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NBCOT OTR Exam Prep Questions and Answers
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NBCOT OTR Exam Prep Questions andAnswers.
OTR Study Guide Domain 1: Practice Test
An OTR who works in an elementary school is preparing to evaluate a student in fifth
grade who has a learning disability and ADHD. Which standardized assessments would
be MOST EFFECTIVE for the OTR to include as part of the evaluation process? -
\Bruininks-Oseretsky Test of Motor Proficiency (BOT) and Evaluation Tool of Children's
Handwriting (ETCH)
These assessment tools are used to measure skills and abilities that are associated
with school-related occupational performance.
A 2-year-old toddler, who has a developmental delay, recently learned to release a 2-
inch (5.08 cm) ball into a large toy box. What fine motor skill should the OTR work on
NEXT? -
\Complete a 3- to 4-piece puzzle.
In the development of play occupations, a child who is able to release an object into a
toy box would NEXT be expected to be able to put together a 3- to 4-piece puzzle.
O'Brien, J. C., & Kuhaneck, H. (2020). Case-Smith's Occupational therapy for children
and adolescents (8th ed., p. 118). St. Louis, MO: Elsevier.
An OTR is evaluating an inpatient who recently had a severe TBI and is emerging from
coma. The patient is functioning at a Level III (Localized response) on the Rancho Los
Amigos scale. Which is the FIRST cognitive function the OTR should assess? -
\Level of arousal
A component of the evaluation for a patient who is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale is to screen the patient's level of arousal
and alertness.
Domain 1: Practice Test
An OTR is developing an intervention plan using a bottom-up approach for clients who
have hemiplegia and hemi-neglect secondary to having a CVA more than one year ago.
Which of the following intervention techniques has evidence supporting its efficacy for
reducing the effects of "learned non-use" through cortical reorganization? -
\Constraint-induced movement therapy (CIMT)
This is an evidence-based functional approach for promoting use of a hemiparetic upper
extremity.
,OTR Study Guide Domain 1: Practice Test
For a typically developing child, which postural reflex becomes evident between 6-9
months of age and continues throughout life? -
\Forward protective extension
Forward protective extension is a postural reflex that typically becomes evident between
6-9 months of age and continues throughout life.
Which activity involves the use of a closed kinetic chain movement of the upper
extremity? -
\Pulling up on an overhead trapeze during bed mobility
other examples: WRONG
Hand-to-mouth patterns used for self-feeding
Lifting a suitcase off the floor to carry by the handle
This closed kinetic chain movement includes the distal upper extremity being stabilized
and in constant contact with the trapeze.
OTR Study Guide Domain 1: Practice Test
An OTR is assessing the reflexes of a 4-month-old infant. The OTR places the infant in
a sitting position and encourages the infant to actively flex the neck forward to look at an
object held near the infant's chest. Which of the following responses to this movement
indicates the presence of the symmetrical tonic neck reflex? -
\Flexion of the upper extremities and extension of the lower extremities
This movement pattern indicates the presence of the symmetrical tonic neck reflex
(STNR).
OTR Study Guide Domain 1: Practice Test
Which option represents the MOST EFFECTIVE method to screen an 8-month-old
infant for neck-on-body automatic righting reaction? -
\Place the child in a supine position and observe body movements while rotating the
child's head to one side and then to the other.
This method describes the stimulus, response and reaction associated with testing for
neck-on-body automatic righting reaction.
OTR Study Guide Domain 1: Practice Test
A 2-year-old child has developmental delay due to mild spastic cerebral palsy. The child
has mastered four-point positioning. Which movement component should the OTR plan
to facilitate NEXT? -
\Rocking on hands and knees
,In the developmental sequence of gross motor development and mobility skills, a child
who has mastered four-point positioning would be expected to progress to rocking on
hands and knees NEXT.
An OTR working in an inpatient mental health setting is using a cognitive behavioral
approach to select an intervention activity for a young adult undergoing treatment for
symptoms associated with body dysmorphic disorder. The patient is employed in a
successful career and enjoys outdoor activities such as jogging and hiking, but has
difficulty forming and maintaining interpersonal relationships. One of the patient's goals
is to improve self-image and the ability to express feelings. Which activity would be
MOST BENEFICIAL to include as part of the intervention for supporting this goal when
using this approach? -
\Teaching the patient to use a dysfunctional thought record for describing distressing
situations and emotional responses
Having the client maintain a journal of distressing events and associated feelings or
thought processes is integral to a cognitive behavioral approach.
OTR Study Guide Domain 1: Practice Test
An OTR is using a top-down approach to select interventions for a client who has
unilateral neglect secondary to a CVA. Which intervention would be MOST
BENEFICIAL to include as part of the client's intervention when using this approach? -
\Place commonly used toiletry items to the client's affected side during self-care tasks.
This represents a top-down approach because it focuses on a strategy the client can
use in everyday life.
Top Down Approach:
The occupational therapist evaluates the patient's functional status in relation to his or
her daily occupations and develops the treatment plan based on the patient's ability to
participate in those occupations. To acquire or restore the skills necessary to participate
in occupation.
To maximize existing skills and adapt activities to allow independence in occupation.
Addresses functional performance. Treatment goals address participation in functional
activity at the existing level of disability.
OTR Study Guide Domain 1: Practice Test
An inpatient in a rehabilitation setting sustained a C7 spinal cord injury 2 months ago.
One of the patient's goals is to be able to prepare family meals when discharged home.
What INITIAL action should the OTR complete to support the patient's success with this
goal? -
, \Identify the patient's typical mealtime routines and habits.
An integral part of developing a client-centered intervention plan is to learn about the
client's typical mealtime routines and habits.
OTR Study Guide Domain 1: Practice Test
An OTR working in an outpatient setting is completing an initial interview with an older
adult client who has recently been diagnosed with a progressive neurological disease.
What method should the OTR use during the course of the interview to communicate
effective listening and client-centered understanding? -
\Share examples of adaptations that help to overcome adversity.
The OTR is demonstrating client-centered practice by using active listening skills and
encouraging the client to continue to participate in the discussion.
Which dressing task requires the MOST challenging integration of performance skills
and patterns for a typically developing 3-year-old child? -
\Unfastening the zipper of a front-opening jacket
This skill requires a complex integration of visual and somatosensory systems that
typically develops by the third year of age.
OTR Study Guide Domain 1: Practice Test
A client who has schizophrenia is participating in OT to improve functional living skills.
The client's goal is to be able to independently prepare family meals. The client has
successfully used a checklist strategy to gather and keep track of items while preparing
a simple cold snack. Which of the following tasks would present a "just right" challenge
when using the checklist strategy to progress towards the client's goal? -
\Setting the dining table for a group meal
Results from an analysis of the task the client has mastered (gathering and keeping
track of items while preparing a simple cold snack) and the task of setting the table for a
group meal demonstrates that the tasks have similar demands. To successfully
implement the checklist strategy during meal preparation, the client will benefit from
using it across multiple task components and contexts.
OTR Study Guide Domain 1: Practice Test
Which of the following options represent a condition that requires close monitoring of a
client's wound due to having the GREATEST risk for infection?
A.Vascular ulcer left uncovered during healing
B.Abdominal surgical wound left open to heal
C.Traumatic laceration immediately closed with clips for healing -
\Abdominal surgical wound left open to heal
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