Exam (elaborations)
NBCOT 2024
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Exam of 83 pages for the course NBCOT at NBCOT (NBCOT 2024)
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NBCOT 20241. The director of OT services for a large metropolitan home health agency is
conducting a supervisory visit and notices the OTR is writing progress notes
on a persona electronic tablet. OT is excited about using tablet and shares
with the director that it saves a great deal of time. Most appropriate
response from director?
a. Applaud the OT for using technology efficiently
b. Develop a policy prohibiting the use of personal electronic tablets for note
writing
c. Ask the OT to describe the use of electronic recording to the other OT at
the agency
d. Ask home health clients for their opinions regarding electronic record
keeping - CORRECT ANSWERS-b. Develop a policy prohibiting the use of
personal electronic tablets for note writing
A patient in a rehabilitation facility has a complete C8-T1 spinal cord injury.
The patient is learning techniques to maximize independence with dressing.
Which technique should the OTR teach the patient to use to support progress
toward this goal?
a. Put on undergarments and trousers in bed, then transfer to a wheelchair
to complete upper body dressing
b. Use a universal cuff with a button-hook and zipper-pull to fasten front-
opening clothing
c. Wear a wrist-driven flexor hinge splint for pulling on and fastening clothing
d. While supine in bed, put on socks and shoes; then put on underpants and
trousers by rolling side to side in bed - CORRECT ANSWERS-Put on
undergarments and trousers in bed, then transfer to a wheelchair to
complete upper body dressing
2. An OTR is reviewing hard-copy of client charts before a group session.
While reviewing the charts, the OTR receives an urgent phone call and must
leave the chart room. How can the OTR ensure that the charts remain
protected during the OTR's absence?
a. Close the charts and stack them on the table
b. Lock the door to the chart room
c. Cover the charts with other documents to obscure them from view
d. Close the charts and return them to their original secure location -
CORRECT ANSWERS-d. Close the charts and return them to their original
secure location
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,3. An OTR is working in an outpatient setting and observes a COTA setting up
electrical stimulation on a patient with a significant cardiac history, including
a pacemaker. - CORRECT ANSWERS-c. Stop the COTA from proceeding,
check the eval and treatment plan and if needed review physical agent
modalities and appropriate use
When considering the readiness of a client for a power wheelchair, the OTR
should primarily be concerned with? - CORRECT ANSWERS-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
While reviewing work hardening program documentation, an OTR 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 OTR
amend the client's medical record to include a summary of the meeting?
a. back-date the entry to correspong to the actial date of the meeting
b. insert a summary of the meeting into the margins of the client's medical
record.
D. Enter the information as a late entry into the client's medical record. -
CORRECT ANSWERS-D. Enter the information as a late entry into the client's
medical record.
An OTR who has passed the initial NBCOT exam has decided not to be
recerified through NBCOT. Which consequences will result from the OTR
decision?
a. the OTR will not be allowed to practice OT in the USA
b. The OTR practice opportunities and credentials will remain unchanged
c. the OTR may practice OT in the state that does not require certification,
but the OTR's credential will change
d. the OTR may practice OT in a state that does not require certification and
the OTR credentials will not change - CORRECT ANSWERS-c. the OTR may
practice OT in the state that does not require certification, but the OTR's
credential will change
6. A COTA decides that a client has returned to the previous level of function
and continued OT services are no longer needed. Best way to discharge
patient?
a. COTA sets a last tx day, provides home exercise program and review
progress with the patient while completing the discharge notes
b. COTA alerts the OTR and the OTR review the documentation discusses
the patient's progress and response to intervention, and collaborates on a
last tx day
c. COTA notified the OTR who meets with the patient to discuss potential
discharge from therapy, the OTR proceeds the discharge
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, d. COTA sets a last tx day, provides a home exercise program and home
safety packet, and reports final notes on functional levels to the OTR -
CORRECT ANSWERS-b. COTA alerts the OTR and the OTR review the
documentation discusses the patient's progress and response to
intervention, and collaborates on a last tx day
COTA working on an inpatient rehab has had 2 patients fall in last month.
