NBCOT Exam 3 Questions and
Answers Already Passed
An .OTR®; .is .developing .a .professional .development .plan. .The .OTR .has .identified .personal
.needs .for .growth .after .completing .a .self-assessment. .What .step .should .the .OTR .take .NEXT
.in .developing .the .professional .development .plan?
A. Review .progress .toward .current .professional .development .goals .and .objectives.
B. Determine .available .resources .for .meeting .goals .and .objectives.
C. Determine .what .learning .needs .to .occur.
D. Set .new .goals .for .professional .development. .✔✔C: .The .steps .in .developing .a .professional
.development .plan .are .to .(1) .reflect .on .current .performance .to .date .and .determine .learning
.needs .on .the .basis .of .the .self-assessment .results; .(2) .review .progress .toward .previous
.professional .development .goals; .(3) .ascertain .what .resources .exist .to .meet .identified
.professional .development .goals; .(4) .modify .previous .professional .development .goals .and .set
.new .ones; .(5) .take .action .to .meet .professional .development .goals; .and .(6) .document
.completed .professional .development .activities. .Thus, .after .identifying .personal .needs .for
.growth .by .means .of .a .self-assessment, .the .next .step .an .OTR .would .take .would .be .to
.determine .what .learning .needs .to .occur.
A: .Step .2 .in .creating .a .professional .development .plan .is .to .review .progress .toward .current
.professional .development .goals. .Progress .toward .current .professional .development .goals .and
.objectives .cannot .be .assessed .before .learning .needs .have .been .identified.
B: .Step .3 .in .creating .a .professional .development .plan .is .to .ascertain .what .resources .exist .to
.meet .identified .professional .development .goals. .Learning .needs .must .be .determined .before
.appropriate .learning .resources .can .be .identified.
D: .Step .4 .in .creating .a .professional .development .plan .is .to .modify .previous .professional
.development .goals .and .set .new .ones. .Goal .setting .cannot .occur .before .professional .learning
.needs .have .been .determined.
,Which .tool .should .the .OTR® .use .to .assess .peripheral .visual .fields?
A. Interview
B. Amsler .grid
C. Snellen .chart
D. Confrontation .testing .✔✔D: .Confrontation .testing .provides .a .gross .assessment .of .how
.much .peripheral .vision .the .client .has.
A: .Although .interview .might .be .helpful .in .identifying .the .client's .problems, .it .is .not .adequate .to
.assess .peripheral .visual .fields.
B: .The .Amsler .grid .is .used .to .assess .central .visual .fields.
.C: .The .Snellen .chart .is .used .to .assess .visual .acuity.
An .OTR® .in .an .outpatient .setting .is .treating .a .client .who .underwent .repair .of .multiple .flexor
.tendons .in .Zones .2 .and .3 .approximately .6 .weeks .ago. .The .dorsal .blocking .splint .has .been
.removed, .and .the .client .is .beginning .to .actively .move .the .digits. .The .client .is .eager .to .return
.to .work .as .a .carpenter, .and .the .OTR .is .revising .the .goals .with .the .client. .Which .goal .for .this
.time .period .is .MOST .appropriate?
A. Increase .passive .wrist .and .digit .composite .extension .to .improve .flexor .tendon .length
B. Increase .digital .active .range .of .motion .to .facilitate .holding .a .washcloth .during .bathing
C. Increase .grip .strength .to .maintain .grasp .on .woodworking .tools
D. String .25 .beads .of .various .sizes .and .shapes .to .improve .fine .motor .coordination .✔✔B:
.Setting .realistic, .meaningful .goals .and .revising .them .as .the .client .progresses .is .a .critical
.component .in .treating .traumatic .injuries. .At .6 .weeks .after .operative .tendon .repair, .the .client
.may .be .ready .for .light, .nonresistive .functional .activities .that .promote .active .flexion.
A: .Adding .too .much .force .at .this .stage .may .result .in .rupture .of .the
.repairs. . C: .At .6 .weeks .after .repair .of .flexor .tendons, .strengthening .is
.contraindicated.
