NBCOT Practice Exam 1
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An OT is preparing to evaluate a toddler who has upper C. Observation of child during activities in the child-care center.
extremity orthopedic concerns. How will the OT MOST
likely obtain the majority of initial assessment data? Through observation of the child during child-care center activities, the OT can
collect information about the child's motor performance skills and participation in
A. Measurement tools that assess visual-motor skills activities that require upper extremity/hand skill. Naturalistic observation is a
B. Dynamometer and pinch meter readings. method of ecological assessment, which is "a primary mechanism for obtaining
C. Observation of child during activities in the child-care data relevant to the child's performance context..... Skilled observation of child
center. performing a functional task offers..... important information about the child's
D. Functional independence measures. performance". Answers A, B, ad D are all appropriate choices after the child is old
enough for these assessments.
During an initial evaluation, the OT suspects that a child D. New motor task planning.
has somatodyspraxia. In what area should the OT focus
the evaluation? "Somatodyspraxia is described as a deficit in learning new motor skills, planning
new motor actions, and generalizing motor plans." Inability to print or write
A. Ability to print or write. (answer A) is termed "dysgraphia." The term "dyslexia" (answer B) means
B. Reading competency. dysfunction in reading. Inability to perform mathematics (answer C) is known as
C. Math calculations. "dyscalculia"
D. New motor task planning.
An OT working in a long-term care facility needs to B Ask the individual how he spent New Year's
evaluate the long-term memory of a resident. Which of
the following methods is BEST for evaluating memory or "Declarative memory is one aspect of long term memory and includes conscious
personally experienced events (declarative memory)? memory for events, knowledge or facts". It is commonly assessed through verbal
interviews and informal testing such as asking a question about an individual's
A. Show the person a series of objects and ask him to recall of personal events (answer B). Working memory refers to "the temporary
recall the objects within 60 seconds. storage of inforamtion while one is working with it or attending to it" (answer A).
B. Ask the individual how he spent New Year's/ "Prospective memory involves the ability to remember intentions or activities that
C. Have the individual state the place, date, and time. will be required in the future" (answer D). Knowing the date, place, and time is
D. Ask the client to remember to bring a specific item to indicative of orientation (answer C).
the next therapy session
,A child avoids playground equipment that requires her C. Gravitational insecurity.
feet to be off the ground. What does this behavior MOST
likely indicate? Gravitational insecurity is described as "fear response to movement". The child
easily experiences a fear of falling and prefers to keep her feet firmly on the
A. Difficulty modulating proprioception. ground. Tactile defensiveness (answer A) is a term used to describe discomfort
B. Somatodyspraxia with various textures and with unexpected touch. Somatodyspraxia (answer B) has
C. Gravitational insecurity is "foundation in somatosensory (e.g. primarily tactile but also proprioceptive)
D. Bilateral integration/sequencing deficit. discrimination deficits, which interfere with the development of body scheme and
awareness". Bilateral integration and sequencing deficits are related to "poor
vestibular-propioceptive discrimination, which interferes with the ability to
coordinate, sequence, and execute motor actions quickly and efficiently".
When the OT suspects tactile defensiveness as a rationale B. Dressing habits
for a child's challenges, in what area of participation
should the OT focus on FIRST? Children with tactile defensiveness are "bothered by tactile aspects of daily living
activities.... specific types of clothing.... specific textures materials". The child may
A. Play behavior be bothered by certain textures or avoid wearing turtlenecks, socks, or shoes.
B. Dressing habits Conversely, some children may never take off their shoes to avoid tactile
C. Social skills stimulation. Play behavior (answer A), social skills (answer C), and the choice of
D. Leisure interests hobbies (answer D) could be affected secondarily, as a result of intolerance to
certain textures or human touch. Knowledge of the child's dressing habits will give
the OT key information at the start of the evaluation process.
An OT is working with an individual with schizophrenia B. Sensory avoiding
who is in the process of preparing to move from a state
hospital to a group home. During a baking group, the The individual's actions are indicative of sensor avoiding behavior, characterized
client becomes agitated and leaves the room when by a low threshold to stimuli perceived as noxious, followed by an active
another client uses the electric hand mixer to mix the response such as leaving the room. Individuals with sensory avoiding behavior
cake batter, and again when two clients begin to argue may "become distressed in situations in which they cannot control the
loudly about which type of icing to use. How would the environment" and "do well in low stimulus situation or settings that others find
OT BEST describe the behavior? dull". An individual with low registration (answer A), sensory seeking behavior
(answer C), or a hearing impairment (answer D) would not have difficult with the
A. Low registration auditory stimulation caused by the roar of the mixer or loud voices.
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
During a self-care evaluation of an individual who A. Working memory
recently sustained a brain injury, the OT instructs the
individual to comb his hair immediately after he washes "Working memory is the temporary storage of information while one is working
his face. The individual washes his face quickly, but then with it or attending to it. It includes the ability to recall information immediately
the therapist must give him several reminders to comb his after exposure. It allows one to focus conscious attention and keeps track of
hair. The OT is MOST likely to identify this as a deficit in information as one is performing an activity". This individual's inability to comb is
what area? hair without reminders suggests a deficit in working memory (answer A). Judgment
(answer B), the ability to make realistic and safe decisions based on available
A. Working memory environmental information, would not be needed for this task. Because the person
B. Judgment performed the first request, hearing (answer C) would seem to be intact.
C. Hearing Abstraction (answer D) is the ability to extrapolate information from an idea to
D. Abstraction generalize to another situation and would not be needed to follow this direction.
, A supermarket employee with obsessive-compulsive A. On-site observation of performance skills
disorder takes an hour to stock 24 soup cans on the shelf
because once he has placed the cans on the shelf, he
removes them and starts over, stating that "all labels were
not lines up exactly in the same direction." Which of the
following methods would MOST effectively evaluate the
individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on the requirements of the
job
D. Task evaluation using a "clean" medium such as a
puzzle
that is right
An OT has been working with an individual who is C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
recovering from a TBI. A standard pivot transfer has been hospital room
successfully demonstrated in the gym. The MOST
appropriate way to assess generalization of this new
learning would be to have the patient perform which
activity?
A. Identify potential hazards in the patient's bathrooms
that could make transfers unsafe
B. Select an appropriate tub bench and nonskid mat for
the patient's bathroom at home
C. Attempt a standard pivot transfer from wheelchair to
bed in the patient's hospital room
D. Attempt a sliding board transfer from wheelchair to tub
An OT is working with an individual with depression who C. Kohlman Evaluation of Living Skills
is cognitively intact but demonstrating difficulty carrying
out self-care and other ADL tasks. The OT, who has no
advanced certifications, would like to identify a
standardized assessment to measure ADL performance.
Which is the MOST appropriate tool for this purpose?
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills