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NBCOT Level 1 Practice Questions and Insights.
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NBCOT Level 1 Practice Questions and Insights.
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NBCOT Level 1 Practice Questions andInsights.
C-
\Electrical modalities are CONTRAINDICATED in which of the following treatment
goals?
A. Promote muscle lengthening after tenolysis
B. Reduce recovery after nerve injury repair
C. Increase strength after pacemaker placement
D. Provide distraction for pain control in CRPS
transcutaneous electrical nerve stimulation (TENS) -
\Uses electrical current to decrease both acute and chronic pain; Provides constant
electrical stimulation with a modulated current that is directed to peripheral nerves;
Contraindicated for patients with a pacemaker or cardiac conditions
Neuromuscular Electrical Stimulation (NMES) -
\Uses electrical current to activate muscles; Applied through an electrode to the motor
point of innervated muscles to provide a muscle contraction; Stimulates and strengthens
recovery for nerve and muscle repair; Contraindicated for patients with a pacemaker or
cardiac conditions
A-
\An OTR is working with an elderly client in her home who was recently discharged from
the hospital. She lives alone and is able to ambulate in her house with a walker. Which
of the following environmental adaptations will MOST improve the safety of the client
when preparing meals at home?
A. Using a walker tray to transport items
B. Attach non-skid mats by the sink
C. Place items on the top shelf of the pantry
D. Use lightweight pots and pans
A-
\The OTR is planning an INITIAL intervention session with a client who is in the acute
manic phase of bipolar disorder. Which intervention strategy is MOST IMPORTANT to
achieve maximum participation?
A. Minimize environmental distractions during task performance
B. Allow the client to choose an activity of interest during therapy
C. Encourage self-expression and creativity in social groups
D. Talk to the client about the influence of mania on participation
D-
, \An OTR recently accepted a position in a community-based setting. The OTR
completed a needs assessment at the agency and determined clear needs and goals
for clients in this setting. What is the NEXT step the OTR should take to develop a
group protocol?
A. Gather background data on the community-based setting
B. Identify participants for the survey, focus group, interview
C. Analyze data and write a population profile for the agency
D. Plan group intervention sessions for the community agency
D-
\An OTR is completing an initial evaluation for a new client in an outpatient rehabilitation
setting. Currently the client lives alone and has a limited social support system to assist.
The client identifies difficulty with IADL tasks. The client does not want to rely on friends
for these tasks and hopes to become more independent. When preparing the initial
evaluation, which must be included in the clinical documentation for this client?
A. Final outcome measures
B. Intervention/progress notes
C. Follow up/contact notes
D. Client's referral for services
B-
\An OTR is working with a 3 year old boy with developmental delays. He appears to
have hypotonia and difficulty manipulating small objects during play. Which activity is
most effective to increase fine motor and object manipulation performance in this child?
A. Picking up beans repetitively and dropping them in a cup
B. Building an airport with blocks, roads, and planes with Legos
C. Doing the wheelbarrow and walking from one room to another
D-
\An OTR plans interventions for a client in the recovery phase of Guillain-Barre
syndrome. Which intervention approach is MOST effective to promote re-engagement in
occupations?
A. Activity tolerance training
B. Strength-training program
C. Communication devices
D. Role and task modification
C-
\A 58-year old mother was admitted to a skilled nursing facility to continue rehab
following a right internal carotid artery stroke. The client's OT notes from the hospital
indicate ideational apraxia is present. What behavior is the OTR most likely to observe
in this client during an ADL assessment at the SNF?
A. The client will not be able to understand verbal instructions to don a shirt
B. The client will have difficulty monitoring the quality of performance
C. The client will not know what to do with the shirt when it is presented
D. The client will not be able to put the left arm in the sleeve of the shirt
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