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NBCOT Practice Exam 1
Practice Questions and
Answers | Occupational
Therapy Exam Prep
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NBCOT Practice Exam 1
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1. An OT is preparing to evaluate a tod- C. Observation of child during activities in the
dler who has upper extremity ortho- child-care center.
pedic concerns. How will the OT MOST
Through observation of the child during
likely obtain the majority of initial as-
sessment data? child-care center activities, the OT can collect in-
formation about the child's motor performance
A. Measurement tools that assess visu- skills and participation in activities that require
al-motor skills upper extremity/hand skill. Naturalistic observa-
B. Dynamometer and pinch meter tion is a method of ecological assessment, which
readings. is "a primary mechanism for obtaining data rele-
C. Observation of child during activi- vant to the child's performance context..... Skilled
ties in the child-care center. observation of child performing a functional task
D. Functional independence mea- offers..... important information about the child's
sures. performance". Answers A, B, ad D are all appro-
priate choices after the child is old enough for
these assessments.
2. During an initial evaluation, the OT D. New motor task planning.
suspects that a child has somatodys-
praxia. In what area should the OT fo- "Somatodyspraxia is described as a deficit in
cus the evaluation? learning new motor skills, planning new motor
actions, and generalizing motor plans." Inabili-
A. Ability to print or write. ty to print or write (answer A) is termed "dys-
B. Reading competency. graphia." The term "dyslexia" (answer B) means
C. Math calculations. dysfunction in reading. Inability to perform math-
D. New motor task planning. ematics (answer C) is known as "dyscalculia"
3. An OT working in a long-term care fa- B Ask the individual how he spent New Year's
cility needs to evaluate the long-term
memory of a resident. Which of the "Declarative memory is one aspect of long term
following methods is BEST for evaluat- memory and includes conscious memory for
ing memory or personally experienced events, knowledge or facts". It is commonly as-
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NBCOT Practice Exam 1
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events (declarative memory)? sessed through verbal interviews and informal
testing such as asking a question about an in-
A. Show the person a series of objects dividual's recall of personal events (answer B).
and ask him to recall the objects within Working memory refers to "the temporary stor-
60 seconds. age of inforamtion while one is working with it or
B. Ask the individual how he spent New attending to it" (answer A). "Prospective memory
Year's/ involves the ability to remember intentions or ac-
C. Have the individual state the place, tivities that will be required in the future" (answer
date, and time. D). Knowing the date, place, and time is indicative
D. Ask the client to remember to bring of orientation (answer C).
a specific item to the next therapy ses-
sion
4. A child avoids playground equipment C. Gravitational insecurity.
that requires her feet to be off
the ground. What does this behavior Gravitational insecurity is described as "fear re-
MOST likely indicate? sponse to movement". The child easily experi-
ences a fear of falling and prefers to keep her
A. Difficulty modulating propriocep- feet firmly on the ground. Tactile defensiveness
tion. (answer A) is a term used to describe discomfort
B. Somatodyspraxia with various textures and with unexpected touch.
C. Gravitational insecurity Somatodyspraxia (answer B) has is "foundation
D. Bilateral integration/sequencing in somatosensory (e.g. primarily tactile but also
deficit. proprioceptive) discrimination deficits, which in-
terfere with the development of body scheme and
awareness". Bilateral integration and sequencing
deficits are related to "poor vestibular-propiocep-
tive discrimination, which interferes with the abil-
ity to coordinate, sequence, and execute motor
actions quickly and efficiently".
5. B. Dressing habits
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NBCOT Practice Exam 1
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When the OT suspects tactile defen- Children with tactile defensiveness are "bothered
siveness as a rationale for a child's by tactile aspects of daily living activities.... specific
challenges, in what area of participa- types of clothing.... specific textures materials".
tion should the OT focus on FIRST? The child may be bothered by certain textures or
avoid wearing turtlenecks, socks, or shoes. Con-
A. Play behavior versely, some children may never take off their
B. Dressing habits shoes to avoid tactile stimulation. Play behavior
C. Social skills (answer A), social skills (answer C), and the choice
D. Leisure interests of hobbies (answer D) could be affected secon-
darily, as a result of intolerance to certain textures
or human touch. Knowledge of the child's dress-
ing habits will give the OT key information at the
start of the evaluation process.
6. An OT is working with an individ- B. Sensory avoiding
ual with schizophrenia who is in the
process of preparing to move from a The individual's actions are indicative of sensor
state hospital to a group home. Dur- avoiding behavior, characterized by a low thresh-
ing a baking group, the client becomes old to stimuli perceived as noxious, followed by
agitated and leaves the room when an active response such as leaving the room.
another client uses the electric hand Individuals with sensory avoiding behavior may
mixer to mix the cake batter, and again "become distressed in situations in which they
when two clients begin to argue loudly cannot control the environment" and "do well in
about which type of icing to use. How low stimulus situation or settings that others find
would the OT BEST describe the behav- dull". An individual with low registration (answer
ior? A), sensory seeking behavior (answer C), or a
hearing impairment (answer D) would not have
A. Low registration difficult with the auditory stimulation caused by
B. Sensory avoiding the roar of the mixer or loud voices.
C. Sensation seeking
D. A hearing impairment
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NBCOT Practice Exam 1 Practice Questions and Answers _ Occupational Therapy Exam Prephttps://www.stuvia.com/user/edupac
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NBCOT Practice Exam 1
Practice Questions and
Answers | Occupational
Therapy Exam Prep
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NBCOT Practice Exam 1
Study online at https://quizlet.com/_6x8vb7
1. An OT is preparing to evaluate a tod- C. Observation of child during activities in the
dler who has upper extremity ortho- child-care center.