OTR has concerns about the COTA's safety awareness during certain
interventions. Which approach is the best for the OTR?
a. speak with the rehab manager about possible disciplinary action
b. review the documentation of the 2 patients who fell and discuss their
cases thoroughly with the COTA to determine cause of the falls
c. ask the COTA whether more thorough supervision is needed and then
proceed to provide close supervision
d. collaborate with the COTA to determine potential causes of the falls and
provide direct supervision with more deliberate feedback - CORRECT
ANSWERS-d. collaborate with the COTA to determine potential causes of the
falls and provide direct supervision with more deliberate feedback
An OTR is supervising an OT student for Level II FW. The OTR notices that the
student did not gather complete info. Regarding a client's Occ. History.
Which comment best represents effective feedback?
a. "you missed some info when you were recording the client's occ. History
b. "in the future, you need to ask better questions about the client's occ.
History
c. "in the future, you may want to use a checklist to ensure that your occ.
History interviews are comprehensive.
d. you should practice doing occ. History interviews - CORRECT ANSWERS-c.
"in the future, you may want to use a checklist to ensure that your occ.
History interviews are comprehensive.
An adolescent referred for OT has oppositional defiant disorder. During the
initial interview, the parent reports that the youth never listens to requests,
become angry several times a day, blames mistakes on an older sibling.
Which area is most related?
a. ADLs
b. Rest and Sleep
c. Leisure
d. Social participation - CORRECT ANSWERS-d. Social participation
An OTR is working in a school with high incidence of violence in the district
with increasing numbers of students diagnosed with ODD. The
superintendent announces the formation of a task force to study the
problem. Which response to the announcement would be best?
a. document the progress of the OTR has made with students with ODD to
justify continuing work with these students
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, b. increase the frequency of visits to the students on the OTR caseload with
his diagnosis because the task force will scrutinize intervention with these
students.
c. research intervention strategies to make sure that the intervention the
OTR has been providing to these students is considered
d. contact the superintendent and request to be appointed to a seat on the
task force to study violence and incidence of ODD. - CORRECT ANSWERS-d.
contact the superintendent and request to be appointed to a seat on the task
force to study violence and incidence of ODD.
When working with a client with chorninc pain, the OTR needs to set a tone
that will facilitate a therapeutic relationship with the client. Which statement
sets an open and appropriate tone when working with a client who has
chronic pain?
a. your pain is all in your head. All you have to do is ignore it
b. I have pain when I wake up in the morning. I have arthritis. It usually
takes a while before it gets any better. Maybe you should try to exercise in
the morning to get things moving like I do
c. I realize that you are in pain. Lets try this activitiy and see what happens.
If you need to stop, let me know, but I would like to see you push yourself.
d. I think we should slowly increase the time you are spending at work-
related tasks - CORRECT ANSWERS-c. I realize that you are in pain. Lets try
this activitiy and see what happens. If you need to stop, let me know, but I
would like to see you push yourself.
- CORRECT ANSWERS-
An OTR is working with an adult client with sensory processing difficulties
who finds it uncomfortable to commute to a job via train because of the
noise of the train and of other passengers talking. Which environmental
modification would be appropriate?
a. encourage the client to obtain a driver's license and avoid train
b. petition the train to set off a section of silence
c. recommend the use of noise-cancelling headphones with a device that
plays music or books the client enjoys
d. get a closer job - CORRECT ANSWERS-c. recommend the use of noise-
cancelling headphones with a device that plays music or books the client
enjoys
1. An OTR is working to establish a therapeutic relationship with a client in a
skilled nursing facility. Which consideration is the MOST important in
establishing an effective relationship?
a. The OTR has the power to determine the goals
b. The client is an informed equal in the relationship
c. The OTR is solely responsible for any positive outcomes
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