NBCOT Prep revision question and
correct answers latest update
an OT is training an OTA to administer a standardized assessment. Which of the following is the
best method to eval the OTAs services competency with that assessment tool?
a. observe a competent OTs performance of the standardized test
b. observe a competent OT practice then teach another how to administer the test
c. follow procedures exactly as outlined in the test manuals
d. obtain the same results as another OT does who has demonstrated service competency -
ANS d. obtain the same results as another OT does who has demonstrated service
competency
service competency is the process of teaching, training, and evaluating in which the OT
determines that the OTA performs tasks in the same way that the OT would and achieves the
same outcome.
An individual with a panic disorder feels so overwhelmed he cannot get himself from his room to
OT group each morning. Which of the following strategies would be most helpful?
a. reduce distractions and keep lights low
b. provide a stimulating environment with real life opportunities
c. give him a tour of the OT department and a schedule of activities
d. leave doors open and avoid being alone with the individual - ANS c. give him a tour of the
OT department and a schedule of activities
The CBT approach to panic disorder involves having the individual approach situations that
cause anxiety and reduce the catastrophizing associated with the event. A may be useful
environmental adaptations for individuals with mania or hyperactivity. B is recommended for
individuals experiencing delusions. D is for individuals who are hostile or violent
an OT is working with an adult diagnosed with dementia who is experiencing moderately severe
cognitive decline and who was admitted to the hospital after accidentally setting a kitchen fire.
What are the most appropriate follow up services to identify relative to this patients meal
planning needs after discharge?
a. OT services to teach the patient to cook safely
b. volunteer companion services to supervise cooking at home
c. transportation services to bring the person to a community meal site
d. home delivered meal services - ANS d. home delivered meal services
,This individual is past the new learning stage and requires meals be prepared for her in order to
remain safe. B provide companionship but not skilled supervision of activities. C would be
inconvenient and challenging.
the goal of a work program for homeless youths is to develop job skills that will improve housing
status. The OT plans to eval each participant. Based on the transtheoretical model, which area
of assessment/eval should the OT begin with?
a. environmental
b. social skills
c. work skills
d. readiness for change - ANS d. readiness for change
The transtheoretical model states that an individual must be ready to change prior to beginning
the stages. The other answers would all come later.
A client with chronic pain is working with an OT through a workers comp program. Despite
collaborative development of goals and strategies to begin volunteer activities, the individual
has not yet identified a location at which to volunteer. Concerns about loosing workers comp
benefits because of the volunteering has been raised. Using a motivational interviewing
approach, what is the best action for the OT to take?
a. reply that the client is ready and needs to make a decision
b. collaborate to find a location and phone number
c. reassure the client that the workers comp benefits will remain intact
d. identify a volunteer opportunity for the client and schedule an appointment - ANS b.
collaborate to find a location and phone number
motivational interviewing is designed for people who are not ready to change or are ambivalent
about changing. The fundamental approach of MI are collaboration, evocation, and autonomy. A
is a confrontational approach that can lead to defensiveness. C would be inappropriate as the
OT cannot determine how long the individuals benefits will continue. D is not a collaborative or
client-centered approach
an individual being interviewed by an OT experienced repeated sexual abuse by a parent as a
child. The individual states that parents actions were due to the stress of being fired from a job
and that everyone finds different ways to manage stress. In the eval report, the OT should
identify this as the use of what defense mechanism?
a. identification
b. projection
c. denial
d. intellectualization - ANS D. intellectualization
by employing this defense mechanism, the patient protects herself from the pain associated with
her trauma. A results in the individual adopting the values and feelings of a person who causes
,anxiety in order to increase her own self worth. B one attributes personally unacceptable
impulses on the external world. And C is a refusal to acknowledge the external source of anxiety
an OT student has been assigned the task of creating a reality orientation board for a dementia
unit. What are the key elements to include?
a. illustrated step by step instructions for the days activity
b. pictures of family members now and when they were younger
c. the time, date, next meal, and the weather
d. a list of the individuals medications and times they should be taken - ANS c. the time, date,
next meal, and the weather
this is an intervention used for adults with dementia . The other answers are all interventions
that can be used to modify the task or environment with individuals with dementia, but the board
for the unit should be information that applies to all residents.
an extremely withdrawn individual has developed the ability to tolerate interaction with one other
group member while making greeting cards using rubber stamps. Which of the following steps
should be taken next in order to develop this individuals ability to interacting with others?
a. involve the individual in a 3 member task group
b. progress the individual from rubber stamping to stenciling
c. instruct the individual in how to make stamps from various materials
d. encourage the individual to choose stamps and colors - ANS a. involve the individual in a 3
member task group
in this case, the activity should be upgraded slightly by increasing the size of the group,
challenging the client to use and develop greater personal interaction skills. B adds a level of
complexity to the task which can help to develop problem solving skills. The other answers can
all be effective adaptations for other goals.
task-specific training is being used to train an individual with severe cognitive limitations to put
on a t-shirt. How will this training be most effective?
