NBCOT Exam #3 Questions and
m m m m m
Answers Already Passed m m
AnmOTR®;mismdevelopingmamprofessionalmdevelopmentmplan.mThemOTRmhasmidentifiedmpersonalmneed
s
form growthm afterm completingm am self-
assessment.m Whatm stepm shouldmthem OTRm takem NEXTm inmdevelopingmthemprofessionalmdevelopmentm
plan?
A. Reviewmprogressmtowardmcurrentmprofessionalmdevelopmentmgoalsmandmobjectives.
B. Determinemavailablemresourcesmformmeetingmgoalsmandmobjectives.
C. Determinemwhatmlearningmneedsmtomoccur.
D. Setmnewmgoalsmformprofessionalmdevelopment.m✔✔C:mThemstepsminmdevelopingmamprofessionalm
developmentmplanmaremtom(1)mreflectmonmcurrentmperformancemtomdatemandmdeterminemlearningmnee
dsmonmthembasismofmthemself-
assessmentmresults;m(2)mreviewmprogressmtowardmpreviousmprofessionalmdevelopmentmgoals;m(3)mas
certainmwhatmresourcesmexistmtommeetmidentifiedmprofessionalmdevelopmentmgoals;m(4)mmodifymprevi
ousmprofessionalmdevelopmentmgoalsmandmsetmnewmones;m(5)mtakemactionmtommeetmprofessionalmdev
elopmentmgoals;mandm(6)mdocumentmcompletedmprofessionalmdevelopmentmactivities.mThus,maftermi
dentifyingmpersonalmneedsmformgrowthmbymmeansmofmamself-
assessment,mthemnextmstepmanmOTRmwouldmtakemwouldmbemtomdeterminemwhatmlearningmneedsmtomoc
cur.
A:mStepm2minmcreatingmamprofessionalmdevelopmentmplanmismtomreviewmprogressmtowardmcurrentmpro
fessionalmdevelopmentmgoals.mProgressmtowardmcurrentmprofessionalmdevelopmentmgoalsmandmobje
ctivesmcannotmbemassessedmbeforemlearningmneedsmhavembeenmidentified.
B:mStepm3minmcreatingmamprofessionalmdevelopmentmplanmismtomascertainmwhatmresourcesmexistmtomm
eetmidentifiedmprofessionalmdevelopmentmgoals.mLearningmneedsmmustmbemdeterminedmbeforemappro
priatemlearningmresourcesmcanmbemidentified.
D:mStepm4minmcreatingmamprofessionalmdevelopmentmplanmismtommodifympreviousmprofessionalmdevel
opmentmgoalsmandmsetmnewmones.mGoalmsettingmcannotmoccurmbeforemprofessionalmlearningmneedsmha
vembeenmdetermined.
,WhichmtoolmshouldmthemOTR®musemtomassessmperipheralmvisualmfields?
A. Interview
B. Amslermgrid
C. Snellenmchart
D. Confrontationm testingm ✔✔D:m Confrontationm testingm providesm am grossm assessmentm ofm howm mu
chmperipheralmvisionmthemclientmhas.
A:m Althoughm interviewm mightm bem helpfulm inm identifyingm them client'sm problems,m itm ism notm adequatem t
omassessmperipheralmvisualmfields.
B:mThemAmslermgridmismusedmtomassessmcentralmvisualmfields.m
C:mThemSnellenmchartmismusedmtomassessmvisualmacuity.
AnmOTR®minmanmoutpatientmsettingmismtreatingmamclientmwhomunderwentmrepairmofmmultiplemflexorm
tendonsminmZonesm2mandm3mapproximatelym6mweeksmago.mThemdorsalmblockingmsplintmhasmbeenmremov
ed,mandmthemclientmismbeginningmtomactivelymmovemthemdigits.mThemclientmismeagermtomreturnmtomwork
m asmamcarpenter,mandmthemOTRmismrevisingmthemgoalsmwithmthemclient.mWhichmgoalmformthismtimemper
iodmismMOSTmappropriate?
