NBCOT Practice Multiple Choice Test

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NBCOT Practice Multiple Choice Test B Correct Answer: An older adult with peripheral neuropathy resulting from the chronic effects of diabetes expresses concern over the abiltiy to have a satisfyi ... ng sexual relationship w/ a partner. Which is the most beneficial recommendation for hte OT to make to the older adult? A. experiment with different positions during sexual expression activities B. focus on intact senses and areas of intact sensation C. schedule sexual expression activities after rest periods D. advise the older adult to accept decreased abilities in sexual expression as a normal part of aging A Correct Answer: An individual with amyotrophic lateral sclerosis requires the use of an environmental control unit (ECU) to access electrical devices and a personal emergency response system. The individual lives alone and self-directs personal care attendants to perform personal ADLs. During instruction to the individual on the capabilities and use of the ECU, which is most important for the OT to discuss with the client? A. the ECU's backup power source and charging instruction B. additional assistive device technology available C. Augmentative alternative communication options D. funding for the ECU and assistive technology C Correct Answer: A 9-year old childe identifies the assembly of a model as the most desired play activity. The OT determines that the child would have difficulty completing selected model. Which action is most effective the the therapist to take during the next intervention session? A. allow child to work on model and provide Max A as child completes project B. explore w/ the child why completing the model is desired by child and provide alternative project choices C. break the project down into accomplishable segments and instruct the child to complete one segment at a time D. explain to child several reasons why the selected model is not the best choice for the child and provide alternative project choices B Correct Answer: A child with myelomeningocele meets the short-term goals of achieving functional gross grasp and lateral pinch. After several additional weeks of OT, the child does not meet the goals of demonstrating pincer grasp and three jaw chunk. Consequently, the therapist modifies the child's intervention plan. Which intervention is best to include in the revised plan? A. increase strength of lateral pinch as a basis to develop pincer grasp and three jaw chunk B. Teach the child to use gross grasp and lateral pinch for functional activities C. Teach the child to use ulnar grasp for functional activities D Correct Answer: An individual attends an outpatient parenting skills group. The person hss a history of serious recurrent depression and is taking Nardil. The client complains of recurrent headaches and difficulty focusing during the day. Which action is best for the OT to make in response to the client's expressed concerns? A. instruct the client in stress reduction techniques B. ask the group for suggestions on how to deal with the parenting and stress of homework C. suggest that the individual consult with a nurse practitioner for headache and relief strategies. D. tell the client you will be notifying the psychiatrist of these complaints. C Correct Answer: A religious congregation obtained private funding to build a ramp so that members with disabilities can attend services. The entrance to the congregation's building has 6 steps with a rise of 7in each. what is best for the OT hired to recommend for construction of this ramp? A. 42ft long with a 3'x3' landing at the ramp's midpoint B. 48ft long with a 3'x3' landing at the ramp's midpoint C. 42ft long with a 5'x5' landing at the ramp's midpoint D. 48ft long with a 5'x5' landing at the ramp's midpoint A Correct Answer: A child with juvenile rheumatoid arthritis wears bilateral night resting splints in 0 degrees of extension, MPs and IPs flexed, ulnar deviation of 10 degrees and thumb in opposition. The child complains of pain in the wrists upon awakening. No redness is noted upon removing the splints. ROM measurements show ulnar deviation of 5 degrees. Which actions should the OT take in response to this complaint and these observations? A. modifiy the splints at the wrist B. pad the ulnar aspect on the inside of the splints C. discontinue the splints and monitor the status of pain for 2 weeks B Correct Answer: A 15 y/o with asymptomatic HIV attends and OP clinic. The OT protocol for persons diagnosed with HIV includes presentation of information on safe sex. The adolescent's parents refuse to allow this information to be presented to their child. Which is the best action for the OT to take in response to this situation? A. ask the adolescent's opinion and act on their refusal or consent B. document that the parents refuse the intervention for their child C. refer the family to the social worker for counseling D. have the parents sign a waiver that they refused the intervention for their child C Correct Answer: An individual who had Parkinson's presents with poor trunk rotation during ambulation and while performing ADLs. According to the neurophysiologic approaches, which is the most effective therapeutic intervention for the OT to use with this person? A. facilitation of trunk rotation using neurodevelopmental handing techniques B. slow rolling with the person supine with knees and hips flexed C. engagement in ADLs using diagonal patterns D. provision of a rolling walker to compensate for limited rotation and enhance mobility C Correct Answer: An individual who incurred a CVA 6 months ago is receiving OP OT to address residual cognitive-perceptual deficits. The individual drives daily despite strong suggestions from family members to discontinue this activity. The family members share their concerns about the person's capabilities to drive safely with the OT. Which is the best action for the OT to take in response to these expressed concerns? A. report the individual to the DMV B. suggest that the individual attend a driver training program C. report the information to the physician D. validate the family members' concerns about the individual's driving risk C Correct Answer: Following a L CVA, an individual receives OT services at a subacute rehabilitation facility. The patient's personal goal is to be independent in dressing. The patient demonstrates decreased memory, poor sequencing skills, and ideational apraxia. Which of the following is the most effective for the OT to provide when teaching one-handed dressing techniques to the patient? A. step-by-step verbal instruction B. sequenced photographs of the steps in dressing C. physical prompts to initiate the steps in dressing A full-length mirror for the client to observe self-dressing performance D Correct Answer: An elementary school teacher has been recently diagnosed with MS. Which adaptation is best for OT to recommend the teacher use to accommodate for effects of MS on teaching? A. use of anchoring techniques to compensate for scanning deficits B. daily list of tasks to compensate for cognitive deficits C. motorized scooter to compensate for decreased endurance D. high stool to compensate for lower extremity weakness [Show More]

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