,D: .This .goal .has .no .functional .component .or .intrinsic .value .to .the .client.
For .clients .who .have .arthritis, .which .aspect .of .an .occupational .therapy .intervention .plan .is .the
.MOST .crucial?
A. Self-efficacy
B. Splinting
C. Compliance .with .the .independent .home .exercise .program
D. Instruction .in .compensatory .strategies .for .ADL .management .✔✔A: .Self-efficacy .facilitates
.independent .follow-through .in .the .home .context. .The .resulting .confidence .may .ultimately .lead
.to .the .desired .behavior.
B, .C, .D: .Splinting, .home .exercise .compliance, .and .ADL .strategies .all .are .important
.components .of .an .intervention .plan .for .clients .with .arthritis. .Fostering .self-efficacy, .however,
.promotes .the .client's .compliance .with .all .aspects .of .the .plan.
Which .setting .is .MOST .effective .for .job .coaching .with .an .adult .client .with .mental .illness?
A. Sheltered .workshop .environment
B. Outpatient .rehabilitation .setting
C. Program .offering .simulated .work
D. Workplace .with .assigned .job .duties .✔✔D: .Support .approaches .with .on-site .training .are
.recommended .as .the .most .effective .setting .for .job .coaching.
A, .B, .C: .Training .for .job .placement .in .settings .outside .the .workplace .does .not .support
.generalization .of .skills .to .the .workplace.
An .OTR® .is .reevaluating .a .client .who .has .received .six .iontophoresis .treatments .within .a .2-
week .period. .The .client .reports .there .has .been .no .change .in .symptoms .compared .to .the .day .of
.the .initial .physical .agent .modality .administration. .What .action .should .the .OTR® .take .with
.regard .to .the .iontophoresis .based .on .the .client's .report?
A. Discontinue .the .use .of .the .iontophoresis .until .the .physician .is .consulted.
B. Continue .to .administer .the .iontophoresis .for .an .additional .5-6 .sessions.
, C. Obtain .a .prescription .to .increase .the .medication .used .in .the .electrodes.
D. Increase .the .intensity .of .the .electrical .current .used .with .the .iontophoresis. .✔✔A:
.Iontophoresis .treatment .should .be .discontinued .if .the .client .has .not .reported .at .least .50%
.relief .of .symptoms.
B: .Iontophoresis .treatment .should .be .discontinued .after .four .to .six .sessions .if .the .client .has
.not .reported .at .least .50% .relief .of .symptoms.
C: .Doubling .the .medication .will .have .no .effect .on .the .impact .of .the .iontophoresis .treatment.
D: .Increasing .the .current .may .cause .discomfort .or .a .galvanic .rash .(an .allergic .reaction .to .the
.current); .current .should .be .set .at .a .client's .level .of .comfort .to .prevent .skin .irritation .and
.burning.
An .outpatient .has .a .medical .history .of .having .multiple .transient .ischemic .attacks .and .is .in .the
.early .stages .of .Alzheimer's .disease. .During .an .initial .ADL .assessment, .the .OTR® .observes
.that .the .patient .puts .on .eyeglasses .upside .down, .attempts .to .stir .before .coffee .is .poured .in .a
.cup, .and .uses .a .spoon .to .cut .meat. .Based .on .these .observations, .which .performance .skill .is
.MOST .IMPORTANT .to .address .as .part .of .the .intervention .plan?
A. Spatial .relations
B. Sequencing .abilities
C. Ideational .praxis
D. Body .scheme .awareness .✔✔C: .Ideational .praxis .involves .knowing .which .objects .are .used
.and .how .to .use .them .to .complete .tasks. .The .observations .in .this .scenario .indicate .the .client
.has .ideational .apraxia.
A: .Spatial .relations .involves .the .ability .to .locate .objects .in .relation .to .each .other, .and .the .client
.in .this .scenario .is .able .to .locate .objects .but .misuses .the .objects .for .the .intended .purpose.
B: .Sequencing .involves .completing .the .steps .of .a .task .in .the .correct .order, .and .the .client .does
.not .consistently .demonstrate .a .sequencing .problem .on .the .basis .of .the .scenario.
