NBCOT Neurodegenerative Diseases
Exam Prep And Solutions.
During an initial evaluation conducted by an OTR®, a client with Stage 1 Parkinson's
disease (PD) identified grocery shopping as a valued occupation, but listed fatigue as a
barrier and stated that occasional tremors could be embarrassing. What intervention
approach would be meaningful as the COTA® prepares to accompany the client to the
store for an occupation-based treatment session?
A. Create a list of needed items and make a route to easily navigate the store.
B. Provide the client with psychosocial support to focus on reducing the anxiety
associated with symptoms.
C. Instruct the client to don wrist weights to reduce tremors while reaching for items to
put in the shopping cart.
D. Instruct the client to use a rollator to take seated rest breaks while grocery shopping.
-
\A. Create a list of needed items and make a route to easily navigate the store.
A COTA® working in an acute care setting is treating a client in the onset stage of
Guillain-Barré syndrome (GBS) who requires total assistance for most tasks. At this
stage, what should be the intervention's focus?
A. Patient education on the progressive nature of this disease
B. ADL performance, adaptive equipment training, and other compensatory strategies
C. ROM and strengthening to prevent muscles from further weakening
D. Positioning to prevent skin breakdown and allow access to needed items -
\D. Positioning to prevent skin breakdown and allow access to needed items
What is the BEST suggestion that a COTA® might provide to a caregiver who is living
with a client who has Alzheimer's disease (AD)?
A. Suggest appropriate activities that can engage the client during unoccupied time and
improve daily structure.
B. Suggest that the caregiver allow the client to continue cooking independently with
adapted cooking utensils to improve safety.
C. Suggest that the caregiver provide challenge to the client's daily routine by
maintaining distance during routine tasks.
D. Suggest modifications to the home environment to include arrows that lead to the
bedroom and bathroom. -
\A. Suggest appropriate activities that can engage the client during unoccupied time and
improve daily structure.
A client is able to say only "yes," "no," or "hello." This client is also incontinent of bladder
and bowel and is unable to walk. In which stage of Alzheimer's disease (AD) is this
client?
A. Early
,B. Middle
C. Late
D. End -
\C. Late
Which behavioral symptom might a client with early-stage dementia display?
A. Pacing
B. Violence
C. Rude language
D. Suspicion -
\D. Suspicion
A client with amyotrophic lateral sclerosis reports functional limitations when completing
his daily routine. The OTR® has completed ADL and IADL assessments as part of the
evaluation. The OTR® asks the COTA® to administer an assessment of the client's
upper-extremity motor control. Which assessment would be MOST effective for
assessing this client's upper-extremity ability, and appropriate for the client to perform
after?
A. Modified Ashworth Scale
B. Trigger point evaluation
C. FIM™
D. Purdue Pegboard test -
\D. Purdue Pegboard test
A client with Alzheimer's disease (AD) perseverates on having to pick up children from
daycare. At which stage of the disease process is this client likely at?
A. End
B. Early
C. Middle
D. Late -
\C. Middle
A patient has multiple sclerosis and was admitted to a rehabilitation facility due to a
recent decline in function. The patient now requires a wheelchair for outdoor mobility but
still uses a cane to walk indoors. The patient completes BADLs independently using
assistive devices. What is MOST IMPORTANT for the COTA® to recommend as part of
the discharge planning process for this patient?
A. Caregiver training to learn wheelchair transfer techniques
B. Family counseling to deal with the steady decline in function
C. Assessment to determine durable medical equipment needs
D. Referral to driver rehabilitation for community mobility needs -
\A. Caregiver training to learn wheelchair transfer techniques
A COTA® works on an Alzheimer's unit of a skilled nursing facility and is planning a
group activity for residents who are functioning at Allen Cognitive Level 2 (postural
, actions). Which activity would be MOST BENEFICIAL for supporting the residents'
participation during a session?
A. Singing along to familiar songs
B. Preparing a snack for the evening
C. Doing gross motor exercises to music
D. Playing a game of bingo -
\C. Doing gross motor exercises to music
What skills might a client with middle-stage dementia have difficulty performing on the
basis of typical psychosocial or cognitive abilities present during this stage of dementia?
A. Speaking
B. Swallowing and chewing
C. Managing finances
D. Posture and balance -
\C. Managing finances
A client with Parkinson's disease complains of difficulty with bed mobility resulting in
difficulty changing position during the night. Which environmental modification BEST
addresses this client's difficulties with bed mobility?
A. Put pillows on one side of client for side lying positions.
B. Place a nightlight in the bedroom to improve ability to see during bed mobility.
C. Change to lighter bedding to decrease resistance during bed mobility.
D. Move the bed against the wall to provide stability during changes in sleeping
positions. -
\C. Change to lighter bedding to decrease resistance during bed mobility.
An OTR® receives a referral to evaluate a client with dementia. What type of
assessment would the OTR®likely use to evaluate this client?
A. Nonstandardized assessment tool that assesses memory
B. Standardized assessment tool that assesses hand function
C. Observation of client and interview with caregivers
D. Assessment tool that examines occupational performance and performance skills in
detail -
\C. Observation of client and interview with caregivers
A client has nocturnal urge incontinence secondary to Parkinson's disease. Which
environmental modifications would be MOST BENEFICIAL for promoting the client's
safety for nighttime toileting?
A. Raised toilet seat and safety grab bars
B. Urinal and a bedside commode
C. Night light and off-set hinges on the doors
D. Call light and an adjustable-height bed -
\B. Urinal and a bedside commode
Which statement BEST describes an important consideration for COTA®s working with
clients with dementia and their caregivers?
