Latest 2023 NBCOT Practice Exam With Upgraded Questions And Verified Answer

Latest 2023 NBCOT Practice Exam With Upgraded Questions And Verified Answer The parent of a child that is being treated in therapy describes how the child covers their ears when riding in the car with the windows down. The parent does not understand why the child persists in this behavior. The OT explains that this behavior could be the result of: A. Sensory defensiveness B. Gravitational insecurity C. Under responsiveness D. Aversion to movement - Answer A. A child experiencing sensory defensiveness has a tendency to respond negatively to sensation that is considered by most people to be noninvasive or nonirritating. This frequently includes hyper responsiveness to light or unexpected touches, high-frequency noises, certain visual stimulation, or certain smells and tastes. (Sensory Integration: Theory and Practice by Bundy) An OT is using the Peabody Developmental Motor Scales to evaluate a child. The therapist is assessing the child's: A. Performance of tasks that support school participation B. Visual perception skills in community settings C. Gross and fine motor skills D. Performance in everyday tasks - Answer C. The Peabody assesses a child's abilities with gross and fine motor skills. (Occupational Therapy for Children by Case-Smith) A patient diagnosed with insulin dependent diabetes mellitus is referred to occupational therapy for splinting. A primary area that must be assessed before prescribing a splint is: A. Edema B. Sensation C. Pain D. Fine motor manipulation - Answer B. Persons with long-standing diabetes frequently have increased incidences of other conditions, such as peripheral neuropathies. Therefore, a sensory evaluation is necessary to determine if sensation is diminished. A person with diminished sensation secondary to peripheral neuropathy may not be able to perceive or gauge pressure when wearing a splint. This can lead to skin breakdown. (Introduction to Splinting: A Clinical Reasoning & Problem Solving Process by Coppard and Lohman) An OT is asked to administer a test to a child and compare the assessment results or scores to the sample population of children that have similar characteristics as this child. The BEST type of evaluation to administer would be: A. Criterion-referenced test B. Norm-referenced test C. Skilled observation D. Checklist - Answer B. A norm-referenced test is developed by giving the test in question to a large number of children, usually several hundred or more. This group is the more normative group and norms or averages are derived from this sample. When a norm-referenced test is administered, the performance of the child being tested is compared to the normative sample. (Occupational Therapy for Children by Case-Smith) During an evaluation, the OT must determine a child's exact chronological age. The child was born on March 6, 2003 and the testing date is July 12, 2006. The child's chronological age is: A. 4 years, 6 months, 5 days B. 3 years, 2 months, 6 days C. 4 years, 5 months, 6 days D. 3 years, 4 months, 6 days - Answer D. The day, month, and year of the child's birth date is subtracted from the date of testing. (Occupational Therapy for Children by Case-Smith) An OT has to calculate the corrected age for a child that was born prematurely. The child had a due date of September 20, 2005 and their birth date was June 12, 2005. The child was born 3 months, 8 days premature and is currently 1 year, 1 month, 25 days old. The therapist determines the corrected age is: A. 10 months, 17 days B. 12 months, 2 days C. 9 months, 8 days D. 7 months, 10 days - Answer A. Corrected age is used for children who were born prematurely to "correct" for the number of weeks they were born before the due date. Generally the age is corrected until the child turns 2 years old. Many practitioners consider 36 to 37 weeks and above to be full-term gestation. Children with a gestation period of 36 weeks and above do not receive a corrected age. Subtract the birth date from the due date to yield the exact measurement of prematurity, and to calculate the corrected age, subtract the amount of prematurity from the chronological age. (Occupational Therapy for Children by Case-Smith)