Community Mobility NBCOT Exam Prep
With Answers.
A COTA® is working with a teenager with developmental disabilities who hopes to
acquire a driver's license. Which interventions appropriately address this client's
community mobility needs? Select the 3 BEST three choices.
A. Have the client practice driving skills in the COTA's vehicle in the school parking lot
B. Provide training to improve the client's comprehension of travel rules tested in the
licensing process
C. Work with the OTR® to administer standardized tests of visual, cognitive, and
physical skills required for driving
D. Identify resources for testing and training by driver rehabilitation specialists
E. Guide practice in handwriting skills to improve the client's communication about
driving skills
F. Use cognitive-behavioral therapy to address the client's beliefs about the ability to
drive -
\B. Provide training to improve the client's comprehension of travel rules tested in the
licensing process
C. Work with the OTR® to administer standardized tests of visual, cognitive, and
physical skills required for driving
D. Identify resources for testing and training by driver rehabilitation specialists
Which symptom of autism spectrum disorder (ASD) may have an impact on the use of
public transportation?
A. Motor impairments may make it difficult for people with ASD to board public buses.
B. Impaired executive functioning may result in a person with ASD misjudging when to
get on or off a bus.
C. Visual impairments may result in a person with ASD not being able to read bus
schedules or bus identifiers.
D. Impairments in regulating autonomic functions may make it difficult for people with
ASD to wait outside for a bus in extreme temperature conditions. -
\B. Impaired executive functioning may result in a person with ASD misjudging when to
get on or off a bus.
Older women who are members of an ethnic minority and live on lower incomes have
been identified as using public transportation more than most people in their age cohort.
How might their reliance on public transportation influence the engagement in
community occupations of this population?
A. Participation in community occupations will be limited by the hours of transportation
service and the cost to use it.
B. Access to taxi services will expand this population's access to community
occupations.
,C. Public transportation offers access to more geographic areas than does a private
automobile, so this population will have unlimited occupational opportunities.
D. Participation in community occupations will be severely restricted for this population
because they use public transportation. -
\A. Participation in community occupations will be limited by the hours of transportation
service and the cost to use it.
A COTA® is working with a client with a visual impairment who wishes to use public
transportation buses. Which accessibility issue should the COTA® advocate for on
behalf of this client?
A. Use of a bus that lowers to the ground for boarding
B. Announcement by the driver of the names of stops along the route
C. Reserved seats near the front of the bus for clients with disabilities
D. Discount vouchers for the client -
\B. Announcement by the driver of the names of stops along the route
A COTA® and an OTR® working in a community hospital were asked to serve on a
team assessing the livability of surrounding communities. Which definition BEST
describes the concept of livability?
A. Provision of sidewalks, crossing signals, and curb cuts to ensure that all citizens of
the community can move around the community without an automobile
B. Community design that promotes maximum participation of all citizens, regardless of
age or ability
C. Mix of housing that allows families with and without children and people of all ages
and incomes to live in inclusive neighborhoods
D. Design of the physical aspects of a community to allow equal access to goods and
services for wheelchair users -
\B. Community design that promotes maximum participation of all citizens, regardless of
age or ability
A COTA® is working with the OTR® in a neonatal intensive care unit to prepare a family
for their infant's discharge home the next day. Which action addresses the MOST
important occupational therapy-related consideration for these clients' community
mobility needs?
A. Ensuring that the parents have valid driver's licenses and a safe vehicle in which to
transport the child
B. Instructing the parents to consider the possible need for adaptive mobility equipment
in their future vehicle choices
C. Determining how the child will be transported in the immediate future and making
recommendations regarding child passenger safety
D. Educating the parents about future adaptive mobility options such as adapted
seating, strollers, and tricycles -
\C. Determining how the child will be transported in the immediate future and making
recommendations regarding child passenger safety
, A COTA® is conducting a group for older adult clients on preparation for driving
cessation. Several group members express a fear of using alternative public and
commercial transportation because they have never done this before. Which actions
would address these clients' stated needs? Select the 3 BEST choices.
