Ultimate OTR Prepathon: OP III NBCOT
Practice Qs, Exam Prep.
The OTR completes testing for touch sensation using two-point discrimination for a
client following a nerve repair. Which rationale BEST describes why this assessment
was chosen for this client? -
\map nerve repair and test receptor density
A 62-year-old client with rheumatoid arthritis is seen in an acute inpatient rehabilitation
facility for recent "flare-up." The client is employed as a certified public account (CPA)
and has at least 3 more years of work to reach retirement age. When teaching the client
ergonomic principles, what strategy is MOST BENEFICIAL for the OTR to recommend?
-
\An important ergonomic principle is balancing daily work (and home) schedules in
order to strive to balance activities with rest. Light and heavy tasks should alternate
throughout the day to minimize fatigue and impact on joints.
An OTR is planning group programming in an acute care psychiatric setting for
individuals with severe mental illnesses who display disorganized thinking and difficulty
functioning in many occupation areas. What type of group is MOST APPROPRIATE for
this population? -
\Directive group. The format in directive groups is consistent, involving orientation,
introduction, a warm-up, selected activities, and a wrap-up. Goals of a directive group
are participation, interaction, attention, and initiation.
An activity group is a -
\"doing group", emphasizing active participation to elicit change in the areas of
occupation - specifically activities of daily living (ADLs)/instrumental ADLs (IADLs). This
type of group would be the next step after progress is made in a more structured
directive group that focuses on participation.
Psychoeducational groups have a clear objective: -
\to teach specific information or techniques to clients and their families. They are also
typically time limited and utilize cognitive behavioral and social learning theory. For
example, a group for people with eating disorders may provide facts on nutrition and the
medical consequences of eating disorders to the population and their families.
Neurodevelopmental groups utilize -
\movement activities, often based on sensory integration theory and techniques. The
groups can include imitative and gross motor movements involving sensory input. This
would likely be disorienting to a person displaying disorganized thinking. It is best used
for people with chronic severe mental illness like schizophrenia.
,A OTR is evaluating a client who sustained traumatic brain injury following a boating
accident. The evaluation results reveal that the client is operating at a level VI in
cognitive functioning on the Rancho Los Amigos Scale. The client demonstrates goal-
directed behavior when cued by the staff and recognizes family members and some
nurses. What other activities are MOST APPROPRIATE to assess during the
occupational therapy evaluation? -
\Assessing the ability in basic activities of daily living (ADLs) and instrumental ADLs
provides the OTR an opportunity to observe the client's cognition, perceptual skills, and
behavioral appropriateness.
A client presents to an occupational therapist with age-related macular degeneration.
Which BEST reflects how this diagnosis impacts the client's vision? -
\decreased visual acuity
Reduced peripheral vision is a characteristic of -
\Glaucoma
A client is receiving OT services in an outpatient rehabilitation setting. The client asks
the OTR to review the most current note from a mental health provider and asks for a
printed a copy of the medical documentation from that visit. How should the OTR
respond to this client's request for documentation by another provider? -
\In order to provide consistency in care, the client should be referred back to the
provider or medical records department that can assist with accessing the appropriate
medical records.
An OTR is working with a 4-year-old child with developmental delays. The goal of
occupational therapy for this child is to promote hand function, allowing the child to hold
a crayon more efficiently. Which activity is MOST EFFECTIVE in developing this hand
skill? -
\Eye dropper painting: promotes a precision grasp.
Rolling clay into a ball is an activity that works on -
\the regulation of pressure through the hand instead of grasp development.
Finger painting is an activity which involves the development of -
\tactile awareness and finger isolation
Crumpling paper is an activity that is best suited to develop -
\develop the in-hand manipulation skill of translation (finger to palm).
A client with a complete laceration of ulnar nerve is refered for an occupational therapy
evaluation. Which deformity is MOST LIKELY to be observed and documented by the
OTR during the evaluation? -
\clawhand deformity due to the hyperextension of the metacarpophalangeal (MP) joints
and lack of innervation of the flexor hand muscles.