A. Increasempassivemwristmandmdigitmcompositemextensionmtomimprovemflexormtendonmlength
B. Increasemdigitalmactivemrangemofmmotionmtomfacilitatemholdingmamwashclothmduringmbathing
C. Increasemgripmstrengthmtommaintainmgraspmonmwoodworkingmtools
D. Stringm25mbeadsmofmvariousmsizesmandmshapesmtomimprovemfinemmotormcoordinationm✔✔B:mSetti
ngmrealistic,mmeaningfulmgoalsmandmrevisingmthemmasmthemclientmprogressesmismamcriticalmcomponent
m inmtreatingmtraumaticminjuries.mAtm6mweeksmaftermoperativemtendonmrepair,mthemclientmmaymbemread
ymformlight,mnonresistivemfunctionalmactivitiesmthatmpromotemactivemflexion.
A:mAddingmtoommuchmforcematmthismstagemmaymresultm inmrupturemofmthemrepairs
.mC:mAtm6mweeksmaftermrepairmofmflexormtendons,mstrengtheningmismcontraindica
ted.
,D:mThismgoalmhasmnomfunctionalmcomponentmormintrinsicmvaluemtomthemclient.
Formclientsmwhomhavemarthritis,mwhichmaspectmofmanmoccupationalmtherapyminterventionmplanmismthe
m MOSTmcrucial?
A. Self-efficacy
B. Splinting
C. Compliancemwithmthemindependentmhomemexercisemprogram
D. InstructionminmcompensatorymstrategiesmformADLmmanagementm✔✔A:mSelf-
efficacymfacilitatesmindependentmfollow-
throughminmthemhomemcontext.mThemresultingmconfidencemmaymultimatelymleadmtomthemdesiredmbehav
ior.
B,mC,mD:mSplinting,mhomemexercisemcompliance,mandmADLmstrategiesmallmaremimportantmcomponen
tsmofmanminterventionmplanmformclientsmwithmarthritis.mFosteringmself-
efficacy,mhowever,mpromotesmthemclient'smcompliancemwithmallmaspectsmofmthemplan.
WhichmsettingmismMOSTmeffectivemformjobmcoachingmwithmanmadultmclientmwithmmentalmillness?
A. Shelteredmworkshopmenvironment
B. Outpatientmrehabilitationmsetting
C. Programmofferingmsimulatedmwork
D. Workplacemwithmassignedmjobmdutiesm✔✔D:mSupportmapproachesmwithmon-
sitemtrainingmaremrecommendedmasmthemmostmeffectivemsettingmformjobmcoaching.
A,mB,mC:mTrainingmformjobmplacementminmsettingsmoutsidemthemworkplacemdoesmnotmsupportmgeneral
izationmofmskillsmtomthemworkplace.
AnmOTR®mismreevaluatingmamclientmwhomhasmreceivedmsixmiontophoresismtreatmentsmwithinmam2-
weekmperiod.mThemclientmreportsmtheremhasmbeenmnomchangeminmsymptomsmcomparedmtomthemdaymofmt
heminitialmphysicalmagentmmodalitymadministration.mWhatmactionmshouldmthemOTR®mtakemwithmrega
rdmtomthemiontophoresismbasedmonmthemclient'smreport?
A. Discontinuemthemusemofmthemiontophoresismuntilmthemphysicianmismconsulted.
B. Continuemtomadministermthemiontophoresismformanmadditionalm5-6msessions.
, C. Obtainmamprescriptionmtomincreasemthemmedicationmusedminmthemelectrodes.
D. Increasemthemintensitymofmthemelectricalmcurrentmusedmwithmthemiontophoresis.m✔✔A:mIontophore
sismtreatmentmshouldmbemdiscontinuedmifmthemclientmhasmnotmreportedmatmleastm50%mreliefmofmsympto
ms.
B:mIontophoresismtreatmentmshouldmbemdiscontinuedmaftermfourmtomsixmsessionsmifmthemclientmhasmno
tmreportedmatmleastm50%mreliefmofmsymptoms.