a. in the individuals home
b. in the OT department
c. at least twice a week
d. when the client is feeling cooperative - ANS a. in the individuals home
this is the natural environment which helps carryover and learning. The other answers would all
be less effective or ineffective.
an individual admitted for alcohol abuse is preparing for discharge and has made it clear that he
does not plan to completely abstain from alcohol. What type of community based self-help
program would be most appropriate for this parent?
a. a harm reduction program
b. alcoholics anonymous
, c. narcotics anonymous
d. a health promotion program - ANS a. a harm reduction program
this type of program acknowledges the difficulty of abruptly stopping usage. If terminating is
unlikely, small steps are introduced to reduce usage and harm to the individual. B and C are
programs that require complete abstinence from substances. D focuses on concepts such as
nutrition, exercise, and participation in meaningful activity but does not directly address
substance abuse.
An individual with TBI is impulsive during feeding. which is exemplified by placing too much food
in the mouth at one time. what method would most effectively develop safer eating habits?
a. cut the food into smaller pieces prior to serving
b. count to 10 between bites of food
c. set down the utensil til the mouth is cleared
d. serve the food in seperate containers on the meal tray. - ANS c. set down the utensil til the
mouth is cleared
this method of imposing a restriction on the behavior can develop into an established routine for
pacing. A and D are examples of environmental adaptations not habit development. B will not
assure that the mouth has been cleared in time for the next bite.
an OT is planning a program for men with co-occuring disorders who are currently residing in a
supported housing environment. The needs assessment should focus on issues common to
individuals for which of the following conditions?
a. depression and substance abuse
b. mental retardation and sensory processing
c. diabetes and hypertension
d. post traumatic stress disorder and amputation - ANS a. depression and substance abuse.
Co-occuring disorders (CODS) are when a person has one or more substance related disorder
paired with one or more mental disorders. The other answers do not include any substance
abuse conditions and do not therefore meet the criteria
an OT is running a sensorimotor group in an adult day program for individuals with chronic
mental health conditions. Using Ross's Five-stage group approach, which would be the most
appropriate activity to follow up the introduction and orientation?
a. task activity such as making a fruit salad
b. line dancing involving movements in 3 planes
c. group planning for the next session
d. group members taking turns introducing themselves - ANS b. line dancing involving
movements in 3 planes
The approach begins with introduction and orientation. then is followed by maximum exertion in
movement incorporating all 3 planes. Phase 3 addresses perceptual motor skills, 4 is the time
correct answers latest update
an OT is training an OTA to administer a standardized assessment. Which of the following is the
best method to eval the OTAs services competency with that assessment tool?
a. observe a competent OTs performance of the standardized test
b. observe a competent OT practice then teach another how to administer the test
c. follow procedures exactly as outlined in the test manuals
d. obtain the same results as another OT does who has demonstrated service competency -
ANS d. obtain the same results as another OT does who has demonstrated service
competency
service competency is the process of teaching, training, and evaluating in which the OT
determines that the OTA performs tasks in the same way that the OT would and achieves the
same outcome.
An individual with a panic disorder feels so overwhelmed he cannot get himself from his room to
OT group each morning. Which of the following strategies would be most helpful?
a. reduce distractions and keep lights low
b. provide a stimulating environment with real life opportunities
c. give him a tour of the OT department and a schedule of activities
d. leave doors open and avoid being alone with the individual - ANS c. give him a tour of the
OT department and a schedule of activities
The CBT approach to panic disorder involves having the individual approach situations that
cause anxiety and reduce the catastrophizing associated with the event. A may be useful
environmental adaptations for individuals with mania or hyperactivity. B is recommended for
individuals experiencing delusions. D is for individuals who are hostile or violent
an OT is working with an adult diagnosed with dementia who is experiencing moderately severe
cognitive decline and who was admitted to the hospital after accidentally setting a kitchen fire.
What are the most appropriate follow up services to identify relative to this patients meal
planning needs after discharge?
a. OT services to teach the patient to cook safely
b. volunteer companion services to supervise cooking at home
c. transportation services to bring the person to a community meal site
d. home delivered meal services - ANS d. home delivered meal services
,This individual is past the new learning stage and requires meals be prepared for her in order to
remain safe. B provide companionship but not skilled supervision of activities. C would be
inconvenient and challenging.
the goal of a work program for homeless youths is to develop job skills that will improve housing
status. The OT plans to eval each participant. Based on the transtheoretical model, which area
of assessment/eval should the OT begin with?
a. environmental
b. social skills
c. work skills
d. readiness for change - ANS d. readiness for change
The transtheoretical model states that an individual must be ready to change prior to beginning
the stages. The other answers would all come later.
