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Purple Book NBCOT, Complete answered/rationales Test Bank 2022.

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5/20/24,




Terms in this set (801)

An OT is preparing to evaluate a toddler who C. observation of a child during activities in the child-care center.
has UE orthopedic concerns. How will the
OT MOST likely obtain the majority of the Through observation of the child, the OT can collect information about the child's
initial assessment data? motor performance skills and participation in activities that require UE/hand skill.
a.measurement tools that assess visual- Naturalistic observation is a method of ecologic assessment which is a "primary
motor skills. mechanism for obtaining data relevant to the child's performance context." The
b.dynamometer and pinch meter readings. other answer choices are all appropriate choices after the child is old enough for
c. Observation of a child during activities these
in the child-care center. assessments.
d. Functional independence measures.

During an initial eval, the OT suspects that D. New motor task planning
a child has somatodyspraxia. In what area
should the OT focus on the eval? Somatodyspraxia is described as a deficit in learning new motor skills, planning
a.ability to print or write new motor actions, and generalizing motor plans. Inability to print or write is
b. reading competency termed
c. math calculations dysgraphia. Dyslexia means dysfunction in reading, and dyscalculia is the term
d. new motor task planning for inability to perform mathematics.

An OT working in a long-term care facility B. ask the individual how he spent New Years
needs to eval the long-term memory of a
resident. Which of the following methods is Declarative memory is one aspect of long term memory and includes conscious
BEST for evaluating memory of personally memory of events, knowledge, or facts. It is commonly assessed through
experienced events (declarative memory). verbal
a.show the person a series of objects interviews and informal testing such as asking a question about a persons recall of
and ask him to recall the objects within personal events. Working memory refers to the temporary storage of information
60 seconds while one is attending to it (answer A). Prospective memory involves the ability to
b.ask the individual how he spent remember intentions or activities that will be required in the future (answer D).
New Years. Knowing time, date, and place is orientation.
c. have the individual state the place,
date, and time.
d. ask the client to remember to bring a
specific item to the next therapy
session.




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,5/20/24,
A child avoids playground equipment that C. Gravitational insecurity.
requires her feet to be off the ground.
What does this behavior MOST likely gravitational insecurity is described as fear response to movement. Tactile
indicate? defensiveness (answer A) is a term used to describe discomfort with various textures
a.difficulty modulating proprioception with unexpected touch. Somatodyspraxia interferes with development of bodyscheme
b. somatodyspraxia and awareness. Bilateral integration relates to ability to coordinate, sequence, and
c. gravitational insecurity execute motor actions quickly and efficiently.
d. bilateral integration/sequencing deficits.
When the OT suspects tactile defensiveness b. dressing habits
as a rational for a child's challenges, in
what area of participation should the OT Children with tactile defensiveness are bothered by tactile aspects of ADLs including
focus on FIRST? specific types of clothing. The child may avoid wearing certain clothes. Conversely,
a.play behavior some children may never take their shoes off to avoid tactile stimulation. Play
b.dressing habits behavior and social skills could be affected secondarily as a result of intolerance to
c. social skills certain
d. leisure interests textures or human touch. Knowledge of the child's dressing habits will give the OT
key information at the start of the evaluation process.
An OT is working with an individual with b. sensory avoiding
schizophrenia who is in the process of
preparing to move from a state hospital to The individual's actions are indicative of sensory avoiding behavior, characterized by
a group home. During a baking group, the low threshold to stimuli perceived as noxious, followed by an active response such as
client becomes agitated and leaves the leaving the room. Individuals with sensory avoiding behavior may become distressed
room when another client uses the electric in situations in which they cannot control the environment. An individual with low
hand mixer to mix the cake batter, and registration, sensory seeking behavior, or a hearing impairment would not
again when two clients begin to argue have difficulty with the auditory stimulation.
loudly
about which type of icing to use. How would
the OT BEST describe this behavior?
a.low registration
b. sensory avoiding
c. sensory seeking
d. a hearing impairment
During a self-care eval of an individual who a. working memory
recently sustained a brain injury, the OT
instructs the individual to comb his hair working memory is the temporary storage of information while one is working with it
immediately after he washes his face. The or attending to it. It includes the ability to recall information immediately after
individual washes his face quickly, but then exposure. It also allows one to focus conscious attention and keeps track of
the therapist must give him several reminders information as one is
to comb his hair. The OT is MOST likely to performing an activity. Judgment is the ability to make realistic and safe decisions
identify this as a deficit in what area? and would not be needed for this task. Because the person performed the first
a.working memory request, hearing would seem intact. Abstraction is the ability to extrapolate
b. judgement information from an idea to generalize to another situation and would not be needed
c. hearing to follow this
d. abstraction direction.




