Ultimate Guide: NBCOT Review
Questions and Answers.
A client diagnosed with dissociative personality disorder is admitted to an inpatient
psychiatric hospital as a result of suicidal behavior and impulses, severe anxiety, and
periods of violence brought on by the emergence of new personalities. How is the
OTR® in this milieu therapy setting likely to intervene?
A. Provide a safe, nonthreatening, success-oriented environment to increase the client's
sense of control.
B. Offer group therapy opportunities for verbalizing experiences and describing other
personalities.
C. Offer group training in development of coping skills.
D. Offer participation in psychodrama groups to encourage catharsis -
\The right answer is A
Clients in the acute phases of multiple personality disorder require opportunities for safe
and supportive exploration of new personalities.
An OTR® will begin teaching dressing skills to a 4-year-old child with autism. To ensure
success during the first attempt, which activity should the OTR® choose?
A. Use a shirt with large buttons for easy manipulation
B. Use the child's favorite shirt that fits really well
C. Use an over-the-head shirt that is slightly large for the child
D. Use a cotton shirt that does not have an itchy hem and collar -
\The right answer is C
When beginning to teach dressing skills, the OTR® begins with basic, simple articles of
clothing, such as loose-fitting pants and over-the-head, slightly large shirts, to allow for
success.
An OTR® is working in the neonatal intensive care unit with an infant who was born at
26 weeks gestation. The infant's birth history is positive for placental abruption. Given
this information, what might the OTR® observe for?
A. Signs and symptoms of Marfan's syndrome
B. Signs and symptoms of congenital cerebral palsy
C. Signs and symptoms of fragile X
D. Signs and symptoms of erythrocytosis -
\The right answer is B
Congenital cerebral palsy is often a result of prematurity. Infants born between 26 and
32 weeks gestation are at high risk for cerebral palsy because of the likelihood of
experiencing a cerebrovascular accident at or around the time of birth, placental
abruption, fetomaternal hemorrhage, placental infarction, and maternal exposure to
teratogens.
, An OTR® is selecting intervention activities for a young adult client with a diagnosis of
accommodative infacility. Which activity will be MOST difficult for this client?
A. Watching sports
B. Reading a book
C. Driving a car
D. Watching a play -
\The right answer is C
Accommodation is the ability of the eye to adjust focus at different distances.
Accommodative facility is the speed of focus adjustment and ability to maintain focus
over time. Driving a car would be most difficult for this client because looking at the
speedometer and then at the road requires adjusting focus at different distances (near
distance for the speedometer and farther distance for the road).
A client fell while skiing downhill and sustained a Type III fracture of the radial head.
Which treatment would be MOST appropriate for this type of fracture?
A. Long arm cast for 6 weeks
B. Therapy alone
C. Fragment excision with a long arm cast for 3-4 weeks
D. Fragment excision with a long arm splint for 3-4 weeks -
\The right answer is C
A Type III fracture of the radial head requires removal of the fragmented bone and a
cast for 3-4 weeks to ensure proper healing and support.
An older adult client has lost significant vision and reports difficulty with reading, sewing,
writing, recognizing faces, and responding to social gestures. Which visual deficit is the
client exhibiting?
A. Age-related macular degeneration
B. Glaucoma
C. Myopia
D. Presbyopia -
\The right answer is A
Reading, recognizing faces and social gestures, and performing detail work are
characteristic functional limitations associated with age-related macular degeneration,
which causes loss of central visual acuity and difficulty seeing fine detail.
What is the purpose of the Disciplinary Council as described in the Enforcement
Procedures for the Occupational Therapy Code of Ethics and Ethics Standards?
A. To give the Respondent an opportunity to present evidence and provide witnesses to
answer and refute a charge
B. To ensure that no additional ethical issues beyond those described by the
Complainant are raised
C. To discuss and examine the claim of ethical violation in the absence of the
chairperson of the AOTA Ethics Commission
D. To gather members of multiple disciplines affiliated with occupational therapy to
judge the validity of the claim -
\The right answer is A
Questions and Answers.
