Master the NBCOT Exam: Proven
Strategies and Expert Insights for
Success.
What is the purpose of the Disciplinary Council as described in the Enforcement
Procedures for the Occupational Therapy Code of Ethics and Ethics Standards? -
\To give the Respondent an opportunity to present evidence and provide witnesses to
answer and refute a charge
When treating a client in a skilled nursing facility, the COTA® notes that the client's skin
has a yellowish cast, the fingernail beds are bluish in color, and the client has noticeable
edema in both lower extremities. What condition would MOST likely cause these
symptoms? -
\Right-sided congestive heart failure
When the ________ side of the heart fails, blood flows back into the lungs, causing
difficulty breathing, anxiety, and cerebral hypoxia. -
\Left
A COTA® is performing caregiver training for a client with Stage 3 Parkinson's disease
(PD) and the family members, because of the client's emerging need for increased
assistance with ADLs and mobility. Which instruction would MOST APPROPRIATELY
help family members deal with a freezing episode? -
\Recommend that the family use a rhythmic beat to each step as they walk with the
client.
A school-based OTR® is evaluating how a 6-year-old student ties shoes so that the
student can be more independent in getting ready for physical education (PE) class.
The OTR plans to review the steps of shoe tying with the student right before it is time
to get ready for PE class. Then, the OTR will have the student tie the shoes before
lining up to go to PE class. What type of strategy is this? -
\Teaching in context
A COTA® is working with a client who has ventricular tachycardia. The client's vital
signs include a heart rate greater than 100 beats per minute. What is the appropriate
therapeutic response to this client situation? -
\Defer the client's participation in occupational therapy until later, because the client is
medically unstable.
,Which type of splint should be used with a client who has a recent diagnosis of carpal
tunnel syndrome? -
\Immobilization splint
ACL 1 -
\Automatic Actions/Reflexive--> TOTAL ASSIST
Motor Actions: walking, eating, drinking, standing
Attention Span: Seconds
Activities: Sensory Stimulation
ACL 2 -
\Unable to imitate/complete 'running stitch'
Postural Actions/Gross Body Movement-->MAX ASSIST
Motor Actions: Approximate imitations, Pacing, bending, stretches
Activities: gross motor games, dance
Attention Span: Minutes clients are focused on postural input and attempt to imitate
gross motor actions with limited fine motor skills; therefore, dressing would not be
initiated by a client at Level 2.0, nor would the client be able to attempt fasteners on
clothing
ACL 3 -
\Imitates 3 'running stitches'
Repetitive Actions-->MOD ASSIST
Motor Actions: manipulation of familiar objects, react spontaneously to tactile stimulation
Attention: 30 minutes; no written directions;increased distractability
Activities: performs familiar ADL's (face washing, etc) clients are able to demonstrate
manual motor actions, but they lack goal-directed behavior. Therefore, they would not
initiate dressing.
ACL 4 -
\imitates 3 'whip stitches'
Goal Directed/Familiar Activities-->MIN ASSIST
Sensory Responds to Visual Stimuli
Activities: Visual cues to complete tasks, matching, several step-tasks, simple crafts (2-
3 steps); NO NEW LEARNING/GENERALIZATION
Attention Span: Hours client would attend to visible sensory cues and ignore what is not
in plain sight (e.g., not tucking in the back of the shirt).
ACL 5 -
\imitates 'simple cordovan stitch' using pvert trial and error X 3 stitches
Independent learning/Exploratory --> self control/inclusive reasoning
, Alters actions with overt trial and error; poor organization, planning, and socialization
Activities: Concrete tasks; NEW LEARNING AND GENERALIZATION
Attention Span: Weeks clients are capable of using trial-and-error motor actions and
would likely not have difficulty with fasteners. They would be able to initiate dressing.
ACL 6 -
\mitates 'single cordovan stitch' X 3 with overt trial and error
Planned Action--> INDEPENDENT/Conceptual
Considers consequense of actions
Follows multistep verbal/written cues
ABSENCE OF COG DISABILITY
What should you do if a client begins experiencing orthostatic hypotension? -
\Recline them and elevate their legs until symptoms subside
Code of Ethics Principle 1
Beneficence -
\Occupational therapy personnel shall demonstrate a concern for the well-being
and safety of the recipients of their services.
Code of Ethics Principle 2
Nonmaleficence -
\Occupational therapy personnel shall refrain from actions that cause harm.
Code of Ethics Principle 3
Autonomy -
\Occupational therapy personnel shall respect the right of the individual to self
determination,
privacy, confidentiality, and consent.
Code of Ethics Principle 4
Justice -
\Occupational therapy personnel shall promote fairness and objectivity in the
provision of occupational therapy services.
Code of Ethics Principle 5
Veracity -
\Occupational therapy personnel shall provide comprehensive, accurate, and
objective information when representing the profession.
