NBCOT Prep Exam 190 Questions with Correct Answers.
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NBCOTPrepExam190QuestionswithCorrect
Answers.
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 sh...
NBCOT Prep Exam 190 Questions with Correct
Answers.
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 Answer 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 Answer A. The cognitive behavioral approach assumes
that a person's cognitive function and beliefs influence their behavior, and that by helping
a person 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 Answer A. is the option that demonstrates
directive 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 Answer 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 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 Answer 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
C. Occupational role checklists administered at the start and then several months after
completion of the program
D. Standardized, norm-referenced or criterion-referenced occupation-based
assessments - Correct Answer B. is the only qualitative study. All other options are
quantitative.
An OTR has completed an initial evaluation of an 18-month-old child who has
hypotonicity. The child's mother reports the child does not crawl and resists being placed
in a hands and knees crawling position. During the evaluation the child is able to maintain
head control, roll, and sit unsupported for several minutes. After the OTR places the child
in a crawling position, the child is able to maintain the position for about 30 seconds. The
child does not spontaneously initiate locomotion. What statement accurately reflects the
child's current motor skills?
, A. The child exhibits tactile hypersensitivity that impacts the child's ability to maintain
postural stability.
B. The child has decreased postural stability for completing developmentally appropriate
gross motor tasks.
C. The child has the ability to initiate transitional movement patterns and achieve
developmentally-appropriate locomotion.
D. The child has the p - Correct Answer B. by 18 months, a child should be able to stand
and initiate locomotion.
It is not A. because there is no evidence of patient being hypersensitive during other
assessments.
It is not C because prompt states patient is unable to spontaneously initiate locomotion
It is not D because the client is below age-appropriate level in motor abilities
An occupational therapist is working in an outpatient orthopedic clinic. During the patient's
history the patient reports, "I tore 3 of my 4 Rotator cuff muscles in the past." Which of the
following muscles cannot be considered as possibly being torn?
A: Teres minor
B: Teres major
C: Supraspinatus
D: Infraspinatus - Correct Answer A. is not part of the rotator cuff muscles.
An occupational therapist at an outpatient clinic is returning phone calls that have been
made to the clinic. Which of the following calls should have the highest priority for medical
intervention?
A: A home health patient reports, "I am starting to have breakdown of my heels."
B: A patient that received an upper extremity cast yesterday reports, "I
can't feel my fingers in my right hand today."
C: A young female reports, "I think I sprained my ankle about 2 weeks ago."
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