NBCOT Practice Questions

NBCOT Practice Questions With All Correct Answers 2023 A 5 year old child who has mild developmental delay is learning to self-dress. Most recently, the child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From the dressing tasks listed, which should the child learn to do next based on the typical development sequence for dressing? Ans- Pulling up a jacket zipper would be the next dressing skill the child should learn. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What care coordination task should the OTR complete FIRST? Ans- Coordinate with the multi-disciplinary team to identify specific feeding and swallowing objectives. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What symptom is the resident most at risk for experiencing during a meal? Ans- Variation in voice quality or loss of voice after swallowing, which is a symptom of dysphagia. Which factor is MOST IMPORTANT to determine when considering if the resident would benefit from a mobile arm support? Ans- Amount of upper extremity passive joint mobility At a minimum, what information should the OTR document to increase the likelihood of additional authorized visits? Ans- Functional problem statements indicating the need for skilled services How should the OTR respond to the client's concerns about splinting? Ans- Encourage full participation in daily tasks by collaborating on ways to modify typical daily activities Your patient had a CVA several weeks ago. Which task oriented approach would be most beneficial to include as part of the intervention plan for maximizing the client's physical abilities? Ans- Constraintinduced movement therapy is a task-oriented approach to motor acquisition. For a patient who had a CVA several weeks ago, which type of activity should be included as part of the INITIAL intervention to REMEDIATE the client's motor impairment? Ans- Weight bearing through the affected upper extremity prior to an activity Which assessment should be included as part of the initial evaluation and can be administered by the COTA? Ans- COPM What is contraindicated during phase I of cardiac rehab? Ans- Isometric exercises can cause a rapid and sudden increase in blood pressure AOTA Ans- Publishes Standards of Practice for Occupational Therapy and the Reference Manual of official Documents of the AOTA. NBCOT Ans- Responsible for issues related to certification and certification renewal ACOTE Ans- responsible for accreditation of OT education standards in support of the practice standards set forth by the AOTA Negligible Correlation Ans- 0 - .2 low correlation Ans- .2 - .4 moderate correlation Ans- .4 - .6 high correlation Ans- .6 - .8 .8 - 1.0 Ans- very high correlation Constructional Apraxia Ans- have difficulty constructing/assembling objects A client has Poor minus (2-/5) functional strength of the dominant UE. What is the most effective method for grading an activity to improve the client's muscular strength? Ans- Increasing the amount of time an isometric contraction is held What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a right CVA several days ago? Ans- To observe the patient's oral motor control and determine a need for further evaluation. A screening is not used for diagnostics or treatment planning - it allows the OTR to quickly detect the presence of a deficit and determine if an in-depth evaluation is needed. An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho Level VII. What charcteristic of an individual's cognitive behavioral function is typically included in the description of this level? Ans- Consistent orientation to time and space. Patients at this level frequently display robot-like behaviors and require minimal assistance for routine ADL. Cognitive Behavioral Therapy Ans- The individual can change their behavior by first challenging their negative assumptions (cognitions) relating to trigger events. If a client presents with a boutonniere type deformity, what is the most likely cause? Ans- Rupture or lengthening of the central slip of the EDC Rupture of the flexor digitorum superficialis tendon or lengthening of the lateral slips of the EDC may result in... Ans- swan neck deformity An OTR who receives a referral for a 5 yr old with PDD should first gather background information on the child by: Ans- discussing the child's history with the caregiver to identify the child's present level of performance in different occupational roles When considering the readiness of a client for a power wheelchair, the OTR should primarily be concerned with Ans- Cognitive ability, to ensure that the individual has the awareness, problem solving, and decision making capabilities to learn how to consistently and safely operate the chair agoraphobia Ans- a morbid fear of open spaces (as fear of being caught alone in some public place) During an OT session at an outpatient facility, the client states that being injured has caused considerable stress at home. The client often feels frustrated and angry and reports a concern for having to physically discipline her children. The FIRST action that the OTR should take is to: Ans- further explore the situation since the child may be at risk. Gathering specific information about the client's comment is critical due to the seriousness of the accusation. Therapists are required by law to report any situation where abuse is suspected. Documentation occurs after all information is obtained from the individual. More information is needed before any action is taken. According to SI frame of reference, tx is most effective when: Ans- a child