NBCOT Prep Questions and Answers A+
guide
An OTR employed at a university-based hospital hand therapy
clinic is completing a research proposal investigating the
effectiveness of copper tooling versus therapy putty for increasing
pinch strength of patients attending the clinic. Which step should
the OTR take NEXT as part of research process?
A. Perform a small pilot study on similar subjects.
B. Obtain informed consent from the subjects.
C. Initiate the data collection procedures.
D. Submit the proposal to the facility review board. - correct
answers✅✅D. Need research approval before any research can
be done. Obtain informed consent from subjects is the next step.
There is no need for A, and C would be the last step of the
options.
An OTR is facilitating a group for clients diagnosed with a
polysubstance use disorder. During the first group session, the
OTR describes how trigger events and irrational thinking can lead
to substance misuse. Which theoretical model does this approach
exemplify?
A. Cognitive-behavioral
B. Psychodynamic
C. Motivational
D. Human occupation - correct answers✅✅A. The cognitive
behavioral approach assumes that a person's cognitive function
and beliefs influence their behavior, and that by helping a person
,NBCOT Prep Questions and Answers A+
guide
dispute their irrational thoughts, they will be empowered to
change their behavior (Bruce & Borg, 2002).
B. focuses on the value and the uniqueness of a person and states
that a person is an expert on their lives and has insight. This
frame of reference also believes that behavior is influenced by the
conscious as well as the unconscious mind. Self-actualization, self-
identity, adaptation and self-awareness are important to this
frame of reference, basically this frame of reference wants to get
to the bottom of a person's behavior and how that behavior
affects their occupational performance.
An OTR is planning a group for clients who have mild-moderate
cognitive decline secondary to Alzheimer's disease. One of the
group goals is for the clients to follow directions to complete a tile
picture frame. The OTR plans to use a directive leadership style
during the group. Which strategy illustrates the use of this group
leadership style?
A. Inform the clients of the expected end product by showing
them a completed frame at the start of the group.
B. Provide examples of three different framing materials and give
general guidelines for how the items could be used.
C. Show the clients several pictures of completed frames and
allow each client to decide which frame to make.
D. Place the project materials on the table and ask the clients to
design a simple picture frame from materials provided. - correct
answers✅✅A. is the option that demonstrates directive
,NBCOT Prep Questions and Answers A+
guide
characteristics. The other options display instructive behaviors,
but also provide the clients with autonomy.
C. is a Laissez-faire approach, which allows clients to have
initiative to determine the process.
An 8-year-old student has fluctuant muscle tone and delayed
postural responses due to cerebral palsy. The student has met all
Individualized Education Program (IEP) goals and is performing
school tasks at age level. After receiving weekly school-based OT
for the past 5 years, the student is discharged from OT with
recommendations for annual assessments. However, the
student's parents are questioning why OT has been discontinued.
What explanation should the OTR provide to the student's
parents?
A. Students who have received services in the public school
system for 5 consecutive years are no longer eligible for OT.
B. Students with physical disabilities are eligible for ongoing OT
only if they are having difficulty with curriculum-based tasks.
C. The student's physical disabilities are not severe enough to
warrant additional OT services.
D. Progress has plateaued and the student will no longer benefit
from OT services - correct answers✅✅B. because the student
has met all IEP goals and is performing school tasks at age level.
An adolescent-age student has athetoid cerebral palsy and has
been participating in school-based OT since pre-school. After
transitioning to the sixth grade in a new school, the teachers
, NBCOT Prep Questions and Answers A+
guide
report the student is not using assistive devices, is sullen, and
does not interact with peers. What INITIAL action should the OTR
take in response to the teachers' reports about this student?
A. Revise the IEP goals to focus on student preferences.
B. Establish new goals to work toward self-sufficiency.
C. Develop a transition plan for promoting autonomy.
D. Complete an evaluation using a top-down approach. - correct
answers✅✅D. Top-down approach focuses on client-centered
approach, and is more holistic vs a bottom up focuses on smaller
components of an occupational performance
It is not B and C because the prompt does not state the client is
having difficulty with being autonomous or self-sufficiency. It is
not A because you need to understand the client's concerns
before you revise the IEP goals.
An OTR is evaluating the effectiveness of an OT home program for
clients who have been diagnosed with an anxiety disorder. Which
qualitative measure would be MOST BENEFICIAL to use as part of
this evaluation process?