Answers Already Passed
An .OTR®; .is .developing .a .professional .development .plan. .The .OTR .has .identified .personal
.needs .for .growth .after .completing .a .self-assessment. .What .step .should .the .OTR .take .NEXT
.in .developing .the .professional .development .plan?
A. Review .progress .toward .current .professional .development .goals .and .objectives.
B. Determine .available .resources .for .meeting .goals .and .objectives.
C. Determine .what .learning .needs .to .occur.
D. Set .new .goals .for .professional .development. .✔✔C: .The .steps .in .developing .a .professional
.development .plan .are .to .(1) .reflect .on .current .performance .to .date .and .determine .learning
.needs .on .the .basis .of .the .self-assessment .results; .(2) .review .progress .toward .previous
.professional .development .goals; .(3) .ascertain .what .resources .exist .to .meet .identified
.professional .development .goals; .(4) .modify .previous .professional .development .goals .and .set
.new .ones; .(5) .take .action .to .meet .professional .development .goals; .and .(6) .document
.completed .professional .development .activities. .Thus, .after .identifying .personal .needs .for
.growth .by .means .of .a .self-assessment, .the .next .step .an .OTR .would .take .would .be .to
.determine .what .learning .needs .to .occur.
A: .Step .2 .in .creating .a .professional .development .plan .is .to .review .progress .toward .current
.professional .development .goals. .Progress .toward .current .professional .development .goals .and
.objectives .cannot .be .assessed .before .learning .needs .have .been .identified.
B: .Step .3 .in .creating .a .professional .development .plan .is .to .ascertain .what .resources .exist .to
.meet .identified .professional .development .goals. .Learning .needs .must .be .determined .before
.appropriate .learning .resources .can .be .identified.
D: .Step .4 .in .creating .a .professional .development .plan .is .to .modify .previous .professional
.development .goals .and .set .new .ones. .Goal .setting .cannot .occur .before .professional .learning
.needs .have .been .determined.
,Which .tool .should .the .OTR® .use .to .assess .peripheral .visual .fields?
A. Interview
B. Amsler .grid
C. Snellen .chart
D. Confrontation .testing .✔✔D: .Confrontation .testing .provides .a .gross .assessment .of .how
.much .peripheral .vision .the .client .has.
A: .Although .interview .might .be .helpful .in .identifying .the .client's .problems, .it .is .not .adequate .to
.assess .peripheral .visual .fields.
B: .The .Amsler .grid .is .used .to .assess .central .visual .fields.
.C: .The .Snellen .chart .is .used .to .assess .visual .acuity.
An .OTR® .in .an .outpatient .setting .is .treating .a .client .who .underwent .repair .of .multiple .flexor
.tendons .in .Zones .2 .and .3 .approximately .6 .weeks .ago. .The .dorsal .blocking .splint .has .been
.removed, .and .the .client .is .beginning .to .actively .move .the .digits. .The .client .is .eager .to .return
.to .work .as .a .carpenter, .and .the .OTR .is .revising .the .goals .with .the .client. .Which .goal .for .this
.time .period .is .MOST .appropriate?
A. Increase .passive .wrist .and .digit .composite .extension .to .improve .flexor .tendon .length
B. Increase .digital .active .range .of .motion .to .facilitate .holding .a .washcloth .during .bathing
C. Increase .grip .strength .to .maintain .grasp .on .woodworking .tools
D. String .25 .beads .of .various .sizes .and .shapes .to .improve .fine .motor .coordination .✔✔B:
.Setting .realistic, .meaningful .goals .and .revising .them .as .the .client .progresses .is .a .critical
.component .in .treating .traumatic .injuries. .At .6 .weeks .after .operative .tendon .repair, .the .client
.may .be .ready .for .light, .nonresistive .functional .activities .that .promote .active .flexion.
A: .Adding .too .much .force .at .this .stage .may .result .in .rupture .of .the
.repairs. . C: .At .6 .weeks .after .repair .of .flexor .tendons, .strengthening .is
.contraindicated.
,D: .This .goal .has .no .functional .component .or .intrinsic .value .to .the .client.
