Master the NBCOT: Comprehensive 6-
option Multiple Choice Practice.
A COTA® is working with a client diagnosed with age-related macular degeneration.
Which intervention strategies should the COTA use to improve the client's
independence in meal preparation? Select the 3 BEST choices.
Teach the client to use different tactile indicators on a few key microwave buttons
Teach the client to use the central vision to see the microwave buttons
Instruct the client to use small-print timers and recipe books
Instruct the client to lower the general and task lighting in the kitchen and near the
microwave
Teach the client to use a dark cutting board to slice an egg and a white cutting board to
chop broccoli
Instruct the client to reduce clutter in the kitchen -
\The correct answers are A, E, and F.
A: Tactile indicators on key microwave buttons help the client supplement remaining
vision with tactile sensation.
E, F: Increasing contrast promotes the visibility of items in the kitchen. Reducing clutter
makes items easier to locate and reduces visual distractions.
B: Age-related macular degeneration results in the loss of central vision. Teaching this
client to use peripheral vision would be more beneficial.
C: Using smaller print would make the meal preparation activities more difficult. Using
large-print timers and recipe books would help improve the client's performance.
D: Reducing the lighting would hinder the client's ability to view the microwave controls.
Increased lighting is more appropriate.
A COTA® is considering how to prevent skin breakdown in a client with an incomplete
spinal cord injury. Which methods are appropriate for preventing pressure sores? Select
the 3 BEST choices.
Teaching the client to inspect the skin on a daily basis
Relieving and eliminating all pressure points
Regularly turning or moving the body to different positions
Removing after-market cushioning from the wheelchair
Applying moist heating pads to areas of discomfort
Encouraging the client to remain still in bed -
\The correct answers are A, B, and C.
,A: The client must learn to perform self-inspections regularly to be increase awareness
of desensitized areas and decrease the risk of skin breakdown.
B: Pressure points, or areas where bony prominences press against skin, must be
relieved or eliminated.
C: Turning on a regular basis may increase the blood flow to areas that may be at risk,
such as where bony prominences press against skin.
D: Removing wheelchair cushioning can result in further skin breakdown.
E: Moisture and heat should be avoided in sensitive areas.
F: Lying still in bed increases risk of skin breakdown.
A COTA® is working with the caregiver of a client with dementia who is experiencing
caregiver stress. What recommendations are appropriate for the COTA to make? Select
the 3 BEST choices.
Recommend that the caregiver inquire about medication to reduce the caregiver's stress
Recommend that the caregiver inquire about additional sleep medication for the client
Recommend that the caregiver contact a local adult day care to inquire about its
services
Recommend that the caregiver find a teenager in the neighborhood who can watch the
client
Recommend that the caregiver consider journaling to encourage emotional expression
Recommend that the caregiver join a support group with others having similar
experiences -
\The correct answers are C, E, and F.
C: COTAs have a responsibility to provide caregivers with information related to local
resources to reduce caregiver burden.
E: Appropriate intervention includes education on strategies for successful coping.
F: Caregiver training and education include resources for community support.
A, B: Recommending medication for the caregiver or adjusting a medication dosage for
a client is not within the occupational therapy scope of practice.
D: A teenager would not be an appropriate choice as a sitter for a client with dementia.
The teenager would be a unfamiliar person and would lack formal training on how to
manage the client appropriately.
, A patient in an inpatient facility sustained a TBI 2 weeks ago and is currently functioning
at Level IV (confused-agitated) on the Rancho Los Amigos scale. Which methods
should the COTA® consider for getting the patient's attention at the start of a session at
bedside? Select the 3 BEST choices.
State the patient's name in a calm voice and establish direct eye contact
Firmly rub the patient's sternum until the patient responds
Pass a strong-smelling substance back and forth under the patient's nose
Hold the patient by the chin so the patient cannot look away
Listen for possible confabulation by the patient in responses to questions
Be aware that the patient may not be able to differentiate between persons and objects
-
\The correct answers are A, E, and F.
A: Stating the patient's name in a calm voice and establishing eye contact are effective
strategies for getting the attention of patients at Level IV, who are confused and agitated
and have a short attention span.
E: Any social interaction, including responses, may not match the question. The patient
may be euphoric or hostile. Attention span is often short, and interactions may be
inappropriate to the environment.
F: There is often a "detachment" to the outside environment. The patient may not be
able to cooperate directly with treatment.
B, C: Sensory stimulation through tactile or olfactory input is a strategy for patients at
Levels II and III to increase responsiveness to the environment.
D: A patient who is confused and agitated should not be restrained in an attempt to
maintain attention to stimuli
A COTA®, in collaboration with an OTR®, is developing a fall prevention program for an
assisted living facility. Which environmental factors often associated with falls should
they educate participants about? Select the 3 BEST choices.
Throw rugs
Tile flooring
Familiar furniture
Vestibular dysfunction
Clutter on the floor
Poor lighting -
\Solution: The correct answers are A, E, and F.
A, E, F: Throw rugs, clutter, and poor lighting are environmental hazards associated
with falls, and a fall prevention program should educate participants about them.
option Multiple Choice Practice.
