NS ,ANSWERS AND Rationales 2025 a= a= a= a=
1. The director of OT services for a large metropolitan home health agency is conducting a supervisory
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visit and notices the OTR is writing progress notes on a persona electronic tablet. OT is excited about u
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sing tablet and shares with the director that it saves a great deal of time. Most appropriate response fr
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om director? a=
a. Applaud the OT for using technology efficiently
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b. Develop a policy prohibiting the use of personal electronic tablets for note writing
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c. Ask the OT to describe the use of electronic recording to the other OT at the agency
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d. Ask home health clients for their opinions regarding electronic record keeping -
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a= ✔️b. Develop a policy prohibiting the use of personal electronic tablets for note writing
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A patient in a rehabilitation facility has a complete C8-
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T1 spinal cord injury. The patient is learning techniques to maximize independence with dressing. Whi
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ch technique should the OTR teach the patient to use to support progress toward this goal?
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a. Put on undergarments and trousers in bed, then transfer to a wheelchair to complete upper body dr
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essing
b. Use a universal cuff with a button-hook and zipper-pull to fasten front-opening clothing
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c. Wear a wrist-driven flexor hinge splint for pulling on and fastening clothing
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d. While supine in bed, put on socks and shoes; then put on underpants and trousers by rolling side to
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side in bed - a= a= a= a=
✔️Put on undergarments and trousers in bed, then transfer to a wheelchair to complete upper body d
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ressing
2. An OTR is reviewing hard-
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copy of client charts before a group session. While reviewing the charts, the OTR receives an urgent ph
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one call and must leave the chart room. How can the OTR ensure that the charts remain protected duri
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ng the OTR's absence?
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a. Close the charts and stack them on the table
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b. Lock the door to the chart room
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c. Cover the charts with other documents to obscure them from view
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d. Close the charts and return them to their original secure location -
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,a= ✔️d. Close the charts and return them to their original secure location
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3. An OTR is working in an outpatient setting and observes a COTA setting up electrical stimulation on a
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patient with a significant cardiac history, including a pacemaker. -
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✔️c. Stop the COTA from proceeding, check the eval and treatment plan and if needed review physica
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l agent modalities and appropriate use
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When considering the readiness of a client for a power wheelchair, the OTR should primarily be concer
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ned with? - a= a= a=
✔️Cognitive ability, to ensure that the individual has the awareness, problem solving, and decision m
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aking capabilities to learn how to consistently and safely operate the chair
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While reviewing work hardening program documentation, an OTR realizes there is no entry in the clien
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t's medical record of a meeting conducted with the insurance case manager, client, and client's emplo
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yer regarding light- a= a=
duty options. According to best practice guidelines, how should the OTR amend the client's medical re
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cord to include a summary of the meeting?
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a. back-date the entry to correspong to the actial date of the meeting
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a= b. insert a summary of the meeting into the margins of the client's medical record.
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a= D. Enter the information as a late entry into the client's medical record. -
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a= ✔️D. Enter the information as a late entry into the client's medical record.
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An OTR who has passed the initial NBCOT exam has decided not to be recerified through NBCOT. Whic
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h consequences will result from the OTR decision?
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a= a. the OTR will not be allowed to practice OT in the USA
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a= b. The OTR practice opportunities and credentials will remain unchanged
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a= c. the OTR may practice OT in the state that does not require certification, but the OTR's credential will
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a= change
d. the OTR may practice OT in a state that does not require certification and the OTR credentials will n
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ot change - a= a= a=
✔️c. the OTR may practice OT in the state that does not require certification, but the OTR's credential
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will change a=
6. A COTA decides that a client has returned to the previous level of function and continued OT service
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s are no longer needed. Best way to discharge patient?
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,a= a. COTA sets a last tx day, provides home exercise program and review progress with the patient while
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= completing the discharge notes a= a= a=
b. COTA alerts the OTR and the OTR review the documentation discusses the patient's progress and re
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sponse to intervention, and collaborates on a last tx day
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c. COTA notified the OTR who meets with the patient to discuss potential discharge from therapy, the
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OTR proceeds the dischargea= a= a=
d. COTA sets a last tx day, provides a home exercise program and home safety packet, and reports fina
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l notes on functional levels to the OTR -
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✔️b. COTA alerts the OTR and the OTR review the documentation discusses the patient's progress an
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d response to intervention, and collaborates on a last tx day
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COTA working on an inpatient rehab has had 2 patients fall in last month. OTR has concerns about the
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COTA's safety awareness during certain interventions. Which approach is the best for the OTR?
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a= a. speak with the rehab manager about possible disciplinary action
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b. review the documentation of the 2 patients who fell and discuss their cases thoroughly with the CO
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TA to determine cause of the falls
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c. ask the COTA whether more thorough supervision is needed and then proceed to provide close sup
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ervision
d. collaborate with the COTA to determine potential causes of the falls and provide direct supervision
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with more deliberate feedback -
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✔️d. collaborate with the COTA to determine potential causes of the falls and provide direct supervisi
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on with more deliberate feedback
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An OTR is supervising an OT student for Level II FW. The OTR notices that the student did not gather co
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mplete info. Regarding a client's Occ. History. Which comment best represents effective feedback?
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a= a. "you missed some info when you were recording the client's occ. History
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a= b. "in the future, you need to ask better questions about the client's occ. History
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c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are compr
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ehensive.
a= d. you should practice doing occ. History interviews -
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✔️c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are co
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mprehensive.
An adolescent referred for OT has oppositional defiant disorder. During the initial interview, the paren
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t reports that the youth never listens to requests, become angry several times a day, blames mistakes
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on an older sibling. Which area is most related?
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, a= a. ADLs a=
a= b. Rest and Sleep
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a= c. Leisure
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a= d. Social participation -
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a= ✔️d. Social participation a= a=
An OTR is working in a school with high incidence of violence in the district with increasing numbers of
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students diagnosed with ODD. The superintendent announces the formation of a task force to study th
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e problem. Which response to the announcement would be best?
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a. document the progress of the OTR has made with students with ODD to justify continuing work wit
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h these students
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b. increase the frequency of visits to the students on the OTR caseload with his diagnosis because the t
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ask force will scrutinize intervention with these students.
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c. research intervention strategies to make sure that the intervention the OTR has been providing to t
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hese students is considered a= a= a= a=
d. contact the superintendent and request to be appointed to a seat on the task force to study violenc
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e and incidence of ODD. -
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✔️d. contact the superintendent and request to be appointed to a seat on the task force to study viol
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ence and incidence of ODD. a= a= a= a=
When working with a client with chorninc pain, the OTR needs to set a tone that will facilitate a therap
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eutic relationship with the client. Which statement sets an open and appropriate tone when working
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with a client who has chronic pain?
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a= a. your pain is all in your head. All you have to do is ignore it
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b. I have pain when I wake up in the morning. I have arthritis. It usually takes a while before it gets any
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better. Maybe you should try to exercise in the morning to get things moving like I do
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c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop, let me
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know, but I would like to see you push yourself.
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a= d. I think we should slowly increase the time you are spending at work-related tasks -
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✔️c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop, let
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me know, but I would like to see you push yourself.
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a= -
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a= ✔️