,Ape hand deformity is the result of -
\median nerve injury and is characterized by the inability to move the thumb away from
the rest of the hand secondary to median nerve injury
Mallet finger deformity is the result of -
\A tendon related injury, which does not allow for the finger to fully extend.
Wrist drop deformity is the result of -
\radial nerve injury at the wrist, which does not allow for the wrist or hand muscles to
move.
A client presents for occupational therapy intervention with age-related macular
degeneration. Which strategy is MOST BENEFICIAL to promote successful
engagement in the intervention during therapy sessions? -
\Increase contrast
A client exhibits visual deficits following a cerebrovascular accident. Which of the
following are MOST IMPORTANT for the OTR include in the initial occupational therapy
evaluation? -
\Visual field loss and oculomotor control
An OTR uses a neurodevelopmental therapy approach and inhibition techniques in
preparation for a dressing activity with an individual who has a traumatic brain injury
with resulting hypertonicity. Which choice BEST illustrates inhibition techniques for
hypertonia using a neurodevelopmental therapy approach? -
\Weight-bearing or light joint compression
An OTR conducts a comprehensive home assessment with a physical therapist and
social worker for an elderly client with a long-standing herniated nucleus pulposus of
C5-7 with partial paralysis of the upper extremities. The home assessment was
conducted prior to the client's planned discharge home from a skilled nursing facility.
The assessment reveals that the client is unable to drive and lives alone in a multi-level
home without strong family support in the area. What would be the MOST
APPROPRIATE recommendation for the OTR to make to facilitate the client's safe
return home? -
\Home health services with a live-in caregiver
A OTR is planning treatment sessions for adolescents diagnosed with eating disorders
in an outpatient, voluntary community mental health complex. Which goal is MOST
IMPORTANT to address INITIALLY? -
\Increasing self-awareness with expressive activities
An individual with back pain continues to fatigue during daily activities. Which is the
BEST course of action for the OTR to encourage the client to take in order to promote
activity tolerance and facilitate completion of daily activities? -
\set priorities
, An OTR is completing an initial evaluation of a client diagnosed with multiple sclerosis.
The client's medical information was already reviewed prior to the session. What
information is MOST important for the OTR to collect prior to an intervention plan? -
\performance patterns
An OTR is working in a shelter for women experiencing domestic violence and creates a
new series of group activities. Which of the following is NOT a step in the process of
developing a group protocol for activities at the shelter? -
\Conducting a focus group
A 58-year-old mother was admitted to a skilled nursing facility to continue rehabilitation
following a right internal carotid artery stroke. The client's occupational therapy notes
from the hospital indicate that ideational apraxia is present. What behavior is the OTR
MOST likely to observe in this client during an activity of daily living (ADL) assessment
at the skilled nursing facility? -
\The client will not know what the shirt is for when presented
A child is referred to occupational therapy to address poor handwriting skills. The OTR
observes the child holding the pencil with a lateral grasp, the paper moves on the desk
when writing, and the child's posture is slumped over the desk. What is the most
appropriate INITIAL activity to address this child's handwriting? -
\Activities in prone build core strength to create stability for upper extremity use
A client is recovering from a recent exacerbation of congestive heart failure. The client
has a history of coronary artery disease and is diagnosed with class IV cardiovascular
disability using the Specific Activity Scale. The client was referred to occupational
therapy with a goal to help with instrumental activities of daily living. The client
experiences shortness of breath at rest. Which of the following instrumental activities of
daily living can the OTR include INITIALLY in the plan of care? -
\Driving an automatic car because it requires 1-2 metabolic equivalent units (METs).
Clients with class IV cardiovascular disability cannot perform any activity that requires
more than 2 METs.
A OTR is completing an evaluation with a client and assessed the client's muscle tone
with a score of 2 on the Ashworth Scale. Which performance assessment would be
MOST affected by the Ashworth Scale score? -
\manual muscle testing
Which of the following is NOT a part of a swallow screening for clients with potential
dysphagia? -
\intraoral and extraoral sensation
The Gugging Swallowing Screen begins with a preliminary investigation or indirect
swallowing test. The client must be alert for at least 15 minutes. The client is asked to
cough or clear the throat twice, then asked to swallow. The OTR observes for drooling
Practice Qs, Exam Prep.