A. Retrospective record reviews to measure the percentage of
clients who attained occupation-based goals
B. Semi-structured interviews in order to gather information from
the clients about their current functional level
guide
An OTR employed at a university-based hospital hand therapy
clinic is completing a research proposal investigating the
effectiveness of copper tooling versus therapy putty for increasing
pinch strength of patients attending the clinic. Which step should
the OTR take NEXT as part of research process?
A. Perform a small pilot study on similar subjects.
B. Obtain informed consent from the subjects.
C. Initiate the data collection procedures.
D. Submit the proposal to the facility review board. - correct
answers✅✅D. Need research approval before any research can
be done. Obtain informed consent from subjects is the next step.
There is no need for A, and C would be the last step of the
options.
An OTR is facilitating a group for clients diagnosed with a
polysubstance use disorder. During the first group session, the
OTR describes how trigger events and irrational thinking can lead
to substance misuse. Which theoretical model does this approach
exemplify?
A. Cognitive-behavioral
B. Psychodynamic
C. Motivational
D. Human occupation - correct answers✅✅A. The cognitive
behavioral approach assumes that a person's cognitive function
and beliefs influence their behavior, and that by helping a person
,NBCOT Prep Questions and Answers A+
guide
dispute their irrational thoughts, they will be empowered to
change their behavior (Bruce & Borg, 2002).
B. focuses on the value and the uniqueness of a person and states
that a person is an expert on their lives and has insight. This
frame of reference also believes that behavior is influenced by the
conscious as well as the unconscious mind. Self-actualization, self-
identity, adaptation and self-awareness are important to this
frame of reference, basically this frame of reference wants to get
to the bottom of a person's behavior and how that behavior
affects their occupational performance.
An OTR is planning a group for clients who have mild-moderate
cognitive decline secondary to Alzheimer's disease. One of the
group goals is for the clients to follow directions to complete a tile
picture frame. The OTR plans to use a directive leadership style
during the group. Which strategy illustrates the use of this group
leadership style?
A. Inform the clients of the expected end product by showing
them a completed frame at the start of the group.
B. Provide examples of three different framing materials and give
general guidelines for how the items could be used.
C. Show the clients several pictures of completed frames and
allow each client to decide which frame to make.
D. Place the project materials on the table and ask the clients to
design a simple picture frame from materials provided. - correct
answers✅✅A. is the option that demonstrates directive
,NBCOT Prep Questions and Answers A+
guide
characteristics. The other options display instructive behaviors,
but also provide the clients with autonomy.
C. is a Laissez-faire approach, which allows clients to have
initiative to determine the process.
An 8-year-old student has fluctuant muscle tone and delayed
postural responses due to cerebral palsy. The student has met all
Individualized Education Program (IEP) goals and is performing
school tasks at age level. After receiving weekly school-based OT
for the past 5 years, the student is discharged from OT with
recommendations for annual assessments. However, the
student's parents are questioning why OT has been discontinued.
What explanation should the OTR provide to the student's
parents?
A. Students who have received services in the public school
system for 5 consecutive years are no longer eligible for OT.
B. Students with physical disabilities are eligible for ongoing OT
only if they are having difficulty with curriculum-based tasks.
C. The student's physical disabilities are not severe enough to
warrant additional OT services.
D. Progress has plateaued and the student will no longer benefit
from OT services - correct answers✅✅B. because the student
has met all IEP goals and is performing school tasks at age level.
An adolescent-age student has athetoid cerebral palsy and has
been participating in school-based OT since pre-school. After
transitioning to the sixth grade in a new school, the teachers
, NBCOT Prep Questions and Answers A+
guide
report the student is not using assistive devices, is sullen, and
does not interact with peers. What INITIAL action should the OTR
take in response to the teachers' reports about this student?
A. Revise the IEP goals to focus on student preferences.
B. Establish new goals to work toward self-sufficiency.
C. Develop a transition plan for promoting autonomy.
D. Complete an evaluation using a top-down approach. - correct
answers✅✅D. Top-down approach focuses on client-centered
approach, and is more holistic vs a bottom up focuses on smaller
components of an occupational performance
It is not B and C because the prompt does not state the client is
having difficulty with being autonomous or self-sufficiency. It is
not A because you need to understand the client's concerns
before you revise the IEP goals.
An OTR is evaluating the effectiveness of an OT home program for
clients who have been diagnosed with an anxiety disorder. Which
qualitative measure would be MOST BENEFICIAL to use as part of
this evaluation process?
A. Retrospective record reviews to measure the percentage of
clients who attained occupation-based goals
B. Semi-structured interviews in order to gather information from
the clients about their current functional level
