Unlock NBCOT Success:
Comprehensive Review 2
An OTR®-COTA® team is establishing reasonable accommodations for a client
employee as a tax auditor. The client has recently been diagnosed with posttraumatic
stress disorder (PTSD) characterized by panic attacks as a result of being stalked and
harassed by a disgruntled taxpayer. The essential job functions include auditing
financial records to determine tax liability; information gathering; analyzing finances to
determine net worth or reported financial status and identify potential tax issues;
conferring with taxpayer or representative via phone or in person to explain the issues
involved and the applicability of pertinent tax laws and regulations; and participating in
informal appeals hearings on contested cases. Which accommodation is MOST
appropriate for the OTR®-COTA® team to recommend?
A. Recommend that the employer allow the client to play soothing music using a digital
music player and a headset throughout -
\B. Provide the client with a telephone with a caller ID function, call blocking function, or
both so that the client can screen callers in advance.
Essential job functions are defined as job duties fundamental to the position the
individual holds or desires to hold, as opposed to functions that are marginal.
Reasonable accommodations may include altered work schedule and duties, facility
modifications, purchase of adaptive equipment or assistive technology, or modifying or
designing a new product. PTSD is a debilitating condition that can occur after exposure
to a terrifying event or ordeal in which grave physical harm occurred or was threatened.
Traumatic events that can trigger PTSD include violent personal assaults such as rape
or mugging and natural or human-caused disasters, accidents, or military combat. Many
people with PTSD repeatedly reexperience the ordeal in the form of flashback episodes,
memories, nightmares, or frightening thoughts, especially when they are exposed to
events or objects reminiscent of the trauma. As a result of being stalked and harassed
while performing job duties, this client may benefit from use of caller ID to screen calls
in advance of answering the phone.
agnosia -
\the inability to identify an object using one or more of the senses.
ALS -
\a type of motor neuron disorder that is characterized by steady, relentless, progressive
degeneration of corticospinal tracts, anterior horn cells, bulbar motor nuclei, or
combination.
,The Occupational Therapy Code of Ethics (2015) states, "Occupational therapy
personnel shall treat clients, colleagues, and other professionals with respect, fairness,
discretion, and integrity." What principle does this statement directly relate to?
A. Principle 6, Fidelity
B. Principle 1, Beneficence
C. Principle 2, Nonmaleficence
D. Principle 4, Justice -
\A. Principle 6, Fidelity
This statement is used in Principle 6, Fidelity, of the Occupational Therapy Code of
Ethics (2015).
A statement in the Occupational Therapy Code of Ethics (2015) reads, "Occupational
therapy personnel shall demonstrate a concern for the well-being and safety of the
recipients of their services." Which principle is this statement part of?
A. Principle 1, Beneficence
B. Principle 5, Veracity
C. Principle 4, Justice
D. Principle 3, Autonomy -
\A. Principle 1, Beneficence
Principle 1, Beneficence, involves the commitment to benefit others and to be
concerned with the well-being and safety of service recipients.
A COTA® is working with a client in the acute phase of Guillain-Barré syndrome. Which
client action demonstrates the ability to direct care?
A. Stating that assistance is needed to change position in bed
B. Reporting that less anxiety is experienced with ADL
C. Making a phone call using the phone in the hospital room
D. Telling nursing staff about the home living environment -
\A. Stating that assistance is needed to change position in bed
A client in the acute phase of Guillain-Barré syndrome may not be able to participate
directly in activities; statement of the need to change position in bed reflects an
awareness of needs and ability to request assistance.
What has the AOTA Ethics Commission recommended that occupational therapy
authors do to avoid plagiarism in the electronic age?
A. Cite only sources that are no more than 10 years old
,B. Use electronic tools to check content for possible plagiarism
C. Provide source citations for all statements in written and oral content
D. Provide source citations for the work of other authors in written documents but not in
oral presentations -
\B. Use electronic tools to check content for possible plagiarism
Because it is challenging to ensure that authors have appropriately cited all sources,
use of electronic tools is recommended to ensure that papers and presentations are not
plagiarized.
A client with Parkinson's disease has difficulty initiating performance of ADLs. Which
intervention is BEST for this client?
A. Written directions for steps in an unfamiliar task
B. External cues and repetition for resuming task completion
C. Consistent self-cueing for resuming task completion
D. No external cueing and use of problem solving to resume tasks -
\B. External cues and repetition for resuming task completion
External cues, including simple verbal instructions, and rehearsal of movements are
beneficial in improving a client's ability to resume task completion, including initiating
task performance.
