NBCOTf2
Anfoccupationalftherapistfprovidesfconsultationfservicesftofafpsychogeriatr
icfunitfforfindividualsfwithfmoderatelyfseverefcognitivefdecline.fInfdesigni
ngfthefactivityfprogram,fwhichfgroupsfarefbestfforfthefoccupationalftherapis
tftofinclude?
fAnswerfChoices:fA.fRealityforientation. fB.fSensoryfstimulation. fC.fRemin
iscence.fD.fCopingfskillsf-fCORRECTfANSWER✔C.fReminiscence.f
Reminiscencefgroupsfarefdesignedftofreviewfpastflifefexperiencesftofpromo
tefusefoffintactflong-
termfmemory.fCurrentfmemoryfisfnotfrequiredfforfsuccessfulfparticipationfi
nfreminiscencefgroups.fIndividualsfwithfmoderatelyfseverefcognitivefdecli
neftypicallyfhavefpoorfrecentfmemory,fbutflong-
termfmemoryfisfoftenfintact.
Anfindividualfwithfrheumatoidfarthritisfhasfdevelopedfseveralfboutonnieref
deformities.fWhichfofftheffollowingfisfthefmostfaccuratefdescriptionfforfthef
occupationalftherapistftofincludefinfdocumentationfoffthefindividual'sfprese
ntingfsigns?
fAnswerfChoices:fA.fHyperextensionfoffthefPIPfjointfandfflfexionfoffthefDIP
fjoint.fB.fUlnarfdeviation fandfsubluxationfoffthefMCPfjoints.fC.fFlexionfofft
hefPIPfjointfandfhyperextensionfoffthefDIPfjoint.fD.fHeberden'sfnodesfatfthe
fDIPfjointsfandfBouchard'sfnodesfatfthefPIPfjoints.f-
fCORRECTfANSWER✔C.fAfboutonnierefdeformityfoccursfwhenftherefis
fhyperextensionfoffthefDIPfjointfwithfflfexionfoffthefPIPfjoint.fAfswanfneckf
deformityfisfevidentfwhenftherefisfhyperextensionfoffthefPIPfjointfandfflfexi
onfoffthefDIPfjoint.fUlnarfdeviationfandfsubluxationfoffthefMCPfjointsfarefa
dditionalfdeformitiesfthatfcanfresultffromfrheumatoidfarthritis.fHeberden'sf
nodesfandfBouchard'sfnodesfareftypesfoffbonefspursfthatfcanfresultffromfost
eoarthritis.
,AnfoccupationalftherapistfobservesfafCOTA®fhavingfdiffifcultyftransferrin
gfafclientfwithfathetoidfmovementsffromfafmatftofafwheelchair.fBeforeftheft
herapistfcanfcrossfthefroomftofhelpfwithftheftransfer,fthefCOTA®fslidesfwit
hfthefclientftofthefflfoor.fTheftherapistfassistsfthefCOTA®finfsafelyfreturnin
gfthefclientftofthefwheelchair.fTheyfassessfthatfthefclientfappearsftofbefunhar
medfandfreturnfthefclientftofthefunitfforfafmedicalfevaluation.fWhichfactionf
shouldftheftherapistftakefnext?
fAnswerfChoices:fA.fCounselfthefCOTA®fonfthefneedftofaskfforfassistance f
withfdiffifcultftransfers.fB.fRequirefthefCOTA®ftofattendfaftransferftrainingf
inservice.fC.fDocumentfthefCOTA®'sfunsafefactionsfinfthefpersonnelfrecor
d.fD.fCompletefanfoccurrencefreportfaccordingftoffacilityfstandards.f-
fCORRECTfANSWER✔D.fImmediately fafterfanfincidentfoccurs,fthefther
apistfmustfcompletefdocumentationfaccordingftofthefsetting'sfstandards.fCo
unselingfafCOTA®ftofaskfforfassistancefandfrequiringfattendancefatfafwork
shopfcanfbefappropriatefaspectsfoffriskfmanagementfbutftheyfarefnotftheffifrs
tfsteps.fInfaddition,ftherefisfnofinformationfprovidedftofclearlyfidentifyfthatft
hefCOTA®fwasfactingfunsafely.fTherefareftransferfsituationsfthatfunexpect
edlyfbecomefbeyondfafpractitioner'sfabilityftofsuccessfullyfcomplete.fDurin
gfthosefsituations,fthefpractitionerfshouldfguidefthefpatientftofthefflfoorfinfafc
ontrolledfmanner.fThisfisfoftenfdonefbyfusingfone'sfownfbodyftofsupportfthe
fpatientfandfcanfgivefthefappearancefoff"sliding."fMorefinformationfisfneed
edftofdeterminefiffthefCOTA®'sfactionsfwerefactuallyfunsafe.
