NBCOT Practice Questions with Complete Solutions Graded A+

NBCOT Practice Questions with Complete Solutions Graded A+ A 5 year old child who has mild developmental delay is learning to self-dress. Most recently, the child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From the dressing tasks listed, which should the child learn to do next based on the typical development sequence for dressing? - Answer ️️ -Pulling up a jacket zipper would be the next dressing skill the child should learn. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What care coordination task should the OTR complete FIRST? - Answer ️️ -Coordinate with the multi-disciplinary team to identify specific feeding and swallowing objectives. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What symptom is the resident most at risk for experiencing during a meal? - Answer ️️ -Variation in voice quality or loss of voice after swallowing, which is a symptom of dysphagia. Which factor is MOST IMPORTANT to determine when considering if the resident would benefit from a mobile arm support? - Answer ️️ -Amount of upper extremity passive joint mobility At a minimum, what information should the OTR document to increase the likelihood of additional authorized visits? - Answer ️️ -Functional problem statements indicating the need for skilled services How should the OTR respond to the client's concerns about splinting? - Answer ️️ -Encourage full participation in daily tasks by collaborating on ways to modify typical daily activities Your patient had a CVA several weeks ago. Which task oriented approach would be most beneficial to include as part of the intervention plan for maximizing the client's physical abilities? - Answer ️️ -Constraint-induced movement therapy is a task-oriented approach to motor acquisition. For a patient who had a CVA several weeks ago, which type of activity should be included as part of the INITIAL intervention to REMEDIATE the client's motor impairment? - Answer ️️ - Weight bearing through the affected upper extremity prior to an activity Which assessment should be included as part of the initial evaluation and can be administered by the COTA? - Answer ️️ -COPM What is contraindicated during phase I of cardiac rehab? - Answer ️️ -Isometric exercises can cause a rapid and sudden increase in blood pressure AOTA - Answer ️️ -Publishes Standards of Practice for Occupational Therapy and the Reference Manual of official Documents of the AOTA. NBCOT - Answer ️️ -Responsible for issues related to certification and certification renewal ACOTE - Answer ️️ -responsible for accreditation of OT education standards in support of the practice standards set forth by the AOTA Negligible Correlation - Answer ️️ -0 - .2 low correlation - Answer ️️ -.2 - .4 moderate correlation - Answer ️️ -.4 - .6 high correlation - Answer ️️ -.6 - .8 .8 - 1.0 - Answer ️️ -very high correlation Constructional Apraxia - Answer ️️ -have difficulty constructing/assembling objects A client has Poor minus (2-/5) functional strength of the dominant UE. What is the most effective method for grading an activity to improve the client's muscular strength? - Answer ️️ - Increasing the amount of time an isometric contraction is held What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a right CVA several days ago? - Answer ️️ -To observe the patient's oral motor control and determine a need for further evaluation. A screening is not used for diagnostics or treatment planning - it allows the OTR to quickly detect the presence of a deficit and determine if an in- depth evaluation is needed. An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho Level VII. What charcteristic of an individual's cognitive behavioral function is typically included in the description of this level? - Answer ️️ -Consistent orientation to time and space. Patients at this level frequently display robot-like behaviors and require minimal assistance for routine ADL. Cognitive Behavioral Therapy - Answer ️️ -The individual can change their behavior by first challenging their negative assumptions (cognitions) relating to trigger events. If a client presents with a boutonniere type deformity, what is the most likely cause? - Answer ️️ -Rupture or lengthening of the central slip of the EDC Rupture of the flexor digitorum superficialis tendon or lengthening of the lateral slips of the EDC may result in... - Answer ️️ -swan neck deformity An OTR who receives a referral for a 5 yr old with PDD should first gather background information on the child by: - Answer ️️ -discussing the child's history with the caregiver to identify the child's present level of performance in different occupational roles When considering the readiness of a client for a power wheelchair, the OTR should primarily be concerned with - Answer ️️ -Cognitive ability, to ensure that the individual has the awareness, problem solving, and decision making capabilities to learn how to consistently and safely operate the chair agoraphobia - Answer ️️ -a morbid fear of open spaces (as fear of being caught alone in some public place) During an OT session at an outpatient facility, the client states that being injured has caused considerable stress at home. The client often feels frustrated and angry and reports a concern for having to physically discipline her children. The FIRST action that the OTR should take is to: - Answer ️️ -further explore the situation since the child may be at risk. Gathering specific information about the client's comment is critical due to the seriousness of the accusation. Therapists are required by law to report any situation where abuse is suspected. Documentation occurs after all information is obtained from the individual. More information is needed before any action is taken. According to SI frame of reference, tx is most effective when: - Answer ️️ -a child directs his or her actions within an environment structured by an OTR that provides the just-right challenge. The child's skills and abilities are facilitated in an environment where the child