NBCOT Practice Exam with Multiple
Choices Questions and Verified
Answers Latest 2026-2027
An occupational therapist leads a transitional planning group for high school students with
conduct disorders. The school fire alarm goes off five minutes before the group's
scheduled termination. There have been six false alarms during the past three days at
school. Several of the students laugh and say, "There it goes again." Which is the
occupational therapist's best response to this situation?
a) Conclude the group with a discussion about the implications of false alarms.
b) Call the school's main office to determine the validity of this alarm.
c) Escort the students back to their homeroom classrooms to await directions.
d) Escort the students to the nearest fire exit. - CORRECT ANSWERS-d) Escort the
students to the nearest fire exit
During a group session at an adult day care program an older adult consistently complains
that everyone is mumbling. After the group, which action should the occupational therapist
take in response to these statements?
a) Document objective data about the complaints in the person's chart.
b) Notify the primary care physician that the person may need an audiological evaluation.
c) Notify the client's primary care physician that the person exhibited evidence of paranoia.
d) Collaborate with the program director to remove groups from the client's program plan. -
CORRECT ANSWERS-b) Notify the primary care physician that the person may need an
audiological evaluation
An occupational therapist provides consultation services to a psychogeriatric unit for
individuals with mid-stage dementia. In designing the activity program, which groups are
best for the occupational therapist to include?
a) Reality orientation.
b) Sensory stimulation.
c) Coping skills.
d) Reminiscence. - CORRECT ANSWERS-d) Reminiscence
An individual who successfully completed an inpatient drug rehabilitation program returns
to the setting to thank staff members for their assistance with recovery. The individual
offers to share personal insights and experiences with the members of the OT values
,clarification group scheduled for the next hour. After thanking the individual, which is the
best response for the occupational therapist to make in response to this offer?
a) Tell the individual that the therapist will discuss this offer with the group and afterwards
inform the individual regarding the group decision.
b) Inform the individual that former clients cannot visit the group due to the need to
maintain member confidentiality.
c) Welcome the individual as a guest to the group to share personal perspectives on
recovery and inspire group members.
d) Ask the individual to prepare a presentation on how values clarification aided in recovery
for the nex - CORRECT ANSWERS-b) Inform the individual that former clients cannot visit
the group due to the need to maintain member confidentiality
An individual attends a community day treatment program to assist in recovery from major
depression. The client has fair eye contact and responds verbally to interactions initiated
by others. The person's cognition is intact. Which group level is best for the occupational
therapist to recommend this client attend?
a) Parallel.
b) Cooperative.
c) Mature.
d) Project. - CORRECT ANSWERS-d) Project
During a home visit a client who had incurred a CVA reports difficulty finding objects during
BADL and IADL. The client reports that the directions family members provide (e.g., look
on the refrigerator's door, look in the medicine cabinet) are not helpful. Which cognitive
perceptual ability should the occupational therapist further evaluate?
a) Organization.
b) Visual closure.
c) Spatial relations.
d) Stereognosis - CORRECT ANSWERS-b) Visual closure
An occupational therapist plans a task-oriented activity group for adolescent girls recently
diagnosed with anorexia nervosa. Which is the best activity for the therapist to include in
the initial session of this group?
a) Performing low impact aerobic exercises.
b) Baking cookies for the residents in a homeless shelter.
c) Making cards to send to veterans in a local hospital.
d) Composing lyrics and melody for a group so - CORRECT ANSWERS-b) Baking cookies
for the residents in a homeless shelter.
An occupational therapist develops a protocol for a topical group to be implemented on an
acute inpatient unit for individuals recovering from substance abuse. Which intervention
focus is best for the occupational therapist to identify for this topical group?
,a) The development of coping skills.
b) The identification of leisure pursuits.
c) The practice of assertive behaviors.
d) The improvement of self-esteem. - CORRECT ANSWERS-b) The identification of
leisure pursuits.
An occupational therapist and an OTA co-lead a work adjustment group. One member has
become progressively more dependent on the OTA for directions praise, and input
throughout the group activities. Which action should the group leaders initially take in
response to these behaviors?
a) Have another therapist co-lead the group with the occupational therapist and reassign
the OTA to another group.
b) Inform the attending psychiatrist that the group member is exhibiting signs of
dependency and transference.
c) Have the OTA work with the person during group sessions to develop independence in
task completion.
d) Schedule several individual session with the OTA and group member to examine the
issues of dependency and transference. - CORRECT ANSWERS-c) Have the OTA work
with the person during group sessions to develop independence in task completion.
An occupational therapist working on an acute psychiatric inpatient unit conducts a series
of groups for clients newly admitted to the unit. Which group leadership style is most
effective for the therapist to assume when leading these groups?
a) Directive.
b) Facilitative.
c) Advisory.
d) Laissez-faire. - CORRECT ANSWERS-a) Directive
An occupational therapist is conducting a community transportation group with individuals
attending a traumatic brain injury day treatment in an urban area. Which should the group
do first?
a) Determine a destination.
b) Take a subway or bus as a group.
c) Purchase a subway or bus fare card.
d) Read a subway or bus map. - CORRECT ANSWERS-a) Determine a destination.
