Conquer NBCOT Exam: Elaborative
Weekly Prep Questions with Answers.
A school-based OTR is providing transportation recommendations for a student in
middle school who has autism spectrum disorder and gravitational insecurity. The
student frequently makes loud noises and repetitively rocks forward in the seat when
the bus is in motion. Which recommendation is MOST BENEFICIAL for the OTR to
provide for this student?
A. Ensure that a three-point seatbelt is available on the bus for the student and cover
the belt buckle with the student's outer clothing.
B. Have the student sit next to the window with a peer seated on the aisle side and
encourage the student to place both feet on the floor of the bus.
C. Provide the student with a social story highlighting the daily bus routine and ask the
student to wear noise-canceling headphones. -
\Correct Answer: B
Rationale: The least restrictive recommendations to maintain safety are to place the
student near the window and to have a peer provide a natural barrier. For a student with
gravitational insecurity, using a grounding technique, such as ensuring the student's feet
are firmly on the floor of the bus, can help orient the student and decrease feelings of
anxiety when the bus is in motion.
Incorrect Responses:
A: Although the student is demonstrating repetitive behaviors while seated on the bus,
there is no identified concerns about the student's immediate safety that would warrant
the use of this level of restraint.
C: These interventions do not align with the student that is presented in this question
but are better suited for a student who has difficulty with following the daily bus routine
and exhibits behaviors associated with auditory hyper-responsiveness.
References:
Case-Smith, J., & O'Brien, J. C. (2015). Occupational therapy for children and
adolescents (7th ed., pp. 269-270). Mosby Elsevier.
Frolek Clark, G., & Chandler, B. (2013). Best practices for occupational therapy in
schools (pp. 230-231). AOTA Press.
An inpatient who is recovering from open heart surgery is following sternal precautions
and is preparing for discharge from the hospital to home. The patient is above average
in height and tells the OTR that the bathroom at home has a standard-height toilet.
, Currently, the patient is independent in functional mobility, but lower extremity
weakness makes it difficult to squat down to sit on a toilet and return to a standing
position. Which adaptive equipment should the OTR recommend for this patient?
A. Commode chair with armrests placed over the toilet during the day and near the bed
at nighttime
B. Wall-mounted grab bars installed adjacent to the toilet in the bathroom
C. Removable, slip-resistant, raised toilet seat fastened to the bowl of the toilet -
\C - All of the other break sternal precautions
An inpatient who has L4-L5 grade II spondylolisthesis is recovering from spinal fusion
surgery performed 2 days ago and wants to return to work as soon as possible. The
patient works as a medical transcriptionist and has work demands that include sitting at
a desk for 6 to 8 hours each day. In addition to following the surgeon's orders, what
should the OTR recommend to the patient to support progress toward the return-to-work
goal?
A. Use an ergonomic standing workstation and anti-fatigue mat throughout the workday.
B. Place a lumbar roll behind the back and sit in a comfortable chair with a soft seat
cushion.
C. Plan to sit for a maximum of 30-minute intervals followed by walking for 3 to 5
minutes. -
\Pretty sure C
Which symptoms associated with a diagnosis of histrionic personality disorder would
typically have the MOST influence on a client's functional performance?
A. Unusual behaviors and indifference to social interaction
B. Fluctuating moods and persistent fear of rejection
C. Overly dramatic reactions and attention-seeking behavior
D. Ideas of grandiosity and preoccupation with a need for success -
\C. These are concurrent with the symptoms of histrionic personality disorder.
Which of the following precautions is MOST IMPORTANT for the OTR to take in
preparation for an ADL session at the bedside with an inpatient who has hydrocephalus
and an external ventricular drain?
A. Gather relevant toiletries and place on an overbed table within reach of the patient.
Weekly Prep Questions with Answers.
A school-based OTR is providing transportation recommendations for a student in
middle school who has autism spectrum disorder and gravitational insecurity. The
student frequently makes loud noises and repetitively rocks forward in the seat when
the bus is in motion. Which recommendation is MOST BENEFICIAL for the OTR to
provide for this student?
A. Ensure that a three-point seatbelt is available on the bus for the student and cover
the belt buckle with the student's outer clothing.
B. Have the student sit next to the window with a peer seated on the aisle side and
encourage the student to place both feet on the floor of the bus.
C. Provide the student with a social story highlighting the daily bus routine and ask the
student to wear noise-canceling headphones. -
\Correct Answer: B
Rationale: The least restrictive recommendations to maintain safety are to place the
student near the window and to have a peer provide a natural barrier. For a student with
gravitational insecurity, using a grounding technique, such as ensuring the student's feet
are firmly on the floor of the bus, can help orient the student and decrease feelings of
anxiety when the bus is in motion.
Incorrect Responses:
A: Although the student is demonstrating repetitive behaviors while seated on the bus,
there is no identified concerns about the student's immediate safety that would warrant
the use of this level of restraint.
C: These interventions do not align with the student that is presented in this question
but are better suited for a student who has difficulty with following the daily bus routine
and exhibits behaviors associated with auditory hyper-responsiveness.
References:
Case-Smith, J., & O'Brien, J. C. (2015). Occupational therapy for children and
adolescents (7th ed., pp. 269-270). Mosby Elsevier.
Frolek Clark, G., & Chandler, B. (2013). Best practices for occupational therapy in
schools (pp. 230-231). AOTA Press.
An inpatient who is recovering from open heart surgery is following sternal precautions
and is preparing for discharge from the hospital to home. The patient is above average
in height and tells the OTR that the bathroom at home has a standard-height toilet.
, Currently, the patient is independent in functional mobility, but lower extremity
weakness makes it difficult to squat down to sit on a toilet and return to a standing
position. Which adaptive equipment should the OTR recommend for this patient?
A. Commode chair with armrests placed over the toilet during the day and near the bed
at nighttime
B. Wall-mounted grab bars installed adjacent to the toilet in the bathroom
C. Removable, slip-resistant, raised toilet seat fastened to the bowl of the toilet -
\C - All of the other break sternal precautions
An inpatient who has L4-L5 grade II spondylolisthesis is recovering from spinal fusion
surgery performed 2 days ago and wants to return to work as soon as possible. The
patient works as a medical transcriptionist and has work demands that include sitting at
a desk for 6 to 8 hours each day. In addition to following the surgeon's orders, what
should the OTR recommend to the patient to support progress toward the return-to-work
goal?
A. Use an ergonomic standing workstation and anti-fatigue mat throughout the workday.
B. Place a lumbar roll behind the back and sit in a comfortable chair with a soft seat
cushion.
C. Plan to sit for a maximum of 30-minute intervals followed by walking for 3 to 5
minutes. -
\Pretty sure C
Which symptoms associated with a diagnosis of histrionic personality disorder would
typically have the MOST influence on a client's functional performance?
A. Unusual behaviors and indifference to social interaction
B. Fluctuating moods and persistent fear of rejection
C. Overly dramatic reactions and attention-seeking behavior
D. Ideas of grandiosity and preoccupation with a need for success -
\C. These are concurrent with the symptoms of histrionic personality disorder.
Which of the following precautions is MOST IMPORTANT for the OTR to take in
preparation for an ADL session at the bedside with an inpatient who has hydrocephalus
and an external ventricular drain?
A. Gather relevant toiletries and place on an overbed table within reach of the patient.
