NBCOT Prep B 170 Questions (Answered)

B1. An occupational therapist provides consultation services to a psychogeriatric unit for individuals with moderately severe cognitive decline. In designing the activity program, which groups are best for the occupational therapist to include? a. Reality orientation. b. Sensory stimulation. c. Reminiscence. d. Coping skills. - a B2. The parents of a five-year-old with attention deficit with hyperactivity disorder (ADHD) express difficulty managing the child's aggressive behavior toward older siblings. Which is the most effective strategy for the occupational therapist to recommend to the parents? a. Allow the child to vent aggressive feelings on a stuffed animal or doll. b Redirect the child's energy into acceptable and safe play activities. c Provide consistent punishment for aggressive behavior. d Send the child to stay with a family member or close friend for an extended "time-out." - b B3. An individual with rheumatoid arthritis has developed several boutonniere deformities. Which of the following is the most accurate description for the occupational therapist to include in documentation of the individual's presenting signs? a Hyperextension of the PIP joint and flexion of the DIP joint. b Ulnar deviation and subluxation of the MCP joints. c Flexion of the PIP joint and hyperextension of the DIP joint. d Heberden's nodes at the DIP joints and Bouchard's nodes at the PIP joints. - c B4. An occupational therapist receives a referral to provide home-based services to an older adult who lives alone in a fourth floor walk-up apartment. Upon entering the apartment, the therapist notes the sweltering heat. The apartment has no fans or air conditioners. The client's skin is hot, dry, and red, and breathing is labored. The therapist offers the client a glass of water and places ice compresses on the arterial pressure points to help with cooling. Which is the most important action for the therapist to take next? a Cancel the intervention session and call for an ambulance to provide emergency medical services. b Proceed with the planned intervention session and include documentation about client's environmental conditions in the intervention report. c Contact the home health agency's case manager to report the client's environmental conditions and then proceed with the planned intervention session. d Cancel the intervention session and advise the client to speak to a doctor on how to best address the impact of hot weather on personal health. - a B5. An occupational therapist observes a COTA® having difficulty transferring a client with athetoid movements from a mat to a wheelchair. Before the therapist can cross the room to help with the transfer, the COTA® slides with the client to the floor. The therapist assists the COTA® in safely returning the client to the wheelchair. They assess that the client appears to be unharmed and return the client to the unit for a medical evaluation. Which action should the therapist take next? a Counsel the COTA® on the need to ask for assistance with difficult transfers. b Require the COTA® to attend a transfer training inservice. c Document the COTA®'s unsafe actions in the personnel record. d Complete an occurrence report according to facility standards. - d B6. A teenager with spinal muscle atrophy shows decreased trunk balance and strength. Upper extremity strength and ROM are unchanged from the last evaluation. Which is the best recommendation for the occupational therapist to make? a A re-evaluation of the client be completed. b The client be referred to an orthotist for a soft spinal support. c The client be measured for a power wheelchair. d A trunk strengthening program be initiated with the client. - a B7. An occupational therapist consults with a home care agency interested in starting a falls prevention program. Which should the occupational therapist do first? a Review available evaluation protocols. b Review available screening tools. c Create a new screening tool. d Design an evaluation protocol. - b B8. A four-month-old with arthrogryposis remains in position when placed and shows little spontaneous movement. The occupational therapist implements intervention to work on rolling. Which positional changes should the therapist include in the intervention session? a Prone to supine. b Supine to side-lying. c Prone to side-lying. d Supine to prone. - b B9. An occupational therapist designs a dining rehabilitation program in a long-term care facility. The occupational therapist instructs paraprofessional staff in proper feeding techniques. Which point is most important for the therapist to include in this staff training? a Meals should occur in a homelike environment with staff conversing with the residents being fed. b Residents with swallowing difficulties should be fed in a group so that staff can remind them to c swallow at the beginning of each meal. c Placing three fingertips on the throat and pressing firmly will stimulate a swallow response.