To develop social interaction skills, an occupational therapist implements a group program
for students with Asperger's syndrome. Which group is best for the therapist to include in
this program?
a) A task-oriented group.
b) A directive group.
, c) A topical group.
d) A developmental group - CORRECT ANSWERS-d) A developmental group
Several adolescents with behavioral problems attend a school-based after-school
program. They work at an egocentric-cooperative level in a group dealing with issues
related to school performance and peer pressure. Which of the following would be most
likely for the occupational therapist to observe the participants doing in the group?
a) Focusing on the group tasks rather than the feelings of the participants.
b) Making decisions with minimal to no supervision from the group leader.
c) Actively taking on roles such as energizer, coordinator, or opinion giver.
d) Performing group skills consistent with the developmental level of 15 to 18 years of age.
- CORRECT ANSWERS-a) Focusing on the group tasks rather than the feelings of the
participants.
In an acute psychiatric facility, an occupational therapist designs a therapeutic activity
group for individuals with poor orientation to reality. Which is the best activity choice for the
therapist to provide in this group?
a) Guided imagery for stress management.
b) Structured verbalizations of personal assets and limitations.
c) The assembly of wooden toys for a children's unit.
d) A discussion of the effects of hospitalization on occupational roles. - CORRECT
ANSWERS-c) The assembly of wooden toys for a children's unit.
An occupational therapist designs an activity group program for twelve adults with multiple
physical disabilities and/or illnesses who attend a day hospital family respite program.
Which method is most effective for the therapist to use to determine the members' needs
upon which to base the program?
a) Interview each member.
b) Research the program's population characteristics.
c) Interview family caregivers.
d) Interview day hospital staff. - CORRECT ANSWERS-a) Interview each member.
A caregiver support group meets weekly at a senior center. A new member attends the
group for the third time and listens intently. The person nods in agreement when others
speak, but does not participate verbally. Which action is most effective for the occupational
therapist to take to facilitate the individual's engagement in the group?
a) Ask the individual several questions to encourage verbal participation.
b) Refer the individual to the center's social worker for individual, non-group counseling.
c) Reiterate the group's norm that active participation is expected from all group members.
d) Invite the individual to join the discussion, if the person would like. - CORRECT
ANSWERS-d) Invite the individual to join the discussion, if the person would like.
Choices Questions and Verified
Answers Latest 2026-2027
An occupational therapist leads a transitional planning group for high school students with
conduct disorders. The school fire alarm goes off five minutes before the group's
scheduled termination. There have been six false alarms during the past three days at
school. Several of the students laugh and say, "There it goes again." Which is the
occupational therapist's best response to this situation?
a) Conclude the group with a discussion about the implications of false alarms.
b) Call the school's main office to determine the validity of this alarm.
c) Escort the students back to their homeroom classrooms to await directions.
d) Escort the students to the nearest fire exit. - CORRECT ANSWERS-d) Escort the
students to the nearest fire exit
During a group session at an adult day care program an older adult consistently complains
that everyone is mumbling. After the group, which action should the occupational therapist
take in response to these statements?
a) Document objective data about the complaints in the person's chart.
b) Notify the primary care physician that the person may need an audiological evaluation.
c) Notify the client's primary care physician that the person exhibited evidence of paranoia.
d) Collaborate with the program director to remove groups from the client's program plan. -
CORRECT ANSWERS-b) Notify the primary care physician that the person may need an
audiological evaluation
An occupational therapist provides consultation services to a psychogeriatric unit for
individuals with mid-stage dementia. In designing the activity program, which groups are
best for the occupational therapist to include?
a) Reality orientation.
b) Sensory stimulation.
c) Coping skills.
d) Reminiscence. - CORRECT ANSWERS-d) Reminiscence
An individual who successfully completed an inpatient drug rehabilitation program returns
to the setting to thank staff members for their assistance with recovery. The individual
offers to share personal insights and experiences with the members of the OT values
,clarification group scheduled for the next hour. After thanking the individual, which is the
best response for the occupational therapist to make in response to this offer?
a) Tell the individual that the therapist will discuss this offer with the group and afterwards
inform the individual regarding the group decision.
b) Inform the individual that former clients cannot visit the group due to the need to
maintain member confidentiality.
c) Welcome the individual as a guest to the group to share personal perspectives on
recovery and inspire group members.
d) Ask the individual to prepare a presentation on how values clarification aided in recovery
for the nex - CORRECT ANSWERS-b) Inform the individual that former clients cannot visit
the group due to the need to maintain member confidentiality
An individual attends a community day treatment program to assist in recovery from major
depression. The client has fair eye contact and responds verbally to interactions initiated
by others. The person's cognition is intact. Which group level is best for the occupational
therapist to recommend this client attend?