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, 5/20/24, 10:28 Purple Book NBCOT Prep Flashcards |
PM Quizlet
A supermarket employee with OCD takes an A. on-site observation of performance skills
hour to stock 24 soup cans on the shelf
because once he has placed the cans on the Individuals with OCD often experience difficulties with work. Observation in situational
shelf, he removes them and starts over context is likely to be more useful in fully understanding their behavioral success and
stating "all the labels were not lined up is the preferred approach for assessing work function of people with psychiatric
exactly in the same direction." Which of the disabilities. There is nothing to suggest the individual has a cognitive deficit or need
following methods would be MOST for cognitive evaluation. Interview is more useful for assessing an individual's
effective to evaluate this individual's work readiness for work, occupational development, and interests. Task evaluation with a
performance? clean medium may be indicated for individuals with OCD of the washing type.
a.on-site observation of performance skills However, this individual has OCD of the checking type.
b.formal cognitive assessment
c. verbal interview focusing on the
requirements of the job.
d. task evaluation usin

An OT has been working with an individual C. Attempt a standard pivot transfer from the wheelchair to bed in the patient's
who is recovering from a TBI. A standard hospital room.
pivot transfer has been successfully demod
in the gym. The MOST appropriate way to Giving the individual a functional task, then changing it, and observing the response
assess generalization of this new learning will tell the therapist how well the patient can transfer learning to new situations.
would be to have the patient perform which Generalization of skill is seen when the learner is able to spontaneously perform the
activity? task in different environments. None of the other answers assess the ability to
a.identify potential hazards in the transfer learning.
patient's bathroom at home that could
make
transferring unsafe.
b. select an appropriate tub bench and
nonskid mat for the patient's bathroom
at home.
c. attempt a standard pivot transfer
from wheelc
c. Kohlman Evaluation of Living Skills
An OT is working with an individual
with depression who is cognitively
the KElS combines interview items with simulated performance to obtain
intact but
information about 17 living skills in the areas of self-care, safety and health, money
demoing difficulty carrying out self-care and
management, transportation, telephone use, and work and leisure. The AMPS
other ADL tasks. The OT, who has no
assesses motor and process skills, sometimes embedding a task that is in an ADL
advanced certifications, would like to
category. In order to
identify a standardized assessment to
administer the AMPS, one must have special training. Therefore, the OT could not use
measure ADL performance. Which is the
this immediately. The routine task inventory uses observation to assess 14 different
MOST appropriate tool for this purpose?
ADL aspects and is based on the cognitive disabilities model which would not be
a.Bay Area Functional Performance Eval.
appropriate for this client. The bay area functional performance eval was designed
b. Routine Task Inventory- Expanded.
to measure performance skills such as memory, organization, attention, motivation,
c. Kohlman Evaluation of Living Skills.
and frustration tolerance. Although it can help the OT develop conclusions about
d.Assessment of Motor and Process Skills.
ADL
performance, it is not actually an ADL evaluation tool.
An OT is conducting a perceptual function c. identify or demo the use of common household objects
screening with an individual who has had a
CVA. Which of the following informal visual agnosia is the inability to recognize common objects and demo their use in an
screening activities would the therapist ask activity. Asking the individual to demo common gestures such as waving is a
the individual to perform in order to technique to screen for apraxia or the inability to perform purposeful movement on
identify the presence of agnosia? command. Answer B is asking the individual to perform stereognosis. Asking the
a.demonstrate common gestures such individual to read a paragraph an explain its meaning would be a screening method
as waving. for alexia, or the
b. name objects through touch only inability to understand written language.
c. identify or demonstrate the use
of common household objects.

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