Code of Ethics Principle 6
Fidelity -
Strategies and Expert Insights for
Success.
What is the purpose of the Disciplinary Council as described in the Enforcement
Procedures for the Occupational Therapy Code of Ethics and Ethics Standards? -
\To give the Respondent an opportunity to present evidence and provide witnesses to
answer and refute a charge
When treating a client in a skilled nursing facility, the COTA® notes that the client's skin
has a yellowish cast, the fingernail beds are bluish in color, and the client has noticeable
edema in both lower extremities. What condition would MOST likely cause these
symptoms? -
\Right-sided congestive heart failure
When the ________ side of the heart fails, blood flows back into the lungs, causing
difficulty breathing, anxiety, and cerebral hypoxia. -
\Left
A COTA® is performing caregiver training for a client with Stage 3 Parkinson's disease
(PD) and the family members, because of the client's emerging need for increased
assistance with ADLs and mobility. Which instruction would MOST APPROPRIATELY
help family members deal with a freezing episode? -
\Recommend that the family use a rhythmic beat to each step as they walk with the
client.
A school-based OTR® is evaluating how a 6-year-old student ties shoes so that the
student can be more independent in getting ready for physical education (PE) class.
The OTR plans to review the steps of shoe tying with the student right before it is time
to get ready for PE class. Then, the OTR will have the student tie the shoes before
lining up to go to PE class. What type of strategy is this? -
\Teaching in context
A COTA® is working with a client who has ventricular tachycardia. The client's vital
signs include a heart rate greater than 100 beats per minute. What is the appropriate
therapeutic response to this client situation? -
\Defer the client's participation in occupational therapy until later, because the client is
medically unstable.
,Which type of splint should be used with a client who has a recent diagnosis of carpal
tunnel syndrome? -
\Immobilization splint
ACL 1 -
\Automatic Actions/Reflexive--> TOTAL ASSIST
Motor Actions: walking, eating, drinking, standing
Attention Span: Seconds
Activities: Sensory Stimulation
ACL 2 -
\Unable to imitate/complete 'running stitch'
Postural Actions/Gross Body Movement-->MAX ASSIST
Motor Actions: Approximate imitations, Pacing, bending, stretches
Activities: gross motor games, dance
Attention Span: Minutes clients are focused on postural input and attempt to imitate
gross motor actions with limited fine motor skills; therefore, dressing would not be
initiated by a client at Level 2.0, nor would the client be able to attempt fasteners on
clothing
ACL 3 -
\Imitates 3 'running stitches'
Repetitive Actions-->MOD ASSIST
Motor Actions: manipulation of familiar objects, react spontaneously to tactile stimulation
Attention: 30 minutes; no written directions;increased distractability
Activities: performs familiar ADL's (face washing, etc) clients are able to demonstrate
manual motor actions, but they lack goal-directed behavior. Therefore, they would not
initiate dressing.
ACL 4 -
\imitates 3 'whip stitches'
Goal Directed/Familiar Activities-->MIN ASSIST
Sensory Responds to Visual Stimuli
Activities: Visual cues to complete tasks, matching, several step-tasks, simple crafts (2-
3 steps); NO NEW LEARNING/GENERALIZATION
Attention Span: Hours client would attend to visible sensory cues and ignore what is not
in plain sight (e.g., not tucking in the back of the shirt).
ACL 5 -
\imitates 'simple cordovan stitch' using pvert trial and error X 3 stitches
Independent learning/Exploratory --> self control/inclusive reasoning
, Alters actions with overt trial and error; poor organization, planning, and socialization
Activities: Concrete tasks; NEW LEARNING AND GENERALIZATION
Attention Span: Weeks clients are capable of using trial-and-error motor actions and
would likely not have difficulty with fasteners. They would be able to initiate dressing.
ACL 6 -
\mitates 'single cordovan stitch' X 3 with overt trial and error
Planned Action--> INDEPENDENT/Conceptual
Considers consequense of actions
Follows multistep verbal/written cues
ABSENCE OF COG DISABILITY
What should you do if a client begins experiencing orthostatic hypotension? -
\Recline them and elevate their legs until symptoms subside
Code of Ethics Principle 1
Beneficence -
\Occupational therapy personnel shall demonstrate a concern for the well-being
and safety of the recipients of their services.
Code of Ethics Principle 2
Nonmaleficence -
\Occupational therapy personnel shall refrain from actions that cause harm.
Code of Ethics Principle 3
Autonomy -
\Occupational therapy personnel shall respect the right of the individual to self
determination,
privacy, confidentiality, and consent.
Code of Ethics Principle 4
Justice -
\Occupational therapy personnel shall promote fairness and objectivity in the
provision of occupational therapy services.
Code of Ethics Principle 5
Veracity -
\Occupational therapy personnel shall provide comprehensive, accurate, and
objective information when representing the profession.
Code of Ethics Principle 6
Fidelity -
