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PURPLE BOOK NBCOT PREP/801 QUESTIONS AND ANSWERS (A+)
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PURPLE BOOK NBCOT PREP/801 QUESTIONS AND ANSWERS (A+)
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PURPLE BOOK NBCOT PREP/801QUESTIONS AND ANSWERS (A+)
An OT is preparing to evaluate a toddler who has UE
orthopedic concerns. How will the OT MOST likely
obtain the majority of the initial assessment data?
a. measurement tools that assess visual-motor skills.
b. dynamometer and pinch meter readings.
c. Observation of a child during activities in the child-
care center.
d. Functional independence measures. - √Answer :C.
observation of a child during activities in the child-care
center.
Through observation of the child, the OT can collect
information about the child's motor performance skills
and participation in activities that require UE/hand skill.
Naturalistic observation is a method of ecologic
assessment which is a "primary mechanism for
obtaining data relevant to the child's performance
context." The other answer choices are all appropriate
choices after the child is old enough for these
assessments.
Quiz :During an initial eval, the OT suspects that a child
has somatodyspraxia. In what area should the OT focus
on the eval?
a. ability to print or write
b. reading competency
c. math calculations
d. new motor task planning - √Answer :D. New motor
task planning
,Somatodyspraxia is described as a deficit in learning
new motor skills, planning new motor actions, and
generalizing motor plans. Inability to print or write is
termed dysgraphia. Dyslexia means dysfunction in
reading, and dyscalculia is the term for inability to
perform mathematics.
Quiz :An OT working in a long-term care facility needs
to eval the long-term memory of a resident. Which of the
following methods is BEST for evaluating memory of
personally experienced events (declarative memory).
a. show the person a series of objects and ask him to
recall the objects within 60 seconds
b. ask the individual how he spent New Years.
c. have the individual state the place, date, and time.
d. ask the client to remember to bring a specific item to
the next therapy session. - √Answer :B. ask the
individual how he spent New Years
Declarative memory is one aspect of long term memory
and includes conscious memory of events, knowledge,
or facts. It is commonly assessed through verbal
interviews and informal testing such as asking a
question about a persons recall of personal events.
Working memory refers to the temporary storage of
information while one is attending to it (answer A).
Prospective memory involves the ability to remember
intentions or activities that will be required in the future
(answer D). Knowing time, date, and place is
orientation.
,Quiz :A child avoids playground equipment that requires
her feet to be off the ground. What does this behavior
MOST likely indicate?
a. difficulty modulating proprioception
b. somatodyspraxia
c. gravitational insecurity
d. bilateral integration/sequencing deficits. - √Answer :C.
Gravitational insecurity.
gravitational insecurity is described as fear response to
movement. Tactile defensiveness (answer A) is a term
used to describe discomfort with various textures with
unexpected touch. Somatodyspraxia interferes with
development of bodyscheme and awareness. Bilateral
integration relates to ability to coordinate, sequence,
and execute motor actions quickly and efficiently.
Quiz :When the OT suspects tactile defensiveness as a
rational for a child's challenges, in what area of
participation should the OT focus on FIRST?
a. play behavior
b. dressing habits
c. social skills
d. leisure interests - √Answer :b. dressing habits
Children with tactile defensiveness are bothered by
tactile aspects of ADLs including specific types of
clothing. The child may avoid wearing certain clothes.
Conversely, some children may never take their shoes
off to avoid tactile stimulation. Play behavior and social
skills could be affected secondarily as a result of
intolerance to certain textures or human touch.
, Knowledge of the child's dressing habits will give the OT
key information at the start of the evaluation process.
Quiz :An OT is working with an individual with
schizophrenia who is in the process of preparing to
move from a state hospital to a group home. During a
baking group, the client becomes agitated and leaves
the room when another client uses the electric hand
mixer to mix the cake batter, and again when two clients
begin to argue loudly about which type of icing to use.
How would the OT BEST describe this behavior?
a. low registration
b. sensory avoiding
c. sensory seeking
d. a hearing impairment - √Answer :b. sensory avoiding
The individual's actions are indicative of sensory
avoiding behavior, characterized by low threshold to
stimuli perceived as noxious, followed by an active
response such as leaving the room. Individuals with
sensory avoiding behavior may become distressed in
situations in which they cannot control the environment.
An individual with low registration, sensory seeking
behavior, or a hearing impairment would not have
difficulty with the auditory stimulation.
Quiz :During a self-care eval of an individual who
recently sustained a brain injury, the OT instructs the
individual to comb his hair immediately after he washes
his face. The individual washes his face quickly, but
then the therapist must give him several reminders to
comb his hair. The OT is MOST likely to identify this as
a deficit in what area?
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