NBCOT OTR Retired Questions and
Answers.
Retired NBCOT® Question
A client has impaired executive functioning secondary to a TBI. During an initial
interview, the spouse reports this impairment is disrupting family members' work and
school schedules and daily routines. What information is MOST IMPORTANT for the
OTR® to gather when evaluating the client's skills?
A.Performance patterns and contexts within the household
B.Results from standardized observational assessments
C.Client's current community living needs and abilities
D.Outcomes of a roles and leisure activity checklist -
\A.Performance patterns and contexts within the household.
Identifying performance patterns and contexts of the client would be beneficial
information to gather given the spouse's report of client deficits disrupting routines.
---
D: Assessing roles and leisure activity through checklists was not indicated as a deficit
area in the initial interview and so would not be the most important area to gather
information about.
Retired NBCOT® Question
A student in the third grade with a learning disability has attended school-based
occupational therapy for several years to improve visual-perceptual skills for completing
curriculum-based school work. The latest update report to the parents indicates the
student is not making progress toward the stated Individualized Education Program
(IEP) goals. This report is similar to the previous two reports. What action should the
OTR® take NEXT to address the lack of progress?
A.Continue occupational therapy intervention knowing that developmental progress due
to maturity is still possible.
B.Discuss alternative classroom modifications and adaptations with the student's
teacher.
C.Request the special education team schedule an interim meeting to modify the
student's IEP.
D.Send a letter to the student's parents informing them that occupational therapy is no
longer beneficial to their child. -
\B.Discuss alternative classroom modifications and adaptations with the student's
teacher.
The student's response to occupational therapy intervention and teacher data is
important in implementing an effective intervention plan. The intervention plan appears
to need modification on the basis of the student's response.
---
, C: The intervention plan is modified before changing the goals in the IEP because the
goals may not be the problem; rather, the practitioner may not have implemented the
right intervention yet or the student's status has changed and requires modification of
the intervention.
Retired NBCOT® Question
An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary
lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The
patient is referred to occupational therapy for ROM, edema management, and
preparation for hospice care at home. What is the PRIMARY purpose of initiating an
exercise program for this patient?
A.To increase overall endurance for daily tasks
B.To promote normal venous and lymphatic return
C.To improve mobility for preferred activities
D.To facilitate passive ROM through a full arc of motion -
\C.To improve mobility for preferred activities.
The goal of therapy is to restore a patient's participation in meaningful goal-directed
activities that are preferred by the patient, and engaging in an exercise program that will
improve mobility may facilitate improved engagement.
---
A: Cancer rehabilitation focuses on engaging the patient at whatever level is possible
for the patient; the focus is not on increasing endurance at Stage III level of progressive
cancer when endurance is likely to not increase.
B: Promoting venous and lymphatic return is a primary purpose of lymphedema therapy
and would not be the primary purpose of an exercise program.
D: Facilitating PROM through a full arc of motion is not a functional outcome of therapy
and will not result in improved engagement in activity by the patient.
Retired NBCOT® Question
A student in the first grade has illegible handwriting. Results of a standardized
assessment indicate the student scored 0.5 standard deviations from the mean on a
gross motor subtest and 2.0 standard deviations from the mean on a fine motor subtest.
What do these results indicate?
A.Activities to improve handwriting should be included as part of the intervention.
B.Ninety-eight percent of the student's peers would score better on the fine motor test.
C.Fine and gross motor skills are within an acceptable range from the norm.
D.Fine motor and gross motor skills are moderately delayed compared to the norm. -
\A.Activities to improve handwriting should be included as part of the intervention.
Standard deviations less than 1.5 suggest a need for occupational therapy services; in
this case, the gross motor standard deviation does not suggest a delay, whereas the
fine motor standard deviation should be addressed through an intervention plan that
addresses the student's handwriting.
---
Answers.
Retired NBCOT® Question
A client has impaired executive functioning secondary to a TBI. During an initial
interview, the spouse reports this impairment is disrupting family members' work and
school schedules and daily routines. What information is MOST IMPORTANT for the
OTR® to gather when evaluating the client's skills?
A.Performance patterns and contexts within the household
B.Results from standardized observational assessments
C.Client's current community living needs and abilities
D.Outcomes of a roles and leisure activity checklist -
\A.Performance patterns and contexts within the household.
Identifying performance patterns and contexts of the client would be beneficial
information to gather given the spouse's report of client deficits disrupting routines.
---
D: Assessing roles and leisure activity through checklists was not indicated as a deficit
area in the initial interview and so would not be the most important area to gather
information about.
Retired NBCOT® Question
A student in the third grade with a learning disability has attended school-based
occupational therapy for several years to improve visual-perceptual skills for completing
curriculum-based school work. The latest update report to the parents indicates the
student is not making progress toward the stated Individualized Education Program
(IEP) goals. This report is similar to the previous two reports. What action should the
OTR® take NEXT to address the lack of progress?
A.Continue occupational therapy intervention knowing that developmental progress due
to maturity is still possible.
B.Discuss alternative classroom modifications and adaptations with the student's
teacher.
C.Request the special education team schedule an interim meeting to modify the
student's IEP.
D.Send a letter to the student's parents informing them that occupational therapy is no
longer beneficial to their child. -
\B.Discuss alternative classroom modifications and adaptations with the student's
teacher.
The student's response to occupational therapy intervention and teacher data is
important in implementing an effective intervention plan. The intervention plan appears
to need modification on the basis of the student's response.
---
, C: The intervention plan is modified before changing the goals in the IEP because the
goals may not be the problem; rather, the practitioner may not have implemented the
right intervention yet or the student's status has changed and requires modification of
the intervention.
Retired NBCOT® Question
An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary
lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The
patient is referred to occupational therapy for ROM, edema management, and
preparation for hospice care at home. What is the PRIMARY purpose of initiating an
exercise program for this patient?
A.To increase overall endurance for daily tasks
B.To promote normal venous and lymphatic return
C.To improve mobility for preferred activities
D.To facilitate passive ROM through a full arc of motion -
\C.To improve mobility for preferred activities.
The goal of therapy is to restore a patient's participation in meaningful goal-directed
activities that are preferred by the patient, and engaging in an exercise program that will
improve mobility may facilitate improved engagement.
---
A: Cancer rehabilitation focuses on engaging the patient at whatever level is possible
for the patient; the focus is not on increasing endurance at Stage III level of progressive
cancer when endurance is likely to not increase.
B: Promoting venous and lymphatic return is a primary purpose of lymphedema therapy
and would not be the primary purpose of an exercise program.
D: Facilitating PROM through a full arc of motion is not a functional outcome of therapy
and will not result in improved engagement in activity by the patient.
Retired NBCOT® Question
A student in the first grade has illegible handwriting. Results of a standardized
assessment indicate the student scored 0.5 standard deviations from the mean on a
gross motor subtest and 2.0 standard deviations from the mean on a fine motor subtest.
What do these results indicate?
A.Activities to improve handwriting should be included as part of the intervention.
B.Ninety-eight percent of the student's peers would score better on the fine motor test.
C.Fine and gross motor skills are within an acceptable range from the norm.
D.Fine motor and gross motor skills are moderately delayed compared to the norm. -
\A.Activities to improve handwriting should be included as part of the intervention.
Standard deviations less than 1.5 suggest a need for occupational therapy services; in
this case, the gross motor standard deviation does not suggest a delay, whereas the
fine motor standard deviation should be addressed through an intervention plan that
addresses the student's handwriting.
---
