NBCOT: Knowledge test Exam Toolkit Questions and
Verified solution 2025/2026
An OTR in an inpatient facility is working with an adolescent with major
depression who repeatedly expresses feelings of worthlessness and poor
self-concept. What should the OT do?
a. Activities that establish normal daily routines
b. Activities that engage the client socially
c. Activities that do not require too many choices
d. Activities that allow for self-expression - correct answer d. Activities
that allow for self-expression
An OTR is evaluating a 16-year old adolescent with major despression and
suicide precautions in an inpatient facility. Which source of info. Will best
enable the OTR to document the intensity, severity, and duration of these
symptoms?
a. Observation during occupational performance
b. A life events inventory of the client
c. Interviews with caregivers
d. Interviews with roommates in the facility - correct answer b. A life
events inventory of the client
During an OT eval., which approach would pose the biggest barrier to
engaging in a client-centered process with an adult client who is able to
converse?
a. Paying attention to the meaning of nonverbal cues
b. Being directive
c. Being too empathetic with the client
,d. Asking too many closed-ended questions - correct answer d. Asking
too many closed-ended questions
An OTR works with elderly clients with low vision. A client with macular
degeneration is referred after substantial symptom progression and loss of
vision. The client's spouse states that for the past 3 months, the client has
uncharacteristically refused to participate in social activities, is frequently
irritable and uncommunicative, and is unwilling to perform personal care or
routine risks.
a. Consider exporing assisted living alternatives
b. Insist that the client resume accompanying the spouse to bridge club and
prepare a snack to share with the club
c. Encourage the client to consult a mental health provider
d. Advise the client and spouse to seek professional counseling to adjust to
the inevitable changes in the marriage - correct answer c. Encourage the
client to consult a mental health provider
An adolescent hospitalized for suicidal ideation and depression is meeting
with an OTR for discharge planning. What aspect of the discharge plan is
MOST urgent?
a. Provide client education on the effects of prescription medication
b. Review the contract for safety procedures the client will follow when
thoughts of suicide commence
c. Contact the client's school system to see if a suicide prevention program
is in place
d. Reinforce the need for follow-up OT treatments to monitory progress -
correct answer b. Review the contract for safety procedures the client
will follow when thoughts of suicide commence
,An OTR is assessing a client with bulimia. The client has become
preoccupied with hiding purging behaviors from friends and family. While
developing an occupational profile with the client, the OTR notices that the
client's bulimia has evolved, and that the client has replaced all other
activities with the bulimia.
a. Teach the client relaxation strategies to provide relief from the stress
caused by the bulimia
b. Recommend social activities to encourage the client to interact with
friends and family in a more positive way
c. Provide the client with leisure's activities that will create more balance
and offer the client more control over the client's life
d. Assign the client small-group activities with other clients to provide the
client with info. About the health impact of bulimia. - correct answer c.
Provide the client with leisure's activities that will create more balance and
offer the client more control over the client's life
A school district's supervising OTR receives a phone call from an irate
parent of a middle school student whose individualized education plan
(IEP) includes OT twice a week. The student did not receive OT for 3
weeks because one of the district's OTR was out with work-related injury.
What is the OTR best option?
a. Ensure that OT services are provided to this child, because it is included
in the child's IEP
b. Put the child on a waiting list while the therapist is out
c. Reduce the frequency of OT visits to once a week while the therapist is
out
d. Discharge the child from OT because the parent is difficult to deal with -
correct answer a. Ensure that OT services are provided to this child,
because it is included in the child's IEP
, An OTR wants to search the literature for rationales related to a sensory
integration intervention for clients with dementia. Which is an appropriate
question for an evidence-based practice literature review?
a. "What is a sensory integration approach?"
b. "How is sensory integration used with people with dementia?"
c. "What is the efficacy of sensory integration?"
d. "What are the outcomes of sensory integration?" - correct answer b.
"How is sensory integration used with people with dementia?"
The spouse of a client with Alzheimer's dementia tells the OTR that the
client has become more agitated, wanders, resists care, and displays
inappropriate and sometimes destructive bx. The spouse confides that
feelings of stress have begun to feel overwhelming.
a. Training the spouse to provide simple, one-step directions and avoid
abstractions
b. Role playing with the spouse and the client ways of providing
explanations that will clarify the client's confusion
c. Assertiveness training with the spouse
d. Conflict resolution sessions between the spouse and client - correct
answer a. Training the spouse to provide simple, one-step directions and
avoid abstractions
Which statement best describes an important consideration for OTR's
working with clients with dementia and their caregivers?