Afteenagerfwithfspinalfmusclefatrophyfshowsfdecreasedftrunkfbalancefandfs
trength.fUpperfextremityfstrengthfandfROMfarefunchangedffromftheflastfev
aluation.fWhichfisfthefbestfrecommendationfforfthefoccupationalftherapistft
ofmake?
fAnswerfChoices:fA.fAfreevaluation foffthefclientfbefcompleted.fB.fThefclien
tfbefreferredftofanforthotistfforfafsoftfspinalfsupport.fC.fThefclientfbefmeasur
edfforfafpowerfwheelchair.fD.fAftrunkfstrengtheningfprogramfbefinitiatedfw
,ithfthefclient.f-
fCORRECTfANSWER✔A.fThefmostfimportantfactionftoftakefafterfnotici
ngfafchangefinftheffunctionalfstatusfoffafpersonfwithfafprogressivefconditionf
isftofreevaluate.fBasedfonfthefresultsfoffthefevaluation,finterventionsfcanfbef
planned.fThesefinterventionsfcanfincludeforthotics,fadaptivefequipment,fpo
weredfmobility,fcompensationftechniques,fand/
orfafstrengtheningfprogram;fonlyfthefresultsfoffafreevaluationfcanfappropria
telyfdeterminefinterventionfneeds
Anfoccupationalftherapistfdesignsfafdiningfrehabilitationfprogramfinfaflong
-
termfcareffacility.fThefoccupationalftherapistfinstructsfparaprofessionalfsta
fffinfproperffeedingftechniques.fWhichfpointfisfmostfimportantfforfthefthera
pistftofincludefinfthisfstaffftraining?
fAnswerfChoices:fA.fMealsfshouldfoccurfinfafhomelike fenvironmentfwithfst
afffconversingfwithfthefresidentsfbeingffed.fB.fResidentsfwithfswallowingfd
iffifcultiesfshouldfbeffedfinfafgroupfsofthatfstafffcanfremindfthemftofswallowf
atfthefbeginningfoffeachfmeal.fC.fPlacingfthreeffifngertipsfonfthefthroatfandfp
ressingffifrmlyfwillfstimulatefafswallowfresponse.fD.fThefheadfshouldfbeftilt
edfslightlyfbackwardfduringffeedingftoffacilitatefanfassistedfswallow.f-
fCORRECTfANSWER✔A.fProperffeedingftechniquesfincludefaffacilitati
vefenvironment.fDiningfinfafhomelikefsettingfwithfstafffwhofarefattentivefto
fthefresidents'fneedsfandfinterestsfduringffeeding/
mealtimesfwillffacilitatefeatingfandfsocializationfduringfthefactivity.fGroup
ingfindividualsfwithfswallowingfdiffifcultiesfdiminishesfthefindividualizedf
approachfthatfisfessentialftofqualityflong-termfcare
Afpersonfwithfaftraumaticfbrainfinjuryf(TBI)fisfassessedftofscorefaf6fonfthef
GlasgowfComafScale.fWhichfshouldfthefoccupationalftherapistfuseftofinitia
tefinterventionfwithfthisfperson?
fAnswerfChoices:fA.fDemonstrated fdirections.fB.fSensoryfstimulation.fC.f
, Verbalfcues.fD.fHand-over-handfassistance.f-
fCORRECTfANSWER✔B.fAfscorefoff6fonfthefGlasgowfComafScalefisfjus
tfoneflevelfabovefafcompletelyfnonresponsivefcoma.fAsfafresult,fafpersonfatf
thisflevelfhasfseverefdefifcits.fThefpersonfcanfopenftheirfeyesfinfresponseftof
painfandfmakefincomprehensiblefsounds;ftherefore,finterventionfbeginsfatft
hefsensoryfstimulationflevel.fThefotherfchoicesfarefatflevelsfthatfareftoofhig
hfforfthisfindividual.
