NBCOT Deck Mixed

Question 1

A child with scoliosis would like to play in sports. Which factor would most likely limit the child’s ability to participate in sports?

Answer 1

Cardio pulmonary function

Children with a scoliosis curve between 65° and 80° may have reduced cardiopulmonary function.

Question 2

When fitting a client to a wheelchair, why is it important to ensure that the wheelchair has appropriate seat depth?

Answer 2

To distribute body weight along the entire sitting surface

Question 3

To maximize the effectiveness of the ergonomic program, what would the OTR® be MOST likely to include?

Answer 3

Empowerment of the workers and creation of a positive group-safety culture

MOTIVATION is. big factor for change to occur

Question 4

What would be the benefit of using a heel loop on the footplate of the wheelchair?

Answer 4

To prevent the foot from sliding backward

Question 5

A client with developmental coordination disorder is referred for evaluation by the transition services team at a high school. Which assessment is the MOST appropriate for the OTR® to complete first with the client?

Answer 5

Self-Directed Search

measures client’s vocational interests

Question 6

Which test assesses a client’s ability to visually select features that differentiate objects?

Answer 6

Selective Attention

Question 7

An OTR® is providing intervention to a client with an anxiety disorder who hyperventilates when faced with difficult work tasks. The OTR suggests that the client use breathing techniques and relaxation breaks during the work day to minimize the client’s response to stressful events at work. What frame of reference does this intervention suggest?

Answer 7

Behavioral

Question 8

A 4-year-old child with attention deficit hyperactivity disorder is using a tire swing for vestibular input to feel more organized. After a few minutes, the child appears to have some autonomic reactions to the fast swinging. Which course of action for the OTR® is BEST?

Answer 8

Ask the child to slow down the swinging by pulling a trapeze bar for proprioceptive input

proprioceptive input inhibits vestibular stimulations

Question 9

An OTR® is working with a driver who is experiencing visual neglect poststroke. What is the MOST APPROPRIATE compensatory approach the OTR® can use to help the driver improve on-road performance?

Answer 9

Awareness training pending client’s insight

Clients with neglect or visual attention deficits are usually anosognostic and do not gain insight into their impairment, or the effect of the impairment, on driving performance.

Question 10

What is tilt in space?

Answer 10

A tilt-in-space feature rotates the seat around a fixed axis, does not change the client’s position, and provides pressure relief for the buttocks.

Question 11

An OTR® receives a referral to complete a job demand analysis on a client who is a diesel mechanic. At the job site, what should the OTR® do FIRST?

Answer 11

Conduct interviews with staff

Do a thorough job demand analysis

Question 12

The OTR focuses, with the client’s permission, on the client’s work environment because the employer appears to be resistant to providing accommodations. Consequently, the OTR provides educational information to the client’s boss about bipolar disorder. What approach does this intervention strategy take?

Answer 12

Reduce behaviors and environmental behaviors

Question 13

An OTR® receives a referral to evaluate a client with dementia. What type of assessment would the OTR® likely use to evaluate this client?

Answer 13

Observation with client and interview w/ caregivers

Question 14

A client with a diagnosis of dementia has memory loss. The OTR® observes that the client has visual hallucinations. In addition, the client has decreased spontaneous motor movements and rigidity. What type of dementia does this client MOST LIKELY have?

Answer 14

Dementia with Lewy Body

Similar to Parkinson

Question 15

A cabinetmaker is referred to occupational therapy with a recent onset of stenosing tenosynovitis of the right middle and ring fingers. The client has a history of rheumatoid arthritis. As part of the ergonomic education, what will the OTR® MOST likely include?

Answer 15

Reduce use of excessive gripping force, prevent contact stress, and implement task rotation.

Stenosing tenosynovitis (trigger finger) is a condition associated with prolonged or high repetitions in forceful gripping. All of these modifications prevent or eliminate exposure to forceful gripping

Question 16

A client has severe intention tremors secondary to multiple sclerosis. Which adaptive strategy would be MOST BENEFICIAL for this client to use when eating?

Answer 16

Stabilizing both arms on a countertop table as tremors typically need postural stabilization to reduce tremors

Question 17

An OTR® is working with a child who has sensory integrative dysfunction related to motor planning. According to Ayres Sensory Integration, what type of sensory input would be most supportive in developing this child’s motor planning skills?

