COTA COTA Adaptive Equipment and Assistive Technology 1 — Questions and Answers
Question 1: Which type of adaptive utensil is most appropriate for a client with limited hand grip due to rheumatoid arthritis?
- Built-up handle utensil (Correct answer)
- Standard metal fork
- Chopsticks
- Weighted spoon
Correct answer: Built-up handle utensil
Built-up handle utensils reduce the grip force required, making them ideal for clients with decreased hand strength from rheumatoid arthritis.
Question 2: A client with C6 spinal cord injury needs to write. Which assistive device would a COTA most likely recommend?
- Universal cuff with pen holder (Correct answer)
- Electric typewriter
- Standard pen grip
- Mouth stick
Correct answer: Universal cuff with pen holder
A universal cuff with a pen holder allows clients with C6 SCI to use tenodesis grasp for functional writing tasks.
Question 3: What is the primary purpose of a rocker knife in adaptive kitchen equipment?
- To cut food using a rocking motion with one hand (Correct answer)
- To prevent slipping on the cutting board
- To weigh food portions accurately
- To open canned goods
Correct answer: To cut food using a rocking motion with one hand
A rocker knife allows one-handed cutting by rocking the blade back and forth, compensating for hemiplegia or upper extremity amputation.
Question 4: A COTA is recommending a reacher for a post-hip replacement client. What angle of hip flexion must be avoided during use?
- Greater than 90 degrees (Correct answer)
- Greater than 45 degrees
- Greater than 30 degrees
- Greater than 120 degrees
Correct answer: Greater than 90 degrees
Total hip precautions restrict hip flexion beyond 90 degrees to prevent dislocation, making a reacher essential for floor-level retrieval.
Question 5: Which communication assistive technology category includes eye-gaze systems and speech-generating devices?
- Augmentative and Alternative Communication (AAC) (Correct answer)
- Environmental Control Units (ECU)
- Sensory substitution devices
- Cognitive orthoses
Correct answer: Augmentative and Alternative Communication (AAC)
AAC encompasses all tools that supplement or replace speech, including high-tech options like eye-gaze and SGDs for non-verbal clients.
Question 6: A client with low vision is having difficulty reading standard print. Which low-tech adaptation should a COTA suggest first?
- Large-print materials and a magnifier (Correct answer)
- Screen reader software
- Braille training
- Voice-activated assistant
Correct answer: Large-print materials and a magnifier
Large-print materials and handheld magnifiers are low-cost, low-tech first-line interventions for clients with low vision who retain some functional sight.
COTA COTA Adaptive Equipment and Assistive Technology 1
Which type of adaptive utensil is most appropriate for a client with limited hand grip due to rheumatoid arthritis?