Standards of practice Questions and Answers
A COTA® is working toward service competency for adaptive feeding equipment instruction. How would an OTR® BEST establish service competency for the COTA®?
A. Review the COTA®'s documentation of multiple clients whose feeding impairments warranted...
Standards of practice Questions and
Answers
A COTA® is working toward service competency for adaptive feeding equipment
instruction. How would an OTR® BEST establish service competency for the COTA®?
A. Review the COTA®'s documentation of multiple clients whose feeding impairments
warranted adaptive equipment, then discuss the outcomes with the COTA®.
B. Observe the COTA® educating clients on how to use adaptive feeding equipment to
ensure that the COTA® is consistent with the OTR®.
C. Compare outcomes by rating the same client's performance with the adaptive
feeding equipment.
D. Collect information from various sources, such as other therapists, the COTA®'s
documentation, observations, and feedback from clients, to determine competency. -
answer C
Service competency is defined as "the process of teaching, training, and evaluating in
which the OTR® determines that the COTA® performs tasks in the same way that the
OTR® would and achieves the same outcomes" (Youngstrom, 2009, p. 943). In this
example, both the COTA® and OTR® observe the same client performing a task and
rate that performance in a similar manner. Comparing outcomes helps to ensure clients
receive care of equal quality.
-----
A, D: These are indirect approaches to determining the COTA®'s skill, which are
insufficient to establish service competency.
B: The tasks do not need to be performed in exactly the same way, but the outcomes
must be similar.
A supervising OTR® hires two newly graduated COTAs who have different learning
styles. One prefers visual learning, and the other prefers a more hands-on approach.
Which approach is the BEST way for the OTR® to supervise both COTAs?
A. Demonstrate the tasks and have both COTAs return the demonstration.
B. Provide written instructions, protocols and discuss them with the COTAs.
C. Have both COTAs role play clinical scenarios followed by discussions.
D. Have one COTA® perform new tasks and the other observe. - answer D
This approach best addresses the different learning styles of each COTA; the COTA®
who prefers kinesthetic learning can perform the new task and the visual learner can
observe.
-----
A, B: These approaches involve more visual learning techniques, which would only be
tailored to the COTA® who prefers this style of learning.
, C: This style is more interactive and kinesthetic and may not be as meaningful for the
visual learner.
Which is the BEST example of an occupational therapy client population according to
the Occupational Therapy Practice Framework?
A. People who have arthritis
B. A group of people within a larger society
C. A statewide school system
D. A health club within a community - answer A
People with arthritis are considered a group of people who have similar problems
(arthritis) and can be considered an occupational therapy client population.
----
B: This does not meet the definition of population, because it does not describe a
specific group of people within the society.
C, D: These are considered organizational clients rather than a population, because
they are businesses.
A COTA® has been assigned to treat a new patient. The OTR® has evaluated this
patient but has not yet written the necessary documentation for the COTA® to review.
How should the COTA® proceed?
A. Cancel the treatment session and document that intervention is on hold pending
completion of the evaluation.
B. Review the chart and ask the patient the priority of goals to be addressed in
treatment.
C. Co-treat with the physical therapist to learn the reasons for admission and special
issues, and document accordingly.
D. Discuss with the OTR® reason for admission, precautions, and goals, and proceed,
documenting the supervisory visit. - answer D
The COTA® may not proceed with intervention implementation until the COTA® has a
conversation with the OTR® to learn more about the patient. To choose appropriate
therapeutic activities and interventions and modify them as needed, the COTA® must
be knowledgeable about the patient's goals. In the documentation, the COTA® should
describe the discussion with the evaluating OTR® that occurred before treatment.
----
A: Skipping the treatment session could affect billing or reimbursement for the site and
is unfair to the patient, who is expecting treatment.
B, C: The COTA® must have specific supervision from the evaluating OTR® before
proceeding with treatment.
An OTR®; is conducting a cooking group for people with schizophrenia who are nearing
discharge from the hospital. The COTA® is assisting the OTR in writing the
following goal for one group member using the COAST method: "The client will cook a
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