Tofdevelopfsocialfinteractionfskills,fanfoccupationalftherapistfimplementsfa
fgroupfprogramfforfstudentsfwithfautismfspectrumfdisorderf(ASD).fWhichfg
roupfisfbestfforftheftherapistftofincludefinfthisfprogram?
fAnswerfChoices:fA.fAfdirective fgroup.fB.fAftopicalfgroup.fC.fAfdevelopm
entalfgroup.fD.fAftask-orientedfgroup.f-
fCORRECTfANSWER✔C.fAfdevelopmentalfgroup'sffocusfisftofteachfthef
socialfinteractionfskillsfneededfforfgroupfparticipationfinfafsequentialfmann
er.fItfprovidesfrelevantfgroupfstructurefandfactivitiesfalongfafcontinuumfthat
fisfconsistentfwithfhowfinteractionfskillsftypically fdevelop.fASDfisfafpervasi
vefdevelopmentalfdisorder.fIndividualsfwithfASDfoftenfhavefnormalfintelli
gencefbutfsignififcantfdefifcitsfinfsocialfinteractionfskills.
Anfoccupationalftherapistfprovidesfinterventionfforfanfindividualfwithfafsw
allowingfdisorder.fTofelicitfafswallowfreflfex,fthefoccupationalftherapistfpro
videsfsensoryfinputftofthefinferiorffaucialfarches.fWhichfshouldftheftherapis
tfuseftofprovidefthisfintervention?
fAnswerfChoices:fA.fAftonguefdepressor.fB.fAfmoistened fcottonfswab.fC.fA
fchilledfdentalfexamfmirror. fD.fAfwarmedfmetalfteaspoon.f-
fCORRECTfANSWER✔C.fThefusefoffcoldfstimulationfoffthefinferiorffau
cialfarchesfviafafchilledfdentalfexamfmirrorfwillfelicitfafswallowfreflfex.fThef
othersfwillfnot.
Anfoccupationalftherapistfprovidesfconsultationfservicesftofafpsychogeriatr
icfunitfforfindividualsfwithfmoderatelyfseverefcognitivefdecline.fInfdesigni
ngfthefactivityfprogram,fwhichfgroupsfarefbestfforfthefoccupationalftherapis
tftofinclude?
fAnswerfChoices:fA.fRealityforientation. fB.fSensoryfstimulation. fC.fRemin
iscence.fD.fCopingfskillsf-fCORRECTfANSWER✔C.fReminiscence.f
Reminiscencefgroupsfarefdesignedftofreviewfpastflifefexperiencesftofpromo
tefusefoffintactflong-
termfmemory.fCurrentfmemoryfisfnotfrequiredfforfsuccessfulfparticipationfi
nfreminiscencefgroups.fIndividualsfwithfmoderatelyfseverefcognitivefdecli
neftypicallyfhavefpoorfrecentfmemory,fbutflong-
termfmemoryfisfoftenfintact.
Anfindividualfwithfrheumatoidfarthritisfhasfdevelopedfseveralfboutonnieref
deformities.fWhichfofftheffollowingfisfthefmostfaccuratefdescriptionfforfthef
occupationalftherapistftofincludefinfdocumentationfoffthefindividual'sfprese
ntingfsigns?
fAnswerfChoices:fA.fHyperextensionfoffthefPIPfjointfandfflfexionfoffthefDIP
fjoint.fB.fUlnarfdeviation fandfsubluxationfoffthefMCPfjoints.fC.fFlexionfofft
hefPIPfjointfandfhyperextensionfoffthefDIPfjoint.fD.fHeberden'sfnodesfatfthe
fDIPfjointsfandfBouchard'sfnodesfatfthefPIPfjoints.f-
fCORRECTfANSWER✔C.fAfboutonnierefdeformityfoccursfwhenftherefis
fhyperextensionfoffthefDIPfjointfwithfflfexionfoffthefPIPfjoint.fAfswanfneckf
deformityfisfevidentfwhenftherefisfhyperextensionfoffthefPIPfjointfandfflfexi
onfoffthefDIPfjoint.fUlnarfdeviationfandfsubluxationfoffthefMCPfjointsfarefa
dditionalfdeformitiesfthatfcanfresultffromfrheumatoidfarthritis.fHeberden'sf
nodesfandfBouchard'sfnodesfareftypesfoffbonefspursfthatfcanfresultffromfost
eoarthritis.
