Crush TERM 3: Comprehensive NBCOT
Study Guide Exam.
An OTR® wrote a goal for modified independence with meal preparation for a client who
recently sustained a fracture of the left humerus and is currently in a splint and sling.
The client uses a straight cane for functional mobility. How should the COTA® instruct
the client to remove items from the oven during meal preparation?
A.
Stand directly in front of the oven, open the door, reach in with the right arm, pull out the
food, and place it on top of the oven.
B.
Stand to the left of the oven, open the door, reach in with the right arm, pull out the food,
and place it on top of the oven.
C.
Stand to the right of the oven, open the door, reach in with the right arm, pull out the
food, and place it on top of the oven.
D.
Stand directly in front of the oven, open the door, reach in with a reacher using the right
arm, pull out the food, and place it on top of the oven. -
\B.
Stand to the left of the oven, open the door, reach in with the right arm, pull out the food,
and place it on top of the oven.
A COTA® observes a client who is able to complete a toileting routine with light hands-
on support of the caregiver for safety and balance and manipulating fasteners, but the
client is independent with all other steps of the task. What would the COTA report to the
OTR® as the client's assistance level?
A.
Standby assistance or contact guard assistance
B.
Minimal assistance
C.
Moderate assistance
D.
Maximum assistance -
\B.
Minimal assistance
Every generalist occupational therapy practitioner should be prepared to address
community mobility within his or her practice setting. What is the MOST CORRECT
procedure a COTA® can implement in preparation for the service area?
A.
Maintain a resource library or database about transportation options in the area
,B.
Conduct on-road driving evaluations to determine fitness to drive
C.
Provide direct assistance to clients in boarding and riding public transportation vehicles
D.
Assist clients by providing rides to and from therapy sessions -
\A.
Maintain a resource library or database about transportation options in the area
A client who had a CVA is now being discharged from a hospital setting to home. The
client continues to show signs of right-sided weakness and decreased balance. The
COTA® provides information regarding the client's progress and current status in
preparation for discharge. What referral for occupational therapy services is MOST
appropriate for the COTA® to make?
A.
At home with a home health occupational therapist
B.
In an outpatient center
C.
In the acute-care hospital
D.
In a subacute rehabilitation hospital -
\A.
At home with a home health occupational therapist
Which behavioral symptom might a client with early-stage dementia display?
A.
Pacing
B.
Violence
C.
Rude language
D.
Suspicion -
\A.
Pacing
A COTA® in home health care is treating a client who has Stage III Alzheimer's
disease. The client lives with an adult daughter. The client likes to wander around the
house and has fallen twice in the middle of the night. The house is a single-level home
with both front and back entrances. It has five steps at the back door leading to the
garage, with railings on both sides, and has no steps at the front entrance. The client's
daughter is determined to have the client remain at home with her as long as possible.
To provide a defined, safe environment for the client to wander in the house, what
would be the MOST likely recommendation?
A.
,A deadbolt above the front doorknob
B.
A side bolt placed high on the front door
C.
A gated living room, using child safety gates
D.
A walk with the client several times a day -
\A.
A deadbolt above the front doorknob
An OTR® and a COTA® are providing a back injury prevention program for workers at a
food manufacturing plant. The OTR® and COTA® have provided education in proper
body mechanics and on proper equipment use to decrease effort with tasks. Which
component should they also include in the program?
A.
Support group to reinforce learned techniques
B.
Functional capacity evaluation to access aptitude
C.
Instruction in the use of physical agents
D.
Training in symptom identification for early recognition -
\B.
Functional capacity evaluation to access aptitude
An OTR® recently completed an evaluation with a client with T4 spinal cord injury (SCI).
The COTA® will begin treating this client the next day. In development of a client-
centered intervention plan, what INITIAL activity may the client need assistance with?
A.
Transfer training
B.
Eating training
C.
Cognitive training
D.
Dexterity training -
\D.
Dexterity training
Under what circumstances is a COTA® allowed to administer the Kohlman Evaluation
of Living Skills to a new patient in an inpatient acute psychiatric hospital?
A.
After an OTR® has directed the COTA® to initiate the evaluation process
B.
When the OTR® is unavailable to administer the assessment
C.
, When the OTR® is in the room while the COTA® administers the assessment
D.
When the COTA® has demonstrated competence in administering the assessment to
the OTR® -
\A.
After an OTR® has directed the COTA® to initiate the evaluation process
A COTA® is asked to treat a client who has early-stage Huntington's disease (HD) at
the client's home. The COTA® begins by asking the client basic questions. What should
the COTA® remember about communicating with clients who have HD?
A.
Use open-ended questions to allow the client to give rich detail about the client's needs.
B.
Use close-ended questions to prevent frustration caused by difficulty in word retrieval.
C.
Use observation as a primary source of information from the client.
D.
Use the caregivers to provide the majority of the client's history. -
\C.
Use observation as a primary source of information from the client.
A client with middle-stage Huntington's disease (HD) is displaying fatigue during lower
body dressing tasks. What would be an appropriate intervention strategy for the COTA®
to use with this client?
A.
The COTA® should engage the client in an intense cardiovascular exercise routine.
B.
The COTA® should encourage the client to take frequent breaks during lower body ADL
tasks.
C.
The COTA® should train the client in the use of lower body adaptive equipment such as
a sock aid.
D.
The COTA® should educate the client's caregivers on appropriate assistance to provide
for the client during dressing. -
\B.
The COTA® should encourage the client to take frequent breaks during lower body ADL
tasks.
