COTA COTA Adaptive Equipment and Assistive Technology 2 — Questions and Answers
Question 1: What is the role of the COTA when an occupational therapist has evaluated a client and recommended a power wheelchair?
- Train the client in safe power wheelchair use under OT supervision (Correct answer)
- Independently prescribe and order the wheelchair
- Conduct the full seating evaluation without OT
- Decline involvement since it is the OT's responsibility
Correct answer: Train the client in safe power wheelchair use under OT supervision
COTAs implement recommendations made by the supervising OT, including mobility training for power wheelchairs, within the established plan of care.
Question 2: Which splint design is commonly used to prevent wrist drop in clients with radial nerve palsy?
- Cock-up (wrist extension) splint (Correct answer)
- Resting hand splint
- Dynamic flexion splint
- Ulnar deviation splint
Correct answer: Cock-up (wrist extension) splint
A cock-up splint maintains the wrist in extension, compensating for the wrist extensor weakness caused by radial nerve palsy.
Question 3: A COTA is fitting a client for a sock aid. Which condition is this device most indicated for?
- Limited hip flexion or knee bending (Correct answer)
- Weakness in shoulder abduction
- Poor fine motor coordination only
- Visual impairment
Correct answer: Limited hip flexion or knee bending
A sock aid enables donning socks without bending the hip or knee past restricted ranges, making it essential for hip or knee precaution clients.
Question 4: When introducing a weighted vest to a pediatric client with sensory processing disorder, what should the COTA monitor?
- Duration of wear, behavioral responses, and skin condition (Correct answer)
- Weight of the vest only
- Academic performance exclusively
- Caregiver preference
Correct answer: Duration of wear, behavioral responses, and skin condition
A sensory-based intervention like a weighted vest requires monitoring for adverse responses, skin integrity, and effectiveness per the sensory diet plan.
Question 5: An environmental control unit (ECU) would most benefit a client with which condition?
- High-level spinal cord injury limiting upper extremity use (Correct answer)
- Mild cognitive impairment only
- Low back pain
- Mild hearing loss
Correct answer: High-level spinal cord injury limiting upper extremity use
ECUs allow clients with severely limited upper extremity function, such as high cervical SCI, to operate lights, thermostat, and electronics via switches or voice.
Question 6: Which feature of a grab bar makes it most effective for toilet transfers in a home modification?
- Horizontal or angled placement at the correct height beside the toilet (Correct answer)
- Placement directly in front of the toilet
- Decorative finish
- Suction cup mounting for flexibility
Correct answer: Horizontal or angled placement at the correct height beside the toilet
A properly placed horizontal or angled grab bar at seat height provides a stable push-pull surface for safe toilet transfers.
COTA COTA Adaptive Equipment and Assistive Technology 2
What is the role of the COTA when an occupational therapist has evaluated a client and recommended a power wheelchair?