,AnfoccupationalftherapistfobservesfafCOTA®fhavingfdiffifcultyftransferrin
gfafclientfwithfathetoidfmovementsffromfafmatftofafwheelchair.fBeforeftheft
herapistfcanfcrossfthefroomftofhelpfwithftheftransfer,fthefCOTA®fslidesfwit
hfthefclientftofthefflfoor.fTheftherapistfassistsfthefCOTA®finfsafelyfreturnin
gfthefclientftofthefwheelchair.fTheyfassessfthatfthefclientfappearsftofbefunhar
medfandfreturnfthefclientftofthefunitfforfafmedicalfevaluation.fWhichfactionf
shouldftheftherapistftakefnext?
fAnswerfChoices:fA.fCounselfthefCOTA®fonfthefneedftofaskfforfassistance f
withfdiffifcultftransfers.fB.fRequirefthefCOTA®ftofattendfaftransferftrainingf
inservice.fC.fDocumentfthefCOTA®'sfunsafefactionsfinfthefpersonnelfrecor
d.fD.fCompletefanfoccurrencefreportfaccordingftoffacilityfstandards.f-
fCORRECTfANSWER✔D.fImmediately fafterfanfincidentfoccurs,fthefther
apistfmustfcompletefdocumentationfaccordingftofthefsetting'sfstandards.fCo
unselingfafCOTA®ftofaskfforfassistancefandfrequiringfattendancefatfafwork
shopfcanfbefappropriatefaspectsfoffriskfmanagementfbutftheyfarefnotftheffifrs
tfsteps.fInfaddition,ftherefisfnofinformationfprovidedftofclearlyfidentifyfthatft
hefCOTA®fwasfactingfunsafely.fTherefareftransferfsituationsfthatfunexpect
edlyfbecomefbeyondfafpractitioner'sfabilityftofsuccessfullyfcomplete.fDurin
gfthosefsituations,fthefpractitionerfshouldfguidefthefpatientftofthefflfoorfinfafc
ontrolledfmanner.fThisfisfoftenfdonefbyfusingfone'sfownfbodyftofsupportfthe
fpatientfandfcanfgivefthefappearancefoff"sliding."fMorefinformationfisfneed
edftofdeterminefiffthefCOTA®'sfactionsfwerefactuallyfunsafe.
Afteenagerfwithfspinalfmusclefatrophyfshowsfdecreasedftrunkfbalancefandfs
trength.fUpperfextremityfstrengthfandfROMfarefunchangedffromftheflastfev
aluation.fWhichfisfthefbestfrecommendationfforfthefoccupationalftherapistft
ofmake?
fAnswerfChoices:fA.fAfreevaluation foffthefclientfbefcompleted.fB.fThefclien
tfbefreferredftofanforthotistfforfafsoftfspinalfsupport.fC.fThefclientfbefmeasur
edfforfafpowerfwheelchair.fD.fAftrunkfstrengtheningfprogramfbefinitiatedfw
,ithfthefclient.f-
fCORRECTfANSWER✔A.fThefmostfimportantfactionftoftakefafterfnotici
ngfafchangefinftheffunctionalfstatusfoffafpersonfwithfafprogressivefconditionf
isftofreevaluate.fBasedfonfthefresultsfoffthefevaluation,finterventionsfcanfbef
planned.fThesefinterventionsfcanfincludeforthotics,fadaptivefequipment,fpo
weredfmobility,fcompensationftechniques,fand/
orfafstrengtheningfprogram;fonlyfthefresultsfoffafreevaluationfcanfappropria
telyfdeterminefinterventionfneeds
Anfoccupationalftherapistfdesignsfafdiningfrehabilitationfprogramfinfaflong
-
termfcareffacility.fThefoccupationalftherapistfinstructsfparaprofessionalfsta
fffinfproperffeedingftechniques.fWhichfpointfisfmostfimportantfforfthefthera
pistftofincludefinfthisfstaffftraining?
