Page 1 of 459
NBCOT COTA EXAM TEST BANK (4 VERSIONS) |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
A two-month-old infant with bilateral hip dislocation is being
discharged home from an acute pediatric facility. The occupational
therapist has developed a home program for the parents of this
firstborn child. Which is most important for the occupational therapist
to determine before instructing the parents in the details of this home
program?
a. The parents' degree of anxiety.
b. The child's insurance reimbursement plan.
c. The parents' level of formal education.
d. The family's home environment.
The parents' degree of anxiety.
Prior to providing the parents with details about the home program,
the occupational therapist should determine the parents' level of
anxiety, since excess anxiety could impact their comprehension and
retention of the instructions given. This is an appropriate use of
interactive reasoning and can help build rapport with the parents. This
can contribute to increased compliance with the prescribed home
program. While the other factors may also be considered, they do not
represent immediate priorities for hospital-based instruction.
,Page 2 of 459
An occupational therapist provides home-based service to a client
living with (ALS) to teach them and their caregivers adaptive strategies
to address the impact of ALS on occupational performance. Upon
attainment of the intervention goals, the client expresses concern that
if they are discharged from therapy, they will be unable to maintain
their current level of function and their quality of life will rapidly
deteriorate. The client is a Medicare recipient and has no funds to
private pay for therapy. Which information should the therapist
include in their response to the client's concerns?
a. Medicare services may continue to maintain their maximum level of
function and quality of life.
b. Medicare regulations require all clients who have attained max
level of function be discharged.
c. Medicare therapy services must be discontinued if there is no
potential for the restoration of function.
a. Medicare services may continue to maintain their maximum level of
function and quality of life.
The therapist should inform the client that skilled services can
continue to maintain their maximum level of function and quality of
life. If a Medicare beneficiary requires skilled services to slow or
prevent deterioration and maintain their maximum level of function,
they do not have to be discharged from services, even if no
improvement is expected. The restorative potential of a person is not
the sole payment criteria for the provision of skilled therapy services.
,Page 3 of 459
A letter of medical necessity is not required by Medicare to continue
their skilled therapy services. The Medicare policy to cover skilled
therapy services to maintain the functional status and quality of life of
Medicare beneficiaries with progressive disorders has been in effect
since 2013. Amyotrophic lateral sclerosis (ALS) is a progressive
neurological disease that affects motor neurons that control voluntary
muscle movement.
At the beginning of the school year, a school-based occupational
therapist meets with high school sophomores to review the
individualized transition plans (ITPs) that were established in their
freshman year. Several student express concern that their ITPs do not
fully address their concerns about post-secondary life. The therapist
determines that an evaluation of students' current status related to
their ITP goals is needed. Which assessment is best for the therapist to
include in the evaluation process?
a. Participation Scale (P Scale).
b. Interest Checklist.
c. Adolescent/Adult Sensory Profile.
a. Participation Scale (P Scale).
According to the Reauthorization and Amendment of Individuals with
Disabilities Education Act, transitional planning must begin at the age
of 14 (or younger if indicated) and transition services must begin at
the age of 16 (or younger if indicated) to provide students with a
, Page 4 of 459
coordinated set of services to attain post-school goals. Therefore, an
evaluation of sophomore students' status related to their ITP goals
prior to implementing the ITPs that were established in their
freshman year is important, The Participation Scale (P Scale) measures
restrictions in social participation related to community mobility,
access to work, recreation, and social interaction with family, peers,
neighbors, and others.
An occupational therapist works with a person who is recovering from
the removal of a brain tumor from the cerebellum. The client has
established a goal to resume a home maintainer role. Which is most
relevant for the therapist to focus on during intervention sessions to
help the client attain their goal?
a. The use of a wheeled cart to assist with balance while doing
laundry.
b. Sensory precautions to observe when cooking and ironing.
c. Compensatory techniques for finding items in the supermarket.
d. Organizational strategies for composing a monthly household
budget.
a. The use of a wheeled cart to assist with balance while doing
laundry.
