NBCOT Practice Exam Questions with
100% Correct Answers | Updated 2024 |
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An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho
Level VII. What charcteristic of an individual's cognitive behavioral function is typically included
in the description of this level? ✔✔Consistent orientation to time and space. Patients at this
level frequently display robot-like behaviors and require minimal assistance for routine ADL.
Cognitive Behavioral Therapy ✔✔The individual can change their behavior by first
challenging their negative assumptions (cognitions) relating to trigger events.
If a client presents with a boutonniere type deformity, what is the most likely
cause? ✔✔Rupture or lengthening of the central slip of the EDC
Rupture of the flexor digitorum superficialis tendon or lengthening of the lateral slips of
the EDC may result in... ✔✔swan neck deformity
,An OTR who receives a referral for a 5 yr old with PDD should first gather background
information on the child by: ✔✔discussing the child's history with the caregiver to identify
the child's present level of performance in different occupational roles
When considering the readiness of a client for a power wheelchair, the OTR should primarily be
concerned with ✔✔Cognitive ability, to ensure that the individual has the awareness, problem
solving, and decision making capabilities to learn how to consistently and safely operate the
chair
agoraphobia ✔✔a morbid fear of open spaces (as fear of being caught alone in some public
place)
During an OT session at an outpatient facility, the client states that being injured has caused
considerable stress at home. The client often feels frustrated and angry and reports a concern
for having to physically discipline her children. The FIRST action that the OTR should take is to:
✔✔further explore the situation since the child may be at risk. Gathering specific information
about the client's comment is critical due to the seriousness of the accusation. Therapists are
required by law to report any situation where abuse is suspected. Documentation occurs after
all information is obtained from the individual. More information is needed before any action
is taken.
According to SI frame of reference, tx is most effective when: ✔✔a child directs his or her
actions within an environment structured by an OTR that provides the just-right challenge. The
child's skills and abilities are facilitated in an environment where the child is directing their
participation in activities
, An individual who is referred to OT to increase socialization and develop leisure skills sits alone,
despite the active involvement of the other group members. To increase the individual's
involvement in the group, the OTR's MOST APPROPRIATE FIRST action would be to ✔✔review
the goals and purpose of the group with the individual. In order for the individual to become
involved in a group process, the group norms and expectations must first be explained to the
client.
The BEST position in which to feed an 8-month old with severe hypotonia is ✔✔semireclined
with the neck in neutral and head at midline. This will promote correct alignment of body parts
during feeding and requires minimal active muscular control
An individual has difficulty conceptualizing and organizing future events, and is experiencing
decreased feelings of competence. The BEST treatment intervention is to have the
individual: ✔✔prioritize short term goals with a high chance of success. Feelings of
competence are enhanced by successful progression toward achievable goals
A 15 month old child with motor delays is able to get into a sitting postition, but does not pull
up to standing. Which developemental milestone is the OTR MOST LIKELY to emphasize next?
✔✔Creeping - The Developmental Frame of Reference suggests that once a child has
achieved the developmental skill of sitting, the next skill to achieve is creeping.
Before recommending purchase of adapted switches for a 3 year old with severe cerebral
palsy, the OTR must FIRST: ✔✔determine goals - considering how a new piece of equipment
will fit into a person's occupational roles should be the first consideration for identifying
equipment needs
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