Exam Prep And Solutions.
During an initial evaluation conducted by an OTR®, a client with Stage 1 Parkinson's
disease (PD) identified grocery shopping as a valued occupation, but listed fatigue as a
barrier and stated that occasional tremors could be embarrassing. What intervention
approach would be meaningful as the COTA® prepares to accompany the client to the
store for an occupation-based treatment session?
A. Create a list of needed items and make a route to easily navigate the store.
B. Provide the client with psychosocial support to focus on reducing the anxiety
associated with symptoms.
C. Instruct the client to don wrist weights to reduce tremors while reaching for items to
put in the shopping cart.
D. Instruct the client to use a rollator to take seated rest breaks while grocery shopping.
-
\A. Create a list of needed items and make a route to easily navigate the store.
A COTA® working in an acute care setting is treating a client in the onset stage of
Guillain-Barré syndrome (GBS) who requires total assistance for most tasks. At this
stage, what should be the intervention's focus?
A. Patient education on the progressive nature of this disease
B. ADL performance, adaptive equipment training, and other compensatory strategies
C. ROM and strengthening to prevent muscles from further weakening
D. Positioning to prevent skin breakdown and allow access to needed items -
\D. Positioning to prevent skin breakdown and allow access to needed items
What is the BEST suggestion that a COTA® might provide to a caregiver who is living
with a client who has Alzheimer's disease (AD)?
A. Suggest appropriate activities that can engage the client during unoccupied time and
improve daily structure.
B. Suggest that the caregiver allow the client to continue cooking independently with
adapted cooking utensils to improve safety.
C. Suggest that the caregiver provide challenge to the client's daily routine by
maintaining distance during routine tasks.
D. Suggest modifications to the home environment to include arrows that lead to the
bedroom and bathroom. -
\A. Suggest appropriate activities that can engage the client during unoccupied time and
improve daily structure.
A client is able to say only "yes," "no," or "hello." This client is also incontinent of bladder
and bowel and is unable to walk. In which stage of Alzheimer's disease (AD) is this
client?
A. Early
,B. Middle
C. Late
D. End -
\C. Late
Which behavioral symptom might a client with early-stage dementia display?
A. Pacing
B. Violence
C. Rude language
D. Suspicion -
\D. Suspicion
A client with amyotrophic lateral sclerosis reports functional limitations when completing
his daily routine. The OTR® has completed ADL and IADL assessments as part of the
evaluation. The OTR® asks the COTA® to administer an assessment of the client's
upper-extremity motor control. Which assessment would be MOST effective for
assessing this client's upper-extremity ability, and appropriate for the client to perform
after?
A. Modified Ashworth Scale
B. Trigger point evaluation
C. FIM™
D. Purdue Pegboard test -
\D. Purdue Pegboard test
A client with Alzheimer's disease (AD) perseverates on having to pick up children from
daycare. At which stage of the disease process is this client likely at?
A. End
B. Early
C. Middle
D. Late -
\C. Middle
A patient has multiple sclerosis and was admitted to a rehabilitation facility due to a
recent decline in function. The patient now requires a wheelchair for outdoor mobility but
still uses a cane to walk indoors. The patient completes BADLs independently using
assistive devices. What is MOST IMPORTANT for the COTA® to recommend as part of
the discharge planning process for this patient?
A. Caregiver training to learn wheelchair transfer techniques
B. Family counseling to deal with the steady decline in function
C. Assessment to determine durable medical equipment needs
D. Referral to driver rehabilitation for community mobility needs -
\A. Caregiver training to learn wheelchair transfer techniques
A COTA® works on an Alzheimer's unit of a skilled nursing facility and is planning a
group activity for residents who are functioning at Allen Cognitive Level 2 (postural
, actions). Which activity would be MOST BENEFICIAL for supporting the residents'
participation during a session?
A. Singing along to familiar songs
B. Preparing a snack for the evening
C. Doing gross motor exercises to music
D. Playing a game of bingo -
\C. Doing gross motor exercises to music
What skills might a client with middle-stage dementia have difficulty performing on the
basis of typical psychosocial or cognitive abilities present during this stage of dementia?
A. Speaking
B. Swallowing and chewing
C. Managing finances
D. Posture and balance -
\C. Managing finances
A client with Parkinson's disease complains of difficulty with bed mobility resulting in
difficulty changing position during the night. Which environmental modification BEST
addresses this client's difficulties with bed mobility?
A. Put pillows on one side of client for side lying positions.
B. Place a nightlight in the bedroom to improve ability to see during bed mobility.
C. Change to lighter bedding to decrease resistance during bed mobility.
D. Move the bed against the wall to provide stability during changes in sleeping
positions. -
\C. Change to lighter bedding to decrease resistance during bed mobility.
An OTR® receives a referral to evaluate a client with dementia. What type of
assessment would the OTR®likely use to evaluate this client?
A. Nonstandardized assessment tool that assesses memory
B. Standardized assessment tool that assesses hand function
C. Observation of client and interview with caregivers
D. Assessment tool that examines occupational performance and performance skills in
detail -
\C. Observation of client and interview with caregivers
A client has nocturnal urge incontinence secondary to Parkinson's disease. Which
environmental modifications would be MOST BENEFICIAL for promoting the client's
safety for nighttime toileting?
A. Raised toilet seat and safety grab bars
B. Urinal and a bedside commode
C. Night light and off-set hinges on the doors
D. Call light and an adjustable-height bed -
\B. Urinal and a bedside commode
Which statement BEST describes an important consideration for COTA®s working with
clients with dementia and their caregivers?
