NBCOT Ethics Exam Prep Questions and Answers
A participant in a research study who has provided informed consent tells the COTA® that she wants to withdraw. Which ethical principles require the COTA to bring the conversation to the attention of the primary investigator (PI)?
A. Fidelity and Vera...
NBCOT Ethics Exam Prep Questions
and Answers
A participant in a research study who has provided informed consent tells the COTA®
that she wants to withdraw. Which ethical principles require the COTA to bring the
conversation to the attention of the primary investigator (PI)?
A. Fidelity and Veracity
B. Veracity and Justice
C. Autonomy and Fidelity
D. Autonomy and Justice - answer C. Autonomy and Fidelity
According to the AOTA Ethics Commission's advisory opinion on balancing patient
rights and practitioner values, when is it ethically acceptable for an occupational therapy
practitioner to refrain from providing services?
A. When the environment poses a clear threat to the practitioner's safety
B. When a client uses repugnant, harsh, or inappropriate language
C. When the moral values of the client and practitioner are clearly in conflict
D. When the practitioner feels an overwhelming aversion to the client - answer A.
When the environment poses a clear threat to the practitioner's safety
A client with Parkinson's disease is experiencing bradykinesia and reports decreased
ability to move from sitting to standing. What strategy should the COTA® recommend?
A. Consistent use of a short self-cue, such as "rise," each time the client needs to stand
B. Use of a standard walker for transferring between surfaces in the household
C. Strengthening of bilateral lower extremities in collaboration with another discipline
D. Education on the need for a caregiver to be available for functional mobility - answer
A. Consistent use of a short self-cue, such as "rise," each time the client needs to stand
What MUST a client have in order to provide informed consent of occupational therapy
services? Select the 3 BEST choices.
A. Ability to verbally communicate consent
B. Access to a health care proxy to make decisions
C. Information for making decisions about care
D. Capacity to understand information
E. Ability to sign a document indicating consent
F. Voluntary freedom to make choices about care - answer C. Information for making
decisions about care
D. Capacity to understand information
F. Voluntary freedom to make choices about care
In the waiting room of an occupational therapy clinic, a COTA® places fliers
containing an invitation to worship at the church where the COTA is a deacon. The fliers
contain a photo of the COTA and a caption stating, "Come join Deacon [Name], COTA,
,for worship this Sunday." The clinical director finds and removes the fliers. Which
statement in the Occupational Therapy Code of Ethics (2015) provides the BEST
rationale for removing the fliers?
A. Occupational therapy personnel shall . . . avoid dual relationships, conflicts of
interest, and situations in which a practitioner, educator, student, researcher, or
employer is unable to maintain clear professional boundaries or objectivity.
B. Occupational therapy personnel shall . . . refrain from actions that reduce the public's
trust in occupational therapy.
C. Occupational therapy personnel shall . . . make every effort to promote activities that
benefit the health - answer A. Occupational therapy personnel shall . . . avoid dual
relationships, conflicts of interest, and situations in which a practitioner, educator,
student, researcher, or employer is unable to maintain clear professional boundaries or
objectivity.
A client with Parkinson's disease has difficulty initiating performance of ADLs. Which
intervention is BEST for this client?
A. Written directions for steps in an unfamiliar task
B. External cues and repetition for resuming task completion
C. Consistent self-cueing for resuming task completion
D. No external cueing and use of problem solving to resume tasks - answer B.
External cues and repetition for resuming task completion
A COTA® has been working with a child for several months when the child's parent
asks the COTA to come over for dinner. What should the COTA consider when making
the decision to attend dinner with the parent? Select the 3 BEST choices.
A. The COTA should avoid situations that could interfere with objectivity.
B. The COTA must provide services fairly and equitably, and having dinner could
suggest bias toward the client.
C. Refusing the invitation could make the parent unhappy with the COTA's services.
D. The COTA should suggest that the parent ask the OTR to dinner instead in this
situation.
E. Having dinner with the parent could make it difficult to maintain clear professional
boundaries.
F. Referring the client to another practitioner for continued occupational therapy is
appropriate under the circumstances. - answer A. The COTA should avoid situations
that could interfere with objectivity.
B. The COTA must provide services fairly and equitably, and having dinner could
suggest bias toward the client.
E. Having dinner with the parent could make it difficult to maintain clear professional
boundaries.
Which activity is an important part of the process of deciding whether a professional
dilemma might in fact involve a violation of the Occupational Therapy Code of Ethics
(2015)?
A. Taking quick action to reduce the potential for the dilemma to become greater
, B. Clearly stating the dilemma in a way that focuses on the most important issue to be
resolved
C. Seeking justification for the actions of those involved
D. Determining the best way to protect one's self-interest - answer B. Clearly stating
the dilemma in a way that focuses on the most important issue to be resolved
What main neuromusculoskeletal feature is a client with multiple sclerosis likely to
exhibit that a COTA®should consider during intervention?
A. Slowed movement of the extremities
B. Uniform resistance to passive movement
C. Tremor when moving the extremities to reach
D. Inability to initiate movement in the extremities - answer C. Tremor when moving
the extremities to reach
An uninsured client asks to be referred to a nontraditional occupational therapy setting
where services are billed privately at a reduced rate. What should the COTA® do next?
A. Recommend referral to the OTR®, assist in optimizing transition of services, and help
inform the client about the pros and cons of transfer.
B. Share certain information as a means to protect the client.
C. Decide to not pursue the referral because of the financial loss for the employer.
D. Discourage referral and work with the OTR to retain the client within the traditional
setting. - answer A. Recommend referral to the OTR®, assist in optimizing transition
of services, and help inform the client about the pros and cons of transfer.
To ensure appropriate and professional management of ethical complaints, what does
the AOTA Ethics Commission strive to do?
A. Complete an investigation within 15 days of notifying the Respondent that it is being
conducted
B. Disclose all details of complaints to AOTA members
C. Maintain strict rules of confidentiality in every aspect of the Ethics Commission's
investigational work
D. Follow legal proceedings of the state in which the complaint was filed - answer C.
Maintain strict rules of confidentiality in every aspect of the Ethics Commission's
investigational work
S, an occupational therapy student, experiences major personal stress during a
challenging time in school. Feeling behind schedule and overwhelmed by an
assignment, S calls L, a classmate and friend, and asks for a copy of L's paper to get a
sense of the format and content expectations of the assignment. To best adhere to the
Occupational Therapy Code of Ethics (2015), what should L do?
A. Be empathetic and avoid harm to S by providing a copy of the paper, under the
agreement that S's paper will be worded differently from L's
B. Claim not to understand the format and content guidelines and refer S to another
classmate who knows more about them
C. Express discomfort about sharing the paper because doing so may violate the Code
and encourage S to seek help from the professor of the course
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