Retired NBCOT Practice Exam
Questions and Answers.
An OTR® in an inpatient setting is inviting an adolescent with major depression to
participate in an individual treatment session. The adolescent has refused to participate
for 3 days, claiming not to feel well. How should the OTR® BEST respond?
A. "I think that participating in occupational therapy will make you feel a lot better."
B. "I noticed you've been feeling like this for 3 days straight now, and it might be helpful
for you to participate in occupational therapy."
C. "I can see that you aren't feeling well. Let's try doing something you like that will not
take too long and see what happens."
D. "I can see that you aren't feeling well, and I'm sorry for this. Can we try again
tomorrow?" -
\The correct answer is C.
When working with a client who is depressed, it is essential to relate with understanding
and empathy. Encouraging participation in any way can be helpful.
NOTE:
A, B: Using a "snap out of it" attitude will not be beneficial for a depressed client.
D: Not participating in any activity at all will not be beneficial for a depressed client.
An OTR® has completed a screening of fine motor skills with all of the students enrolled
in a kindergarten class. The results indicate that five students in the class are
functioning in the lower 25th percentile. What INITIAL action should the OTR® take in
response to these findings?
A. Compare the screening results of these students to standardized achievement test
scores.
B. Discuss the students' results and potential follow-up options with the classroom
teacher.
C. Document that scores for each of the students are within normal limits.
D. Recommend scheduling a comprehensive occupational therapy evaluation for each
of the students screened. -
\The correct answer is B.
Additional information that is relevant to the child's development and performance in
school will help to establish the accuracy of the screening findings.
NOTE:
A: Standardized achievement scores are not psychometrically sound and can be
misleading in understanding performance.
C: Documenting incorrect scores would be unethical.
, D: A basic screening of fine motor skills in large groups of children is done to determine
whether children need further testing. Comprehensive occupational therapy evaluation
may be warranted after gathering additional relevant information from the child's
teachers, parents, and caregivers to determine whether further evaluation is needed.
An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary
lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The
patient is referred to occupational therapy for ROM, edema management, and
preparation for hospice care at home. What intervention would be MOST BENEFICIAL
for preparing the patient to transition to hospice care?
A. Reviewing the potential impact of chemotherapy on occupational performance
B. Providing activities to engage the patient in reminiscence strategies for life review
C. Encouraging the patient to set goals for effectively using remaining time and energy
D. Identifying ways to enable participation in prioritized desired tasks once at home -
\The correct answer is D.
Many people at the end of life due to cancer want to remain engaged in occupation.
Engaging the patient with purpose may keep the patient from feeling helpless.
NOTE:
A: Patients respond to treatment differently, and functional loss will occur at varying
rates, so it is best to address the patient's current abilities rather than project into the
future.
B: Although life review may help a patient plan for death, preparing to transition to
hospice care should encourage participation so the patient continues to live life to the
fullest each day, and many patients at the end stage of life want to continue to engage
in occupation.
C: A person's energy during inpatient hospitalization may be depleted, but it is expected
to recover some as blood counts recover from treatment. Patients' energy levels will be
variable given their individual situation and will vary day to day, so planning use of
remaining time and energy will be difficult.
An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary
lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The
patient is referred to occupational therapy for ROM, edema management, and
preparation for hospice care at home. What is the PRIMARY purpose of initiating an
exercise program for this patient?
A. To increase overall endurance for daily tasks
B. To promote normal venous and lymphatic return
C. To improve mobility for preferred activities
D. To facilitate passive ROM through a full arc of motion -
\The correct answer is C.
Questions and Answers.
An OTR® in an inpatient setting is inviting an adolescent with major depression to
participate in an individual treatment session. The adolescent has refused to participate
for 3 days, claiming not to feel well. How should the OTR® BEST respond?
A. "I think that participating in occupational therapy will make you feel a lot better."
B. "I noticed you've been feeling like this for 3 days straight now, and it might be helpful
for you to participate in occupational therapy."
C. "I can see that you aren't feeling well. Let's try doing something you like that will not
take too long and see what happens."
D. "I can see that you aren't feeling well, and I'm sorry for this. Can we try again
tomorrow?" -
\The correct answer is C.
When working with a client who is depressed, it is essential to relate with understanding
and empathy. Encouraging participation in any way can be helpful.
NOTE:
A, B: Using a "snap out of it" attitude will not be beneficial for a depressed client.
D: Not participating in any activity at all will not be beneficial for a depressed client.
An OTR® has completed a screening of fine motor skills with all of the students enrolled
in a kindergarten class. The results indicate that five students in the class are
functioning in the lower 25th percentile. What INITIAL action should the OTR® take in
response to these findings?
A. Compare the screening results of these students to standardized achievement test
scores.
B. Discuss the students' results and potential follow-up options with the classroom
teacher.
C. Document that scores for each of the students are within normal limits.
D. Recommend scheduling a comprehensive occupational therapy evaluation for each
of the students screened. -
\The correct answer is B.
Additional information that is relevant to the child's development and performance in
school will help to establish the accuracy of the screening findings.
NOTE:
A: Standardized achievement scores are not psychometrically sound and can be
misleading in understanding performance.
C: Documenting incorrect scores would be unethical.
, D: A basic screening of fine motor skills in large groups of children is done to determine
whether children need further testing. Comprehensive occupational therapy evaluation
may be warranted after gathering additional relevant information from the child's
teachers, parents, and caregivers to determine whether further evaluation is needed.
An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary
lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The
patient is referred to occupational therapy for ROM, edema management, and
preparation for hospice care at home. What intervention would be MOST BENEFICIAL
for preparing the patient to transition to hospice care?
A. Reviewing the potential impact of chemotherapy on occupational performance
B. Providing activities to engage the patient in reminiscence strategies for life review
C. Encouraging the patient to set goals for effectively using remaining time and energy
D. Identifying ways to enable participation in prioritized desired tasks once at home -
\The correct answer is D.
Many people at the end of life due to cancer want to remain engaged in occupation.
Engaging the patient with purpose may keep the patient from feeling helpless.
NOTE:
A: Patients respond to treatment differently, and functional loss will occur at varying
rates, so it is best to address the patient's current abilities rather than project into the
future.
B: Although life review may help a patient plan for death, preparing to transition to
hospice care should encourage participation so the patient continues to live life to the
fullest each day, and many patients at the end stage of life want to continue to engage
in occupation.
C: A person's energy during inpatient hospitalization may be depleted, but it is expected
to recover some as blood counts recover from treatment. Patients' energy levels will be
variable given their individual situation and will vary day to day, so planning use of
remaining time and energy will be difficult.
An inpatient who has Stage III lung cancer undergoes surgery for removal of axillary
lymph nodes of the dominant upper extremity, followed by palliative chemotherapy. The
patient is referred to occupational therapy for ROM, edema management, and
preparation for hospice care at home. What is the PRIMARY purpose of initiating an
exercise program for this patient?
A. To increase overall endurance for daily tasks
B. To promote normal venous and lymphatic return
C. To improve mobility for preferred activities
D. To facilitate passive ROM through a full arc of motion -
\The correct answer is C.
