NBCOT Ethics Exam Prep Questions and Answers

NBCOT Ethics Exam Prep Questions and Answers A participant in a research study who has provided informed consent tells the COTA® that she wants to withdraw. Which ethical principles require the COTA to bring the conversation to the attention of the primary investigator (PI)? A. Fidelity and Veracity B. Veracity and Justice C. Autonomy and Fidelity D. Autonomy and Justice C. Autonomy and Fidelity According to the AOTA Ethics Commission's advisory opinion on balancing patient rights and practitioner values, when is it ethically acceptable for an occupational therapy practitioner to refrain from providing services? A. When the environment poses a clear threat to the practitioner's safety B. When a client uses repugnant, harsh, or inappropriate language C. When the moral values of the client and practitioner are clearly in conflict D. When the practitioner feels an overwhelming aversion to the client A. When the environment poses a clear threat to the practitioner's safety Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More A client with Parkinson's disease is experiencing bradykinesia and reports decreased ability to move from sitting to standing. What strategy should the COTA® recommend? A. Consistent use of a short self-cue, such as "rise," each time the client needs to stand B. Use of a standard walker for transferring between surfaces in the household C. Strengthening of bilateral lower extremities in collaboration with another discipline D. Education on the need for a caregiver to be available for functional mobility A. Consistent use of a short self-cue, such as "rise," each time the client needs to stand What MUST a client have in order to provide informed consent of occupational therapy services? Select the 3 BEST choices. A. Ability to verbally communicate consent B. Access to a health care proxy to make decisions C. Information for making decisions about care D. Capacity to understand information E. Ability to sign a document indicating consent F. Voluntary freedom to make choices about care C. Information for making decisions about care D. Capacity to understand information F. Voluntary freedom to make choices about care In the waiting room of an occupational therapy clinic, a COTA® places fliers containing an invitation to worship at the church where the COTA is a deacon. The fliers contain a photo of the COTA and a caption stating, "Come join Deacon [Name], COTA, for worship this Sunday." The clinical director finds and removes the fliers. Which statement in the Occupational Therapy Code of Ethics (2015) provides the BEST rationale for removing the fliers? A. Occupational therapy personnel shall . . . avoid dual relationships, conflicts of interest, and situations in which a practitioner, educator, student, researcher, or employer is unable to maintain clear professional boundaries or objectivity. B. Occupational therapy personnel shall . . . refrain from actions that reduce the public's trust in occupational therapy. C. Occupational therapy personnel shall . . . make every effort to promote activities that benefit the health A. Occupational therapy personnel shall . . . avoid dual relationships, conflicts of interest, and situations in which a practitioner, educator, student, researcher, or employer is unable to maintain clear professional boundaries or objectivity. A client with Parkinson's disease has difficulty initiating performance of ADLs. Which intervention is BEST for this client? A. Written directions for steps in an unfamiliar task B. External cues and repetition for resuming task completion C. Consistent self-cueing for resuming task completion D. No external cueing and use of problem solving to resume tasks B. External cues and repetition for resuming task completion A COTA® has been working with a child for several months when the child's parent asks the COTA to come over for dinner. What should the COTA consider when making the decision to attend dinner with the parent? Select the 3 BEST choices. A. The COTA should avoid situations that could interfere with objectivity. B. The COTA must provide services fairly and equitably, and having dinner could suggest bias toward the client. C. Refusing the invitation could make the parent unhappy with the COTA's services. D. The COTA should suggest that the parent ask the OTR to dinner instead in this situation. E. Having dinner with the parent could make it difficult to maintain clear professional boundaries. F. Referring the client to another practitioner for continued occupational therapy is appropriate under the circumstances. A. The COTA should avoid situations that could interfere with objectivity. B. The COTA must provide services fairly and equitably, and having dinner could suggest bias toward the client. E. Having dinner with the parent could make it difficult to maintain clear professional boundaries. Which activity is an important part of the process of deciding whether a professional dilemma might in fact involve a violation of the Occupational Therapy Code of Ethics (2015)? A. Taking quick action to reduce the potential for the dilemma to become greater B. Clearly stating the dilemma in a way that focuses on the most important issue to be resolved C. Seeking justification for the actions of those involved D. Determining the best way to protect one's self-interest B. Clearly stating the dilemma in a way that focuses on the most important issue to be resolved What main neuromusculoskeletal feature is a client with multiple sclerosis likely to exhibit that a COTA®should consider during intervention? A. Slowed movement of the extremities B. Uniform resistance to passive movement C. Tremor when moving the extremities to reach D. Inability to initiate