NBCOT- Multiple choice questions

NBCOT- Multiple choice questions An individual with left hemiplegia who is right hand dominant receives training to resume independent driving. The OT recommends the use of: a. "palming" of the steering wheel b. hand controls for brake and gas pedals c. left-sided accelerator pedal d. a spinner knob on the steering wheel Ans- d. a spinner knob on the steering wheel A 15 year old with a complete myelomeningocele at the T9 level is diagnosed with diabetes. The OT home education program will most likey focus on: a. regular skin inspection performed by a parent b. consumer-initiated pressure relief c. upper extremity strengthening d. bowel and bladder care Ans- c. consumer-initiated pressure relief An OT designs a dynamic splint for an individual recovering from tendon repair. To ensure an appropriate angle of pull, the therapist positions an outrigger at: a. 110 degrees to the joint b. 60 degrees to the joint c. 90 degrees to the joint d. 45 degrees to the joint Ans- c. 90 degrees to the joint An individual recovering from hip replacement surgery prepares for discharge home. He has a secondary diagnosis of GERD. The most appropriate bed position for the occupational therapist to recommend is: a. supine with elevation of the shoulders and head b. sidelying with the neck in neutral c. sidelying with elevation of the shoulders and head d. supine with elevation of the hips Ans- a. supine with elevation of the shoulders and head An adult with obsessive-compulsive disorder is hospitalized due to the exacerbation of her symptoms. During her first OT group, the best activity for the OT to employ with this person is: a. repotting plants b. sanding a cutting board c. stringing small beads into a necklace d. lacing a wallet with the double cordovan stitch Ans- a. repotting plants An OT provides home-based services to a person recovering from a recent CVA. The individual lives alone and receives home care Medicare Part A benefits. The therapist arrives at the client's house at the scheduled session time, but there is no response to the knocking on the door. A neighbor states that she saw the client leave with a friend. The most appropriate action for the therapist to take is to: a. call the nurse case manager to report the missed appointment b. document that no one answered the door and that the appointment will be rescheduled c. documents that no one was home and that the appointment will be rescheduled d. documenet that the client is engaged in community mobility activities and should be evaluated for discharge Ans- b. document that no one answered the door and that the appointment will be rescheduled A child with tactile-defensiveness is receiving intervention from an OT using a SI approach. In introducing tactile stimuli to the child the most appropriate method for the therapist to use is: a. apply the stimulus in the direction opposite of hair growth with vision occluded b. apply light touch across the face and abdomen with vision occluded c. provide light brushing across the palmar surfaces of the extremities with the child watching d. provide deep touch and firm pressure where the child can see the stimuli Ans- d. provide deep touch and firm pressure where the child can see the stimuli An OT receives a referral to evaluate an individual's executive functioning following a mild CVA. The OT will most likely assess the person's: a. initiation and planning b. orientation, attention, and memory c. job interests and efficacy d. spatial relations and praxis Ans- a. initiation and planning A child with a diagnosis of TBI is seen in OT for the initial evaluation. The child presents with extension of both UE's and flexion of both LE's following a stimulus of neck extension. The OT interprets and describes this observation as: a. +ATNR, which is "normal" b. +STNR, which is "abnormal", and has reappeared after the TBI c. +STNR, which is "abnormal" in a child this age, the reflex has not yet been integrated d. +ATNR, which is "abnormal", and has reappeared after the TBI Ans- b. +STNR, which is "abnormal", and has reappeared after the TBI During a parallel task group, one of the clients agitated and fidgety. She gets up and looks out the window occasionally for a few minutes and then returns to the task. The therapist's best response is to: a. tell her she must remain in her seat or leave the room b. say nothing c. ask the other members if she is bothering them d. talk to her after the group and tell her she is not yet ready for this group Ans- b. say nothing An OT works in an adult home. A resident has just returned from the hospital and is receiving 400mg of Thorazine to control symptoms. He has ben attending OT for a gardening group, physical exercise group, and a current events group prior to his hospitalization. He would like to resume participation in these groups. The OT advises him that