Studying Material from AOTA NBCOT Exam Prep, Questions with solutions, Accurate answers. Graded A+

Studying Material from AOTA NBCOT Exam Prep, Questions with solutions, Accurate answers. Graded A+ What should a ct with COPD do if he/she experiences shortness of breath and panics? - ✔✔1) Rest arms on thighs --> rel ...

Studying Material from AOTA NBCOT Exam Prep, Questions with solutions, Accurate answers. Graded A+ What should a ct with COPD do if he/she experiences shortness of breath and panics? - ✔✔1) Rest arms on thighs --> releases the diaphragm, making breathing easier and lessening fear 2) Pursed lip breathing --> can slow breathing and reduce anxiety What is contraindicated for RA? - ✔✔1) Increasing AROM What can be used to initiate compression therapy for a ct 2 weeks post-op skin grafting with full-thickness burns on bilateral anterior/inner thighs? Also, what could be used during a later stage for compression therapy? What would be contraindicated? - ✔✔Spandex bicycle pants • Sufficient to apply gentle pressure without causing excessive shear or pressure on the newly adhered graft Later: Custom-made Jobst garment Contraindicated: Thigh-high TED stockings (likely to create shear) Where on the body is Coban™ self-adherent wrap commonly used? - ✔✔Smaller areas (i.e. fingers) What is the focus of CBT when applied in Mental Health OT? - ✔✔• Social and life skills • Focus on self-regulation through observational learning and modeling of skills What does the psychodynamic approach involve when applied in Mental Health OT? - ✔✔• Involves clients projecting feeling that they may be unaware of into art or other activities • Activities are used to express emotions What is the focus of a MOHO approach when applied in Mental Health OT? - ✔✔Focuses on skilled performance of activities in context What is the focus of the Dynamic Interactional Model when applied in Mental Health OT? - ✔✔• Focuses on multicontextual tasks and environmental conditions that are similar • Applying cognitive strategies to facilitate transfer of skills across contexts In which practice setting is the Outcome and Assessment Information Set (OASIS) completed to help identify the payer for services? - ✔✔Home Health Ct. has difficulty seeing gray cars on a rainy day What does this indicate? - ✔✔Impaired contrast sensitivity Ct. needs increased time to identify objects in and along the road and is experiencing eye fatigue What does this indicate? - ✔✔Impaired ocular motor skills (Impaired pursuits, saccades, and scanning may cause the client to stare at a road scene for a longer duration than expected, causing eye strain or fatigue) Ct has a tendency to drift out of a lane and move too close to other road users or objects What does this indicate? - ✔✔Neglect or visual attention deficits Ct is having difficulty seeing other road users or objects inside a tunnel What does this indicate? - ✔✔Visual acuity impairments What is a positive Gower's sign and what does it indicate? - ✔✔• Asked to get up from sitting on floor --> Child walks the hands up the legs and then moves into a standing position • May be indicative of DMD Abdominal distention in an infant may be a sign of... - ✔✔Cystic fibrosis Excessive bruising (not from abuse) may be a sign of... - ✔✔Hemophilia A positive Trendelenburg's sign may be related to... - ✔✔Hip dysplasia What do the following symptoms indicate? Pain, swelling, stiffness, and sudomotor and trophic changes - ✔✔Complex regional pain syndrome What do the following symptoms indicate? Pain, fatigue, and tender trigger points - ✔✔Fibromyalgia What do the following symptoms indicate? Numbness and tingling in the thumb and index and middle fingers - ✔✔Carpal tunnel syndrome What do the following symptoms indicate? Area that is hypersensitive and painful to touch - ✔✔Neuroma FIM score of "3" indicates... - ✔✔Mod A Name the stages and characteristics of Tuckman's theory of group development - ✔✔• Performing is characterized by group productivity derived from a sense of trust, unity, and supportiveness • Forming is characterized by dependence. • Storming is characterized by conflict and competition. • Norming is characterized by initiation of cohesion Modifying or