The removal of a brain tumor from the cerebellum would result in
balance and coordination concerns. Therefore, the use of a mobility
aid such as a wheeled cart would be a helpful intervention to assist
NBCOT COTA EXAM TEST BANK (4 VERSIONS) |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
A two-month-old infant with bilateral hip dislocation is being
discharged home from an acute pediatric facility. The occupational
therapist has developed a home program for the parents of this
firstborn child. Which is most important for the occupational therapist
to determine before instructing the parents in the details of this home
program?
a. The parents' degree of anxiety.
b. The child's insurance reimbursement plan.
c. The parents' level of formal education.
d. The family's home environment.
The parents' degree of anxiety.
Prior to providing the parents with details about the home program,
the occupational therapist should determine the parents' level of
anxiety, since excess anxiety could impact their comprehension and
retention of the instructions given. This is an appropriate use of
interactive reasoning and can help build rapport with the parents. This
can contribute to increased compliance with the prescribed home
program. While the other factors may also be considered, they do not
represent immediate priorities for hospital-based instruction.
,Page 2 of 459
An occupational therapist provides home-based service to a client
living with (ALS) to teach them and their caregivers adaptive strategies
to address the impact of ALS on occupational performance. Upon
attainment of the intervention goals, the client expresses concern that
if they are discharged from therapy, they will be unable to maintain
their current level of function and their quality of life will rapidly
deteriorate. The client is a Medicare recipient and has no funds to
private pay for therapy. Which information should the therapist
include in their response to the client's concerns?
a. Medicare services may continue to maintain their maximum level of
function and quality of life.
b. Medicare regulations require all clients who have attained max
level of function be discharged.
c. Medicare therapy services must be discontinued if there is no
potential for the restoration of function.
a. Medicare services may continue to maintain their maximum level of
function and quality of life.
The therapist should inform the client that skilled services can
continue to maintain their maximum level of function and quality of
life. If a Medicare beneficiary requires skilled services to slow or
prevent deterioration and maintain their maximum level of function,
they do not have to be discharged from services, even if no
improvement is expected. The restorative potential of a person is not
the sole payment criteria for the provision of skilled therapy services.
,Page 3 of 459
A letter of medical necessity is not required by Medicare to continue
their skilled therapy services. The Medicare policy to cover skilled
therapy services to maintain the functional status and quality of life of
Medicare beneficiaries with progressive disorders has been in effect
since 2013. Amyotrophic lateral sclerosis (ALS) is a progressive
neurological disease that affects motor neurons that control voluntary
muscle movement.
At the beginning of the school year, a school-based occupational
therapist meets with high school sophomores to review the
individualized transition plans (ITPs) that were established in their
freshman year. Several student express concern that their ITPs do not
fully address their concerns about post-secondary life. The therapist
determines that an evaluation of students' current status related to
their ITP goals is needed. Which assessment is best for the therapist to
include in the evaluation process?
a. Participation Scale (P Scale).
b. Interest Checklist.
c. Adolescent/Adult Sensory Profile.
a. Participation Scale (P Scale).
According to the Reauthorization and Amendment of Individuals with
Disabilities Education Act, transitional planning must begin at the age
of 14 (or younger if indicated) and transition services must begin at
the age of 16 (or younger if indicated) to provide students with a
, Page 4 of 459
coordinated set of services to attain post-school goals. Therefore, an
evaluation of sophomore students' status related to their ITP goals
prior to implementing the ITPs that were established in their
freshman year is important, The Participation Scale (P Scale) measures
restrictions in social participation related to community mobility,
access to work, recreation, and social interaction with family, peers,
neighbors, and others.
An occupational therapist works with a person who is recovering from
the removal of a brain tumor from the cerebellum. The client has
established a goal to resume a home maintainer role. Which is most
relevant for the therapist to focus on during intervention sessions to
help the client attain their goal?
a. The use of a wheeled cart to assist with balance while doing
laundry.
b. Sensory precautions to observe when cooking and ironing.
c. Compensatory techniques for finding items in the supermarket.
d. Organizational strategies for composing a monthly household
budget.
a. The use of a wheeled cart to assist with balance while doing
laundry.
The removal of a brain tumor from the cerebellum would result in
balance and coordination concerns. Therefore, the use of a mobility
aid such as a wheeled cart would be a helpful intervention to assist
