Revision Questions and Answers-
NBCOT OTR
An OTR has been providing home health services for 2 weeks to a patient who has had
cardiac bypass surgery. The OTR determines that the patient could benefit from an
outpatient cardiac rehabilitation program. The OTR informs the supervisor of these
conclusions, but the supervisor recommends that the patient continue with home health
services to maintain Medicare reimbursement. What action should the OTR take in this
situation? -
\Provide justification for the referral in a discharge summary
An OTR who works in a long-term acute care setting is following contact precautions
when providing intervention to an inpatient who has MRSA. In addition to putting on
gloves and gown, what other action MUST the OTR take? -
\hand hygiene
An OTR is reviewing a research article investigating the role of peer support among
members living in a retirement community. Data collection methods included
observation, note-taking and semi-structured interviews conducted with members over a
6 month period. Constant comparison and open coding were undertaken to categorize
core concepts. A conceptual model identifying 5 tiers of peer support was constructed
based on members' experience. Which type of qualitative research design does this
investigation represent? -
\grounded theory
-continuous comparison between collected data and interpretation, which results in a
set of categories and emerging theory
An OTR is establishing a pediatric private practice to provide comprehensive in-home
services. According to Part C of the Individuals with Disabilities Education Improvement
Act of 2004, what MUST the OTR include as part of each child's intervention? -
\Evidence of family-centered treatment sessions in the child's natural environment
-needs to include location
phenological study -
\
Which of the following is the BEST example of a primary objective for a health
promotion program for people with chronic conditions? -
\Prevention of secondary conditions to enhance overall quality of life
-wellness program: enhance quality of life by addressing lifestyle factors that prevent
secondary conditions
, An OTR who works in an outpatient setting receives a referral to evaluate a new client.
The client and the OTR have several mutual friends, see each other regularly at social
functions, and maintain contact through a social media platform. Which statement
represents the BEST ethical action for the OTR to take? -
\Report the relationship to the supervisor and request the referral be passed to another
OTR
An inpatient had a myocardial infarction 4 days ago. While sitting on a chair at the sink
during a bathing session, the patient's systolic blood pressure increases by 10 mmHg
above the patient's resting blood pressure. What INITIAL action should the OTR take
based on this observation? -
\Continue to monitor vital signs and proceed with the planned intervention session
-10 mmHg is okay for activity
R - values of correlation -
\Strong: > 0.6
Moderate: 0.3 - 0.6
Weak: < 0.3
No correlation: 0
*needs to be .7 or above to be considered adequate*
An OTR has completed the initial evaluation of an outpatient who has Medicare as the
primary insurance. What MUST be included in the occupational therapy documentation
to meet Medicare requirements for reimbursement? -
\plan of care certified by the physician, justification for the skills of an occupational
therapy practitioner, and services specific to the needs of the patient.
An OTR who works in an inpatient rehabilitation unit is completing an evaluation of a
patient who had bilateral total knee arthroplasties 3 days ago. The patient is in generally
good health, plans to live independently at home, and wants to resume volunteer work
in the community. The patient currently requires OT services to increase independence
in bathing, dressing, and toileting. What MUST the OTR consider when scheduling the
patient for OT? -
\Understand documentation requirements for reimbursement by the third party payer
-when writing intervention plans (scheduling) think of the doc. reimbursement
requirements
An OTR is teaching compensatory strategies to an older adult client who lives alone and
receives weekly visits from a family member. One of the client's priorities is to be
independent with IADL, including medication management. However, when filling the pill
box, the client made 8 medication errors in the past month. To respect the client's stated
priorities and to maintain client safety, which statement represents the BEST ethical
action for the OTR to take? -
\Ask for medications to be pre-packaged at the pharmacy according to prescription
instructions.
NBCOT OTR
An OTR has been providing home health services for 2 weeks to a patient who has had
cardiac bypass surgery. The OTR determines that the patient could benefit from an
outpatient cardiac rehabilitation program. The OTR informs the supervisor of these
conclusions, but the supervisor recommends that the patient continue with home health
services to maintain Medicare reimbursement. What action should the OTR take in this
situation? -
\Provide justification for the referral in a discharge summary
An OTR who works in a long-term acute care setting is following contact precautions
when providing intervention to an inpatient who has MRSA. In addition to putting on
gloves and gown, what other action MUST the OTR take? -
\hand hygiene
An OTR is reviewing a research article investigating the role of peer support among
members living in a retirement community. Data collection methods included
observation, note-taking and semi-structured interviews conducted with members over a
6 month period. Constant comparison and open coding were undertaken to categorize
core concepts. A conceptual model identifying 5 tiers of peer support was constructed
based on members' experience. Which type of qualitative research design does this
investigation represent? -
\grounded theory
-continuous comparison between collected data and interpretation, which results in a
set of categories and emerging theory
An OTR is establishing a pediatric private practice to provide comprehensive in-home
services. According to Part C of the Individuals with Disabilities Education Improvement
Act of 2004, what MUST the OTR include as part of each child's intervention? -
\Evidence of family-centered treatment sessions in the child's natural environment
-needs to include location
phenological study -
\
Which of the following is the BEST example of a primary objective for a health
promotion program for people with chronic conditions? -
\Prevention of secondary conditions to enhance overall quality of life
-wellness program: enhance quality of life by addressing lifestyle factors that prevent
secondary conditions
, An OTR who works in an outpatient setting receives a referral to evaluate a new client.
The client and the OTR have several mutual friends, see each other regularly at social
functions, and maintain contact through a social media platform. Which statement
represents the BEST ethical action for the OTR to take? -
\Report the relationship to the supervisor and request the referral be passed to another
OTR
An inpatient had a myocardial infarction 4 days ago. While sitting on a chair at the sink
during a bathing session, the patient's systolic blood pressure increases by 10 mmHg
above the patient's resting blood pressure. What INITIAL action should the OTR take
based on this observation? -
\Continue to monitor vital signs and proceed with the planned intervention session
-10 mmHg is okay for activity
R - values of correlation -
\Strong: > 0.6
Moderate: 0.3 - 0.6
Weak: < 0.3
No correlation: 0
*needs to be .7 or above to be considered adequate*
An OTR has completed the initial evaluation of an outpatient who has Medicare as the
primary insurance. What MUST be included in the occupational therapy documentation
to meet Medicare requirements for reimbursement? -
\plan of care certified by the physician, justification for the skills of an occupational
therapy practitioner, and services specific to the needs of the patient.
An OTR who works in an inpatient rehabilitation unit is completing an evaluation of a
patient who had bilateral total knee arthroplasties 3 days ago. The patient is in generally
good health, plans to live independently at home, and wants to resume volunteer work
in the community. The patient currently requires OT services to increase independence
in bathing, dressing, and toileting. What MUST the OTR consider when scheduling the
patient for OT? -
\Understand documentation requirements for reimbursement by the third party payer
-when writing intervention plans (scheduling) think of the doc. reimbursement
requirements
An OTR is teaching compensatory strategies to an older adult client who lives alone and
receives weekly visits from a family member. One of the client's priorities is to be
independent with IADL, including medication management. However, when filling the pill
box, the client made 8 medication errors in the past month. To respect the client's stated
priorities and to maintain client safety, which statement represents the BEST ethical
action for the OTR to take? -
\Ask for medications to be pre-packaged at the pharmacy according to prescription
instructions.