adapting task tools is an intervention strategy of ... - ✔✔The Ecology of Human Performance Model Movement-based activities are a "?" strategy - ✔✔SI Strategies to develop mastery are part of the "?" model - ✔✔Occupational Adaptation Model Strengthening hand muscles is part of a "?" approach - ✔✔Biomechanical approach What is indicated when a ct is moving his wheelchair forward by gripping the front of the pushrim and giving it multiple tiny pushes? - ✔✔The seat back is to high --> preventing adequate shoulder extension What are the principles of Motivational Interviewing? - ✔✔1) Roll with resistance 2) Express empathy 3) Develop discrepancy 4) Support self-efficacy A Type III fracture of the radial head requires... - ✔✔Removal of the fragmented bone and a cast for 3-4 weeks to ensure proper healing and support The BOT-2 can be used to assess aspects of... - ✔✔Fine and gross motor functioning that may be difficult as a result of dyspraxia The SIPT and sensory integration clinical observations provide information related to... - ✔✔The underlying neurological functions that affect sensory integration The Sensory Profile can be used to gain an understanding of... - ✔✔How sensory problems influence a child's participation in daily activities Tachydysrhythmia is characterized by... - ✔✔Fast heart rate of 200-300 beats per minute • Fairly common in children with cardiac conditions • In extreme cases and when complications are present --> can lead to congestive heart failure Bradydysrhythmia is characterized by... Also, a child with bradydysrhythmia usually has.. - ✔✔Heartbeat less than 60 beats per minute • An atrioventricular block • Pacemaker What is Donepezil? Name one side effect. - ✔✔Cholinergic-modulating drug • May improve memory and cognition • May reduce negative mood, anxiety, and hallucinations • Dizziness is a side effect A client with low-level (T1) SCI should be.. - ✔✔• Independent in personal care • Only require a few hours of homemaking assistance each day upon discharge Attendant care 24 hours a day may be indicated for clients with... - ✔✔Higher level SCI injury (C1-C4). Attendant care for 12 hours a day may be indicated for clients with... - ✔✔C5-C6 SCI injury When dealing with clients who have dementia, what would be the primary role of the OTR in addressing caregiver burden? - ✔✔Provide recommendations related to home modifications • Can benefit clients with dementia and their caregivers by providing a safe environment that prevents unsafe wandering and provides optimal occupational engagement for reduced caregiver burden Supported employment programs with a "?" perspective are more effective than other vocational approaches - ✔✔Place-and-train • Prevocational training, transitional employment, and sheltered workshops use the classic train-then-place methodology. Because of the emphasis on preparatory skills in these settings, opportunities to transfer skills to actual work settings yield a lower percentage of employment The National Multiple Sclerosis Society recommends use of the "?" as a fatigue assessment - ✔✔Modified Fatigue Scale The Multiple Sclerosis Functional Composite measures... - ✔✔• Short-distance walking • Hand function • Cognition * Does not directly assess fatigue During Type 1 (traumatic stage) CRPS, treatment should focus on... - ✔✔• Management of pain and edema along with AROM • Most recognized therapeutic intervention for CRPS --> stress loading program What is contraindicated during Type 1 CRPS? - ✔✔• PROM and progressive resistive exercises increase pain and swelling • Serial casting may add to joint stiffness • Often cold intolerant A COTA decides that a client has returned to the previous level of function and continued occupational therapy services are no longer needed. Which is the BEST way to discharge this client? - ✔✔1) COTA alerts the OTR 2) OTR reviews the documentation 3) COTA and OTR discuss the patient's progress and response to intervention 4) COTA collaborates w/ OTR on a last treatment day * OTR judges a client's need to continue, modify, or stop occupational therapy services, based on information and documentation from the COTA Where is the decubitus ulcer MOST likely to occur on a client's body? - ✔