! required |! verbal |! reminders |! to |! unlock |! brakes |! before |! beginning |! wheelchair |! propulsion." D. |! "Client |! states |! that |! propelling |! wheelchair |! is |! exhausting." |! - |! Correct |! answer |! ✔B. |! "Client |! requires |! supervision |! with |! wheelchair |! mobility |! secondary |! to |! short-term |! memory |! loss." Seating |! biomechanics |! take |! into |! account |! the |! client's |! stability, |! postural |! support, |! and |! mobility |! needs. |! When |! determining |! seating |! requirements, |! what |! would |! the |! OTR®-COTA® |! team |! FIRST |! assess? A. |! Head |! and |! neck B. |! Upper |! extremities C. |! Trunk D. |! Pelvis |! - |! Correct |! answer |! ✔D. |! Pelvis A |! COTA® |! is |! working |! with |! a |! client |! who |! is |! unable |! to |! drive. |! The |! COTA |! is |! educating |! the |! client |! on |! the |! benefits |! of |! a |! fixed |! transit |! system |! in |! comparison |!
A |! COTA® |! is |! writing |! a |! SOAP |! note |! on |! a |! treatment |! with |! a |! client |! that |! focused |! on |! functional |! transfers |! in |! and |! out |! of |! a |! bathtub. |! Which |! is |! the |! BEST |! example |! of |! what |! might |! be |! written |! in |! the |! O |! section |! of |! the |! note? A. |! "Client's |! right |! knee |! pain |! interferes |! with |! standing |! balance |! in |! the |! tub." B. |! "Client |! reported |! pain |! in |! right |! knee |! when |! ambulating |! to/from |! shower |! room." C. |! "Client |! ambulated |! to/from |! shower |! room |! with |! modified |! independence |! using |! wheeled |! walker |! for |! stability." D. |! "Client |! will |! be |! seen |! for |! 30 |! minutes |! daily |! to |! address |! functional |! mobility |! with |! a |! specific |! focus |! on |! tub |! transfers." |! - |! Correct |! answer |! ✔C. |! "Client |! ambulated |! to/from |! shower |! room |! with |! modified |! independence |! using |! wheeled |! walker |! for |! stability." The |! client |! lives |! in |! a |! long-term |! care |! facility |! and |! uses |! a |! wheelchair |! to |! get |! to |! the |! dining |! room. |! The |! COTA®has |! removed |! the |! client's |! wheelchair |! footrests. |! Which |! reason |! BEST |! explains |! why |! the |! COTA® |! removed |! the |! footrests |! from |! the |! wheelchair? A. |! Staff |! push |! the |! client, |! and |! the |! footrests |! get |! in |! the |! way. B. |! The |! client's |! legs |! are |! short, |! so |! the |! client |! does |! not |! need |! the |! footrests. C. |! The |! client |! propels |! the |! chair |! using |! only |! the |! feet. D. |! The |! client |! propels |! the |! chair |! using |! only |! the |! hands. |! - |! Correct |! answer |! ✔C. |! The |! client |! propels |! the |! chair |! using |! only |! the |! feet. The |! topic |! of |! the |! February |! 7, |! 2013, |! newsletter |! MLN |! Matters, |! published |! by |! the |! Medicare |! Learning |! Network |! under |! the |! Centers |! for |! Medicare |! and |! Medicaid |! Services, |! was |! changes |! in |! the |! criteria |! for |! mobility |! assistive |! equipment |! and |! MRADLs, |! which |! OTR®s |! and |! COTA®s |! working |! with |!
