NBCOT Practice Questions and Answers
2023
Entry into the early intervention system begins with which of the following?
A. Screening for developmental delay
B. Individualized Family Service Plan
C. Screening for family environmental risk factors
D. Individualized Education Plan (IEP) Ans- A. ...
NBCOT Practice Questions and Answers
2023
Entry into the early intervention system begins with which of the following?
A. Screening for developmental delay
B. Individualized Family Service Plan
C. Screening for family environmental risk factors
D. Individualized Education Plan (IEP) Ans- A. A family is referred for an early intervention screening at
which a developmental therapist or OT screens the child to determine if a full assessment is necessary.
(Pediatric Occupational Therapy and Early Intervention by Case-Smith)
In the assessment phase of early intervention, an OT assesses the daily living skills of an infant. In the
context of early intervention, the areas that are being assessed are:
A. Feeding and sleeping patterns
B. Play and leisure patterns
C. Motor development patterns
D. Sensory development patterns Ans- A. Daily living skills in infants refer to self-sustaining skills, such as
feeding and sleeping. Sleep patterns can be evaluated from the parent's description of a typical day.
Daily living skills also refer to bathing and dressing, but this is as it involves the parents. (Pediatric
Occupational Therapy and Early Intervention by Case-Smith)
An assessment team in early intervention has completed an evaluation of a toddler. In compiling the
Individualized Family Service Plan, the goals should be determined by the:
A. Service coordinator for the case
B. Therapists from each discipline
C. Reimbursing agency
D. Parents Ans- D. Although therapists suggest goals based on the evaluation process, ultimately a
child's parents decide which goals will be included and which goals are a priority. Goals that relate
specifically to the family's concerns about the care of their child are included in the plan. If therapists
have other goals, these can be added with parental consent. (Pediatric Occupational Therapy and Early
Intervention by Case-Smith)
, In early intervention there are different types of risk factors. A child with Down syndrome is an example
of:
A. Biological risk
B. Environmental risk
C. Established risk
D. Recurring risk Ans- C. Children with known chromosomal, structural, or metabolic defects are
classified as having established risk. (Pediatric Occupational Therapy and Early Intervention by Case-
Smith)
The parent of a child that is being treated in therapy describes how the child covers their ears when
riding in the car with the windows down. The parent does not understand why the child persists in this
behavior. The OT explains that this behavior could be the result of:
A. Sensory defensiveness
B. Gravitational insecurity
C. Underresponsiveness
D. Aversion to movement Ans- A. A child experiencing sensory defensiveness has a tendency to respond
negatively to sensation that is considered by most people to be noninvasive or nonirritating. This
frequently includes hyperresponsiveness to light or unexpected touches, high-frequency noises, certain
visual stimulation, or certain smells and tastes. (Sensory Integration: Theory and Practice by Bundy)
An OT is using the Peabody Developmental Motor Scales to evaluate a child. The therapist is assessing
the child's:
A. Performance of tasks that support school participation
B. Visual perception skills in community settings
C. Gross and fine motor skills
D. Performance in everyday tasks Ans- C. The Peabody assesses a child's abilities with gross and fine
motor skills. (Occupational Therapy for Children by Case-Smith)
A patient diagnosed with insulin dependent diabetes mellitus is referred to occupational therapy for
splinting. A primary area that must be assessed before prescribing a splint is:
A. Edema
B. Sensation
C. Pain
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