NBCOT Questions And Answers:
Competency And Practice Management.
The family of an individual being admitted to a rehabilitation center offers the
occupational therapist a cash gift. The therapist refuses the money but the family
continues to insist that the therapist take the cash gift. The best response for the
therapist is to:
A. donate the money to the hospital.
B. refuse the gift, explaining that taking cash gifts is against hospital policy.
C. take the money, thank the family, and then donate the money to charity.
D. use the money to purchase one of the items on the OT department's "wish list." -
\B. refuse the gift, explaining that taking cash gifts is against hospital policy.
A family asks an occupational therapist to treat their five year-old who does not have
insurance and bill for services in the name of their six year-old that does have
insurance. The therapist's best response is to:
A. report them to the insurance company.
B. refer them to the department supervisor.
C. deny the request.
D. ask the family to get a referral from a physician. -
\C. deny the request.
An occupational therapist receives a referral from a physician that outline a specific
course of treatment. Follow the evaluation of the person, the therapist believes that a
different course of treatment would be more beneficial. The correct course of action for
the therapist is to:
A. provide the prescribed treatment on a three to four week trial.
B. contact the physician and discuss the alternative treatment.
C. combine the prescribed treatment with the treatment that the therapist believes to be
more beneficial.
D. proceed with the treatment that the therapist believes would be more beneficial for
the person. -
\B. contact the physician and discuss the alternative treatment.
An occupational therapist becomes aware of the practice of a colleague who teaches an
energy conservation class to persons with arthritis. This colleague has been sending the
names of class participants to a vendor who sells adaptive equipment. The most
appropriate action for the occupational therapist to take is to:
A. speak to the therapist privately and tell him/her this action is unethical.
B. ignore the situation for it does not harm anyone.
C. advise the therapist to disclose this practice to his/her clients, and that if he/she
refuse, it will be reported to the state regulatory board.
D. report the therapist to the state regulatory board. -
, \A. speak to the therapist privately and tell him/her this action is unethical.
A staff therapist treats three patients in a group setting in a hand therapy clinic. The
therapist charges each patient for individual treatments. The supervising therapist
meets with the therapist and tells him/her this action is:
A. an example of impairment.
B. a violation of justice.
C. an established, accepted practice.
D. correct as long as each patient received individualized treatment at least 50% of the
session. -
\B. a violation of justice.
An occupational therapist supervisor orients an internationally-educated therapist to the
requirement established by the Centers for Medicare and Medicaid Services (CMS).
The supervisor states that Medicare standards of coverage of OT services include
services prescribed by a physician or:
A. a nurse practitioner.
B. pre-approved by a Medicare provider.
C. a physician's assistant.
D. furnished according to the physician-approved plan of care. -
\D. furnished according to the physician-approved plan of care.
The occupational therapist completes an intake interview for a work hardening program.
As the person is leaving, she gives the therapist a hug while thanking him profusely.
She then tries to kiss the therapist on the lips. The therapist's most appropriate
response is to:
A. forcibly push the individual away while telling her the behavior is inappropriate.
B. say nothing but decline that person admission to the program.
C. state that the behavior oversteps professional boundaries and makes the therapist
uncomfortable.
D. tell the person the behavior is inappropriate and decline the person admission to the
program. -
\C. state that the behavior oversteps professional boundaries and makes the therapist
uncomfortable.
An entry-level therapist informs a senior therapist that fluidotherapy is contraindicated
for a middle-aged patient with an insensate hand. The senior therapist continues to
utilize fluidotherapy because the patient requests the technique. The entry-level
therapist meets with the rehabilitation supervisor to express concern that the senior
therapist behavior demonstrates violation of the ethical principle of:
A. judgement.
B. competence.
C. autonomy.
d. justice. -
\B. competence.
Competency And Practice Management.
The family of an individual being admitted to a rehabilitation center offers the
occupational therapist a cash gift. The therapist refuses the money but the family
continues to insist that the therapist take the cash gift. The best response for the
therapist is to:
A. donate the money to the hospital.
B. refuse the gift, explaining that taking cash gifts is against hospital policy.
C. take the money, thank the family, and then donate the money to charity.
D. use the money to purchase one of the items on the OT department's "wish list." -
\B. refuse the gift, explaining that taking cash gifts is against hospital policy.
A family asks an occupational therapist to treat their five year-old who does not have
insurance and bill for services in the name of their six year-old that does have
insurance. The therapist's best response is to:
A. report them to the insurance company.
B. refer them to the department supervisor.
C. deny the request.
D. ask the family to get a referral from a physician. -
\C. deny the request.
An occupational therapist receives a referral from a physician that outline a specific
course of treatment. Follow the evaluation of the person, the therapist believes that a
different course of treatment would be more beneficial. The correct course of action for
the therapist is to:
A. provide the prescribed treatment on a three to four week trial.
B. contact the physician and discuss the alternative treatment.
C. combine the prescribed treatment with the treatment that the therapist believes to be
more beneficial.
D. proceed with the treatment that the therapist believes would be more beneficial for
the person. -
\B. contact the physician and discuss the alternative treatment.
An occupational therapist becomes aware of the practice of a colleague who teaches an
energy conservation class to persons with arthritis. This colleague has been sending the
names of class participants to a vendor who sells adaptive equipment. The most
appropriate action for the occupational therapist to take is to:
A. speak to the therapist privately and tell him/her this action is unethical.
B. ignore the situation for it does not harm anyone.
C. advise the therapist to disclose this practice to his/her clients, and that if he/she
refuse, it will be reported to the state regulatory board.
D. report the therapist to the state regulatory board. -
, \A. speak to the therapist privately and tell him/her this action is unethical.
A staff therapist treats three patients in a group setting in a hand therapy clinic. The
therapist charges each patient for individual treatments. The supervising therapist
meets with the therapist and tells him/her this action is:
A. an example of impairment.
B. a violation of justice.
C. an established, accepted practice.
D. correct as long as each patient received individualized treatment at least 50% of the
session. -
\B. a violation of justice.
An occupational therapist supervisor orients an internationally-educated therapist to the
requirement established by the Centers for Medicare and Medicaid Services (CMS).
The supervisor states that Medicare standards of coverage of OT services include
services prescribed by a physician or:
A. a nurse practitioner.
B. pre-approved by a Medicare provider.
C. a physician's assistant.
D. furnished according to the physician-approved plan of care. -
\D. furnished according to the physician-approved plan of care.
The occupational therapist completes an intake interview for a work hardening program.
As the person is leaving, she gives the therapist a hug while thanking him profusely.
She then tries to kiss the therapist on the lips. The therapist's most appropriate
response is to:
A. forcibly push the individual away while telling her the behavior is inappropriate.
B. say nothing but decline that person admission to the program.
C. state that the behavior oversteps professional boundaries and makes the therapist
uncomfortable.
D. tell the person the behavior is inappropriate and decline the person admission to the
program. -
\C. state that the behavior oversteps professional boundaries and makes the therapist
uncomfortable.
An entry-level therapist informs a senior therapist that fluidotherapy is contraindicated
for a middle-aged patient with an insensate hand. The senior therapist continues to
utilize fluidotherapy because the patient requests the technique. The entry-level
therapist meets with the rehabilitation supervisor to express concern that the senior
therapist behavior demonstrates violation of the ethical principle of:
A. judgement.
B. competence.
C. autonomy.
d. justice. -
\B. competence.