prior to his group participation, a potential side effect he should be aware of, and take precautions for, is: a. photosensitivity b. akathisia c. akinesia d. tardive dyskinesia Ans- a. photosensitivity An OT interviews a COTA for a position at a high school for gay and lesbian youth. The position involves the provision of transitional vocational programming and life skills training. The COTA uses a wheelchair for mobility and has dysarthric speech. During the interview, the OT should ask the OTA about her: a. sexual orientation b. religious/personal beliefs and homosexuality c. her verbal group leadership skills d. accommodations needed due to her evident disabilities Ans- c. her verbal group leadership skil An OT working in early intervention advises the concerned parents of an infant who cries a lot and has difficulty being soothed to: a. tightly wrap the infant in a blanket b. loosely wrap the infant in a blanket c. provide frequent and rapid changes in movement d. do nothing, as the infant's behavior is typical Ans- a. tightly wrap the infant in a blanket An OT conducts a satisfaction survey to evaluate the quality of OT services in an outpatient program. The questionnaire developed by the therapist asks respondents to rate their responses to quality statements according to a 4-point Likert scale of agreement. The statement that best reflects an adequate measure of satisfaction is: a. "Setting my own goals was important to me." b. "The amount of time devoted to stress management was adequate." c. "My experience in OT helped me." d. "The OT staff was respectful and fair to me." Ans- b. "The amount of time devoted to stress management was adequate." Upon evaluating a client for a wheelchair, the OT determines that a standard narrow adult chair would be suitable for the individual. The dimensions of this chair will be: a. 18" wide x 18" deep x 20" high b. 16" wide x 16" deep x 18.5" high c. 14" wide x 16" deep x 18.5" high d. 16" wide x 16" deep x 20" high Ans- d. 16" wide x 16" deep x 20" hig The OT on an acute inpatient psychiatric unit arranges the seats for a group discussion. The room is small and there are eight people in the group. Two of the members have been diagnosed with schizophrenia, paranoid type. The best arrangement of the room is: a. eight chairs placed around a large table, with the therapist at the front of the room b. nine chairs placed in a circle, with no assigned seats c. nine chairs placed around a large table, with assigned seats and the therapist between the two persons with schizophrenia, paranoid type d. two semi-circles of four chairs facing the therapist, the two patients with schizophrenia, paranoid type, in the front row. Ans- b. nine chairs placed in a circle, with no assigned seats A child with myelomeningocele meets the short-term goals of achieving functional gross grasp and lateral pinch. After several additional weeks of OT, the child does not meet the goals of demonstrating pincer grasp and three jaw chuck. The therapist should modify the treatment plan to: a. splint the index finger in 30 degrees PIP flexion and 30 degrees DIP flexion to achieve pincer grasp b. increase strength of lateral pinch as a basis to develop pincer grasp and three jaw chuck c. teach the child to use gross grasp and lateral pinch in functional activities d. have the child use ulnar grasp for daily activities Ans- c. teach the child to use gross grasp and lateral pinch in functional activities Following the performance of a home exercise program prescribed one week ago, an individual with bilateral UE weakness reports that he is experiencing pain in both shoulders and elbows. The pain is consistent for up to eight hours. The individual's OT is on vacation for two weeks and a recently hired entry-level OT has been assigned to cover his caseload. The most appropriate recommendation the covering therapist can give the individual is to: a. reduce the intensity of exercise by 50% and reassess the person during the next treatment session b. stop exercising completely until the primary therapist returns and can re-evaluate the person's status c. continue with the current exercise program to develop tolerance d. take a pain relief medication 30 minutes prior to exercising Ans- a. reduce the intensity of exercise by 50% and reassess the person during the next treatment session An OT conducts a home evaluation for an individual with a complete T10 level SCI. The only entrance to the home has five steps, a total of 35 inches in height. The therapist recommends that the family have a ramp constructed that is: a. 35 feet long b. 17.5 feet long c. 48 feet long d. 70.5 feet long Ans- a. 35 feet long An individual recovering from a TBI is assessed to be at Level VI of the Rancho Level of Cognitive Functioning Scale. The OT implements treatment by using: a. sensory stimulation activities such as moving to musi