NBCOT Test Prep A_ Questions & Answers Summer 2022/2023. NBCOT Test Prep A_ Questions & Answers A1. An older adult with peripheral neuropathy resulting from the chronic effects of diabetes expresses concern over the ability to have a satisfying sexual relationship with a partner. Which is the most ...
an older adult with peripheral neuropathy resulting from the chronic effects of diabetes expresses concern over the ability to have
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NBCOT Test Prep A_ Questions & Answers.
An older adult with peripheral neuropathy resulting from the chronic effects of
diabetes expresses concern over the ability to have a satisfying sexual relationship
with a partner. Which is the most beneficial recommendation for the occupational
therapist to make to the older adult?
A. Experiment with different positions during sexual expression activities.
B. Focus on intact senses and areas of intact sensation.
C. Schedule sexual expression activities after rest periods.
D. Advise the older adult to accept decreased abilities in sexual expression as a
normal part of aging. Correct Answer: B
An individual with amyotrophic lateral sclerosis requires the use of an
environmental control unit (ECU) to access electrical devices and a personal
emergency response system. The individual lives alone and self-directs personal
care attendants to perform personal activities of daily living. During instruction to
the individual on the capabilities and use of the ECU, which is most important for
the occupational therapist to discuss with the client?
A. The ECU's back-up power source and charging instructions.
B. Additional assistive technology available.
C. Augmentative alternative communication options.
D. Funding for the ECU and assistive technology. Correct Answer: A
A nine-year-old child identifies the assembly of a model as the most desired play
activity. The occupational therapist determines that the child would have difficulty
completing the selected model. Which action is most effective for the therapist to
take during the next intervention session?
Allow the child to work on the model and provide maximum assistance as the child
completes the project.
A. Allow the child to work on the model and provide maximum assistance as the
child completes the project.
B. Explore with the child why completing the model is desired by the child and
provide alternative project choices.
C. Break the project down into accomplishable segments and instruct the child to
complete one segment at a time.
,D. Explain to the child several reasons why the selected model is not the best
choice for the child and provide alternative project choices. Correct Answer: C
A child with myelomeningocele meets the short-term goals of achieving functional
gross grasp and lateral pinch. After several additional weeks of occupational
therapy, the child does not meet the goals of demonstrating pincer grasp and three
jaw chuck. Consequently, the therapist modifies the child's intervention plan.
Which intervention is best to include in the revised plan?
A. Increase strength of lateral pinch as a basis to develop pincer grasp and three
jaw chuck.
B. Teach the child to use gross grasp and lateral pinch for functional activities.
C. Teach the child to use ulnar grasp for functional activities. Correct Answer: B
An individual attends an outpatient parenting skills group. The person has a history
of serious recurrent depression and is taking Nardil. The client complains of
recurrent headaches and difficulty focusing during the day (e.g., when helping
children with their homework). Which action is best for the occupational therapist
to make in response to the client's expressed concerns?
A. Instruct the client in stress reduction techniques.
B. Ask the group for suggestions on how to deal with the parenting stress of
homework.
C. Suggest that the individual consult with a nurse practitioner for headache relief
strategies.
D. Tell the client you will be notifying the psychiatrist of these complaints. Correct
Answer: D
A religious congregation obtained private funding to build a ramp so that members
with disabilities can attend services. The entrance to the congregation's building
has six steps with a rise of 7 inches each. Which is best for the occupational
therapist hired by the congregation to recommend for construction of this ramp?
A. 42 feet long with a 3′ × 3′ landing at the ramp's midpoint.
B. 48 feet long with a 3′ × 3′ landing at the ramp's midpoint.
C. 42 feet long with a 5' × 5' landing at the ramp's midpoint.
D. 48 feet long with a 5' × 5' landing at the ramp's midpoint. Correct Answer: C
A child with juvenile rheumatoid arthritis wears bilateral night resting splints with
wrists in 0° of extension, MPs and IPs flexed, ulnar deviation of 10°, and thumbs
in opposition. The child complains of pain in the wrists upon awakening. No
,redness is noted upon removing splints. Range of motion (ROM) measurements
show ulnar deviation of 5°. Which action should the occupational therapist take in
response to this complaint and these observations?