a) Parallel.
b) Cooperative.
c) Mature.
d) Project. - CORRECT ANSWERS-d) Project
During a home visit a client who had incurred a CVA reports difficulty finding objects during
BADL and IADL. The client reports that the directions family members provide (e.g., look
on the refrigerator's door, look in the medicine cabinet) are not helpful. Which cognitive
perceptual ability should the occupational therapist further evaluate?
a) Organization.
b) Visual closure.
c) Spatial relations.
d) Stereognosis - CORRECT ANSWERS-b) Visual closure
An occupational therapist plans a task-oriented activity group for adolescent girls recently
diagnosed with anorexia nervosa. Which is the best activity for the therapist to include in
the initial session of this group?
a) Performing low impact aerobic exercises.
b) Baking cookies for the residents in a homeless shelter.
c) Making cards to send to veterans in a local hospital.
d) Composing lyrics and melody for a group so - CORRECT ANSWERS-b) Baking cookies
for the residents in a homeless shelter.
An occupational therapist develops a protocol for a topical group to be implemented on an
acute inpatient unit for individuals recovering from substance abuse. Which intervention
focus is best for the occupational therapist to identify for this topical group?
,a) The development of coping skills.
b) The identification of leisure pursuits.
c) The practice of assertive behaviors.
d) The improvement of self-esteem. - CORRECT ANSWERS-b) The identification of
leisure pursuits.
An occupational therapist and an OTA co-lead a work adjustment group. One member has
become progressively more dependent on the OTA for directions praise, and input
throughout the group activities. Which action should the group leaders initially take in
response to these behaviors?
a) Have another therapist co-lead the group with the occupational therapist and reassign
the OTA to another group.
b) Inform the attending psychiatrist that the group member is exhibiting signs of
dependency and transference.
c) Have the OTA work with the person during group sessions to develop independence in
task completion.
d) Schedule several individual session with the OTA and group member to examine the
issues of dependency and transference. - CORRECT ANSWERS-c) Have the OTA work
with the person during group sessions to develop independence in task completion.
An occupational therapist working on an acute psychiatric inpatient unit conducts a series
of groups for clients newly admitted to the unit. Which group leadership style is most
effective for the therapist to assume when leading these groups?
a) Directive.
b) Facilitative.
c) Advisory.
d) Laissez-faire. - CORRECT ANSWERS-a) Directive
An occupational therapist is conducting a community transportation group with individuals
attending a traumatic brain injury day treatment in an urban area. Which should the group
do first?
a) Determine a destination.
b) Take a subway or bus as a group.
c) Purchase a subway or bus fare card.
d) Read a subway or bus map. - CORRECT ANSWERS-a) Determine a destination.
To develop social interaction skills, an occupational therapist implements a group program
for students with Asperger's syndrome. Which group is best for the therapist to include in
this program?
a) A task-oriented group.
b) A directive group.
, c) A topical group.
d) A developmental group - CORRECT ANSWERS-d) A developmental group
Several adolescents with behavioral problems attend a school-based after-school
program. They work at an egocentric-cooperative level in a group dealing with issues
related to school performance and peer pressure. Which of the following would be most
likely for the occupational therapist to observe the participants doing in the group?
a) Focusing on the group tasks rather than the feelings of the participants.
b) Making decisions with minimal to no supervision from the group leader.
c) Actively taking on roles such as energizer, coordinator, or opinion giver.
d) Performing group skills consistent with the developmental level of 15 to 18 years of age.
- CORRECT ANSWERS-a) Focusing on the group tasks rather than the feelings of the
participants.
In an acute psychiatric facility, an occupational therapist designs a therapeutic activity
group for individuals with poor orientation to reality. Which is the best activity choice for the
therapist to provide in this group?
a) Guided imagery for stress management.
b) Structured verbalizations of personal assets and limitations.
c) The assembly of wooden toys for a children's unit.
d) A discussion of the effects of hospitalization on occupational roles. - CORRECT
ANSWERS-c) The assembly of wooden toys for a children's unit.
An occupational therapist designs an activity group program for twelve adults with multiple
physical disabilities and/or illnesses who attend a day hospital family respite program.
Which method is most effective for the therapist to use to determine the members' needs
upon which to base the program?
a) Interview each member.
b) Research the program's population characteristics.
c) Interview family caregivers.
d) Interview day hospital staff. - CORRECT ANSWERS-a) Interview each member.
A caregiver support group meets weekly at a senior center. A new member attends the
group for the third time and listens intently. The person nods in agreement when others
speak, but does not participate verbally. Which action is most effective for the occupational
therapist to take to facilitate the individual's engagement in the group?
a) Ask the individual several questions to encourage verbal participation.
b) Refer the individual to the center's social worker for individual, non-group counseling.
c) Reiterate the group's norm that active participation is expected from all group members.
d) Invite the individual to join the discussion, if the person would like. - CORRECT
ANSWERS-d) Invite the individual to join the discussion, if the person would like.
