Purple Book NBCOT/ 801 Questions
with Complete answers/rationales
Test Bank 2023.
An OT is preparing to evaluate a toddler who has UE orthopedic concerns. How will the
OT MOST likely obtain the majority of the initial assessment data?
a. measurement tools that assess visual-motor skills.
b. dynamometer and pinch meter readings.
c. Observation of a child during activities in the child-care center.
d. Functional independence measures. - -C. observation of a child during activities in
the child-care center.
Through observation of the child, the OT can collect information about the child's motor
performance skills and participation in activities that require UE/hand skill. Naturalistic
observation is a method of ecologic assessment which is a "primary mechanism for
obtaining data relevant to the child's performance context." The other answer choices
are all appropriate choices after the child is old enough for these assessments.
-During an initial eval, the OT suspects that a child has somatodyspraxia. In what area
should the OT focus on the eval?
a. ability to print or write
b. reading competency
c. math calculations
d. new motor task planning - -D. New motor task planning
Somatodyspraxia is described as a deficit in learning new motor skills, planning new
motor actions, and generalizing motor plans. Inability to print or write is termed
dysgraphia. Dyslexia means dysfunction in reading, and dyscalculia is the term for
inability to perform mathematics.
,-An OT working in a long-term care facility needs to eval the long-term memory of a
resident. Which of the following methods is BEST for evaluating memory of personally
experienced events (declarative memory).
a. show the person a series of objects and ask him to recall the objects within 60 seconds
b. ask the individual how he spent New Years.
c. have the individual state the place, date, and time.
d. ask the client to remember to bring a specific item to the next therapy session. - -B.
ask the individual how he spent New Years
Declarative memory is one aspect of long term memory and includes conscious memory
of events, knowledge, or facts. It is commonly assessed through verbal interviews and
informal testing such as asking a question about a persons recall of personal events.
Working memory refers to the temporary storage of information while one is attending
to it (answer A). Prospective memory involves the ability to remember intentions or
activities that will be required in the future (answer D). Knowing time, date, and place is
orientation.
-A child avoids playground equipment that requires her feet to be off the ground. What
does this behavior MOST likely indicate?
a. difficulty modulating proprioception
b. somatodyspraxia
c. gravitational insecurity
d. bilateral integration/sequencing deficits. - -C. Gravitational insecurity.
gravitational insecurity is described as fear response to movement. Tactile defensiveness
(answer A) is a term used to describe discomfort with various textures with unexpected
touch. Somatodyspraxia interferes with development of bodyscheme and awareness.
Bilateral integration relates to ability to coordinate, sequence, and execute motor
actions quickly and efficiently.
-When the OT suspects tactile defensiveness as a rational for a child's challenges, in
what area of participation should the OT focus on FIRST?
,a. play behavior
b. dressing habits
c. social skills
d. leisure interests - -b. dressing habits
Children with tactile defensiveness are bothered by tactile aspects of ADLs including
specific types of clothing. The child may avoid wearing certain clothes. Conversely, some
children may never take their shoes off to avoid tactile stimulation. Play behavior and
social skills 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 who is in the process of
preparing to move from a state hospital to a group home. During a baking group, the
client becomes agitated and leaves the room when another client uses the electric hand
mixer to mix the cake batter, and again when two clients begin to argue loudly about
which type of icing to use. How would the OT BEST describe this behavior?
a. low registration
b. sensory avoiding
c. sensory seeking
d. a hearing impairment - -b. sensory avoiding
The individual's actions are indicative of sensory avoiding behavior, characterized by
low threshold to stimuli perceived as noxious, followed by an active response such as
leaving the room. Individuals with sensory avoiding behavior may become distressed in
situations in which they cannot control the environment. An individual with low
registration, sensory seeking behavior, or a hearing impairment would not have
difficulty with the auditory stimulation.
-During a self-care eval of an individual who recently sustained a brain injury, the OT
instructs the individual to comb his hair immediately after he washes his face. The
individual washes his face quickly, but then the therapist must give him several
, reminders to comb his hair. The OT is MOST likely to identify this as a deficit in what
area?
a. working memory
b. judgement
c. hearing
d. abstraction - -a. working memory
working memory is the temporary storage of information while one is working with it or
attending to it. It includes the ability to recall information immediately after exposure. It
also allows one to focus conscious attention and keeps track of information as one is
performing an activity. Judgment is the ability to make realistic and safe decisions and
would not be needed for this task. Because the person performed the first request,
hearing would seem intact. Abstraction is the ability to extrapolate information from an
idea to generalize to another situation and would not be needed to follow this direction.
-A supermarket employee with OCD 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 "all the labels were not lined up exactly in the same direction." Which of the
following methods would be MOST effective to evaluate this 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. - -A. on-site observation of
performance skills
Individuals with OCD often experience difficulties with work. Observation in situational
context is likely to be more useful in fully understanding their behavioral success and is
the preferred approach for assessing work function of people with psychiatric
disabilities. There is nothing to suggest the individual has a cognitive deficit or need for
cognitive evaluation. Interview is more useful for assessing an individual's readiness for
work, occupational development, and interests. Task evaluation with a clean medium
with Complete answers/rationales
Test Bank 2023.
