Exam (elaborations)
NBCOT: PRACTICE QUESTIONS AND ANSWERS
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NBCOT: PRACTICE QUESTIONS AND ANSWERS
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NBCOT: PRACTICE QUESTIONS AND ANSWERS1. 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 -
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 - 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 - Answers -d. Close
the charts and return them to their original secure location
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. -
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? - 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. - 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 - 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
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 - 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 - 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 - 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 - 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
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. - 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 -
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.
, - 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 - Answers -c. recommend the use of noise-cancelling headphones
with a device that plays music or books the client enjoys
7. An extremely agitated pt. is admitted to an inpatient psychiatric hospital late on a
Friday afternoon. Because nursing is short staffed, the nurse on the unit requires that
the patient attend an OT group being led by a COTA that evening. The COTA calls the
OTR who is working at a location far from the unit, for guidance. The OTR is unable to
return to the unit in time to evaluate the patient. What should the OTR recommend to
the COTA?
a. Allow the patient to attend the group
b. Do no allow the patient to attend the group
c. Cancel the group and eval. The client
d. Allow the patient to attend the group with the understanding that the OTR will
complete the eval on returning to the unit. - Answers -b. Do no allow the patient to
attend the group
8. An entry-level COTA begins working at a long-term care facility and needs direct
continuous supervision. Which statement BEST describes this type of supervision?
a. The COTA and supervising OTR are in the rehab. Gym, the OTR observes the
COTA's performance
b. The COTA and OTR meet at the end of the day to discuss the COTA's caseload and
review documentation
c. The supervising OTR is in the facility but in another area
d. The COTA emails or texts the OTR questions throughout the day as needed, and the
OTR reviews the COTA's documentation regularly. - Answers -a. The COTA and
supervising OTR are in the rehab. Gym, the OTR observes the COTA's performance
9. According to the Standards of Practice for OT, which task can the COTA complete in
the eval. Process?
a. Respond to the initial referral request
b. Interpret and document the eval results
c. Perform delegated assessments using current tools
d. Make recommendations to other professionals - Answers -c. Perform delegated
assessments using current tools
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