NBCOT (TRUELEARN) PREP QUESTIONS WITH ACCURATE SOLUTIONS -ALREADY
GRADED +
An OTR is developing an intervention plan with a client. The OTR has identified goals and
intervention strategies and is now addressing the plan section. Which is MOST appropriate
for the OTR to document in the plan section?
A. recommendations on frequency, duration, and intensity of therapy
B. recommendations for functional tasks to address identified goals
C. recommendations for assessment tools to identify specific deficits
D. recommendations for the FOR to be utilized
A. recommendations on frequency, duration, and intensity of therapy
An individual who had a cerebrovascular accident (CVA) one year ago is receiving
outpatient OT services. The OT documents the following using the subjective, objective,
assessment, and plan (SOAP) format: "Client completed functional activities for fine motor
development of the affected upper extremity, including large and small items, using hand-
over-hand assistance as needed." Which BEST reflects where the OTR is documenting this
information?
A. subjective
B. objective
C. assessment
D. plan
B. objective
An OTR is completing an evaluation of a female client diagnosed with bulimia. During the
interview, the client said, "I don't know what to do. I try to eat healthy, but I have no clue
what to eat or what I want to eat. I go to get groceries, and I don't even know what I should
,buy. Then when things get all crazy at work, I just want to buy everything I see. I mean, I am
so frustrated at work. Don't get me wrong, I love my job, I love the challenge. People tell me
I need to eat healthy. I want to, but I get so busy and stressed that I just eat when I feel like
it." Which of the following interventions is MOST IMPORTANT for the client?
A. menu planning and preparation
B. stress management
C. communication and assertion training
D. projective art
B. stress management
An OTR is preparing to complete an initial evaluation on an individual diagnosed with
obsessive-compulsive disorder. Which strategy is MOST EFFECTIVE while interviewing this
individual?
A. limit the time available to answer each question
B. instruct the individual to take his time and not rush
C. utilize open-ended questions
D. minimize environmental distractions
A. limit the time available to answer each question
An OTR is working in early intervention services with a family with an infant born with a cleft
lip and palate. The infant appears to have feeding difficulties including problems latching
on to the bottle or breast, prolonged feeding times, and poor weight gain. What intervention
is MOST effective for the OTR to recommend to the family to promote successful feeding
experiences?
A. use regular bottles or nipples during feeding times
B. refer the infant for surgical repair of the cleft
,C. suggest the infant use a nasogastric tube to supplement feeding for proper nutritional
intake
D. provide cheek and/or lip support to help with gentle closure of the lip during feeding
D. provide cheek and/or lip support to help with gentle closure of the lip during feeding
An OTR is working with a 5-year-old child with sensory processing disorder and autism
spectrum disorder who has difficulty with social interactions, including play dates. He
becomes upset and talks loudly, invades his friend's space, and may even hit the other
child. What is the BEST approach to promote social participation INITIALLY for this child?
A. provide sensory integration in each session to enhance the child's ability to filter
sensations and recognize the optimal level of arousal
B. encourage the child to make his or her own choices in social situations to motivate and
produce feelings of confidence
C. apply newly developed social sills in small, less intimidating peer context then decrease
therapists support
D. use a goal chart as a visual reminder of positive behaviors to encourage and perform
with more confidence
A. provide sensory integration in each session to enhance the child's ability to filter
sensations and recognize the optimal level of arousal
An OTR was observing the client prepare a salad. The OTR noted that the client would chop
one vegetable, and then pause to get another vegetable from the basket. The client begins
to chop the second vegetable and then remembers to wash the vegetable first. The client
adds the dressing, then proceeds to chop the third vegetable. Which of the following
executive function is MOST INVOLVED based on this observation?
A. initiation
B. organization
C. sequencing
, D. problem-solving
C. sequencing
A client stated that she underwent nerve repair a few months ago but was unable to follow
through with the initial occupational therapy referral since her husband passed away
shortly after her surgery. She now lives alone and although she can still independently
complete her activities of daily living (ADLs), she has had difficulty with making meals and
cleaning. The OTR noticed blisters and scars on the client's hands. Which of the following
assessment instruments should the OTR perform FIRST?
A. goniometer
B. disk-criminator
C. dellon modification of moberg pick-up test
D. nine-hole peg test
B. disk-criminator
A client with age-related macular degeneration is eating in the community dining area of a
skilled nursing facility. The OTR notes that the client does not engage with others at meals
and often does not eat all of the meal. What should the OTR do to increase the client's
social participation and self-feeding?