An OT is preparing to evaluate a toddler who has UE orthopedic concerns. How will the
OT MOST likely obtain the majority of the initial assessment data?
a. measurement tools that assess visual-motor skills.
b. dynamometer and pinch meter readings.
c. Observation of a child during activities in the child-care center.
d. Functional independence measures. - -C. observation of a child during activities in
the child-care center.
Through observation of the child, the OT can collect information about the child's motor
performance skills and participation in activities that require UE/hand skill. Naturalistic
observation is a method of ecologic assessment which is a "primary mechanism for
obtaining data relevant to the child's performance context." The other answer choices
are all appropriate choices after the child is old enough for these assessments.
-During an initial eval, the OT suspects that a child has somatodyspraxia. In what area
should the OT focus on the eval?
a. ability to print or write
b. reading competency
c. math calculations
d. new motor task planning - -D. New motor task planning
Somatodyspraxia is described as a deficit in learning new motor skills, planning new
motor actions, and generalizing motor plans. Inability to print or write is termed
dysgraphia. Dyslexia means dysfunction in reading, and dyscalculia is the term for
inability to perform mathematics.
,-An OT working in a long-term care facility needs to eval the long-term memory of a
resident. Which of the following methods is BEST for evaluating memory of personally
experienced events (declarative memory).
a. show the person a series of objects and ask him to recall the objects within 60 seconds
b. ask the individual how he spent New Years.
c. have the individual state the place, date, and time.
d. ask the client to remember to bring a specific item to the next therapy session. - -B.
ask the individual how he spent New Years
Declarative memory is one aspect of long term memory and includes conscious memory
of events, knowledge, or facts. It is commonly assessed through verbal interviews and
informal testing such as asking a question about a persons recall of personal events.
Working memory refers to the temporary storage of information while one is attending
to it (answer A). Prospective memory involves the ability to remember intentions or
activities that will be required in the future (answer D). Knowing time, date, and place is
orientation.
-A child avoids playground equipment that requires her feet to be off the ground. What
does this behavior MOST likely indicate?
a. difficulty modulating proprioception
b. somatodyspraxia
c. gravitational insecurity
d. bilateral integration/sequencing deficits. - -C. Gravitational insecurity.
gravitational insecurity is described as fear response to movement. Tactile defensiveness
(answer A) is a term used to describe discomfort with various textures with unexpected
touch. Somatodyspraxia interferes with development of bodyscheme and awareness.
Bilateral integration relates to ability to coordinate, sequence, and execute motor
actions quickly and efficiently.
-When the OT suspects tactile defensiveness as a rational for a child's challenges, in
what area of participation should the OT focus on FIRST?
,a. play behavior
b. dressing habits
c. social skills
d. leisure interests - -b. dressing habits
Children with tactile defensiveness are bothered by tactile aspects of ADLs including
specific types of clothing. The child may avoid wearing certain clothes. Conversely, some
children may never take their shoes off to avoid tactile stimulation. Play behavior and
social skills 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 who is in the process of
preparing to move from a state hospital to a group home. During a baking group, the
client becomes agitated and leaves the room when another client uses the electric hand
mixer to mix the cake batter, and again when two clients begin to argue loudly about
which type of icing to use. How would the OT BEST describe this behavior?
a. low registration
b. sensory avoiding
c. sensory seeking
d. a hearing impairment - -b. sensory avoiding
The individual's actions are indicative of sensory avoiding behavior, characterized by
low threshold to stimuli perceived as noxious, followed by an active response such as
leaving the room. Individuals with sensory avoiding behavior may become distressed in
situations in which they cannot control the environment. An individual with low
registration, sensory seeking behavior, or a hearing impairment would not have
difficulty with the auditory stimulation.
-During a self-care eval of an individual who recently sustained a brain injury, the OT
instructs the individual to comb his hair immediately after he washes his face. The
individual washes his face quickly, but then the therapist must give him several
, reminders to comb his hair. The OT is MOST likely to identify this as a deficit in what
area?
a. working memory
b. judgement
c. hearing
d. abstraction - -a. working memory
working memory is the temporary storage of information while one is working with it or
attending to it. It includes the ability to recall information immediately after exposure. It
also allows one to focus conscious attention and keeps track of information as one is
performing an activity. Judgment is the ability to make realistic and safe decisions and
would not be needed for this task. Because the person performed the first request,
hearing would seem intact. Abstraction is the ability to extrapolate information from an
idea to generalize to another situation and would not be needed to follow this direction.
-A supermarket employee with OCD 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 "all the labels were not lined up exactly in the same direction." Which of the
following methods would be MOST effective to evaluate this 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. - -A. on-site observation of
performance skills
Individuals with OCD often experience difficulties with work. Observation in situational
context is likely to be more useful in fully understanding their behavioral success and is
the preferred approach for assessing work function of people with psychiatric
disabilities. There is nothing to suggest the individual has a cognitive deficit or need for
cognitive evaluation. Interview is more useful for assessing an individual's readiness for
work, occupational development, and interests. Task evaluation with a clean medium
