COTA Activity Analysis 2 — Questions and Answers
Question 1: When analyzing the social demands of an activity, a COTA considers:
- The number of steps required to complete the task
- The rules, expectations, and relationships required by the activity (Correct answer)
- The tools and materials needed for the activity
- The sensory features of the environment
Correct answer: The rules, expectations, and relationships required by the activity
Social demands include the rules of social interaction, required relationships, and social norms expected by the activity and its context.
Question 2: A COTA adapts a card game by using larger cards with high-contrast print. This is an example of:
- Activity gradation
- Activity adaptation (Correct answer)
- Activity analysis
- Occupation-based intervention
Correct answer: Activity adaptation
Activity adaptation involves modifying the tools, materials, or rules of an activity to allow a client with limitations to participate more successfully.
Question 3: During activity analysis, 'body functions' that are required refer to:
- The observable actions the client takes during the task
- The physiological and psychological functions of body systems (Correct answer)
- The physical features of the task environment
- The social roles the client must assume
Correct answer: The physiological and psychological functions of body systems
Body functions include physiological functions of body systems such as mental functions, sensory functions, and neuromusculoskeletal functions required to perform the activity.
Question 4: Which of the following is an example of a 'temporal context' considered during activity analysis?
- The lighting conditions in the therapy room
- The client's cultural background
- The time of day the activity is typically performed (Correct answer)
- The number of people assisting the client
Correct answer: The time of day the activity is typically performed
Temporal context refers to location in time — time of day, time of year, duration, rhythm, and history — which can influence how an activity is performed.
Question 5: A COTA uses activity analysis to select a therapeutic task for a client with limited hand strength. The MOST appropriate next step is to:
- Choose an activity with high grip strength demands to strengthen the hand
- Match the activity's strength demands to the client's current ability, then gradually increase (Correct answer)
- Avoid any activities requiring hand use until full recovery
- Select activities based solely on the client's expressed preferences
Correct answer: Match the activity's strength demands to the client's current ability, then gradually increase
Evidence-based practice supports matching activity demands to the client's current capacity and using gradation to progress toward therapeutic goals.
Question 6: When analyzing 'required actions' in an activity, the COTA is identifying:
- The specific performance skills needed to carry out the activity (Correct answer)
- The diagnosis that limits the client's participation
- The reimbursement codes associated with the activity
- The personal values the client brings to the activity
Correct answer: The specific performance skills needed to carry out the activity
Required actions are the specific performance skills — motor, process, and social interaction — that must be performed to complete the activity successfully.
Question 7: A COTA analyzes an activity and determines it requires bilateral coordination, pinch strength, and visual-perceptual skills. This information is used to:
- Justify the cost of the activity to the insurance company
- Match or grade the activity to target the client's specific skill deficits (Correct answer)
- Write the client's discharge summary
- Determine the client's diagnosis
Correct answer: Match or grade the activity to target the client's specific skill deficits
Understanding the specific skill demands of an activity allows the COTA to select or grade activities that directly target the client's areas of deficit to promote functional improvement.
COTA Activity Analysis 2
When analyzing the social demands of an activity, a COTA considers: