Nbcot QUESTIONS AND ANSWERS

A client with COPD is doing ADL rehab as part of outpatient pulmonary rehab program. client reports right shoulder discomfort for last several days which is constant during day and worse at night. Over the counter pain meds don't help. Pulse oximetry is 89%. What should OT do? A. Administer physical agent modality to relieve shoulder pain B. Advise client to increase frequency of pursed lips breathing C. Complete sensory and motor assessment to determine shoulder pain D. Contact referring physician to report client symptoms - Contact referring physician to report client symptoms A patient in a rehabilitation facility has a complete C8-T1 spinal cord injury. The patient is learning techniques to maximize independence with dressing. Which technique should the OTR teach the patient to use to support progress toward this goal? a. Put on undergarments and trousers in bed, then transfer to a wheelchair to complete upper body dressing b. Use a universal cuff with a button-hook and zipper-pull to fasten front-opening clothing c. Wear a wrist-driven flexor hinge splint for pulling on and fastening clothing d. While supine in bed, put on socks and shoes; then put on underpants and trousers by rolling side to side in bed - Put on undergarments and trousers in bed, then transfer to a wheelchair to complete upper body dressing 2. An OTR is reviewing hard-copy of client charts before a group session. While reviewing the charts, the OTR receives an urgent phone call and must leave the chart room. How can the OTR ensure that the charts remain protected during the OTR's absence? a. Close the charts and stack them on the table b. Lock the door to the chart room c. Cover the charts with other documents to obscure them from view d. Close the charts and return them to their original secure location - d. Close the charts and return them to their original secure location3. An OTR is working in an outpatient setting and observes a COTA setting up electrical stimulation on a patient with a significant cardiac history, including a pacemaker. - c. Stop the COTA from proceeding, check the eval and treatment plan and if needed review physical agent modalities and appropriate use When considering the readiness of a client for a power wheelchair, the OTR should primarily be concerned with? - 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 While reviewing work hardening program documentation, an OTR realizes there is no entry in the client's medical record of a meeting conducted with the insurance case manager, client, and client's employer regarding light-duty options. According to best practice guidelines, how should the OTR amend the client's medical record to include a summary of the meeting? a. back-date the entry to correspong to the actial date of the meeting b. insert a summary of the meeting into the margins of the client's medical record. D. Enter the information as a late entry into the client's medical record. - D. Enter the information as a late entry into the client's medical record. An OTR who has passed the initial NBCOT exam has decided not to be recerified through NBCOT. Which consequences will result from the OTR decision? a. the OTR will not be allowed to practice OT in the USA b. The OTR practice opportunities and credentials will remain unchanged c. the OTR may practice OT in the state that does not require certification, but the OTR's credential will change d. the OTR may practice OT in a state that does not require certification and the OTR credentials will not change - c. the OTR may practice OT in the state that does not require certification, but the OTR's credential will change 6. A COTA decides that a client has returned to the previous level of function and continued OT services are no longer needed. Best way to discharge patient? a. COTA sets a last tx day, provides home exercise program and review progress with the patient while completing the discharge notes b. COTA alerts the OTR and the OTR review the documentation discusses the patient's progress and response to intervention, and collaborates on a last tx dayc. COTA notified the OTR who meets with the patient to discuss potential discharge from therapy, the OTR proceeds the discharge d. COTA sets a last tx day, provides a home exercise program and home safety packet, and reports final notes on functional levels to the OTR - b. COTA alerts the OTR and the OTR review the documentation discusses the patient's progress and response to intervention, and collaborates on a last tx day COTA working on an inpatient rehab has had 2 patients fall in last month. OTR has concerns about the COTA's safety awareness during certain interventions. Which approach is the best for the OTR? a. speak with the rehab manager about possible disciplinary action b. review the documentation of the 2 patients who fell and discuss their cases thoroughly with the COTA to determine cause of the falls c. ask the COTA whether more thorough supervision is needed and then proceed to provide close supervision d. collaborate with the COTA to determine potential causes of the falls and provide direct supervision with more deliberate feedback - d. collaborate with the COTA to determine potential causes of the falls and provide direct supervision with more deliberate feedback An OTR is supervising an OT student for Level II FW. The OTR notices that the student did not gather complete info. Regarding a client's Occ. History. Which comment best represents effective feedback? a. "you missed some info when you were recording the client's occ. History b. "in the future, you need to ask better questions about the client's occ. History c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are comprehensive. d. you should practice doing occ. History interviews - c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are comprehensive. An adolescent referred for OT has oppositional defiant disorder. During the initial interview, the parent reports that the youth never listens to requests, become angry several times a day, blames mistakes on an older sibling. Which area is most related? a. ADLs b. Rest and Sleep c. Leisured. Social participation - d. Social participation An OTR is working in a school with high incidence of violence in the district with increasing numbers of students diagnosed with ODD. The superintendent announces the formation of a task force to study the problem. Which response to the announcement would be best? a. document the progress of the OTR has made with students with ODD to justify continuing work with these students b. increase the frequency of visits to the students on the OTR caseload with his diagnosis because the task force will scrutinize intervention with these students. c. research intervention strategies to make sure that the intervention the OTR has been providing to these students is considered d. contact the superintendent and request to be appointed to a seat on the task force to study violence and incidence of ODD. - d. contact the superintendent and request to be appointed to a seat on the task force to study violence and incidence of ODD. When working with a client with chorninc pain, the OTR needs to set a tone that will facilitate a therapeutic relationship with the client. Which statement sets an open and appropriate tone when working with a client who has chronic pain? a. your pain is all in your head. All you have to do is ignore it b. I have pain when I wake up in the morning. I have arthritis. It usually takes a while before it gets any better. Maybe you should try to exercise in the morning to get things moving like I do c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop, let me know, but I would like to see you push yourself. d. I think we should slowly increase the time you are spending at work-related tasks - c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop, let me know, but I would like to see you push yourself. - An OTR is working with an adult client with sensory processing difficulties who finds it uncomfortable to commute to a job via train because of the noise of the train and of other passengers talking. Which environmental modification would be appropriate? a. encourage the client to obtain a driver's license and avoid train b. petition the train to set off a section of silencec. recommend the use of noise-cancelling headphones with a device that plays music or books the client enjoys d. get a closer job - c. recommend the use of noise-cancelling headphones with a device that plays music or books the client enjoys 1. An OTR is working to establish a therapeutic relationship with a client in a skilled nursing facility. Which consideration is the MOST important in establishing an effective relationship? a. The OTR has the power to determine the goals b. The client is an informed equal in the relationship c. The OTR is solely responsible for any positive outcomes d. The client is expected to follow the OTR advice - b. The client is an informed equal in the relationship