C:mDoublingmthemmedicationmwillmhavemnomeffectmonmthemimpactmofmthemiontophoresismtreatment.
D:mIncreasingmthemcurrentmmaymcausemdiscomfortmormamgalvanicmrashm(anmallergicmreactionmtomthemc
urrent);mcurrentmshouldmbemsetmatmamclient'smlevelmofmcomfortmtompreventmskinmirritationmandmburnin
g.
Anmoutpatientmhasmammedicalmhistorymofmhavingmmultiplemtransientmischemicmattacksmandmisminmthemea
rlymstagesmofmAlzheimer'smdisease.mDuringmanminitialmADLmassessment,mthemOTR®mobservesmthatmt
hempatientmputsmonmeyeglassesmupsidemdown,mattemptsmtomstirmbeforemcoffeemismpouredminmamcup,man
dmusesmamspoonmtomcutmmeat.mBasedmonmthesemobservations,mwhichmperformancemskillmismMOSTmIMP
ORTANTmtomaddressmasmpartmofmtheminterventionmplan?
A. Spatialmrelations
B. Sequencingmabilities
C. Ideationalmpraxis
D. Bodymschememawarenessm✔✔C:mIdeationalmpraxisminvolvesmknowingmwhichmobjectsmaremusedma
ndmhowmtomusemthemmtomcompletemtasks.mThemobservationsminmthismscenariomindicatemthemclientmhasm
ideationalmapraxia.
A:mSpatialmrelationsminvolvesmthemabilitymtomlocatemobjectsminmrelationmtomeachmother,mandmthemclien
tminmthismscenariomismablemtomlocatemobjectsmbutmmisusesmthemobjectsmformthemintendedmpurpose.
B:mSequencingminvolvesmcompletingmthemstepsmofmamtaskminmthemcorrectmorder,mandmthemclientmdoesm
notmconsistentlymdemonstratemamsequencingmproblemmonmthembasismofmthemscenario.
m m m m m
Answers Already Passed m m
AnmOTR®;mismdevelopingmamprofessionalmdevelopmentmplan.mThemOTRmhasmidentifiedmpersonalmneed
s
form growthm afterm completingm am self-
assessment.m Whatm stepm shouldmthem OTRm takem NEXTm inmdevelopingmthemprofessionalmdevelopmentm
plan?
A. Reviewmprogressmtowardmcurrentmprofessionalmdevelopmentmgoalsmandmobjectives.
B. Determinemavailablemresourcesmformmeetingmgoalsmandmobjectives.
C. Determinemwhatmlearningmneedsmtomoccur.
D. Setmnewmgoalsmformprofessionalmdevelopment.m✔✔C:mThemstepsminmdevelopingmamprofessionalm
developmentmplanmaremtom(1)mreflectmonmcurrentmperformancemtomdatemandmdeterminemlearningmnee
dsmonmthembasismofmthemself-
assessmentmresults;m(2)mreviewmprogressmtowardmpreviousmprofessionalmdevelopmentmgoals;m(3)mas
certainmwhatmresourcesmexistmtommeetmidentifiedmprofessionalmdevelopmentmgoals;m(4)mmodifymprevi
ousmprofessionalmdevelopmentmgoalsmandmsetmnewmones;m(5)mtakemactionmtommeetmprofessionalmdev
elopmentmgoals;mandm(6)mdocumentmcompletedmprofessionalmdevelopmentmactivities.mThus,maftermi
dentifyingmpersonalmneedsmformgrowthmbymmeansmofmamself-
assessment,mthemnextmstepmanmOTRmwouldmtakemwouldmbemtomdeterminemwhatmlearningmneedsmtomoc
cur.
A:mStepm2minmcreatingmamprofessionalmdevelopmentmplanmismtomreviewmprogressmtowardmcurrentmpro
fessionalmdevelopmentmgoals.mProgressmtowardmcurrentmprofessionalmdevelopmentmgoalsmandmobje
ctivesmcannotmbemassessedmbeforemlearningmneedsmhavembeenmidentified.