A client with chronic pain is working with an OT through a workers comp program. Despite
collaborative development of goals and strategies to begin volunteer activities, the individual
has not yet identified a location at which to volunteer. Concerns about loosing workers comp
benefits because of the volunteering has been raised. Using a motivational interviewing
approach, what is the best action for the OT to take?
a. reply that the client is ready and needs to make a decision
b. collaborate to find a location and phone number
c. reassure the client that the workers comp benefits will remain intact
d. identify a volunteer opportunity for the client and schedule an appointment - ANS b.
collaborate to find a location and phone number
motivational interviewing is designed for people who are not ready to change or are ambivalent
about changing. The fundamental approach of MI are collaboration, evocation, and autonomy. A
is a confrontational approach that can lead to defensiveness. C would be inappropriate as the
OT cannot determine how long the individuals benefits will continue. D is not a collaborative or
client-centered approach
an individual being interviewed by an OT experienced repeated sexual abuse by a parent as a
child. The individual states that parents actions were due to the stress of being fired from a job
and that everyone finds different ways to manage stress. In the eval report, the OT should
identify this as the use of what defense mechanism?
a. identification
b. projection
c. denial
d. intellectualization - ANS D. intellectualization
by employing this defense mechanism, the patient protects herself from the pain associated with
her trauma. A results in the individual adopting the values and feelings of a person who causes
,anxiety in order to increase her own self worth. B one attributes personally unacceptable
impulses on the external world. And C is a refusal to acknowledge the external source of anxiety
an OT student has been assigned the task of creating a reality orientation board for a dementia
unit. What are the key elements to include?
a. illustrated step by step instructions for the days activity
b. pictures of family members now and when they were younger
c. the time, date, next meal, and the weather
d. a list of the individuals medications and times they should be taken - ANS c. the time, date,
next meal, and the weather
this is an intervention used for adults with dementia . The other answers are all interventions
that can be used to modify the task or environment with individuals with dementia, but the board
for the unit should be information that applies to all residents.
an extremely withdrawn individual has developed the ability to tolerate interaction with one other
group member while making greeting cards using rubber stamps. Which of the following steps
should be taken next in order to develop this individuals ability to interacting with others?
a. involve the individual in a 3 member task group
b. progress the individual from rubber stamping to stenciling
c. instruct the individual in how to make stamps from various materials
d. encourage the individual to choose stamps and colors - ANS a. involve the individual in a 3
member task group
in this case, the activity should be upgraded slightly by increasing the size of the group,
challenging the client to use and develop greater personal interaction skills. B adds a level of
complexity to the task which can help to develop problem solving skills. The other answers can
all be effective adaptations for other goals.
task-specific training is being used to train an individual with severe cognitive limitations to put
on a t-shirt. How will this training be most effective?
a. in the individuals home
b. in the OT department
c. at least twice a week
d. when the client is feeling cooperative - ANS a. in the individuals home
this is the natural environment which helps carryover and learning. The other answers would all
be less effective or ineffective.
an individual admitted for alcohol abuse is preparing for discharge and has made it clear that he
does not plan to completely abstain from alcohol. What type of community based self-help
program would be most appropriate for this parent?
a. a harm reduction program
b. alcoholics anonymous
, c. narcotics anonymous
d. a health promotion program - ANS a. a harm reduction program
this type of program acknowledges the difficulty of abruptly stopping usage. If terminating is
unlikely, small steps are introduced to reduce usage and harm to the individual. B and C are
programs that require complete abstinence from substances. D focuses on concepts such as
nutrition, exercise, and participation in meaningful activity but does not directly address
substance abuse.
An individual with TBI is impulsive during feeding. which is exemplified by placing too much food
in the mouth at one time. what method would most effectively develop safer eating habits?
a. cut the food into smaller pieces prior to serving
b. count to 10 between bites of food
c. set down the utensil til the mouth is cleared
d. serve the food in seperate containers on the meal tray. - ANS c. set down the utensil til the
mouth is cleared
this method of imposing a restriction on the behavior can develop into an established routine for
pacing. A and D are examples of environmental adaptations not habit development. B will not
assure that the mouth has been cleared in time for the next bite.
an OT is planning a program for men with co-occuring disorders who are currently residing in a
supported housing environment. The needs assessment should focus on issues common to
individuals for which of the following conditions?
a. depression and substance abuse
b. mental retardation and sensory processing
c. diabetes and hypertension
d. post traumatic stress disorder and amputation - ANS a. depression and substance abuse.
Co-occuring disorders (CODS) are when a person has one or more substance related disorder
paired with one or more mental disorders. The other answers do not include any substance
abuse conditions and do not therefore meet the criteria
an OT is running a sensorimotor group in an adult day program for individuals with chronic
mental health conditions. Using Ross's Five-stage group approach, which would be the most
appropriate activity to follow up the introduction and orientation?
a. task activity such as making a fruit salad
b. line dancing involving movements in 3 planes
c. group planning for the next session
d. group members taking turns introducing themselves - ANS b. line dancing involving
movements in 3 planes
The approach begins with introduction and orientation. then is followed by maximum exertion in
movement incorporating all 3 planes. Phase 3 addresses perceptual motor skills, 4 is the time
