NURSING > QUESTIONS & ANSWERS > NBCOT Practice Questions AND ANSWERS | GRADED A (All)

NBCOT Practice Questions AND ANSWERS | GRADED A

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A 5 year old child who has mild developmental delay is learning to self-dress. Most recently, the child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From the dressing tasks listed, which should the child learn to do next based on the typical development sequence for dressing? Correct Answer: Pulling up a jacket zipper would be the next dressing skill the child should learn. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What care coordination task should the OTR complete FIRST? Correct Answer: Coordinate with the multi-disciplinary team to identify specific feeding and swallowing objectives. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What symptom is the resident most at risk for experiencing during a meal? Correct Answer: Variation in voice quality or loss of voice after swallowing, which is a symptom of dysphagia. Which factor is MOST IMPORTANT to determine when considering if the resident would benefit from a mobile arm support? Correct Answer: Amount of upper extremity passive joint mobility At a minimum, what information should the OTR document to increase the likelihood of additional authorized visits? Correct Answer: Functional problem statements indicating the need for skilled services How should the OTR respond to the client's concerns about splinting? Correct Answer: Encourage full participation in daily tasks by collaborating on ways to modify typical daily activities Your patient had a CVA several weeks ago. Which task oriented approach would be most beneficial to include as part of the intervention plan for maximizing the client's physical abilities? Correct Answer: Constraint-induced movement therapy is a task-oriented approach to motor acquisition. For a patient who had a CVA several weeks ago, which type of activity should be included as part of the INITIAL intervention to REMEDIATE the client's motor impairment? Correct Answer: Weight bearing through the affected upper extremity prior to an activity

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