NBCOT MOCK EXAM QUESTIONS WITH ALL
CORRECT ANSWERS
A client with a left homonymous hemianopsia following a cerebrovascular
accident is experiencing difficulty with reading. Previously the client enjoyed
reading novels, newspapers, and magazines. Which is the MOST EFFECTIVE
intervention to promote the client's return to reading?
a) Provide a vertical anchor on the left side of the page only
b) Provide a vertical anchor on the right side of the page only
c) Provide numbered lines along the eight side of the page only
d) Provide vertical anchors on the right and left side of the page correct
answer -a) Provide a vertical anchor on the left side of the page only
The vertical line on the left provides an anchor for the client to locate prior to
starting the next line. This anchor encourages the client to return back to the
left side of the page when reading, scanning into the blind visual field.
Left homonymous hemianopsia results in a loss of ½ of visual field in each eye
and these clients often start reading in the middle of the line as they are
unable to see where the text begins in the left visual field. Anchor= visual cue
that encourages the client to finish the line and return to anchor on next line à
develop new habits/compensate for visual loss
Select yes or no for what the OTR should do before meeting the client for an
initial evaluation:
a) Determine if there are any contraindications/precautions
b) Immediately begin the evaluation after talking to the nurse on duty
c) Complete a chart review to determine if a doctor's order for services has
been provided
d) review all nursing entries for the client's hospitalization
e) determine the diagnosis and co-morbidities of the client during a chart
review
f) Note the client's prior social and living history
g) Obtain the client's prior functional level correct answer -Yes:
-Determine if there are any contraindications/precautions= ensure safety
-Complete a chart review to determine if a doctor's order for services has
been provided= order needs to be in place to treat and if not get in touch with
the physician
- determine the diagnosis and co-morbidities of the client during a chart
review= needs thorough chart review before any evaluation
, -Note the client's prior social and living history= can provide understanding
and guide therapy goals and outcomes
-Obtain the client's prior functional level= important for evaluation of current
level of function
No:
-Immediately begin the evaluation after talking to the nurse on duty=
evaluation cannot be initiated by speaking to the nurse on duty
-review all nursing entries for the client's hospitalization= will take too long
and cut into eval time
Select yes or no for when OTR has completed the evaluation process and is
ready to create intervention plan and intervention sessions (there will be
24hr caregiver assistance upon clients discharge)
a) Obtain order to create an intervention plan
b) The OTR consults with COTA who signs off and approves the intervention
plan
c) Work with client to write goals
d) Consider which OT theory will guide the goals and intervention
e) Goals can include preparatory methods to engage the client
f) Observe while the caregiver and/or staff assists the client in completing a
variety of transfers-from bed to commode, in and out of a car, during ADLs
g) Instruct the client and caregiver on minimizing environmental hazards in
the home correct answer -Yes:
-work with client to write goals= important to ID areas of occupational
performance to focus on
-consider which OT theory will guide the goals and intervention= OTR has a
clear understanding as to why they are utilizing the intervention to approach
specific problems
-goals can include preparatory methods to engage the client
observe while the caregiver and/or staff assists the client in completing a
variety of transfers- from bed to commode, in and out of a car, during ADLs
-instruct the client and caregiver on minimizing environmental hazards in the
home
No:
-obtain order to create intervention plan= already have order by that step
-OTR consults w COTA who signs off and approves the intervention plan
Select yes or no for the client and caregivers discharge preferences is direct
discharge home from the rehabilitation facility in 3 weeks. To prepare for the
CORRECT ANSWERS
A client with a left homonymous hemianopsia following a cerebrovascular
accident is experiencing difficulty with reading. Previously the client enjoyed
reading novels, newspapers, and magazines. Which is the MOST EFFECTIVE
intervention to promote the client's return to reading?
a) Provide a vertical anchor on the left side of the page only
b) Provide a vertical anchor on the right side of the page only
c) Provide numbered lines along the eight side of the page only
d) Provide vertical anchors on the right and left side of the page correct
answer -a) Provide a vertical anchor on the left side of the page only
The vertical line on the left provides an anchor for the client to locate prior to
starting the next line. This anchor encourages the client to return back to the
left side of the page when reading, scanning into the blind visual field.
Left homonymous hemianopsia results in a loss of ½ of visual field in each eye
and these clients often start reading in the middle of the line as they are
unable to see where the text begins in the left visual field. Anchor= visual cue
that encourages the client to finish the line and return to anchor on next line à
develop new habits/compensate for visual loss
Select yes or no for what the OTR should do before meeting the client for an
initial evaluation:
a) Determine if there are any contraindications/precautions
b) Immediately begin the evaluation after talking to the nurse on duty
c) Complete a chart review to determine if a doctor's order for services has
been provided
d) review all nursing entries for the client's hospitalization
e) determine the diagnosis and co-morbidities of the client during a chart
review
f) Note the client's prior social and living history
g) Obtain the client's prior functional level correct answer -Yes:
-Determine if there are any contraindications/precautions= ensure safety
-Complete a chart review to determine if a doctor's order for services has
been provided= order needs to be in place to treat and if not get in touch with
the physician
- determine the diagnosis and co-morbidities of the client during a chart
review= needs thorough chart review before any evaluation
, -Note the client's prior social and living history= can provide understanding
and guide therapy goals and outcomes
-Obtain the client's prior functional level= important for evaluation of current
level of function
No:
-Immediately begin the evaluation after talking to the nurse on duty=
evaluation cannot be initiated by speaking to the nurse on duty
-review all nursing entries for the client's hospitalization= will take too long
and cut into eval time
Select yes or no for when OTR has completed the evaluation process and is
ready to create intervention plan and intervention sessions (there will be
24hr caregiver assistance upon clients discharge)
a) Obtain order to create an intervention plan
b) The OTR consults with COTA who signs off and approves the intervention
plan
c) Work with client to write goals
d) Consider which OT theory will guide the goals and intervention
e) Goals can include preparatory methods to engage the client
f) Observe while the caregiver and/or staff assists the client in completing a
variety of transfers-from bed to commode, in and out of a car, during ADLs
g) Instruct the client and caregiver on minimizing environmental hazards in
the home correct answer -Yes:
-work with client to write goals= important to ID areas of occupational
performance to focus on
-consider which OT theory will guide the goals and intervention= OTR has a
clear understanding as to why they are utilizing the intervention to approach
specific problems
-goals can include preparatory methods to engage the client
observe while the caregiver and/or staff assists the client in completing a
variety of transfers- from bed to commode, in and out of a car, during ADLs
-instruct the client and caregiver on minimizing environmental hazards in the
home
No:
-obtain order to create intervention plan= already have order by that step
-OTR consults w COTA who signs off and approves the intervention plan
Select yes or no for the client and caregivers discharge preferences is direct
discharge home from the rehabilitation facility in 3 weeks. To prepare for the