Each COTA® has a responsibility to respect a person's autonomy, as stated in Principle
3 of the Occupational Therapy Code of Ethics (2015). One way in which this principle is
demonstrated is through maintenance of confidentiality. Which of the following
examples best illustrates maintenance of confidentiality?
A. Display responsible conduct and discretion when engaging in social networking,
including refraining from posting protected health information.
B. Respect and honor the expressed wishes of clients.
C. Facilitate comprehension and address barriers to communication with clients.
D. Promote shared decision making with all relevant stakeholders. -
\A. Display responsible conduct and discretion when engaging in social networking,
including refraining from posting protected health information.
, Compliance with HIPAA and using discretion during public communication are related to
autonomy and confidentiality.
An occupational therapy student asks the professor for additional time on a final exam
because of an attention deficit disorder and claims to have been too busy to get the
required accommodations letter from the university's office for students with special
needs. The professor waives the requirement and grants the additional time. On the
basis of the principles of the Occupational Therapy Code of Ethics (2015), how can the
professor's behavior BEST be characterized?
A. The professor behaved benevolently while protecting Principle 6, Fidelity.
B. The professor supported the student's right to privacy while ensuring that no harm
was imposed on other students.
C. The professor behaved both empathically and prudently.
D. The professor behaved altruistically but violated Principle 4, Justice. -
\D. The professor behaved altruistically but violated Principle 4, Justice.
In behaving benevolently toward the student, the professor may not have weighed the
fairness of the waiver to other students by giving the student an unfair advantage.
Additionally, NBCOT® does not recognize a disability unless the student's
university recognizes it. The professor should prepare the student to take the NBCOT
and future course exams by denying any accommodations until they are properly
designated by the university.
Which client factor is likely affected in a client in the hospital-based setting with Guillain-
Barré syndrome?
A. Sensation
B. Cognition
C. Vision
D. Hearing -
\A. Sensation
Because of the painful sensations that are intially reported with Guillain-Barré
syndrome, the client's tolerance for tactile input and current sensory abilities will likely
influence interventions with the client.
S, an occupational therapy student, experiences major personal stress during a
challenging time in school. Feeling behind schedule and overwhelmed by an
assignment, S calls L, a classmate and friend, and asks for a copy of L's paper to get a
sense of the format and content expectations of the assignment. To best adhere to the
Occupational Therapy Code of Ethics (2015), what should L do?
Comprehensive Review 2
An OTR®-COTA® team is establishing reasonable accommodations for a client
employee as a tax auditor. The client has recently been diagnosed with posttraumatic
stress disorder (PTSD) characterized by panic attacks as a result of being stalked and
harassed by a disgruntled taxpayer. The essential job functions include auditing
financial records to determine tax liability; information gathering; analyzing finances to
determine net worth or reported financial status and identify potential tax issues;
conferring with taxpayer or representative via phone or in person to explain the issues
involved and the applicability of pertinent tax laws and regulations; and participating in
informal appeals hearings on contested cases. Which accommodation is MOST
appropriate for the OTR®-COTA® team to recommend?
A. Recommend that the employer allow the client to play soothing music using a digital
music player and a headset throughout -
\B. Provide the client with a telephone with a caller ID function, call blocking function, or
both so that the client can screen callers in advance.
Essential job functions are defined as job duties fundamental to the position the
individual holds or desires to hold, as opposed to functions that are marginal.
Reasonable accommodations may include altered work schedule and duties, facility
modifications, purchase of adaptive equipment or assistive technology, or modifying or
designing a new product. PTSD is a debilitating condition that can occur after exposure
to a terrifying event or ordeal in which grave physical harm occurred or was threatened.
Traumatic events that can trigger PTSD include violent personal assaults such as rape
or mugging and natural or human-caused disasters, accidents, or military combat. Many
people with PTSD repeatedly reexperience the ordeal in the form of flashback episodes,
memories, nightmares, or frightening thoughts, especially when they are exposed to
events or objects reminiscent of the trauma. As a result of being stalked and harassed
while performing job duties, this client may benefit from use of caller ID to screen calls
in advance of answering the phone.
agnosia -
\the inability to identify an object using one or more of the senses.
ALS -
\a type of motor neuron disorder that is characterized by steady, relentless, progressive
degeneration of corticospinal tracts, anterior horn cells, bulbar motor nuclei, or
combination.
,The Occupational Therapy Code of Ethics (2015) states, "Occupational therapy
personnel shall treat clients, colleagues, and other professionals with respect, fairness,
discretion, and integrity." What principle does this statement directly relate to?
