NBCOT PRACTICE TEST Questions and Answers

NBCOT PRACTICE TEST Questions and Answers Reduce fall risks COTA recommends replacing existing phone w/cordless remote model. Client refuses, COTA takes next based on client's response Collaborate w/client to determine an alternative solution Leading a group at community wellness center. Ind's. require a w/c for mobility & recently became new parents. Most important to include as part of the group Types of activities to optimize parent-infant bonding interactions. Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More Inpatient has dysphagia secondary to TBI functioning at level VI (confused-appropriate on Rancho Los Amigos Scale). Re-establishing safe eating & Independent self-feeding. Grade session Most Effective supports pt's. progress Have pt. complete a dry cough after each bite 6 yr. old has mild hypotonia, to increase sensory awareness & sensory processing. Ax. (play) provide the Most proprioceptive feedback Pulling a wagon filled with bags of sand Grooming ax. pt. w/TBI becomes agitated throws shampoo, shouts "this is ridiculous, I'm not doing this anymore". Statement in "O" section Pt. became verbally abusive and threw shampoo during tx. 6 yr. old mild to mod. symptoms asso. w/arthrogryposis (jt. are fixed in various posture, lack muscle growth) learning to bath independently. Adaption Most Beneficial to use to compensate for deficits asso. w/condition Long-handled sponge, soap on a rope, towel with handles Teaching nursing aides techn's. for assisting residents w/dysphagia management & self-feeding strategy Most Effective to promote follow-through of learning Structure interactive observation and practice sessions supplemented by instructional handouts. Disadvantage of fluidotherapy w/pt. w/distal radius fracture 8 wks ago Contribution to the formation of dependent edema 5 yr. old w/developmental delay & proximal UE weakness. Uses palmer grasp holding pencil. Most Beneficial for child to use for supporting handwriting development Sitting at a school desk with both arms supported on the desk 1st grader visual perception, child plateaued COTA do prior to recommending modifications to intervention plan Convene on ind's. Education Program team meeting to discuss the proposed changes 8 wk stress management class for client w/domestic violence program. Use cognitive behavioral approach. COTA promote carry over of learned ax's. to everyday life using this approach Teach the participants structured steps to use for modifying negative behaviors Follow up home visit w/client who had a CVA. Observes client's functional performance significantly decreases since last home visit. What initial action should COTA take based on observations Collaborate w/OTR to schedule a re-evaluation for the client Client had nondisplaced distal radius fracture to right-dominant UE work as hairstylist. Client reports persistent wrist & finger stiffness makes difficult to comb & style hair at work. Intervention represents a biomechanical approach and should be included as part of client's initial intervention for measuring long-term functional performance Bilateral ax's for improving FM dexterity Variable can be graded to Most Effectively increase physical endurance (lasting quality or duration) Total amount of time spent on an ax. COTA leads variety of groups for clients participating in community-based mental health program. Primary role of COTA leading egocentric (self-centered) cooperative group in this setting Assisting the participants in developing and discuss group norms OTR/COTA established service competency, preparing to administer several standardized assessment to a student. Task is best for COTA to do as part of this process Follow the specific instructions as outlined in the test manual Client has decreased (executive functioning) secondary to TBI. During BADL session client has difficulty remembering to turn off the water after brushing teeth. COTA to promote carry-over of learning for this task Teach the client to use a checklist for self-monitor completion of the ADL Inpatient instate IV of amyotrophic lateral sclerosis (ALS) learning how to use assistive feeding devices. COTA observes during mealtime session pt. begins to have a wet-sounding voice. Initial action COTA takes in response to observation Have the pt. dry swallow to clear the throat Seating & mobility team ordering a new w/c for adolescent w/spinal bifida. Primary purpose of ordering smaller diameter casters for chair Provides smaller turning radius & better manenverability Planning craft ax for several clients who have cognitive disability, functioning at Allen Cognitive Level 4 (Goal-directed actions). To maximize client success during group COTA provide the clients An exact sample of the end product 5 yr. old w/high-level neural tube deficit is transitioning from home-based learning environment to a kindergarten classroom. A place of positioning equipment would be Most Beneficial to have in classroom to support the child's participation in occupation Corner chair w/lateral support and abductor wedge COTA works in group home teaching laundry skills to clients w/Down syndrome. Statement is Best example of short-term goal for client "The client will sort light clothing from dark clothing with fewer than 3 verbal prompts for 4 consecutive loads of wash" Inpatient recent total hip replacement 1 wk ago completing dressing task while seated at the edge of bed. Pt. becomes light headed & reports an onset of left arm pain while putting on a shirt. Action COTA should take Use the call button to ask for immediate medical assistance COTA is the only OT staff working full-time in skilled nursing facility. An OTR is contracted to provide supervision at the sit every 2 wks. Facility management is pressuring the COTA to administer a standardized test to one of the residents. The COTA is not familiar with this test, and the OTR is not scheduled to be at the facility for another 12 days. What initial action should the COTA take in this situation Contact the supervising OTR to discuss the request Inpatient w/mild hemiplegia due to CVA scheduled for D/C from acute care in 3 days. Pt. unsafe during transfers has short-term memory deficits becomes confused during self-care tasks. Recommendation COTA should provide to discharge planning team Transfer the pt. to a subacute facility for continuation of inpatient rehabilitation Adapted fork - client with rheumatoid arthritis would Most benefit using Fork with built up handle 17 yr. old high school student has mild cognitive deficits secondary to TBI. Student not turning in homework or completing household chores. When questioned, student reports spending 4 to 5 hrs. a day watching tv and 2 to 3 hrs. on internet-based social media sites. Focus of intervention based on student's behaviors Time management COTA participating in continuous quality improvement ax's. by monitoring pt. satisfaction surveys. Primary focus of this review Identifying outcomes and making adjustments as needed Inpatient had left total knee replacement 2 wks ago and ambulates w/full weight bearing using a standard walker. Pt. Learning to transfer into a shower stall that has a 4" high entry threshold and a single grab bar mounted on the inside right wall of the shower. What sequence of actions should the pt. use when transferring into the shower Position the walker sideways just to the left of the shower entrance and then hold onto the grab bar and step into the shower with the non-affected leg first 2 yr. old has mild oral motor delay and participating in feeding program. Option Most impact on child's tongue control during meals Food consistency COTA reviewing Federal guidelines regarding use of restraints in LTC facility. Which patient-related situation illustrates the justified use of restraints w/n the facility Previous identified risk for falls w/n the facility Dressing techn. used during an ADL session client had a TBI. Primary purpose using specific sequence when teaching client to put on a front-opening shirt To facilitate normalization of tone by initially placing the shoulder in an anti-gravity position Cutting board w/two nails adapted for client with hemiplegia, what other task using this device Spreading butter on toast