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NBCOT Occupational Rehabilitation Exam Prep With Detailed Answers.
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NBCOT Occupational RehabilitationExam Prep With Detailed Answers.
A client with a learning disability is interested in exploring work opportunities after high
school graduation. The client has difficulty sequencing more than three-step directions
and lacks attention to detail. Which option would be considered a component of the
student's transitional program plan?
A. Completion of a transition-related evaluation by a vocational rehabilitation counselor
to identify the student's strengths, weaknesses, and interests
B. Completion of a job site analysis with physical demands to determine the feasibility of
the client's performing specific tasks
C. Provision of written directions to complete a three-step task and use of samples to
promote problem solving
D. Situational observation, interview, and activity analysis to determine a match
between the client's abilities and expected performance -
\D. Situational observation, interview, and activity analysis to determine a match
between the client's abilities and expected performance
While reviewing work hardening program documentation, a COTA® realizes there is no
entry in the client's medical record of a meeting conducted with the insurance case
manager, client, and client's employer regarding light-duty options. According to best
practice guidelines, how should the COTA®amend the client's medical record to include
a summary of the meeting?
A. Back-date the entry to correspond to the actual date of the meeting, and insert a
summary of the meeting into the client's medical record.
B. Insert a summary of the meeting into the margins of the client's medical record.
C. Use correction tape or fluid to correct the client's medical record and insert details of
the meeting in the proper sequence.
D. Enter the information as a late entry into the client's medical record. -
\D. Enter the information as a late entry into the client's medical record.
An OTR® is evaluating a construction worker who recently experienced radial wrist pain
in the right dominant hand. The worker has been unable to perform the duties of the job
and is working light duty. The COTA® is collaborating with the OTR® for writing goals
for the worker. Which short-term goal would be BEST, using the RUMBA tool for goal
writing?
A. Client will improve work tolerance use of right hand and wrist to lift 5 lb. bucket within
2 weeks.
B. Client will receive ultrasound twice daily to radial wrist area for 2 weeks to reduce
pain.
C. Client will demonstrate improved functional score on the Jebsen-Taylor Hand
Function Test within 2 weeks.
D. Client will be able to type 2 minutes using right wrist cockup splint within 2 weeks. -
, \A. Client will improve work tolerance use of right hand and wrist to lift 5 lb. bucket within
2 weeks.
Which setting is MOST effective for job coaching with an adult client with mental illness?
A. Sheltered workshop
B. Community-based services
C. Work readiness program
D. Workplace environment -
\D. Workplace environment
Which SOAP-format statement would be appropriate and objective in documenting a
client's return-to-work modified duty program?
A. The client stated, "My grip strength is not the same as it was before, but my work
gets done."
B. The client has decreased grip strength in the right hand of 15 lb with a standard
dynamometer measure.
C. The client's medical history includes a recent work injury resulting in a distal radius
fracture and high blood pressure.
D. The client has decreased grip strength in the left hand, limiting the client's ability to
operate the machine handle. -
\B. The client has decreased grip strength in the right hand of 15 lb with a standard
dynamometer measure.
A client who suffered a stroke would like to return to work as a computer specialist. The
OTR® asks the COTA® to explain vocational evaluation to the client. What explanation
should the COTA® provide to the client?
A. Vocational evaluation determines the essential functions of a job area to conduct
work tolerance screenings.
B. Vocational evaluation identifies safety risks that may impede a worker's ability to
complete job tasks.
C. Vocational evaluation assesses a client's readiness, skills and ability to engage in a
particular occupation.
D. Vocational evaluation establishes the organization's compliance with the Americans
With Disabilities Act. -
\C. Vocational evaluation assesses a client's readiness, skills and ability to engage in a
particular occupation.
A dental hygienist is referred to occupational therapy for establishment of a work
conditioning program after carpal tunnel release 1 month ago. The client is anxious to
return to work but fearful of reinjury. Which intervention is MOST appropriate to include
in the client's work conditioning program?
A. Instructing the client in median nerve gliding exercises
B. Instructing the client in ulnar nerve gliding exercises
C. Guiding the client in progressive resistive exercises using therapy putty
D. Writing simulated client progress notes -
\A. Instructing the client in median nerve gliding exercises
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