The OTR completes testing for touch sensation using two-point discrimination for a
client following a nerve repair. Which rationale BEST describes why this assessment
was chosen for this client? -
\map nerve repair and test receptor density
A 62-year-old client with rheumatoid arthritis is seen in an acute inpatient rehabilitation
facility for recent "flare-up." The client is employed as a certified public account (CPA)
and has at least 3 more years of work to reach retirement age. When teaching the client
ergonomic principles, what strategy is MOST BENEFICIAL for the OTR to recommend?
-
\An important ergonomic principle is balancing daily work (and home) schedules in
order to strive to balance activities with rest. Light and heavy tasks should alternate
throughout the day to minimize fatigue and impact on joints.
An OTR is planning group programming in an acute care psychiatric setting for
individuals with severe mental illnesses who display disorganized thinking and difficulty
functioning in many occupation areas. What type of group is MOST APPROPRIATE for
this population? -
\Directive group. The format in directive groups is consistent, involving orientation,
introduction, a warm-up, selected activities, and a wrap-up. Goals of a directive group
are participation, interaction, attention, and initiation.
An activity group is a -
\"doing group", emphasizing active participation to elicit change in the areas of
occupation - specifically activities of daily living (ADLs)/instrumental ADLs (IADLs). This
type of group would be the next step after progress is made in a more structured
directive group that focuses on participation.
Psychoeducational groups have a clear objective: -
\to teach specific information or techniques to clients and their families. They are also
typically time limited and utilize cognitive behavioral and social learning theory. For
example, a group for people with eating disorders may provide facts on nutrition and the
medical consequences of eating disorders to the population and their families.
Neurodevelopmental groups utilize -
\movement activities, often based on sensory integration theory and techniques. The
groups can include imitative and gross motor movements involving sensory input. This
would likely be disorienting to a person displaying disorganized thinking. It is best used
for people with chronic severe mental illness like schizophrenia.
,A OTR is evaluating a client who sustained traumatic brain injury following a boating
accident. The evaluation results reveal that the client is operating at a level VI in
cognitive functioning on the Rancho Los Amigos Scale. The client demonstrates goal-
directed behavior when cued by the staff and recognizes family members and some
nurses. What other activities are MOST APPROPRIATE to assess during the
occupational therapy evaluation? -
\Assessing the ability in basic activities of daily living (ADLs) and instrumental ADLs
provides the OTR an opportunity to observe the client's cognition, perceptual skills, and
behavioral appropriateness.
A client presents to an occupational therapist with age-related macular degeneration.
Which BEST reflects how this diagnosis impacts the client's vision? -
\decreased visual acuity
Reduced peripheral vision is a characteristic of -
\Glaucoma
A client is receiving OT services in an outpatient rehabilitation setting. The client asks
the OTR to review the most current note from a mental health provider and asks for a
printed a copy of the medical documentation from that visit. How should the OTR
respond to this client's request for documentation by another provider? -
\In order to provide consistency in care, the client should be referred back to the
provider or medical records department that can assist with accessing the appropriate
medical records.
An OTR is working with a 4-year-old child with developmental delays. The goal of
occupational therapy for this child is to promote hand function, allowing the child to hold
a crayon more efficiently. Which activity is MOST EFFECTIVE in developing this hand
skill? -
\Eye dropper painting: promotes a precision grasp.
Rolling clay into a ball is an activity that works on -
\the regulation of pressure through the hand instead of grasp development.
Finger painting is an activity which involves the development of -
\tactile awareness and finger isolation
Crumpling paper is an activity that is best suited to develop -
\develop the in-hand manipulation skill of translation (finger to palm).
A client with a complete laceration of ulnar nerve is refered for an occupational therapy
evaluation. Which deformity is MOST LIKELY to be observed and documented by the
OTR during the evaluation? -
\clawhand deformity due to the hyperextension of the metacarpophalangeal (MP) joints
and lack of innervation of the flexor hand muscles.
