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Exam (elaborations)

NBCOT EXAM 3 QUESTIONS WITH COMPLETE ANSWERS

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NBCOT EXAM 3 QUESTIONS WITH COMPLETE ANSWERS

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NBCOT
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Uploaded on
April 16, 2025
Number of pages
142
Written in
2024/2025
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A young adult recovering from cardiomyopathy is being evaluated in outpatient
cardiac rehabilitation. The client achieved independence with BADL during inpatient
cardiac rehabilitation. Since discharge, the client relies on family and friends for
assistance with ADL. During the evaluation, the client walked slowly on a treadmill at
2.0 miles per hour for 20 minutes with normal cardiovascular response. What
interpretation can the OTR make based on the client's performance during this
portion of the evaluation?


A. Client is appropriately relying on assistance to help conserve energy during the
day.
B. Client is demonstrating malingering behaviors with caregivers at home.

,C. Client is following appropriate guidelines for ADL during this phase of recovery.
D. Client may not have a clear understanding of current physical abilities for ADL.


Give this one a try later!


Client may not have a clear understanding of current physical abilities for
ADL.




Is reality orientation (consistently re-orienting a patient) effective with patients with
dementia?


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no, re-orientation does not improve functional capabilities. this would only
highlight the client's deficits and increase caregiver stress




total quality management


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creation of an organizational culture that enables all employees to
contribute to an environment of continuous improvement




11. According to the Standards of Practice for OT, which best describes the role of the
COTA in client outcomes?
a. Develops a transition plan
b. Contributes to discontinuation plan - however unable to Ind. Discontinue a client
from OT.
c. Reduces the intensity of services
d. Interprets achieved outcomes

,Give this one a try later!


b. Contributes to discontinuation plan - however unable to Ind. Discontinue
a client from OT.




An OTA supervises a Level 11 Fieldwork student regarding the evulation that some
individuals attending the program magnify their symptoms to retain benefits;
therefore the validity of some evalautions measures may be compromised. Which
assessment tool does the OTA identify as providing the most valid results?
A. a volunteer
B. a dynamometer (all five positions)
C. a standardized pegboard test
D. a total active motion (TAM) evaluation


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a volunteer




An entry level OTR who works in a long-term care facility is screening a resident who
has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on
the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the
facility dining room but is embarrassed about frequently dropping assistive eating
devices and having several incidences of coughing while eating. What care
coordination task should the OTR complete FIRST?


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Coordinate with the multi-disciplinary team to identify specific feeding and
swallowing objectives.

, Scissor skills


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-interest in scissors 2-3 y/o
-holds & snips with scissors 2-3y/o
-open/close scissors in a controlled fashion 2-3 y/o
+manipulates scissors in a forward motion 3-4 y/o
-coordinates lateral directions of scissors 3-4 y/o
-cuts a straight forward line 3-4 y/o
+cut SIMPLE figure shapes 4-6 y/o
+cut COMPLEX figure shapes 6-7 y/o




10. An OTR works with elderly clients with low vision. A client with macular
degeneration is referred after substantial symptom progression and loss of vision. The
client's spouse states that for the past 3 months, the client has uncharacteristically
refused to participate in social activities, is frequently irritable and uncommunicative,
and is unwilling to perform personal care or routine risks.
a. Consider exporing assisted living alternatives
b. Insist that the client resume accompanying the spouse to bridge club and prepare
a snack to share with the club
c. Encourage the client to consult a mental health provider
d. Advise the client and spouse to seek professional counseling to adjust to the
inevitable changes in the marriage


Give this one a try later!


c. Encourage the client to consult a mental health provider




15. A COTA has established service competency for administration and scoring of the
Mini-Mental State Exam. Which supervision is the most appropriate for the OTR to

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