NURSING > QUESTIONS & ANSWERS > NBCOT Prep B 170 Questions_ answered correctly; Distinction level Exam Guide. (All)

NBCOT Prep B 170 Questions_ answered correctly; Distinction level Exam Guide.

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B1. An occupational therapist provides consultation services to a psychogeriatric unit for individuals with moderately severe cognitive decline. In designing the activity program, which groups are best for the occupational therapist to include? a. Reality orientation. b. Sensory stimulation. c. Reminiscence. d. Coping skills. Correct Answer: a B2. The parents of a five-year-old with attention deficit with hyperactivity disorder (ADHD) express difficulty managing the child's aggressive behavior toward older siblings. Which is the most effective strategy for the occupational therapist to recommend to the parents? a. Allow the child to vent aggressive feelings on a stuffed animal or doll. b Redirect the child's energy into acceptable and safe play activities. c Provide consistent punishment for aggressive behavior. d Send the child to stay with a family member or close friend for an extended "time-out." Correct Answer: b B3. An individual with rheumatoid arthritis has developed several boutonniere deformities. Which of the following is the most accurate description for the occupational therapist to include in documentation of the individual's presenting signs? a Hyperextension of the PIP joint and flexion of the DIP joint. b Ulnar deviation and subluxation of the MCP joints. c Flexion of the PIP joint and hyperextension of the DIP joint. d Heberden's nodes at the DIP joints and Bouchard's nodes at the PIP joints. Correct Answer: c B4. An occupational therapist receives a referral to provide home-based services to an older adult who lives alone in a fourth floor walk-up apartment. Upon entering the apartment, the therapist notes the sweltering heat. The apartment has no fans or air conditioners. The client's skin is hot, dry, and red, and breathing is labored. The therapist offers the client a glass of water and places ice compresses on the arterial pressure points to help with cooling. Which is the most important action for the therapist to take next? a Cancel the intervention session and call for an ambulance to provide emergency medical services. b Proceed with the planned intervention session and include documentation about client's environmental conditions in the intervention report. c Contact the home health agency's case manager to report the client's environmental conditions and then proceed with the planned intervention session. d Cancel the intervention session and advise the client to speak to a doctor on how to best address the impact of hot weather on personal health. Correct Answer: a

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