NBCOT Practice Questions & answers 2023 update

NBCOT Practice Questions & answers 2023 updateA 5 year old child who has mild developmental delay is learning to self-dress. Most recently, the child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From the dressing tasks listed, which should the child learn to do next based on the typical development sequence for dressing? - correct answer Pulling up a jacket zipper would be the next dressing skill the child should learn. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What care coordination task should the OTR complete FIRST? - correct answer Coordinate with the multi-disciplinary team to identify specific feeding and swallowing objectives. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What symptom is the resident most at risk for experiencing during a meal? - correct answer Variation in voice quality or loss of voice after swallowing, which is a symptom of dysphagia. Which factor is MOST IMPORTANT to determine when considering if the resident would benefit from a mobile arm support? - correct answer Amount of upper extremity passive joint mobility At a minimum, what information should the OTR document to increase the likelihood of additional authorized visits? - correct answer Functional problem statements indicating the need for skilled services How should the OTR respond to the client's concerns about splinting? - correct answer Encourage full participation in daily tasks by collaborating on ways to modify typical daily activities Your patient had a CVA several weeks ago. Which task oriented approach would be most beneficial to include as part of the intervention plan for maximizing the client's physical abilities? - correct answer Constraint-induced movement therapy is a task-oriented approach to motor acquisition. For a patient who had a CVA several weeks ago, which type of activity should be included as part of the INITIAL intervention to REMEDIATE the client's motor impairment? - correct answer Weight bearing through the affected upper extremity prior to an activity Which assessment should be included as part of the initial evaluation and can be administered by the COTA? - correct answer COPM What is contraindicated during phase I of cardiac rehab? - correct answer Isometric exercises can cause a rapid and sudden increase in blood pressure AOTA - correct answer Publishes Standards of Practice for Occupational Therapy and the Reference Manual of official Documents of the AOTA. NBCOT - correct answer Responsible for issues related to certification and certification renewal ACOTE - correct answer responsible for accreditation of OT education standards in support of the practice standards set forth by the AOTA Negligible Correlation - correct answer 0 - .2 low correlation - correct answer .2 - .4 moderate correlation - correct answer .4 - .6 high correlation - correct answer .6 - .8 .8 - 1.0 - correct answer very high correlation Constructional Apraxia - correct answer have difficulty constructing/assembling objects A client has Poor minus (2-/5) functional strength of the dominant UE. What is the most effective method for grading an activity to improve the client's muscular strength? - correct answer Increasing the amount of time an isometric contraction is held What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a right CVA several days ago? - correct answer To observe the patient's oral motor control and determine a need for further evaluation. A screening is not used for diagnostics or treatment planning - it allows the OTR to quickly detect the presence of a deficit and determine if an in-depth evaluation is needed. An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho Level VII. What charcteristic of an individual's cognitive behavioral function is typically included in the description of this level? - correct answer Consistent orientation to time and space. Patients at this level frequently display robot-like behaviors and require minimal assistance for routine ADL. Cognitive Behavioral Therapy - correct answer The individual can change their behavior by first challenging their negative assumptions (cognitions) relating to trigger events. If a client presents with a boutonniere type deformity, what is the most likely cause? - correct answer Rupture or lengthening of the central slip of the EDC Rupture of the flexor digitorum superficialis tendon or lengthening of the lateral slips of the EDC may result in... - correct answer swan neck deformity An OTR who receives a referral for a 5 yr old with PDD should first gather background information on the child by: - correct answer discussing the child's history with the caregiver to identify the child's present level of performance in different occupational roles When considering the readiness of a client for a power wheelchair, the OTR should primarily be concerned with - correct answer 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