Retired NBCOT® Question
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
Study Guide Exam.
An OTR® wrote a goal for modified independence with meal preparation for a client who
recently sustained a fracture of the left humerus and is currently in a splint and sling.
The client uses a straight cane for functional mobility. How should the COTA® instruct
the client to remove items from the oven during meal preparation?
A.
Stand directly in front of the oven, open the door, reach in with the right arm, pull out the
food, and place it on top of the oven.
B.
Stand to the left of the oven, open the door, reach in with the right arm, pull out the food,
and place it on top of the oven.
C.
Stand to the right of the oven, open the door, reach in with the right arm, pull out the
food, and place it on top of the oven.
D.
Stand directly in front of the oven, open the door, reach in with a reacher using the right
arm, pull out the food, and place it on top of the oven. -
\B.
Stand to the left of the oven, open the door, reach in with the right arm, pull out the food,
and place it on top of the oven.
A COTA® observes a client who is able to complete a toileting routine with light hands-
on support of the caregiver for safety and balance and manipulating fasteners, but the
client is independent with all other steps of the task. What would the COTA report to the
OTR® as the client's assistance level?
A.
Standby assistance or contact guard assistance
B.
Minimal assistance
C.
Moderate assistance
D.
Maximum assistance -
\B.
Minimal assistance
Every generalist occupational therapy practitioner should be prepared to address
community mobility within his or her practice setting. What is the MOST CORRECT
procedure a COTA® can implement in preparation for the service area?
A.
Maintain a resource library or database about transportation options in the area
,B.
Conduct on-road driving evaluations to determine fitness to drive
C.
Provide direct assistance to clients in boarding and riding public transportation vehicles
D.
Assist clients by providing rides to and from therapy sessions -
\A.
Maintain a resource library or database about transportation options in the area
A client who had a CVA is now being discharged from a hospital setting to home. The
client continues to show signs of right-sided weakness and decreased balance. The
COTA® provides information regarding the client's progress and current status in
preparation for discharge. What referral for occupational therapy services is MOST
appropriate for the COTA® to make?
A.
At home with a home health occupational therapist
B.
In an outpatient center
C.
In the acute-care hospital
D.
In a subacute rehabilitation hospital -
\A.
At home with a home health occupational therapist
Which behavioral symptom might a client with early-stage dementia display?
A.
Pacing
B.
Violence
C.
Rude language
D.
Suspicion -
\A.
Pacing
A COTA® in home health care is treating a client who has Stage III Alzheimer's
disease. The client lives with an adult daughter. The client likes to wander around the
house and has fallen twice in the middle of the night. The house is a single-level home
with both front and back entrances. It has five steps at the back door leading to the
garage, with railings on both sides, and has no steps at the front entrance. The client's
daughter is determined to have the client remain at home with her as long as possible.
To provide a defined, safe environment for the client to wander in the house, what
would be the MOST likely recommendation?
A.
,A deadbolt above the front doorknob
B.
A side bolt placed high on the front door
C.
A gated living room, using child safety gates
D.
A walk with the client several times a day -
\A.
A deadbolt above the front doorknob
An OTR® and a COTA® are providing a back injury prevention program for workers at a
food manufacturing plant. The OTR® and COTA® have provided education in proper
body mechanics and on proper equipment use to decrease effort with tasks. Which
component should they also include in the program?
A.
Support group to reinforce learned techniques
B.
Functional capacity evaluation to access aptitude
C.
Instruction in the use of physical agents
D.
Training in symptom identification for early recognition -
\B.
Functional capacity evaluation to access aptitude
An OTR® recently completed an evaluation with a client with T4 spinal cord injury (SCI).
The COTA® will begin treating this client the next day. In development of a client-
centered intervention plan, what INITIAL activity may the client need assistance with?
A.
Transfer training
B.
Eating training
C.
Cognitive training
D.
Dexterity training -
\D.
Dexterity training
Under what circumstances is a COTA® allowed to administer the Kohlman Evaluation
of Living Skills to a new patient in an inpatient acute psychiatric hospital?
A.
After an OTR® has directed the COTA® to initiate the evaluation process
B.
When the OTR® is unavailable to administer the assessment
C.
, When the OTR® is in the room while the COTA® administers the assessment
D.
When the COTA® has demonstrated competence in administering the assessment to
the OTR® -
\A.
After an OTR® has directed the COTA® to initiate the evaluation process
A COTA® is asked to treat a client who has early-stage Huntington's disease (HD) at
the client's home. The COTA® begins by asking the client basic questions. What should
the COTA® remember about communicating with clients who have HD?
A.
Use open-ended questions to allow the client to give rich detail about the client's needs.
B.
Use close-ended questions to prevent frustration caused by difficulty in word retrieval.
C.
Use observation as a primary source of information from the client.
D.
Use the caregivers to provide the majority of the client's history. -
\C.
Use observation as a primary source of information from the client.
A client with middle-stage Huntington's disease (HD) is displaying fatigue during lower
body dressing tasks. What would be an appropriate intervention strategy for the COTA®
to use with this client?
A.
The COTA® should engage the client in an intense cardiovascular exercise routine.
B.
The COTA® should encourage the client to take frequent breaks during lower body ADL
tasks.
C.
The COTA® should train the client in the use of lower body adaptive equipment such as
a sock aid.
D.
The COTA® should educate the client's caregivers on appropriate assistance to provide
for the client during dressing. -
\B.
The COTA® should encourage the client to take frequent breaks during lower body ADL
tasks.
Retired NBCOT® Question
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