directs his or her actions within an environment structured by an OTR that provides the just-right challenge. The child's skills and abilities are facilitated in an environment where the child is directing their participation in activities An individual who is referred to OT to increase socialization and develop leisure skills sits alone, despite the active involvement of the other group members. To increase the individual's involvement in the group, the OTR's MOST APPROPRIATE FIRST action would be to Ans- review the goals and purpose of the group with the individual. In order for the individual to become involved in a group process, the group norms and expectations must first be explained to the client. The BEST position in which to feed an 8-month old with severe hypotonia is Ans- semireclined with the neck in neutral and head at midline. This will promote correct alignment of body parts during feeding and requires minimal active muscular control An individual has difficulty conceptualizing and organizing future events, and is experiencing decreased feelings of competence. The BEST treatment intervention is to have the individual: Ans- prioritize short term goals with a high chance of success. Feelings of competence are enhanced by successful progression toward achievable goals A 15 month old child with motor delays is able to get into a sitting postition, but does not pull up to standing. Which developemental milestone is the OTR MOST LIKELY to emphasize next? Ans- Creeping - The Developmental Frame of Reference suggests that once a child has achieved the developmental skill of sitting, the next skill to achieve is creeping. Before recommending purchase of adapted switches for a 3 year old with severe cerebral palsy, the OTR must FIRST: Ans- determine goals - considering how a new piece of equipment will fit into a person's occupational roles should be the first consideration for identifying equipment needs When positioning an individual with flaccid hemiparesis in a wheelchair, an OTR using NDT would place the affected arm in: Ans- a supported position, with the scapula protracted and the arm forward to inhibit abnormal patterns of movement and inhibit synergistic posturing and help to maintain scapular mobility for normal movement patterns An OTR is working on pencil grasp with an 8 yr old. The child consistently uses a palmer grasp. The MOST EFFECTIVE activity to facilitate the development of a more mature pencil grasp pattern is: Ans- stringing small beads would be most effective way to improve functional coordination and use of intrinsic muscles of the hand. This activity would also promote a more refined distal fingertip control. Distal control in intrinsic muscle strength and coordination are important components of a mature pencil grasp. When learning one-handed dressing techniques, an individual with right hemiplegia, aphasia, and ideational apraxia would MOST LIKELY benefit from which of the following treatment approaches? AnsTactile cueing for initiating dress because ti uses the individual's existing strengths to minimize the functional deficits resulting from aphasia and ideational apraxia To maximize independence in feeding, an individual with a complete C-5 quadriplegia will most likely benefit from a: Ans- plate guard, a wrist-hand orthosis with a utensil slot, bent angled utensils, and a long straw with a straw holder. A wrist-hand orthosis would compensate for the absence of wrist extensors/flexors. Bent angled utensils aid in maximizing self-feeding skills by compensating for the absence of radial and ulnar deviation. A plate guard provides a barrier against which the individual could push food to get the food onto a fork. C5 Ans- will have the following movements: elbow flexion, forearm supination, shoulder external rotation, should abduction to 90 degrees. What technique helps to normalize tone and promote sensory feedback in a pt who had a CVA with resulting hypertonicity? Ans- weight bearing/joint compression is an inhibitory technique described in both Rood's and Bobath's theories The parents of a 6 month old who has mild spasticity have been instructed in a positioning program for home. The BEST way to assess the effectiveness of the intervention program is to: Ans- have the parents demonstrate correct positioning Based on a child's performance, a school-based OTR believes that program modifications in the IEP are needed. The first course of action the OT should take should be to: Ans- Prepare a summary of the additional needs for the multidisciplinary team Based upon the initial evaluation results of a patient with a brain tumor, independence in upper body dressing is established as a short-term goal. After 2 weeks of treatment the patient is not progressing as quickly as expected. The FIRST thing the OTR should do is: Ans- contact the physician to discuss the patient's progress. It may be appropriate to modify the patient's plan but the OTR should FIRST discuss this with the physician An OTR emplyed by a multi-state entertainment theme park corporation can FIRST enhance the corporation's awareness of their role in assuring parks accessibility and ADA compliance by: Ansidentifying barriers which inhibit customer use. Determine occupational needs of the organization. The first step of the process would be to identify the needs and issues surrounding parks accessibility and ADA compliance. An OTR working in a long-term care facility is asked to recommend seating approaches for the residents in the dining program. The BEST approach to meet the needs of the entire