movement in the extremities C. Tremor when moving the extremities to reach An uninsured client asks to be referred to a nontraditional occupational therapy setting where services are billed privately at a reduced rate. What should the COTA® do next? A. Recommend referral to the OTR®, assist in optimizing transition of services, and help inform the client about the pros and cons of transfer. B. Share certain information as a means to protect the client. C. Decide to not pursue the referral because of the financial loss for the employer. D. Discourage referral and work with the OTR to retain the client within the traditional setting. A. Recommend referral to the OTR®, assist in optimizing transition of services, and help inform the client about the pros and cons of transfer. To ensure appropriate and professional management of ethical complaints, what does the AOTA Ethics Commission strive to do? A. Complete an investigation within 15 days of notifying the Respondent that it is being conducted B. Disclose all details of complaints to AOTA members C. Maintain strict rules of confidentiality in every aspect of the Ethics Commission's investigational work D. Follow legal proceedings of the state in which the complaint was filed C. Maintain strict rules of confidentiality in every aspect of the Ethics Commission's investigational work S, an occupational therapy student, experiences major personal stress during a challenging time in school. Feeling behind schedule and overwhelmed by an assignment, S calls L, a classmate and friend, and asks for a copy of L's paper to get a sense of the format and content expectations of the assignment. To best adhere to the Occupational Therapy Code of Ethics (2015), what should L do? A. Be empathetic and avoid harm to S by providing a copy of the paper, under the agreement that S's paper will be worded differently from L's B. Claim not to understand the format and content guidelines and refer S to another classmate who knows more about them C. Express discomfort about sharing the paper because doing so may violate the Code and encourage S to seek help from the professor of the course D. Share the paper but report S to the AOTA Ethics Commission for possible violation of the principles of Nonmaleficence and Justice C. Express discomfort about sharing the paper because doing so may violate the Code and encourage S to seek help from the professor of the course An occupational therapy practitioner has identified a situation that is causing an ethical conflict. What should the occupational therapy practitioner do next to address the ethical conflict? A. Formulate possible resolutions to remediate the conflict B. Identify the resources available to resolve the conflict C. Report the ethical conflict to the state regulatory board D. Review professional obligations and validate the situation with trusted others D. Review professional obligations and validate the situation with trusted others What principle of the Occupational Therapy Code of Ethics (2015) guides occupational therapy practitioners to accurately represent their credentials, qualifications, education, experience, and training to all service recipients, students, employees, research participants, and colleagues? A. Principle 1, Beneficence B. Principle 4, Justice C. Principle 5, Veracity D. Principle 6, Fidelity C. Principle 5, Veracity What is the purpose of the Occupational Therapy Code of Ethics (2015)? A. To describe the core values and standards of conduct expected of occupational therapy practitioners B. To resolve legal and business disputes related to occupational therapy practice C. To provide access to professional ethicists to resolve disputes between occupational therapy practitioners and clients D. To uncover and expose inappropriate clinical practices that have no support in the research A. To describe the core values and standards of conduct expected of occupational therapy practitioners What has the AOTA Ethics Commission recommended that occupational therapy authors do to avoid plagiarism in the electronic age? A. Cite only sources that are no more than 10 years old B. Use electronic tools to check content for possible plagiarism C. Provide source citations for all statements in written and oral content D. Provide source citations for the work of other authors in written documents but not in oral presentations B. Use electronic tools to check content for possible plagiarism A statement in the Occupational Therapy Code of Ethics (2015) reads, "Occupational therapy personnel shall refrain from actions that cause harm." Which principle is this statement part of? A. Principle 4, Justice B. Principle 2, Nonmaleficence C. Principle 3, Autonomy D. Principle 6, Fidelity B. Principle 2, Nonmaleficence Which type of pressure do occupational therapy practitioners most commonly identify as leading to moral distress and organizational ethics violations? A. Deciding whether an intervention is within the scope of occupational therapy practice B. Describing progress by recipients of service when little change has occurred C. Providing interventions based on the likelihood of best reimbursement D. Extending work hours to treat more clients C. Providing interventions based on the likelihood of best reimbursement A newly certified COTA® is working a first job on an inpatient rehabilitation unit. The OTR® instructs the COTA to teach a bath bench transfer to a patient while the OTR goes to another room to evaluate a new patient. The COTA never completed a bath bench transfer before. What ethical principles should guide the student in this situation? Select the 3 BEST choices. A. Autonomy B. Veracity C. Beneficence D. Nonmaleficence E. Fidelity F. Justice C. Beneficence D. Nonmaleficence F. Justice