,Ape hand deformity is the result of -
\median nerve injury and is characterized by the inability to move the thumb away from
the rest of the hand secondary to median nerve injury
Mallet finger deformity is the result of -
\A tendon related injury, which does not allow for the finger to fully extend.
Wrist drop deformity is the result of -
\radial nerve injury at the wrist, which does not allow for the wrist or hand muscles to
move.
A client presents for occupational therapy intervention with age-related macular
degeneration. Which strategy is MOST BENEFICIAL to promote successful
engagement in the intervention during therapy sessions? -
\Increase contrast
A client exhibits visual deficits following a cerebrovascular accident. Which of the
following are MOST IMPORTANT for the OTR include in the initial occupational therapy
evaluation? -
\Visual field loss and oculomotor control
An OTR uses a neurodevelopmental therapy approach and inhibition techniques in
preparation for a dressing activity with an individual who has a traumatic brain injury
with resulting hypertonicity. Which choice BEST illustrates inhibition techniques for
hypertonia using a neurodevelopmental therapy approach? -
\Weight-bearing or light joint compression
An OTR conducts a comprehensive home assessment with a physical therapist and
social worker for an elderly client with a long-standing herniated nucleus pulposus of
C5-7 with partial paralysis of the upper extremities. The home assessment was
conducted prior to the client's planned discharge home from a skilled nursing facility.
The assessment reveals that the client is unable to drive and lives alone in a multi-level
home without strong family support in the area. What would be the MOST
APPROPRIATE recommendation for the OTR to make to facilitate the client's safe
return home? -
\Home health services with a live-in caregiver
A OTR is planning treatment sessions for adolescents diagnosed with eating disorders
in an outpatient, voluntary community mental health complex. Which goal is MOST
IMPORTANT to address INITIALLY? -
\Increasing self-awareness with expressive activities
An individual with back pain continues to fatigue during daily activities. Which is the
BEST course of action for the OTR to encourage the client to take in order to promote
activity tolerance and facilitate completion of daily activities? -
\set priorities
, An OTR is completing an initial evaluation of a client diagnosed with multiple sclerosis.
The client's medical information was already reviewed prior to the session. What
information is MOST important for the OTR to collect prior to an intervention plan? -
\performance patterns
An OTR is working in a shelter for women experiencing domestic violence and creates a
new series of group activities. Which of the following is NOT a step in the process of
developing a group protocol for activities at the shelter? -
\Conducting a focus group
A 58-year-old mother was admitted to a skilled nursing facility to continue rehabilitation
following a right internal carotid artery stroke. The client's occupational therapy notes
from the hospital indicate that ideational apraxia is present. What behavior is the OTR
MOST likely to observe in this client during an activity of daily living (ADL) assessment
at the skilled nursing facility? -
\The client will not know what the shirt is for when presented
A child is referred to occupational therapy to address poor handwriting skills. The OTR
observes the child holding the pencil with a lateral grasp, the paper moves on the desk
when writing, and the child's posture is slumped over the desk. What is the most
appropriate INITIAL activity to address this child's handwriting? -
\Activities in prone build core strength to create stability for upper extremity use
A client is recovering from a recent exacerbation of congestive heart failure. The client
has a history of coronary artery disease and is diagnosed with class IV cardiovascular
disability using the Specific Activity Scale. The client was referred to occupational
therapy with a goal to help with instrumental activities of daily living. The client
experiences shortness of breath at rest. Which of the following instrumental activities of
daily living can the OTR include INITIALLY in the plan of care? -
\Driving an automatic car because it requires 1-2 metabolic equivalent units (METs).
Clients with class IV cardiovascular disability cannot perform any activity that requires
more than 2 METs.
A OTR is completing an evaluation with a client and assessed the client's muscle tone
with a score of 2 on the Ashworth Scale. Which performance assessment would be
MOST affected by the Ashworth Scale score? -
\manual muscle testing
Which of the following is NOT a part of a swallow screening for clients with potential
dysphagia? -
\intraoral and extraoral sensation
The Gugging Swallowing Screen begins with a preliminary investigation or indirect
swallowing test. The client must be alert for at least 15 minutes. The client is asked to
cough or clear the throat twice, then asked to swallow. The OTR observes for drooling