A. Referring the clients to a psychologist to address issues of fear and anxiety regarding
public transportation
B. Providing driving evaluations to ensure that the clients can continue to drive for as
long as possible
C. Providing travel training to help the clients practice use of public transportation until
they feel comfortable on their own
D. Simulating practice with public transportation by driving the clients along the same
routes used by the transit system
E. Leading a group discussion on alternative transportation that includes a cost
comparison analysis of owning a personal vehicle versus using publi -
\C. Providing travel training to help the clients practice use of public transportation until
they feel comfortable on their own
E. Leading a group discussion on alternative transportation that includes a cost
comparison analysis of owning a personal vehicle versus using public or commercial
transportation
F. Offering a group field trip to the local public transportation company for a tour and
demonstration of vehicle lifts and passenger safety devices
A COTA® is working with an adult client with sensory processing difficulties who finds it
uncomfortable to commute to a job via train because of the noise of the train and of
other passengers talking. Which environmental modification would allow the client to
continue to commute and maintain employment?
A. Encourage the client to obtain a driver's license and avoid train travel
B. Petition the train system to allow the client to occupy a compartment alone and ask
others to sit elsewhere
C. Recommend the use of noise-cancelling headphones with a device that plays music
or books the client enjoys
D. Assist the client in seeking employment closer to home to avoid train travel -
\C. Recommend the use of noise-cancelling headphones with a device that plays music
or books the client enjoys
A COTA® working with older adults facing driving cessation is concerned about
ensuring their continued community mobility for psychosocial and functional reasons.
What considerations should the COTA bear in mind when providing intervention? Select
the 3 BEST choices.
A. Driving cessation has been linked to social isolation, depression, and early nursing
home admission.
B. Driving cessation has been linked to episodes of psychosis.
C. Families of older adults are relieved when older adults can no longer drive.
D. Older adults are more content once they no longer face the pressure to drive.
E. Older adults who cease driving are less likely to use public transportation and
therefore need support in identifying supplemental transportation options.
With Answers.
A COTA® is working with a teenager with developmental disabilities who hopes to
acquire a driver's license. Which interventions appropriately address this client's
community mobility needs? Select the 3 BEST three choices.
A. Have the client practice driving skills in the COTA's vehicle in the school parking lot
B. Provide training to improve the client's comprehension of travel rules tested in the
licensing process
C. Work with the OTR® to administer standardized tests of visual, cognitive, and
physical skills required for driving
D. Identify resources for testing and training by driver rehabilitation specialists
E. Guide practice in handwriting skills to improve the client's communication about
driving skills
F. Use cognitive-behavioral therapy to address the client's beliefs about the ability to
drive -
\B. Provide training to improve the client's comprehension of travel rules tested in the
licensing process
C. Work with the OTR® to administer standardized tests of visual, cognitive, and
physical skills required for driving
D. Identify resources for testing and training by driver rehabilitation specialists
Which symptom of autism spectrum disorder (ASD) may have an impact on the use of
public transportation?
A. Motor impairments may make it difficult for people with ASD to board public buses.
B. Impaired executive functioning may result in a person with ASD misjudging when to
get on or off a bus.
C. Visual impairments may result in a person with ASD not being able to read bus
schedules or bus identifiers.
D. Impairments in regulating autonomic functions may make it difficult for people with
ASD to wait outside for a bus in extreme temperature conditions. -
\B. Impaired executive functioning may result in a person with ASD misjudging when to
get on or off a bus.
Older women who are members of an ethnic minority and live on lower incomes have
been identified as using public transportation more than most people in their age cohort.
How might their reliance on public transportation influence the engagement in
community occupations of this population?
A. Participation in community occupations will be limited by the hours of transportation
service and the cost to use it.
B. Access to taxi services will expand this population's access to community
occupations.
,C. Public transportation offers access to more geographic areas than does a private
automobile, so this population will have unlimited occupational opportunities.
