NBCOT Study Guide Questions and Answers 2024 Graded A

In an activity group of an inpatient unit, how should activities be done? - activities should be structured, easily completed in one session, and provide a concrete result to reinforce reality What are the two types of Grasps? - 1. Power: The adductor pollicis stabilizes an object against the palm; the hand's position is static. 2. Precision: Muscles are active that abduct or oppose the thumb; the hand's position is dynamic. 1. Power - a. cylindrical grip - fist grasp is a small diameter cylindrical b. spherical grip c. hook grip - MP extended with flattening of transverse arch; the person may or may include the thumb in this grasp. d. lateral prehension - this can be a power grip if the thumb is adducted, a precision grip if the thumb is abducted. 2. Precision - a. palmar prehension - pulp to pulp, includes 'chuck' or tripod grips b. t ip-to-tip - with FDP active to maintain DIP flex. c. lateral prehension - pad-to-side; key grip What are symptoms of Rett's syndrome? - Characterized by repetitive movements of licking, biting, and slapping of one's hands How is Rett's syndrome treated? - Treatment may involve adaptations to maintain the integrity of the skin such as dynamic elbow splints that inhibit a hand to mouth pattern by limiting full elbow flexion How are oppositional defiant disorder and conduct disorder treated? - OT intervention focuses on development and improvement of selfesteem/ self-efficacy. A focus is placed on developing the skills needed for ADL's, social, leisure, and school behaviors What should a typical substance abuse OT intervention focus on? - Intervention should focus on developing skills for a substance-free lifestyle. This includes interpersonal relationships, socialization, and vocation. Assistance with practical services, such as obtaining Social Security, housing, and food stamps should also be a focus What are the components of motor development? - 1. Crossing midline 2. Laterality 3. Bilateral integration 4. Fine coordination & dexterity 5. Visual-motor integration 6. Oral-motor control What are the characteristics of individuals with oppositional defiant disorder? - Impulse control, attention span, and short-term memory What is Arthrogryposis? - Arthrogryposis, or arthrogryposis multiplex congenita, comprises nonprogressive conditions characterized by multiple joint contractures found throughout the body at birth What is an appropriate approach to take with a child with behavioral problems? - Provide enjoyable activities in a safe and accepting environment What are the steps in an activity analysis? - 1) Break down componens of activity 2) Determine performance components 3) Assess therapeutic value of activity What domains are included in the Practice Framework? - 1) Performance Areas 2) Performance Skills 3) Performance Patterns 4) Context 5) Activity demands 6) Client Factors What is included in the Performance Areas of Occupation (Practice Framework) - ADLs -IADLs -Education -Work -Play -Leisure -Social Participation What is included in Performance Skills (Practice Framework)? - Motor Skills -Process Skills -Communication/Interaction Skills What are Process Skills (Practice Framework)? - Energy -knowledge -temporal organization (time) -organizing space & objects What is included in the Performance Patterns (Practice Framework)? - Habits -Routines -Roles What is included in the Context of the Practice Framework? - Cultural -Physical (Environment) -Social -(socioeconomic, age) - -Temporal -Virtual What is included in the Activity Demands of the Practice Framework? - Objects used and their properties -Space Demands -Social Demands - Sequencing and Timing -Required Actions -Required Body Functions - Required Body Structures What is included in the Client Factors: - Body Function -Body Structure