For .clients .who .have .arthritis, .which .aspect .of .an .occupational .therapy .intervention .plan .is .the
.MOST .crucial?
A. Self-efficacy
B. Splinting
C. Compliance .with .the .independent .home .exercise .program
D. Instruction .in .compensatory .strategies .for .ADL .management .✔✔A: .Self-efficacy .facilitates
.independent .follow-through .in .the .home .context. .The .resulting .confidence .may .ultimately .lead
.to .the .desired .behavior.
B, .C, .D: .Splinting, .home .exercise .compliance, .and .ADL .strategies .all .are .important
.components .of .an .intervention .plan .for .clients .with .arthritis. .Fostering .self-efficacy, .however,
.promotes .the .client's .compliance .with .all .aspects .of .the .plan.
Which .setting .is .MOST .effective .for .job .coaching .with .an .adult .client .with .mental .illness?
A. Sheltered .workshop .environment
B. Outpatient .rehabilitation .setting
C. Program .offering .simulated .work
D. Workplace .with .assigned .job .duties .✔✔D: .Support .approaches .with .on-site .training .are
.recommended .as .the .most .effective .setting .for .job .coaching.
A, .B, .C: .Training .for .job .placement .in .settings .outside .the .workplace .does .not .support
.generalization .of .skills .to .the .workplace.
An .OTR® .is .reevaluating .a .client .who .has .received .six .iontophoresis .treatments .within .a .2-
week .period. .The .client .reports .there .has .been .no .change .in .symptoms .compared .to .the .day .of
.the .initial .physical .agent .modality .administration. .What .action .should .the .OTR® .take .with
.regard .to .the .iontophoresis .based .on .the .client's .report?
A. Discontinue .the .use .of .the .iontophoresis .until .the .physician .is .consulted.
B. Continue .to .administer .the .iontophoresis .for .an .additional .5-6 .sessions.
, C. Obtain .a .prescription .to .increase .the .medication .used .in .the .electrodes.
D. Increase .the .intensity .of .the .electrical .current .used .with .the .iontophoresis. .✔✔A:
.Iontophoresis .treatment .should .be .discontinued .if .the .client .has .not .reported .at .least .50%
.relief .of .symptoms.
B: .Iontophoresis .treatment .should .be .discontinued .after .four .to .six .sessions .if .the .client .has
.not .reported .at .least .50% .relief .of .symptoms.
C: .Doubling .the .medication .will .have .no .effect .on .the .impact .of .the .iontophoresis .treatment.
D: .Increasing .the .current .may .cause .discomfort .or .a .galvanic .rash .(an .allergic .reaction .to .the
.current); .current .should .be .set .at .a .client's .level .of .comfort .to .prevent .skin .irritation .and
.burning.
An .outpatient .has .a .medical .history .of .having .multiple .transient .ischemic .attacks .and .is .in .the
.early .stages .of .Alzheimer's .disease. .During .an .initial .ADL .assessment, .the .OTR® .observes
.that .the .patient .puts .on .eyeglasses .upside .down, .attempts .to .stir .before .coffee .is .poured .in .a
.cup, .and .uses .a .spoon .to .cut .meat. .Based .on .these .observations, .which .performance .skill .is
.MOST .IMPORTANT .to .address .as .part .of .the .intervention .plan?
A. Spatial .relations
B. Sequencing .abilities
C. Ideational .praxis
D. Body .scheme .awareness .✔✔C: .Ideational .praxis .involves .knowing .which .objects .are .used
.and .how .to .use .them .to .complete .tasks. .The .observations .in .this .scenario .indicate .the .client
.has .ideational .apraxia.
A: .Spatial .relations .involves .the .ability .to .locate .objects .in .relation .to .each .other, .and .the .client
.in .this .scenario .is .able .to .locate .objects .but .misuses .the .objects .for .the .intended .purpose.
B: .Sequencing .involves .completing .the .steps .of .a .task .in .the .correct .order, .and .the .client .does
.not .consistently .demonstrate .a .sequencing .problem .on .the .basis .of .the .scenario.
