NBCOT PRACTICE QUESTIONS 2024 VERIFIED QUESTIONS AND ANSWERS
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Course
NBCOT
Institution
NBCOT
Entry into the early intervention system begins with which of the following?
A. Screening for developmental delay
B. Individualized Family Service Plan
C. Screening for family environmental risk factors
D. Individualized Education Plan (IEP) - CORRECT ANSWER A. A family is referred for a...
NBCOT PRACTICE QUESTIONS 2024 VERIFIED
QUESTIONS AND ANSWERS
Entry into the early intervention system begins with which of the following?
A. Screening for developmental delay
B. Individualized Family Service Plan
C. Screening for family environmental risk factors
D. Individualized Education Plan (IEP) - CORRECT ANSWER A. A
family is referred for an early intervention screening at which a
developmental therapist or OT screens the child to determine if a full
assessment is necessary. (Pediatric Occupational Therapy and Early
Intervention by Case-Smith)
In the assessment phase of early intervention, an OT assesses the daily living
skills of an infant. In the context of early intervention, the areas that are
being assessed are:
A. Feeding and sleeping patterns
B. Play and leisure patterns
C. Motor development patterns
D. Sensory development patterns - CORRECT ANSWER A. Daily living
skills in infants refer to self-sustaining skills, such as feeding and sleeping.
Sleep patterns can be evaluated from the parent's description of a typical day.
Daily living skills also refer to bathing and dressing, but this is as it involves
,NBCOT PRACTICE QUESTIONS 2024 VERIFIED
QUESTIONS AND ANSWERS
the parents. (Pediatric Occupational Therapy and Early Intervention by
Case-Smith)
An assessment team in early intervention has completed an evaluation of a
toddler. In compiling the Individualized Family Service Plan, the goals
should be determined by the:
A. Service coordinator for the case
B. Therapists from each discipline
C. Reimbursing agency
D. Parents - CORRECT ANSWER D. Although therapists suggest goals
based on the evaluation process, ultimately a child's parents decide which
goals will be included and which goals are a priority. Goals that relate
specifically to the family's concerns about the care of their child are included
in the plan. If therapists have other goals, these can be added with parental
consent. (Pediatric Occupational Therapy and Early Intervention by Case-
Smith)
In early intervention there are different types of risk factors. A child with
Down syndrome is an example of:
A. Biological risk
B. Environmental risk
,NBCOT PRACTICE QUESTIONS 2024 VERIFIED
QUESTIONS AND ANSWERS
C. Established risk
D. Recurring risk - CORRECT ANSWER C. Children with known
chromosomal, structural, or metabolic defects are classified as having
established risk. (Pediatric Occupational Therapy and Early Intervention by
Case-Smith)
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. Underresponsiveness
D. Aversion to movement - CORRECT 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 hyperresponsiveness 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:
, NBCOT PRACTICE QUESTIONS 2024 VERIFIED
QUESTIONS AND ANSWERS
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 - CORRECT 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 - CORRECT 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)
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