a. Providing a variety of new occupations creates a sense of well-being for
the caregiver and care recipient
b. A brief respite from caregiving benefits the caregiver but is detrimental to
the care recipient
c. Everyday occupation is central to a caregiver's sense of well-being
Verified solution 2025/2026
An OTR in an inpatient facility is working with an adolescent with major
depression who repeatedly expresses feelings of worthlessness and poor
self-concept. What should the OT do?
a. Activities that establish normal daily routines
b. Activities that engage the client socially
c. Activities that do not require too many choices
d. Activities that allow for self-expression - correct answer d. Activities
that allow for self-expression
An OTR is evaluating a 16-year old adolescent with major despression and
suicide precautions in an inpatient facility. Which source of info. Will best
enable the OTR to document the intensity, severity, and duration of these
symptoms?
a. Observation during occupational performance
b. A life events inventory of the client
c. Interviews with caregivers
d. Interviews with roommates in the facility - correct answer b. A life
events inventory of the client
During an OT eval., which approach would pose the biggest barrier to
engaging in a client-centered process with an adult client who is able to
converse?
a. Paying attention to the meaning of nonverbal cues
b. Being directive
c. Being too empathetic with the client
,d. Asking too many closed-ended questions - correct answer d. Asking
too many closed-ended questions
An OTR works with elderly clients with low vision. A client with macular
degeneration is referred after substantial symptom progression and loss of
vision. The client's spouse states that for the past 3 months, the client has
uncharacteristically refused to participate in social activities, is frequently
irritable and uncommunicative, and is unwilling to perform personal care or
routine risks.
a. Consider exporing assisted living alternatives
b. Insist that the client resume accompanying the spouse to bridge club and
prepare a snack to share with the club
c. Encourage the client to consult a mental health provider
d. Advise the client and spouse to seek professional counseling to adjust to
the inevitable changes in the marriage - correct answer c. Encourage the
client to consult a mental health provider
An adolescent hospitalized for suicidal ideation and depression is meeting
with an OTR for discharge planning. What aspect of the discharge plan is
MOST urgent?
a. Provide client education on the effects of prescription medication
b. Review the contract for safety procedures the client will follow when
thoughts of suicide commence
c. Contact the client's school system to see if a suicide prevention program
is in place
d. Reinforce the need for follow-up OT treatments to monitory progress -
correct answer b. Review the contract for safety procedures the client
will follow when thoughts of suicide commence
,An OTR is assessing a client with bulimia. The client has become
preoccupied with hiding purging behaviors from friends and family. While
developing an occupational profile with the client, the OTR notices that the
client's bulimia has evolved, and that the client has replaced all other
activities with the bulimia.
a. Teach the client relaxation strategies to provide relief from the stress
caused by the bulimia
b. Recommend social activities to encourage the client to interact with
friends and family in a more positive way
c. Provide the client with leisure's activities that will create more balance
and offer the client more control over the client's life
d. Assign the client small-group activities with other clients to provide the
client with info. About the health impact of bulimia. - correct answer c.
Provide the client with leisure's activities that will create more balance and
offer the client more control over the client's life
A school district's supervising OTR receives a phone call from an irate
parent of a middle school student whose individualized education plan
(IEP) includes OT twice a week. The student did not receive OT for 3
weeks because one of the district's OTR was out with work-related injury.
What is the OTR best option?
a. Ensure that OT services are provided to this child, because it is included
in the child's IEP
b. Put the child on a waiting list while the therapist is out
c. Reduce the frequency of OT visits to once a week while the therapist is
out
d. Discharge the child from OT because the parent is difficult to deal with -
correct answer a. Ensure that OT services are provided to this child,
because it is included in the child's IEP
, An OTR wants to search the literature for rationales related to a sensory
integration intervention for clients with dementia. Which is an appropriate
question for an evidence-based practice literature review?
a. "What is a sensory integration approach?"
b. "How is sensory integration used with people with dementia?"
c. "What is the efficacy of sensory integration?"
d. "What are the outcomes of sensory integration?" - correct answer b.
"How is sensory integration used with people with dementia?"
The spouse of a client with Alzheimer's dementia tells the OTR that the
client has become more agitated, wanders, resists care, and displays
inappropriate and sometimes destructive bx. The spouse confides that
feelings of stress have begun to feel overwhelming.
a. Training the spouse to provide simple, one-step directions and avoid
abstractions
b. Role playing with the spouse and the client ways of providing
explanations that will clarify the client's confusion
c. Assertiveness training with the spouse
d. Conflict resolution sessions between the spouse and client - correct
answer a. Training the spouse to provide simple, one-step directions and
avoid abstractions
Which statement best describes an important consideration for OTR's
working with clients with dementia and their caregivers?
a. Providing a variety of new occupations creates a sense of well-being for
the caregiver and care recipient
b. A brief respite from caregiving benefits the caregiver but is detrimental to
the care recipient
c. Everyday occupation is central to a caregiver's sense of well-being