A. orient the client to the plate and the others at the table
B. allow the client to eat in a room secluded from other residents
C. recommend finger foods only in order to use tactile sensation
D. provide a caregiver for meal times in order to feed the client
A. orient the client to the plate and the others at the table
GRADED +
An OTR is developing an intervention plan with a client. The OTR has identified goals and
intervention strategies and is now addressing the plan section. Which is MOST appropriate
for the OTR to document in the plan section?
A. recommendations on frequency, duration, and intensity of therapy
B. recommendations for functional tasks to address identified goals
C. recommendations for assessment tools to identify specific deficits
D. recommendations for the FOR to be utilized
A. recommendations on frequency, duration, and intensity of therapy
An individual who had a cerebrovascular accident (CVA) one year ago is receiving
outpatient OT services. The OT documents the following using the subjective, objective,
assessment, and plan (SOAP) format: "Client completed functional activities for fine motor
development of the affected upper extremity, including large and small items, using hand-
over-hand assistance as needed." Which BEST reflects where the OTR is documenting this
information?
A. subjective
B. objective
C. assessment
D. plan
B. objective
An OTR is completing an evaluation of a female client diagnosed with bulimia. During the
interview, the client said, "I don't know what to do. I try to eat healthy, but I have no clue
what to eat or what I want to eat. I go to get groceries, and I don't even know what I should
,buy. Then when things get all crazy at work, I just want to buy everything I see. I mean, I am
so frustrated at work. Don't get me wrong, I love my job, I love the challenge. People tell me
I need to eat healthy. I want to, but I get so busy and stressed that I just eat when I feel like
it." Which of the following interventions is MOST IMPORTANT for the client?
A. menu planning and preparation
B. stress management
C. communication and assertion training
D. projective art
B. stress management
An OTR is preparing to complete an initial evaluation on an individual diagnosed with
obsessive-compulsive disorder. Which strategy is MOST EFFECTIVE while interviewing this
individual?
A. limit the time available to answer each question
B. instruct the individual to take his time and not rush
C. utilize open-ended questions
D. minimize environmental distractions
A. limit the time available to answer each question
An OTR is working in early intervention services with a family with an infant born with a cleft
lip and palate. The infant appears to have feeding difficulties including problems latching
on to the bottle or breast, prolonged feeding times, and poor weight gain. What intervention
is MOST effective for the OTR to recommend to the family to promote successful feeding
experiences?
A. use regular bottles or nipples during feeding times
B. refer the infant for surgical repair of the cleft
,C. suggest the infant use a nasogastric tube to supplement feeding for proper nutritional
intake
D. provide cheek and/or lip support to help with gentle closure of the lip during feeding
D. provide cheek and/or lip support to help with gentle closure of the lip during feeding
An OTR is working with a 5-year-old child with sensory processing disorder and autism
spectrum disorder who has difficulty with social interactions, including play dates. He
becomes upset and talks loudly, invades his friend's space, and may even hit the other
child. What is the BEST approach to promote social participation INITIALLY for this child?
A. provide sensory integration in each session to enhance the child's ability to filter
sensations and recognize the optimal level of arousal
B. encourage the child to make his or her own choices in social situations to motivate and
produce feelings of confidence
C. apply newly developed social sills in small, less intimidating peer context then decrease
therapists support
D. use a goal chart as a visual reminder of positive behaviors to encourage and perform
with more confidence
A. provide sensory integration in each session to enhance the child's ability to filter
sensations and recognize the optimal level of arousal
An OTR was observing the client prepare a salad. The OTR noted that the client would chop
one vegetable, and then pause to get another vegetable from the basket. The client begins
to chop the second vegetable and then remembers to wash the vegetable first. The client
adds the dressing, then proceeds to chop the third vegetable. Which of the following
executive function is MOST INVOLVED based on this observation?
A. initiation
B. organization
C. sequencing
, D. problem-solving
C. sequencing
A client stated that she underwent nerve repair a few months ago but was unable to follow
through with the initial occupational therapy referral since her husband passed away
shortly after her surgery. She now lives alone and although she can still independently
complete her activities of daily living (ADLs), she has had difficulty with making meals and
cleaning. The OTR noticed blisters and scars on the client's hands. Which of the following
assessment instruments should the OTR perform FIRST?
A. goniometer
B. disk-criminator
C. dellon modification of moberg pick-up test
D. nine-hole peg test
B. disk-criminator
A client with age-related macular degeneration is eating in the community dining area of a
skilled nursing facility. The OTR notes that the client does not engage with others at meals
and often does not eat all of the meal. What should the OTR do to increase the client's
social participation and self-feeding?
A. orient the client to the plate and the others at the table
B. allow the client to eat in a room secluded from other residents
C. recommend finger foods only in order to use tactile sensation
D. provide a caregiver for meal times in order to feed the client
A. orient the client to the plate and the others at the table