A client diagnosed with dissociative personality disorder is admitted to an inpatient
psychiatric hospital as a result of suicidal behavior and impulses, severe anxiety, and
periods of violence brought on by the emergence of new personalities. How is the
OTR® in this milieu therapy setting likely to intervene?
A. Provide a safe, nonthreatening, success-oriented environment to increase the client's
sense of control.
B. Offer group therapy opportunities for verbalizing experiences and describing other
personalities.
C. Offer group training in development of coping skills.
D. Offer participation in psychodrama groups to encourage catharsis -
\The right answer is A
Clients in the acute phases of multiple personality disorder require opportunities for safe
and supportive exploration of new personalities.
An OTR® will begin teaching dressing skills to a 4-year-old child with autism. To ensure
success during the first attempt, which activity should the OTR® choose?
A. Use a shirt with large buttons for easy manipulation
B. Use the child's favorite shirt that fits really well
C. Use an over-the-head shirt that is slightly large for the child
D. Use a cotton shirt that does not have an itchy hem and collar -
\The right answer is C
When beginning to teach dressing skills, the OTR® begins with basic, simple articles of
clothing, such as loose-fitting pants and over-the-head, slightly large shirts, to allow for
success.
An OTR® is working in the neonatal intensive care unit with an infant who was born at
26 weeks gestation. The infant's birth history is positive for placental abruption. Given
this information, what might the OTR® observe for?
A. Signs and symptoms of Marfan's syndrome
B. Signs and symptoms of congenital cerebral palsy
C. Signs and symptoms of fragile X
D. Signs and symptoms of erythrocytosis -
\The right answer is B
Congenital cerebral palsy is often a result of prematurity. Infants born between 26 and
32 weeks gestation are at high risk for cerebral palsy because of the likelihood of
experiencing a cerebrovascular accident at or around the time of birth, placental
abruption, fetomaternal hemorrhage, placental infarction, and maternal exposure to
teratogens.
, An OTR® is selecting intervention activities for a young adult client with a diagnosis of
accommodative infacility. Which activity will be MOST difficult for this client?
A. Watching sports
B. Reading a book
C. Driving a car
D. Watching a play -
\The right answer is C
Accommodation is the ability of the eye to adjust focus at different distances.
Accommodative facility is the speed of focus adjustment and ability to maintain focus
over time. Driving a car would be most difficult for this client because looking at the
speedometer and then at the road requires adjusting focus at different distances (near
distance for the speedometer and farther distance for the road).
A client fell while skiing downhill and sustained a Type III fracture of the radial head.
Which treatment would be MOST appropriate for this type of fracture?
A. Long arm cast for 6 weeks
B. Therapy alone
C. Fragment excision with a long arm cast for 3-4 weeks
D. Fragment excision with a long arm splint for 3-4 weeks -
\The right answer is C
A Type III fracture of the radial head requires removal of the fragmented bone and a
cast for 3-4 weeks to ensure proper healing and support.
An older adult client has lost significant vision and reports difficulty with reading, sewing,
writing, recognizing faces, and responding to social gestures. Which visual deficit is the
client exhibiting?
A. Age-related macular degeneration
B. Glaucoma
C. Myopia
D. Presbyopia -
\The right answer is A
Reading, recognizing faces and social gestures, and performing detail work are
characteristic functional limitations associated with age-related macular degeneration,
which causes loss of central visual acuity and difficulty seeing fine detail.
What is the purpose of the Disciplinary Council as described in the Enforcement
Procedures for the Occupational Therapy Code of Ethics and Ethics Standards?
A. To give the Respondent an opportunity to present evidence and provide witnesses to
answer and refute a charge
B. To ensure that no additional ethical issues beyond those described by the
Complainant are raised
C. To discuss and examine the claim of ethical violation in the absence of the
chairperson of the AOTA Ethics Commission
D. To gather members of multiple disciplines affiliated with occupational therapy to
judge the validity of the claim -
\The right answer is A