A. Principle 6, Fidelity
B. Principle 1, Beneficence
C. Principle 2, Nonmaleficence
D. Principle 4, Justice -
\A. Principle 6, Fidelity
This statement is used in Principle 6, Fidelity, of the Occupational Therapy Code of
Ethics (2015).
A statement in the Occupational Therapy Code of Ethics (2015) reads, "Occupational
therapy personnel shall demonstrate a concern for the well-being and safety of the
recipients of their services." Which principle is this statement part of?
A. Principle 1, Beneficence
B. Principle 5, Veracity
C. Principle 4, Justice
D. Principle 3, Autonomy -
\A. Principle 1, Beneficence
Principle 1, Beneficence, involves the commitment to benefit others and to be
concerned with the well-being and safety of service recipients.
A COTA® is working with a client in the acute phase of Guillain-Barré syndrome. Which
client action demonstrates the ability to direct care?
A. Stating that assistance is needed to change position in bed
B. Reporting that less anxiety is experienced with ADL
C. Making a phone call using the phone in the hospital room
D. Telling nursing staff about the home living environment -
\A. Stating that assistance is needed to change position in bed
A client in the acute phase of Guillain-Barré syndrome may not be able to participate
directly in activities; statement of the need to change position in bed reflects an
awareness of needs and ability to request assistance.
What has the AOTA Ethics Commission recommended that occupational therapy
authors do to avoid plagiarism in the electronic age?
A. Cite only sources that are no more than 10 years old
,B. Use electronic tools to check content for possible plagiarism
C. Provide source citations for all statements in written and oral content
D. Provide source citations for the work of other authors in written documents but not in
oral presentations -
\B. Use electronic tools to check content for possible plagiarism
Because it is challenging to ensure that authors have appropriately cited all sources,
use of electronic tools is recommended to ensure that papers and presentations are not
plagiarized.
A client with Parkinson's disease has difficulty initiating performance of ADLs. Which
intervention is BEST for this client?
A. Written directions for steps in an unfamiliar task
B. External cues and repetition for resuming task completion
C. Consistent self-cueing for resuming task completion
D. No external cueing and use of problem solving to resume tasks -
\B. External cues and repetition for resuming task completion
External cues, including simple verbal instructions, and rehearsal of movements are
beneficial in improving a client's ability to resume task completion, including initiating
task performance.
Each COTA® has a responsibility to respect a person's autonomy, as stated in Principle
3 of the Occupational Therapy Code of Ethics (2015). One way in which this principle is
demonstrated is through maintenance of confidentiality. Which of the following
examples best illustrates maintenance of confidentiality?
A. Display responsible conduct and discretion when engaging in social networking,
including refraining from posting protected health information.
B. Respect and honor the expressed wishes of clients.
C. Facilitate comprehension and address barriers to communication with clients.
D. Promote shared decision making with all relevant stakeholders. -
\A. Display responsible conduct and discretion when engaging in social networking,
including refraining from posting protected health information.
, Compliance with HIPAA and using discretion during public communication are related to
autonomy and confidentiality.
An occupational therapy student asks the professor for additional time on a final exam
because of an attention deficit disorder and claims to have been too busy to get the
required accommodations letter from the university's office for students with special
needs. The professor waives the requirement and grants the additional time. On the
basis of the principles of the Occupational Therapy Code of Ethics (2015), how can the
professor's behavior BEST be characterized?
A. The professor behaved benevolently while protecting Principle 6, Fidelity.
B. The professor supported the student's right to privacy while ensuring that no harm
was imposed on other students.
C. The professor behaved both empathically and prudently.
D. The professor behaved altruistically but violated Principle 4, Justice. -
\D. The professor behaved altruistically but violated Principle 4, Justice.
In behaving benevolently toward the student, the professor may not have weighed the
fairness of the waiver to other students by giving the student an unfair advantage.
Additionally, NBCOT® does not recognize a disability unless the student's
university recognizes it. The professor should prepare the student to take the NBCOT
and future course exams by denying any accommodations until they are properly
designated by the university.
Which client factor is likely affected in a client in the hospital-based setting with Guillain-
Barré syndrome?
A. Sensation
B. Cognition
C. Vision
D. Hearing -
\A. Sensation
Because of the painful sensations that are intially reported with Guillain-Barré
syndrome, the client's tolerance for tactile input and current sensory abilities will likely
influence interventions with the client.
S, an occupational therapy student, experiences major personal stress during a
challenging time in school. Feeling behind schedule and overwhelmed by an
assignment, S calls L, a classmate and friend, and asks for a copy of L's paper to get a
sense of the format and content expectations of the assignment. To best adhere to the
Occupational Therapy Code of Ethics (2015), what should L do?
