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1) A young adult client who has spastic diplegic cerebral palsy

1) A young adult client who has spastic diplegic cerebral palsy wants to work as a cashier in a clothing retail store. Based on typical symptoms associated with this disorder, which activity, when completed without compensatory strategies, would present the GREATEST challenge to the client while working at this job?

A) Standing at the cash register for the duration of a shift

B) Using one hand to pick up a clothing item to scan the bar code

C) Placing purchased clothing items into a shopping bag

2)A 4-year-old child has spastic quadriplegic cerebral palsy and is dependent on caregivers for all aspects of bathing. The child’s parents indicate that it is becoming difficult to wash the child in the home bathtub and ask the COTA about available equipment options that would make this task more manageable. Which equipment should the COTA recommend placing in the tub to support safe bathing?

A) Bath transfer bench with a nonskid seating surface

B) Hammock chair with suction feet and head support

C) Trunk support ring with a molded back and adjustable legs

3) A COTA is selecting intervention activities for a client who has upper extremity hemiplegia with mild flexor spasticity. One of the client’s goals is to use the affected extremity during dressing. Which intervention activity would be MOST EFFECTIVE for normalizing the client’s upper extremity muscle tone?

A) Engaging the client in progressive resistive exercises at the start of the session

B) Having the client bear weight over the affected side before and during dressing

C) Briskly tapping over the flexor muscles when the client reaches for clothing

D) Providing quick stretch to the affected upper extremity prior to dressing

4)A client has generalized upper extremity weakness due to multiple sclerosis. One of the client’s goals is to cook a family meal. During stove-top cooking, the client experiences poor standing endurance and has occasional mild upper extremity intention tremors. What recommendations should the COTA give to the client for maximizing safety and independence during cooking?

A) Use a microwave oven instead of a stove-top when cooking.

B) Sit on a counter-height stool while cooking at the stove-top.

C) Use weighted utensils when stirring food on the stove-top.