Crush the NBCOT Exam: Essential Tips
for Success.
An OTR® is working with a client who is concerned about resuming sexual activity after
an amputation. What education strategy would be appropriate for the OTR to use with
this client?
A.
Encourage the client's exploration of his or her "new" body.
B.
Suggest that the client speak with a psychiatrist.
C.
Provide educational materials in a group setting.
D.
Discuss the use of a sex surrogate. -
\A.
Encourage the client's exploration of his or her "new" body.
Which SOAP format statement would be appropriate and objective in documenting a
client's modified duty program?
A.
The client stated, "My grip strength is not the same as it was before my injury, but I am
still able to do my job."
B.
The client has decreased grip strength of the right hand of 15 lb with a standard
dynamometer measure.
C.
The client's medical history includes a recent work injury resulting in a distal radius
fracture and high blood pressure.
D.
The client has decreased grip strength of the left hand, which limits the client's ability to
operate the machine handle. -
\B.
The client has decreased grip strength of the right hand of 15 lb with a standard
dynamometer measure.
Which outpatient treatment intervention is contraindicated for decreasing the arm
edema and stiffness associated with complex regional pain syndrome of the upper
extremity?
A.
Instruction in the use of contrast baths several times a day
B.
Instruction in performing gentle, pain-free AROM movements several times a day
C.
, Provision of an arm sling to wear during the day
D.
Provision of a compression garment to wear during the day -
\C.
Provision of an arm sling to wear during the day
An OTR® is working with a client in the active phase of C5 spinal cord injury. The client
voices concern about increased discomfort from sitting in his/her chair. What is the
BEST recommendation regarding frequency of pressure relief technique?
A.
Three times
B.
Every hour
C.
Every 30 minutes
D.
Every 3 hours -
\C.
Every 30 minutes
A client is recovering from an exacerbation of rheumatoid arthritis and is participating in
outpatient occupational therapy. The initial evaluation indicates decreased active ROM
of bilateral wrists and hands, bilateral ulnar drift, moderate edema, and a pain rating of 7
out of 10 on the visual analog scale. The client currently depends on the spouse to
assist with all ADL, but has a goal to increase independence with self-care tasks. Which
of the following statements would be BEST to include as a short-term goal in the client's
intervention plan?
A.
Control MCP joint ulnar deviation by the end of the second session using bilateral hand-
based splints during self-feeding.
B.
Increase active ROM of the digits to within functional limits for independence with
grooming by the sixth occupational therapy session.
C.
Subjective report of pain during dressing tasks will decrease by 2 levels on a visual
analog scale within 2 -
\C.
Subjective report of pain during dressing tasks will decrease by 2 levels on a visual
analog scale within 2 weeks.
An OTR® has completed the Allen Diagnostic Module with a client who has dementia.
Results indicate that the client is functioning at a 4.6 level (Goal-Directed Actions).
Based on this information, which strategy would MOST effectively promote the client's
success during a grooming task?
A.
Demonstrate and ask the client to imitate the OTR®'s movements.
for Success.
An OTR® is working with a client who is concerned about resuming sexual activity after
an amputation. What education strategy would be appropriate for the OTR to use with
this client?
A.
Encourage the client's exploration of his or her "new" body.
B.
Suggest that the client speak with a psychiatrist.
C.
Provide educational materials in a group setting.
D.
Discuss the use of a sex surrogate. -
\A.
Encourage the client's exploration of his or her "new" body.
Which SOAP format statement would be appropriate and objective in documenting a
client's modified duty program?
A.
The client stated, "My grip strength is not the same as it was before my injury, but I am
still able to do my job."
B.
The client has decreased grip strength of the right hand of 15 lb with a standard
dynamometer measure.
C.
The client's medical history includes a recent work injury resulting in a distal radius
fracture and high blood pressure.
D.
The client has decreased grip strength of the left hand, which limits the client's ability to
operate the machine handle. -
\B.
The client has decreased grip strength of the right hand of 15 lb with a standard
dynamometer measure.
Which outpatient treatment intervention is contraindicated for decreasing the arm
edema and stiffness associated with complex regional pain syndrome of the upper
extremity?
A.
Instruction in the use of contrast baths several times a day
B.
Instruction in performing gentle, pain-free AROM movements several times a day
C.
, Provision of an arm sling to wear during the day
D.
Provision of a compression garment to wear during the day -
\C.
Provision of an arm sling to wear during the day
An OTR® is working with a client in the active phase of C5 spinal cord injury. The client
voices concern about increased discomfort from sitting in his/her chair. What is the
BEST recommendation regarding frequency of pressure relief technique?
A.
Three times
B.
Every hour
C.
Every 30 minutes
D.
Every 3 hours -
\C.
Every 30 minutes
A client is recovering from an exacerbation of rheumatoid arthritis and is participating in
outpatient occupational therapy. The initial evaluation indicates decreased active ROM
of bilateral wrists and hands, bilateral ulnar drift, moderate edema, and a pain rating of 7
out of 10 on the visual analog scale. The client currently depends on the spouse to
assist with all ADL, but has a goal to increase independence with self-care tasks. Which
of the following statements would be BEST to include as a short-term goal in the client's
intervention plan?
A.
Control MCP joint ulnar deviation by the end of the second session using bilateral hand-
based splints during self-feeding.
B.
Increase active ROM of the digits to within functional limits for independence with
grooming by the sixth occupational therapy session.
C.
Subjective report of pain during dressing tasks will decrease by 2 levels on a visual
analog scale within 2 -
\C.
Subjective report of pain during dressing tasks will decrease by 2 levels on a visual
analog scale within 2 weeks.
An OTR® has completed the Allen Diagnostic Module with a client who has dementia.
Results indicate that the client is functioning at a 4.6 level (Goal-Directed Actions).
Based on this information, which strategy would MOST effectively promote the client's
success during a grooming task?
A.
Demonstrate and ask the client to imitate the OTR®'s movements.