positioning, |! seating, |! and |! wheelchairs |! need |! to |! know |! for |! reimbursement. |! What |! does |! the |! Medicare |! acronym |! MRADLs |! stand |! for? A. |! Movement-related |! ADLs B. |! Motion-related |! ADLs C. |! Motor-related |! ADLs D. |! Mobility-related |! ADLs |! - |! Correct |! answer |! ✔D. |! Mobility-related |! ADLs An |! OTR® |! wrote |! a |! goal |! for |! modified |! independence |! with |! meal |! preparation |! for |! a |! client |! who |! recently |! sustained |! a |! fracture |! of |! the |! left |! humerus |! and |! is |! currently |! in |! a |! splint |! and |! sling. |! The |! client |! uses |! a |! straight |! cane |! for |! functional |! mobility. |! How |! should |! the |! COTA® |! instruct |! the |! client |! to |! remove |! items |! from |! the |! oven |! during |! meal |! preparation? A. |! Stand |! directly |! in |! front |! of |! the |! oven, |! open |! the |! door, |! reach |! in |! with |! the |! right |! arm, |! pull |! out |! the |! food, |! and |! place |! it |! on |! top |! of |! the |! oven. B. |! Stand |! to |! the |! left |! of |! the |! oven, |! open |! the |! door, |! reach |! in |! with |! the |! right |! arm, |! pull |! out |! the |! food, |! and |! place |! it |! on |! top |! of |! the |! oven. C. |! Stand |! to |! the |! right |! of |! the |! oven, |! open |! the |! door, |! reach |! in |! with |! the |! right |! arm, |! pull |! out |! the |! food, |! and |! place |! it |! on |! top |! of |! the |! oven. D. |! Stand |! directly |! in |! front |! of |! the |! oven, |! open |! the |! door, |! reach |! in |! with |! a |! reacher |! using |! the |! right |! arm, |! pull |! out |! the |! food, |! and |! place |! it |! on |! top |! of |! the |! oven. |! - |! Correct |! answer |! ✔B. |! Stand |! to |! the |! left |! of |! the |! oven, |! open |! the |! door, |! reach |! in |! with |! the |! right |! arm, |! pull |! out |! the |! food, |! and |! place |! it |! on |! top |! of |! the |! oven. A |! client |! is |! being |! discharged |! from |! a |! rehab |! facility. |! During |! the |! discharge |! interview, |! the |! OTR® |! and |! COTA®ask |! questions |! such |! as, |! "Who |! is |! available |! to |! assist |! the |! client |! in |! each |! physical |! context |! the |! client |! needs |! to |! be |! in?" |! "When |! are |! they |! available?" |! "Who |! will |! check |! the |! Roho |! cushion |! and |!
E. |! Push |! handles F. |! Axle |! placement |! - |! Correct |! answer |! ✔A. |! Anti-tippers D. |! Inclined |! seat F. |! Axle |! placement A |! COTA® |! is |! working |! with |! a |! client |! who |! is |! unable |! to |! drive. |! The |! COTA |! is |! educating |! the |! patient |! on |! the |! benefits |! of |! a |! fixed |! transit |! system |! in |! comparison |! with |! a |! paratransit |! system. |! What |! might |! these |! benefits |! include? A. |! Fixed |! transit |! is |! easier |! to |! use |! independently |! than |! paratransit. B. |! Fixed |! transit |! is |! more |! economical |! than |! paratransit. C. |! Fixed |! transit |! does |! not |! take |! as |! much |! strength |! as |! paratransit. D. |! Fixed |! transit |! requires |! less |! cognitive |! training |! than |! paratransit. |! - |! Correct |! answer |! ✔B. |! Fixed |! transit |! is |! more |! economical |! than |! paratransit. An |! OTR® |! and |! COTA® |! are |! measuring |! a |! client |! for |! a |! new |! wheelchair. |! The |! client's |! hip |! width |! is |! 18 |! inches. |! The |! client |! does |! not |! use |! any |! lateral |! trunk |! supports |! but |! lives |! in |! a |! cold |! climate |! and |! frequently |! wears |! bulky |! clothing. |! What |! seat |! width |! should |! the |! OTR®-COTA® |! team |! recommend? A. |! 16 |! inches B. |! 18 |! inches C. |! 20 |! inches D. |! 22 |! inches |! - |! Correct |! answer |! ✔C. |! 20 |! inches The |! topic |! of |! the |! February |! 7, |! 2013, |! newsletter |! MLN |! Matters, |! published |! by |! the |! Medicare |! Learning |! Network |! under |! the |! Centers |! for |! Medicare |! and |! Medicaid |! Services, |! was |! related |! to |! changes |! in |! the |! criteria |! for |! mobility |! assistive |! equipment |! and |! mobility-related |! ADLs |! (MRADLs), |! which |! OTR®s |!