B:mStepm3minmcreatingmamprofessionalmdevelopmentmplanmismtomascertainmwhatmresourcesmexistmtomm
eetmidentifiedmprofessionalmdevelopmentmgoals.mLearningmneedsmmustmbemdeterminedmbeforemappro
priatemlearningmresourcesmcanmbemidentified.
D:mStepm4minmcreatingmamprofessionalmdevelopmentmplanmismtommodifympreviousmprofessionalmdevel
opmentmgoalsmandmsetmnewmones.mGoalmsettingmcannotmoccurmbeforemprofessionalmlearningmneedsmha
vembeenmdetermined.
,WhichmtoolmshouldmthemOTR®musemtomassessmperipheralmvisualmfields?
A. Interview
B. Amslermgrid
C. Snellenmchart
D. Confrontationm testingm ✔✔D:m Confrontationm testingm providesm am grossm assessmentm ofm howm mu
chmperipheralmvisionmthemclientmhas.
A:m Althoughm interviewm mightm bem helpfulm inm identifyingm them client'sm problems,m itm ism notm adequatem t
omassessmperipheralmvisualmfields.
B:mThemAmslermgridmismusedmtomassessmcentralmvisualmfields.m
C:mThemSnellenmchartmismusedmtomassessmvisualmacuity.
AnmOTR®minmanmoutpatientmsettingmismtreatingmamclientmwhomunderwentmrepairmofmmultiplemflexorm
tendonsminmZonesm2mandm3mapproximatelym6mweeksmago.mThemdorsalmblockingmsplintmhasmbeenmremov
ed,mandmthemclientmismbeginningmtomactivelymmovemthemdigits.mThemclientmismeagermtomreturnmtomwork
m asmamcarpenter,mandmthemOTRmismrevisingmthemgoalsmwithmthemclient.mWhichmgoalmformthismtimemper
iodmismMOSTmappropriate?
A. Increasempassivemwristmandmdigitmcompositemextensionmtomimprovemflexormtendonmlength
B. Increasemdigitalmactivemrangemofmmotionmtomfacilitatemholdingmamwashclothmduringmbathing
C. Increasemgripmstrengthmtommaintainmgraspmonmwoodworkingmtools
D. Stringm25mbeadsmofmvariousmsizesmandmshapesmtomimprovemfinemmotormcoordinationm✔✔B:mSetti
ngmrealistic,mmeaningfulmgoalsmandmrevisingmthemmasmthemclientmprogressesmismamcriticalmcomponent
m inmtreatingmtraumaticminjuries.mAtm6mweeksmaftermoperativemtendonmrepair,mthemclientmmaymbemread
ymformlight,mnonresistivemfunctionalmactivitiesmthatmpromotemactivemflexion.
A:mAddingmtoommuchmforcematmthismstagemmaymresultm inmrupturemofmthemrepairs
.mC:mAtm6mweeksmaftermrepairmofmflexormtendons,mstrengtheningmismcontraindica
ted.
,D:mThismgoalmhasmnomfunctionalmcomponentmormintrinsicmvaluemtomthemclient.
Formclientsmwhomhavemarthritis,mwhichmaspectmofmanmoccupationalmtherapyminterventionmplanmismthe
m MOSTmcrucial?
A. Self-efficacy
B. Splinting
C. Compliancemwithmthemindependentmhomemexercisemprogram
D. InstructionminmcompensatorymstrategiesmformADLmmanagementm✔✔A:mSelf-
efficacymfacilitatesmindependentmfollow-
throughminmthemhomemcontext.mThemresultingmconfidencemmaymultimatelymleadmtomthemdesiredmbehav
ior.
B,mC,mD:mSplinting,mhomemexercisemcompliance,mandmADLmstrategiesmallmaremimportantmcomponen
tsmofmanminterventionmplanmformclientsmwithmarthritis.mFosteringmself-
efficacy,mhowever,mpromotesmthemclient'smcompliancemwithmallmaspectsmofmthemplan.