A. Modify the splints at the wrist.
B. Pad the ulnar aspect on the inside of the splints.
C. Discontinue the splints and monitor the status of pain for two weeks. Correct
Answer: A
A 15-year-old with asymptomatic HIV attends an outpatient clinic. The
occupational therapy protocol for patients diagnosed with HIV includes
presentation of information on safe sex. The adolescent's parents refuse to allow
this information to be presented to their child. Which is the best action for the
therapist to take in response to this situation?
A. Ask the adolescent's opinion and act on their refusal or consent.
B. Document that the parents refuse the intervention for their child.
C. Refer the family to the social worker for counseling.
D. Have the parents sign a waiver that they refused the intervention for their child.
Correct Answer: B
An individual who has Parkinson's disease presents with poor trunk rotation during
ambulation and while performing ADL. According to neurophysiologic
approaches, which is the most effective therapeutic intervention for the
occupational therapist to use with this person?
A. Facilitation of trunk rotation using neurodevelopmental handling techniques.
B. Slow rolling with the person supine with knees and hips flexed.
C. Engagement in ADL using diagonal patterns.
D. Provision of a rolling walker to compensate for limited rotation and enhance
mobility. Correct Answer: C
An individual who incurred a cerebrovascular accident (CVA) six months ago is
receiving outpatient occupational therapy to address residual cognitive-perceptual
deficits (i.e., unilateral inattention and spatial relations impairments). The
individual drives daily despite strong suggestions from family members to
discontinue this activity. The family members share their concerns about the
person's capabilities to drive safely with the occupational therapist. Which is the
best action for the therapist to take in response to these expressed concerns?
A. Report the individual to the department of motor vehicles.
, B. Suggest that the individual attends a driver training program.
C. Report the information to the physician.
D. Validate the family members' concerns about the individual's driving risk.
Correct Answer: C
Following a left CVA, an individual receives OT services at a sub-acute
rehabilitation facility. The patient's personal goal is to be independent in dressing.
The patient demonstrates decreased memory, poor sequencing skills, and ideational
apraxia. Which of the following is most effective for the therapist to provide when
teaching one-handed dressing techniques to this patient?
A. Step-by-step verbal instructions.
B. Sequenced photographs of the steps in dressing.
C. Physical prompts to initiate the steps in dressing.
D. A full length mirror for the client to observe self-dressing performance. Correct
Answer: C
An elementary school teacher has been recently diagnosed with multiple sclerosis
(MS). Which adaptation is best for the occupational therapist to recommend the
teacher use to accommodate for the effects of MS on classroom teaching?
A. The use of anchoring techniques to compensate for scanning deficits.
B. A daily list of tasks to compensate for cognitive deficits.
C. A motorized scooter to compensate for decreased endurance.
D. A high stool to compensate for lower extremity weakness. Correct Answer: D
An occupational therapist conducts an initial home visit to a family with a
premature infant who, at four months and 5 lbs., has just been discharged from the
hospital. The child has multiple developmental disabilities. Which is most
important for the therapist to do during this first session with the family?
A. Communicate effectively to develop a therapeutic relationship with the family.
B. Teach the family proper body mechanics for lifting the child.
C. Teach the family assertiveness training to develop advocacy skills.
D. Determine whether adaptive aids or positioning equipment is needed. Correct
Answer: A
A 3-year-old child with left spastic hemiplegia due to cerebral palsy is evaluated
for early intervention services. During the evaluation the occupational therapist
observes behaviors that seem to indicate the presence of visual deficits. Based on
these observations, which action should the occupational therapist take?
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