D. Participation in community occupations will be severely restricted for this population
because they use public transportation. -
\A. Participation in community occupations will be limited by the hours of transportation
service and the cost to use it.
A COTA® is working with a client with a visual impairment who wishes to use public
transportation buses. Which accessibility issue should the COTA® advocate for on
behalf of this client?
A. Use of a bus that lowers to the ground for boarding
B. Announcement by the driver of the names of stops along the route
C. Reserved seats near the front of the bus for clients with disabilities
D. Discount vouchers for the client -
\B. Announcement by the driver of the names of stops along the route
A COTA® and an OTR® working in a community hospital were asked to serve on a
team assessing the livability of surrounding communities. Which definition BEST
describes the concept of livability?
A. Provision of sidewalks, crossing signals, and curb cuts to ensure that all citizens of
the community can move around the community without an automobile
B. Community design that promotes maximum participation of all citizens, regardless of
age or ability
C. Mix of housing that allows families with and without children and people of all ages
and incomes to live in inclusive neighborhoods
D. Design of the physical aspects of a community to allow equal access to goods and
services for wheelchair users -
\B. Community design that promotes maximum participation of all citizens, regardless of
age or ability
A COTA® is working with the OTR® in a neonatal intensive care unit to prepare a family
for their infant's discharge home the next day. Which action addresses the MOST
important occupational therapy-related consideration for these clients' community
mobility needs?
A. Ensuring that the parents have valid driver's licenses and a safe vehicle in which to
transport the child
B. Instructing the parents to consider the possible need for adaptive mobility equipment
in their future vehicle choices
C. Determining how the child will be transported in the immediate future and making
recommendations regarding child passenger safety
D. Educating the parents about future adaptive mobility options such as adapted
seating, strollers, and tricycles -
\C. Determining how the child will be transported in the immediate future and making
recommendations regarding child passenger safety
, A COTA® is conducting a group for older adult clients on preparation for driving
cessation. Several group members express a fear of using alternative public and
commercial transportation because they have never done this before. Which actions
would address these clients' stated needs? Select the 3 BEST choices.
A. Referring the clients to a psychologist to address issues of fear and anxiety regarding
public transportation
B. Providing driving evaluations to ensure that the clients can continue to drive for as
long as possible
C. Providing travel training to help the clients practice use of public transportation until
they feel comfortable on their own
D. Simulating practice with public transportation by driving the clients along the same
routes used by the transit system
E. Leading a group discussion on alternative transportation that includes a cost
comparison analysis of owning a personal vehicle versus using publi -
\C. Providing travel training to help the clients practice use of public transportation until
they feel comfortable on their own
E. Leading a group discussion on alternative transportation that includes a cost
comparison analysis of owning a personal vehicle versus using public or commercial
transportation
F. Offering a group field trip to the local public transportation company for a tour and
demonstration of vehicle lifts and passenger safety devices
A COTA® is working with an adult client with sensory processing difficulties who finds it
uncomfortable to commute to a job via train because of the noise of the train and of
other passengers talking. Which environmental modification would allow the client to
continue to commute and maintain employment?
A. Encourage the client to obtain a driver's license and avoid train travel
B. Petition the train system to allow the client to occupy a compartment alone and ask
others to sit elsewhere
C. Recommend the use of noise-cancelling headphones with a device that plays music
or books the client enjoys
D. Assist the client in seeking employment closer to home to avoid train travel -
\C. Recommend the use of noise-cancelling headphones with a device that plays music
or books the client enjoys
A COTA® working with older adults facing driving cessation is concerned about
ensuring their continued community mobility for psychosocial and functional reasons.
What considerations should the COTA bear in mind when providing intervention? Select
the 3 BEST choices.
A. Driving cessation has been linked to social isolation, depression, and early nursing
home admission.
B. Driving cessation has been linked to episodes of psychosis.
C. Families of older adults are relieved when older adults can no longer drive.
D. Older adults are more content once they no longer face the pressure to drive.
E. Older adults who cease driving are less likely to use public transportation and
therefore need support in identifying supplemental transportation options.