fAnswerfChoices:fA.fMealsfshouldfoccurfinfafhomelike fenvironmentfwithfst
afffconversingfwithfthefresidentsfbeingffed.fB.fResidentsfwithfswallowingfd
iffifcultiesfshouldfbeffedfinfafgroupfsofthatfstafffcanfremindfthemftofswallowf
atfthefbeginningfoffeachfmeal.fC.fPlacingfthreeffifngertipsfonfthefthroatfandfp
ressingffifrmlyfwillfstimulatefafswallowfresponse.fD.fThefheadfshouldfbeftilt
edfslightlyfbackwardfduringffeedingftoffacilitatefanfassistedfswallow.f-
fCORRECTfANSWER✔A.fProperffeedingftechniquesfincludefaffacilitati
vefenvironment.fDiningfinfafhomelikefsettingfwithfstafffwhofarefattentivefto
fthefresidents'fneedsfandfinterestsfduringffeeding/
mealtimesfwillffacilitatefeatingfandfsocializationfduringfthefactivity.fGroup
ingfindividualsfwithfswallowingfdiffifcultiesfdiminishesfthefindividualizedf
approachfthatfisfessentialftofqualityflong-termfcare
Afpersonfwithfaftraumaticfbrainfinjuryf(TBI)fisfassessedftofscorefaf6fonfthef
GlasgowfComafScale.fWhichfshouldfthefoccupationalftherapistfuseftofinitia
tefinterventionfwithfthisfperson?
fAnswerfChoices:fA.fDemonstrated fdirections.fB.fSensoryfstimulation.fC.f
, Verbalfcues.fD.fHand-over-handfassistance.f-
fCORRECTfANSWER✔B.fAfscorefoff6fonfthefGlasgowfComafScalefisfjus
tfoneflevelfabovefafcompletelyfnonresponsivefcoma.fAsfafresult,fafpersonfatf
thisflevelfhasfseverefdefifcits.fThefpersonfcanfopenftheirfeyesfinfresponseftof
painfandfmakefincomprehensiblefsounds;ftherefore,finterventionfbeginsfatft
hefsensoryfstimulationflevel.fThefotherfchoicesfarefatflevelsfthatfareftoofhig
hfforfthisfindividual.
Tofdevelopfsocialfinteractionfskills,fanfoccupationalftherapistfimplementsfa
fgroupfprogramfforfstudentsfwithfautismfspectrumfdisorderf(ASD).fWhichfg
roupfisfbestfforftheftherapistftofincludefinfthisfprogram?
fAnswerfChoices:fA.fAfdirective fgroup.fB.fAftopicalfgroup.fC.fAfdevelopm
entalfgroup.fD.fAftask-orientedfgroup.f-
fCORRECTfANSWER✔C.fAfdevelopmentalfgroup'sffocusfisftofteachfthef
socialfinteractionfskillsfneededfforfgroupfparticipationfinfafsequentialfmann
er.fItfprovidesfrelevantfgroupfstructurefandfactivitiesfalongfafcontinuumfthat
fisfconsistentfwithfhowfinteractionfskillsftypically fdevelop.fASDfisfafpervasi
vefdevelopmentalfdisorder.fIndividualsfwithfASDfoftenfhavefnormalfintelli
gencefbutfsignififcantfdefifcitsfinfsocialfinteractionfskills.
Anfoccupationalftherapistfprovidesfinterventionfforfanfindividualfwithfafsw
allowingfdisorder.fTofelicitfafswallowfreflfex,fthefoccupationalftherapistfpro
videsfsensoryfinputftofthefinferiorffaucialfarches.fWhichfshouldftheftherapis
tfuseftofprovidefthisfintervention?
fAnswerfChoices:fA.fAftonguefdepressor.fB.fAfmoistened fcottonfswab.fC.fA
fchilledfdentalfexamfmirror. fD.fAfwarmedfmetalfteaspoon.f-
fCORRECTfANSWER✔C.fThefusefoffcoldfstimulationfoffthefinferiorffau
cialfarchesfviafafchilledfdentalfexamfmirrorfwillfelicitfafswallowfreflfex.fThef
othersfwillfnot.
