NBCOT Exam C 170 (Questions & Answers)

C1. An occupational therapist conducts a home evaluation for an individual who uses a wheelchair for functional mobility. The only entrance to the home has five steps, a total of 35 inches in height. Which ramp length should the therapist recommend the family have constructed to enable accessibility to the home? a 17.5 feet long. b 35 feet long. c 48 feet long. - b C2. An occupational therapist works with a survivor of a house fire. The client has burns on both hands that limit thumb mobility. The client identifies a personal goal of being able to pick up and hold cans to enable independent shopping and meal preparation activities. Which movement of the thumb should the goal statement include as the desired functional outcome? a Carpometacarpal (CMC) palmar abduction. b CMC extension. c Metacarpophalangeal (MCP) flexion. d Interphalangeal (IP) flexion. - a C3. A person diagnosed with a mild neurocognitive disorder is evaluated by an occupational therapist. The person demonstrates diminished memory skills, and the therapist determines that the individual is able to live at home with supportive structure. The therapist collaborates with the person to identify activities to include in a structured routine that enables their continued occupational performance. Which activity is best for the occupational therapist to recommend to this individual? a Cooking dinner. b Doing laundry. c Walking with a neighbor. d Watching television. - c C4. During an intervention session, a client complains of dry mouth due to prescribed medications. What is the most effective strategy for the occupational therapist to suggest to the client to manage this side effect? Suck on ice. Suck on hard candies. Drink iced tea. Sip water. - d C5. An adult diagnosed with multiple sclerosis (MS) over ten years ago experiences an exacerbation of symptoms. The individual's principle complaint is decreased strength and endurance. The person can ambulate short distances with a cane in the home and uses a wheelchair outside of the home. The client asks for suggestions to enable independent performance of instrumental activities of daily living. Which is the best positioning recommendation for the occupational therapist to suggest the person use during meal preparation? Sitting in the wheelchair with a tray table. Sitting at the kitchen table. Leaning against the counter while standing. Leaning against a tall stool while standing. - b C6. An occupational therapist working in an acute care hospital provides OT services in a patient's room. The patient has left hemiplegia and is unable to recognize the faces of family members when they enter the room to visit or the items the family members bring for the patient. The family members become upset by this behavior. Which deficit should the therapist explain to the family members as the most likely reason for the patient's behavior? Ideational apraxia. Anosognosia. Visual agnosia. Asomatognosia. - c C7. A restaurant employee incurred a fracture to the left humerus. After cast removal, the patient received OT and now demonstrates fair strength (3/5) of the left triceps and full range of motion (ROM) of the left elbow. Which activity is most effective for the occupational therapist to use during intervention to increase elbow function that is needed to perform work-related tasks? Storing glasses on shelves at chest height. Wiping off a table while standing. Carrying a tray of dishes from the table to the sink. Wiping off a counter at chest height. - a C8. A home care occupational therapist seeks to enhance an older adult's compliance with the OT intervention program. After discussing the goals of the program with the person, which intervention is most effective for the therapist to use? Provide the individual with limited opportunities for practice of skills to decrease boredom. Use multiple, variable instructions to ensure retention of new learning. Integrate previously learned strategies into new activities to facilitate generalization. Teach family members positive techniques to reinforce activity performance in the home. - c C9. In measuring the range of motion (ROM) of a client's elbow, the occupational therapist records a flexion measurement of 145°. Which is most accurate for the therapist to document based on this measurement? Hypomobility. Dysfunctional elbow ROM. Hypermobility. Normal elbow ROM. - d C10. An individual is 5'11" and is of average weight for this height. Following a recent traumatic brain injury (TBI), the person has flaccid hemiparesis and demonstrates poor