WhichmsettingmismMOSTmeffectivemformjobmcoachingmwithmanmadultmclientmwithmmentalmillness?
A. Shelteredmworkshopmenvironment
B. Outpatientmrehabilitationmsetting
C. Programmofferingmsimulatedmwork
D. Workplacemwithmassignedmjobmdutiesm✔✔D:mSupportmapproachesmwithmon-
sitemtrainingmaremrecommendedmasmthemmostmeffectivemsettingmformjobmcoaching.
A,mB,mC:mTrainingmformjobmplacementminmsettingsmoutsidemthemworkplacemdoesmnotmsupportmgeneral
izationmofmskillsmtomthemworkplace.
AnmOTR®mismreevaluatingmamclientmwhomhasmreceivedmsixmiontophoresismtreatmentsmwithinmam2-
weekmperiod.mThemclientmreportsmtheremhasmbeenmnomchangeminmsymptomsmcomparedmtomthemdaymofmt
heminitialmphysicalmagentmmodalitymadministration.mWhatmactionmshouldmthemOTR®mtakemwithmrega
rdmtomthemiontophoresismbasedmonmthemclient'smreport?
A. Discontinuemthemusemofmthemiontophoresismuntilmthemphysicianmismconsulted.
B. Continuemtomadministermthemiontophoresismformanmadditionalm5-6msessions.
, C. Obtainmamprescriptionmtomincreasemthemmedicationmusedminmthemelectrodes.
D. Increasemthemintensitymofmthemelectricalmcurrentmusedmwithmthemiontophoresis.m✔✔A:mIontophore
sismtreatmentmshouldmbemdiscontinuedmifmthemclientmhasmnotmreportedmatmleastm50%mreliefmofmsympto
ms.
B:mIontophoresismtreatmentmshouldmbemdiscontinuedmaftermfourmtomsixmsessionsmifmthemclientmhasmno
tmreportedmatmleastm50%mreliefmofmsymptoms.
C:mDoublingmthemmedicationmwillmhavemnomeffectmonmthemimpactmofmthemiontophoresismtreatment.
D:mIncreasingmthemcurrentmmaymcausemdiscomfortmormamgalvanicmrashm(anmallergicmreactionmtomthemc
urrent);mcurrentmshouldmbemsetmatmamclient'smlevelmofmcomfortmtompreventmskinmirritationmandmburnin
g.
Anmoutpatientmhasmammedicalmhistorymofmhavingmmultiplemtransientmischemicmattacksmandmisminmthemea
rlymstagesmofmAlzheimer'smdisease.mDuringmanminitialmADLmassessment,mthemOTR®mobservesmthatmt
hempatientmputsmonmeyeglassesmupsidemdown,mattemptsmtomstirmbeforemcoffeemismpouredminmamcup,man
dmusesmamspoonmtomcutmmeat.mBasedmonmthesemobservations,mwhichmperformancemskillmismMOSTmIMP
ORTANTmtomaddressmasmpartmofmtheminterventionmplan?
A. Spatialmrelations
B. Sequencingmabilities
C. Ideationalmpraxis
D. Bodymschememawarenessm✔✔C:mIdeationalmpraxisminvolvesmknowingmwhichmobjectsmaremusedma
ndmhowmtomusemthemmtomcompletemtasks.mThemobservationsminmthismscenariomindicatemthemclientmhasm
ideationalmapraxia.
A:mSpatialmrelationsminvolvesmthemabilitymtomlocatemobjectsminmrelationmtomeachmother,mandmthemclien
tminmthismscenariomismablemtomlocatemobjectsmbutmmisusesmthemobjectsmformthemintendedmpurpose.
B:mSequencingminvolvesmcompletingmthemstepsmofmamtaskminmthemcorrectmorder,mandmthemclientmdoesm
notmconsistentlymdemonstratemamsequencingmproblemmonmthembasismofmthemscenario.