A COTA® is working with a client diagnosed with age-related macular degeneration.
Which intervention strategies should the COTA use to improve the client's
independence in meal preparation? Select the 3 BEST choices.
Teach the client to use different tactile indicators on a few key microwave buttons
Teach the client to use the central vision to see the microwave buttons
Instruct the client to use small-print timers and recipe books
Instruct the client to lower the general and task lighting in the kitchen and near the
microwave
Teach the client to use a dark cutting board to slice an egg and a white cutting board to
chop broccoli
Instruct the client to reduce clutter in the kitchen -
\The correct answers are A, E, and F.
A: Tactile indicators on key microwave buttons help the client supplement remaining
vision with tactile sensation.
E, F: Increasing contrast promotes the visibility of items in the kitchen. Reducing clutter
makes items easier to locate and reduces visual distractions.
B: Age-related macular degeneration results in the loss of central vision. Teaching this
client to use peripheral vision would be more beneficial.
C: Using smaller print would make the meal preparation activities more difficult. Using
large-print timers and recipe books would help improve the client's performance.
D: Reducing the lighting would hinder the client's ability to view the microwave controls.
Increased lighting is more appropriate.
A COTA® is considering how to prevent skin breakdown in a client with an incomplete
spinal cord injury. Which methods are appropriate for preventing pressure sores? Select
the 3 BEST choices.
Teaching the client to inspect the skin on a daily basis
Relieving and eliminating all pressure points
Regularly turning or moving the body to different positions
Removing after-market cushioning from the wheelchair
Applying moist heating pads to areas of discomfort
Encouraging the client to remain still in bed -
\The correct answers are A, B, and C.
,A: The client must learn to perform self-inspections regularly to be increase awareness
of desensitized areas and decrease the risk of skin breakdown.
B: Pressure points, or areas where bony prominences press against skin, must be
relieved or eliminated.
C: Turning on a regular basis may increase the blood flow to areas that may be at risk,
such as where bony prominences press against skin.
D: Removing wheelchair cushioning can result in further skin breakdown.
E: Moisture and heat should be avoided in sensitive areas.
F: Lying still in bed increases risk of skin breakdown.
A COTA® is working with the caregiver of a client with dementia who is experiencing
caregiver stress. What recommendations are appropriate for the COTA to make? Select
the 3 BEST choices.
Recommend that the caregiver inquire about medication to reduce the caregiver's stress
Recommend that the caregiver inquire about additional sleep medication for the client
Recommend that the caregiver contact a local adult day care to inquire about its
services
Recommend that the caregiver find a teenager in the neighborhood who can watch the
client
Recommend that the caregiver consider journaling to encourage emotional expression
Recommend that the caregiver join a support group with others having similar
experiences -
\The correct answers are C, E, and F.
C: COTAs have a responsibility to provide caregivers with information related to local
resources to reduce caregiver burden.
E: Appropriate intervention includes education on strategies for successful coping.
F: Caregiver training and education include resources for community support.
A, B: Recommending medication for the caregiver or adjusting a medication dosage for
a client is not within the occupational therapy scope of practice.
D: A teenager would not be an appropriate choice as a sitter for a client with dementia.
The teenager would be a unfamiliar person and would lack formal training on how to
manage the client appropriately.
, A patient in an inpatient facility sustained a TBI 2 weeks ago and is currently functioning
at Level IV (confused-agitated) on the Rancho Los Amigos scale. Which methods
should the COTA® consider for getting the patient's attention at the start of a session at
bedside? Select the 3 BEST choices.
State the patient's name in a calm voice and establish direct eye contact
Firmly rub the patient's sternum until the patient responds
Pass a strong-smelling substance back and forth under the patient's nose
Hold the patient by the chin so the patient cannot look away
Listen for possible confabulation by the patient in responses to questions
Be aware that the patient may not be able to differentiate between persons and objects
-
\The correct answers are A, E, and F.
A: Stating the patient's name in a calm voice and establishing eye contact are effective
strategies for getting the attention of patients at Level IV, who are confused and agitated
and have a short attention span.
E: Any social interaction, including responses, may not match the question. The patient
may be euphoric or hostile. Attention span is often short, and interactions may be
inappropriate to the environment.
F: There is often a "detachment" to the outside environment. The patient may not be
able to cooperate directly with treatment.
B, C: Sensory stimulation through tactile or olfactory input is a strategy for patients at
Levels II and III to increase responsiveness to the environment.
D: A patient who is confused and agitated should not be restrained in an attempt to
maintain attention to stimuli
A COTA®, in collaboration with an OTR®, is developing a fall prevention program for an
assisted living facility. Which environmental factors often associated with falls should
they educate participants about? Select the 3 BEST choices.
Throw rugs
Tile flooring
Familiar furniture
Vestibular dysfunction
Clutter on the floor
Poor lighting -
\Solution: The correct answers are A, E, and F.
A, E, F: Throw rugs, clutter, and poor lighting are environmental hazards associated
with falls, and a fall prevention program should educate participants about them.