and |! COTA®s |! working |! with |! positioning, |! seating, |! and |! wheelchairs |! need |! to |! know |! for |! reimbursement. |! Which |! of |! the |! following |! is |! NOT |! an |! MRADL |! specifically |! cited |! by |! Medicare? A. |! Feeding B. |! Cooking C. |! Bathing D. |! Grooming |! - |! Correct |! answer |! ✔B. |! Cooking The |! OTR®-COTA® |! team |! is |! performing |! a |! physical |! examination |! to |! determine |! the |! client's |! seating |! and |! positioning |! needs |! before |! ordering |! a |! new |! wheelchair. |! What |! rule |! of |! thumb |! would |! the |! OTR®-COTA® |! team |! use |! for |! the |! client's |! ability |! to |! sit |! upright? A. |! Minimal |! hip |! flexion |! of |! 90° B. |! Minimal |! hip |! flexion |! of |! 80° C. |! Minimal |! hip |! flexion |! of |! 70° D. |! Minimal |! hip |! flexion |! of |! 60° |! - |! Correct |! answer |! ✔A. |! Minimal |! hip |! flexion |! of |! 90° A |! COTA® |! is |! working |! with |! a |! client |! who |! is |! about |! to |! undergo |! a |! second |! lower- extremity |! amputation. |! The |! client |! did |! not |! use |! a |! wheelchair |! with |! the |! first |! amputation |! but |! wants |! to |! purchase |! one |! now |! for |! occasional |! mobility |! if |! lower- limb |! prostheses |! are |! not |! available. |! What |! is |! necessary |! for |! wheelchair |! safety |! for |! a |! client |! with |! bilateral |! lower-extremity |! amputations? A. |! Reclining |! back |! rest B. |! Elevating |! leg |! rests C. |! Rear |! antitippers D. |! Wedge |! cushion |! - |! Correct |! answer |! ✔C. |! Rear |! antitippers
The |! COTA® |! is |! assisting |! the |! OTR® |! in |! completing |! a |! wheelchair |! evaluation |! for |! an |! adolescent |! with |! spastic |! quadriplegia |! and |! thoracic |! kyphosis |! who |! has |! difficulty |! with |! postural |! control. |! The |! client |! experiences |! spasticity |! and |! pain |! while |! sitting. |! The |! OTR |! suggests |! a |! tilt-in-space |! feature. |! What |! are |! possible |! reasons |! for |! this |! suggestion? |! Select |! the |! 3 |! BEST |! choices. A. |! Open |! up |! the |! hip |! angle B. |! Reduce |! gravity |! effects C. |! Improve |! bladder |! function D. |! Facilitate |! spinal |! alignment E. |! Provide |! pressure |! relief F. |! Increase |! gravity |! effects |! - |! Correct |! answer |! ✔B. |! Reduce |! gravity |! effects D. |! Facilitate |! spinal |! alignment E. |! Provide |! pressure |! relief When |! measuring |! a |! client |! for |! a |! wheelchair, |! what |! basic |! measurements |! must |! the |! OTR®-COTA® |! team |! take? |! Select |! the |! 3 |! BEST |! choices. A. |! Seat |! depth B. |! Seat |! width C. |! Footrest |! length D. |! Push |! handle |! height E. |! Seat-to-back |! angle F. |! Seat |! height |! - |! Correct |! answer |! ✔A. |! Seat |! depth B. |! Seat |! width F. |! Seat |! height
A |! COTA® |! is |! assisting |! the |! OTR® |! in |! completing |! a |! wheelchair |! evaluation, |! and |! there |! is |! concern |! over |! the |! client's |! sitting |! position. |! Because |! the |! client |! maintains |! a |! posterior |! pelvic |! tilt |! and |! a |! kyphotic |! thoracic |! spine |! when |! sitting |! unsupported, |! there |! is |! particular |! concern |! with |! the |! client's |! spinal |! alignment |! in |! the |! wheelchair. |! What |! effect |! can |! poor |! alignment |! have |! on |! compression |! of |! the |! client's |! diaphragm? A. |! Difficulty |! with |! pressure |! management B. |! Difficulty |! with |! tone |! normalization C. |! Decreased |! sitting |! tolerance D. |! Diminished |! vital |! capacity |! - |! Correct |! answer |! ✔D. |! Diminished |! vital |! capacity A |! client |! has |! lost |! considerable |! weight |! since |! his |! admission |! to |! a |! long-term |! care |! facility, |! and |! his |! family |! is |! concerned |! because |! he |! constantly |! complains |! about |! how |! sore |! he |! gets |! from |! sitting |! in |! his |! wheelchair |! now |! that |! he |! is |! "nothing |! but |! bones." |! Why |! would |! the |! OTR®-COTA® |! team |! recommend |! a |! wheelchair |! cushion |! for |! this |! client? A. |! It |! will |! provide |! a |! cushioned |! surface |! on |! which |! to |! sit. B. |! It |! will |! raise |! the |! seat |! height |! for |! better |! mobility. C. |! It |! will |! redistribute |! pressure |! on |! his |! sitting |! surface. D. |! It |! will |! prop |! up |! the |! client |! so |! he |! is |! sitting |! upright. |! - |! Correct |! answer |! ✔C. |! It |! will |! redistribute |! pressure |! on |! his |! sitting |! surface. A |! client |! who |! uses |! an |! ultra |! lightweight |! wheelchair |! asks |! whether |! the |! chair |! can |! accommodate |! a |! wraparound |! lapboard. |! The |! COTA® |! is |! not |! familiar |! with |! this |! type |! of |! lapboard. |! Who |! on |! the |! rehabilitation |! team |! could |! the |! COTA |! consult |! to |! obtain |! this |! information? |! Select |! the |! 3 |! BEST |! choices. A. |! Medical |! equipment |! supplier