pedic concerns. How will the OT MOST
Through observation of the child during
likely obtain the majority of initial as-
sessment data? child-care center activities, the OT can collect in-
formation about the child's motor performance
A. Measurement tools that assess visu- skills and participation in activities that require
al-motor skills upper extremity/hand skill. Naturalistic observa-
B. Dynamometer and pinch meter tion is a method of ecological assessment, which
readings. is "a primary mechanism for obtaining data rele-
C. Observation of child during activi- vant to the child's performance context..... Skilled
ties in the child-care center. observation of child performing a functional task
D. Functional independence mea- offers..... important information about the child's
sures. performance". Answers A, B, ad D are all appro-
priate choices after the child is old enough for
these assessments.
2. During an initial evaluation, the OT D. New motor task planning.
suspects that a child has somatodys-
praxia. In what area should the OT fo- "Somatodyspraxia is described as a deficit in
cus the evaluation? learning new motor skills, planning new motor
actions, and generalizing motor plans." Inabili-
A. Ability to print or write. ty to print or write (answer A) is termed "dys-
B. Reading competency. graphia." The term "dyslexia" (answer B) means
C. Math calculations. dysfunction in reading. Inability to perform math-
D. New motor task planning. ematics (answer C) is known as "dyscalculia"
3. An OT working in a long-term care fa- B Ask the individual how he spent New Year's
cility needs to evaluate the long-term
memory of a resident. Which of the "Declarative memory is one aspect of long term
following methods is BEST for evaluat- memory and includes conscious memory for
ing memory or personally experienced events, knowledge or facts". It is commonly as-
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NBCOT Practice Exam 1
Study online at https://quizlet.com/_6x8vb7
events (declarative memory)? sessed through verbal interviews and informal
testing such as asking a question about an in-
A. Show the person a series of objects dividual's recall of personal events (answer B).
and ask him to recall the objects within Working memory refers to "the temporary stor-
60 seconds. age of inforamtion while one is working with it or
B. Ask the individual how he spent New attending to it" (answer A). "Prospective memory
Year's/ involves the ability to remember intentions or ac-
C. Have the individual state the place, tivities that will be required in the future" (answer
date, and time. D). Knowing the date, place, and time is indicative
D. Ask the client to remember to bring of orientation (answer C).
a specific item to the next therapy ses-
sion
4. A child avoids playground equipment C. Gravitational insecurity.
that requires her feet to be off
the ground. What does this behavior Gravitational insecurity is described as "fear re-
MOST likely indicate? sponse to movement". The child easily experi-
ences a fear of falling and prefers to keep her
A. Difficulty modulating propriocep- feet firmly on the ground. Tactile defensiveness
tion. (answer A) is a term used to describe discomfort
B. Somatodyspraxia with various textures and with unexpected touch.
C. Gravitational insecurity Somatodyspraxia (answer B) has is "foundation
D. Bilateral integration/sequencing in somatosensory (e.g. primarily tactile but also
deficit. proprioceptive) discrimination deficits, which in-
terfere with the development of body scheme and
awareness". Bilateral integration and sequencing
deficits are related to "poor vestibular-propiocep-
tive discrimination, which interferes with the abil-
ity to coordinate, sequence, and execute motor
actions quickly and efficiently".
5. B. Dressing habits
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NBCOT Practice Exam 1
Study online at https://quizlet.com/_6x8vb7
When the OT suspects tactile defen- Children with tactile defensiveness are "bothered
siveness as a rationale for a child's by tactile aspects of daily living activities.... specific
challenges, in what area of participa- types of clothing.... specific textures materials".
tion should the OT focus on FIRST? The child may be bothered by certain textures or
avoid wearing turtlenecks, socks, or shoes. Con-
A. Play behavior versely, some children may never take off their
B. Dressing habits shoes to avoid tactile stimulation. Play behavior
C. Social skills (answer A), social skills (answer C), and the choice
D. Leisure interests of hobbies (answer D) could be affected secon-
darily, as a result of intolerance to certain textures
or human touch. Knowledge of the child's dress-
ing habits will give the OT key information at the
start of the evaluation process.
6. An OT is working with an individ- B. Sensory avoiding
ual with schizophrenia who is in the
process of preparing to move from a The individual's actions are indicative of sensor
state hospital to a group home. Dur- avoiding behavior, characterized by a low thresh-
ing a baking group, the client becomes old to stimuli perceived as noxious, followed by
agitated and leaves the room when an active response such as leaving the room.
another client uses the electric hand Individuals with sensory avoiding behavior may
mixer to mix the cake batter, and again "become distressed in situations in which they
when two clients begin to argue loudly cannot control the environment" and "do well in
about which type of icing to use. How low stimulus situation or settings that others find
would the OT BEST describe the behav- dull". An individual with low registration (answer
ior? A), sensory seeking behavior (answer C), or a
hearing impairment (answer D) would not have
A. Low registration difficult with the auditory stimulation caused by
B. Sensory avoiding the roar of the mixer or loud voices.
C. Sensation seeking
D. A hearing impairment
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