NBCOT questions with complete solution 2023

NBCOT questions with complete solution 2023A religious congregation obtained private funding to build a ramp so members with disabilities can attend services. The entrance to the building has 6 steps with a rise of 7" each. Which is the best recommendation for construction of the ramp? A. 42 feet long. B. 48 feet long. C. 42 feet with a 5' by 5' landing at ramp's midpoint. D. 48 feet with a 5' by 5' landing at ramp's midpoint. - correct answer C. 42 feet with a 5' by 5' landing at ramp's midpoint. Ramp should provide 1 foot of ramp per 1 inch rise. 42 feet may be too long for some ppl to Independently access, therefore a landing (guidelines now recommend 5' by 5') can allow for a break midway. Following a L CVA, an individual receives OT at a sub-acute rehab. Pt's goal is to be Independent with dressing. Pt demonstrates decreased memory, poor sequencing skills, and ideational apraxia. Which would be best? A. Step by step verbal instructions B. Sequenced photos of the steps C. Physical prompts to initiate steps D. A full length mirror - correct answer C. Physical prompts to initiate steps Ideational apraxia is the breakdown in the knowledge of what is to be done and how to perform specific activities. Sensorimotor aspects can be intact. A 3 year old with L spastic hemiplegia due to CP is evaluated. OT observes behaviors that seem to indicate the presence of visual deficits. Based on these observations, which action should the OT take? A. Complete the motor-free visual perceptual assessment B. Completion of a developmental vision assessment C. Refer child to an optician D. Refer child to an optometrist - correct answer D. Refer child to an optometrist Prior to conducting a visual perception eval, a visual assessment to determine visual acuity is required. Optometrists are qualified to determine visual acuity, level of visual impairments, and damage to or disease of the visual system. Newly hired OTs (entry level) are registered for a course on pediatric assessments. Which is the most important outcome of attending this course for the OTs? A. Fulfilment of continuing ed requirements B. Keeping up to date on current trends C. Networking D. Improvement of their professional skills and competence. - correct answer D. Improvement of their professional skills and competence. The supervising OT meets to plan the workload of the recently hired OTAs. Which is an appropriate task to assign them? A. In-home eval of the adult client's IADLs B. Determine LTGs C. Design home based sensory integration protocols for infants and toddlers with sensory processing disorder. D. Administer and interpret the HELP - correct answer A. In-home eval of the adult client's IADLs Can complete IADL evals under the supervision of an OT. Interpretation of the eval and goals are the responsibility of the OT. OTA can't design home based sensory integration protocols or independently administer and interpret an eval/assessment (can contribute to these processes though). The accountant asks a private practitioner to present their budget for anticipated direct expenses of their growing practice. Which is the most appropriate item to include in this budget request? A. The rent and utilities of the office. B. A new computer system for documentation C. Staff vacation and sick time. D. Supplies of items used in in-home therapy sessions - correct answer C. Staff vacation and sick time. Direct expenses include costs related to OT service provision, such as salaries and benefits, office supplies, and treatment equipment. Computer system = capital expense. Rent = fixed expense. Utilities = indirect. Supplies used in in-home therapy sessions = variable expenses. An OT is consulting for a company who wishes to expand the accessibility of its building. Which is the minimum door width that the OT should recommend? A. 28 inches B. 32 inches C. 30 inches D. 34 inches - correct answer B. 32 inches A 19 year old with narcissistic personality disorder is attending an OT vocational group session and smells of alcohol. What is the best action? A. Follow program procedures to arrange for transportation to bring the client home B. Introduce the topic of substance abuse C. Have the client meet with the social worker to discuss treatment options for substance abuse D. Contact the client's parents to pick up the client and bring her home. - correct answer A. Follow program procedures to arrange for transportation to bring the client home The client is 19 and therefore there is no need to contact a parent An OT advises the parent of an 18 month old with developmental delays on techniques to facilitate feeding. The child has a reflexive bite. Which utensil is most beneficial to recommend? A. A deep-bowled soup spoon B. A narrow shallow coated spoon C. A traditional teaspoon D. A plastic spork - correct answer B. A narrow shallow coated spoon This will help the food slide off (and not touch teeth or gums). The definition of a tonic bite reflex (reflexive bite) is reflexive, sustained jaw closure, accompanied by increased abnormal tone in the jaw muscles, in response to stimulation of the teeth or gums. During a w/c eval, an person with limited fx mobility expresses concern about the ability to continue to volunteer at a church. The church's doorways are 31 inches wide. 32" = accessible width. Which recommendation should be made? A. Have church widen doorways to comply with ADA requirements B. Order a w/c with wraparound arm rests C. Have the client explore other volunteer opportunities D. Order a customized narrow adult w/c - correct answer B. Order a w/c with wraparound arm rests Wrap around arm rests (also called space saver arm rests) reduce the overall width of a w/c by 1 inch. A customized chair is expensive. Religious organizations are exempt from ADA accessibility requirements. An individual who successfully completed an inpt drug rehab program returns and offer to talk with current OT group re: his experience. The OT does what? A. Welcomes the person to share B. Informs the person he can't because of need for maintaining member confidentiality C. Asks the person to prepare a presentation of the next session