Answer 17

Tactile, vestibular, and proprioceptive

Question 18

An OTR® is teaching a client how to pop a wheelie in a manual chair so that the client can negotiate curbs. What instructions would the OTR give this client?

Answer 18

Grasp the hand rims posteriorly and pull them forward forcefully and abruptly, throwing the head back forcefully, if needed.

Question 19

The OTR® recommends a job site analysis to facilitate the client’s return to work. How does the focus of intervention change in the transition from outpatient services to the workplace?

Answer 19

Focus from individual client to work environment

Question 20

What is psychodynamic?

Answer 20

The psychodynamic frame of reference suggests that unresolved childhood events are the reason for dysfunction. A psychodynamic intervention is usually discussion based.

Question 21

A client with a transfemoral amputation who is being fitted for a prosthesis is reporting severe pain when placing weight on the end of the residual limb. The OTR® examines the limb but does not see any reddened or open areas. What is this pain MOST likely the result of?

Answer 21

Neuroma

Question 22

What do you call the type of pain and tingling that are perceived by the client to occur in the missing limb?

Answer 22

Phantom sensation

Question 23

What do you call the sensation that the missing limb is still there, but it is not painful?

Answer 23

Phantom limb

Question 24

Although the child is able to kick the ball with correct movements, the child does not seem to be able to calibrate the amount of motor input to approximate the goal even after multiple attempts. When the child kicks the ball, it always lands beyond the goal. What skill seems to be impaired for this child?

Answer 24

Feedforward praxis

It enables a person to compare previous motor plans and sensory information to detect potential errors and correct the plan before attempting it again.

Question 25

In which practice setting is the Outcome and Assessment Information Set (OASIS) completed to help identify the payer for services?

Answer 25

Home health

Question 26

A client did not attend the occupational therapy session because of an illness. According to the Guidelines for Documentation of Occupational Therapy, what is the BEST type of documentation to note nonattendance in a timely manner?

Answer 26

Service contact.

Can be completed as soon as nonattendance occurs.

Question 27

Which of the following exercise programs is MOST appropriate for a client with rheumatoid arthritis (RA) during an acute flare-up that involves significant pain and swelling?

Answer 27

Daily PROM during flare up because of the pain and swelling

Question 28

What is a basic principle of Taylor’s Intentional Relationship Model as applied to occupational therapy practice?

Answer 28

Mindful empathy is required to know your client.

Question 29

An OTR® has been asked to give a presentation on ergonomics to the local carpenters union. What factor is MOST associated with the onset of lower back pain?

Answer 29

Poor physical fitness

Question 30

What type of assessment would be CONTRAINDICATED for the OTR® to use during acute flare up of RA of the client’s disease process?

Answer 30

MMT

Question 31

Which of the following tasks would be MOST appropriate to use during the functional training phase for a client learning to use a unilateral myoelectric terminal device (TD)?

Answer 31

using scissors to cut paper

During the functional training phase, a client is learning to incorporate the TD as a functional assist, so incorporating bilateral activities would be appropriate

Question 32

An OTR® is working with a client in the active phase of C6 spinal cord injury. What is the MOST IMPORTANT treatment activity to consider?

Answer 32

Developing pressure relief methods

Question 33

Of what is the place-and-train approach an example?

Answer 33

supported employment

Question 34

An OTR® wishes to prioritize the focus of intervention for a client with Guillain-Barré syndrome in the acute inflammatory phase. Which factors should the OTR evaluate?

Answer 34

pain, fatigue swallowing problems

Question 35

Which intervention modality is CONTRAINDICATED for reducing edema of this patient’s affected extremity with cancer?

Answer 35

TENS

use of PAMS is often contraindicated with cancer patients

Question 36

A patient wants to go out on a picnic, and what medication-related precaution should the OTR tell the patient?

Answer 36

Protect one self from direct sun as photosensitivity is a side effect of many psychotropic medications

Question 37

An OTR® has received a referral to establish a work conditioning program for a client employed as a roofer. The client has a history of low back sprain. When implementing a work conditioning program, which intervention is MOST appropriate to reduce the client’s risk for reinjury?

Answer 37

Instruct the client in proper body mechanics

Question 38

What is a functional motion assessment?

Answer 38

OTR observes a client during functional tasks to assess ROM, strength, and motor control in a natural environment.

Question 39

A client has just undergone hip replacement surgery. Within what time period should an OTR® generally begin performing out-of-bed activities with the client?

Answer 39

1-3 days Post/op begin OOB activities

Question 40

Which tool should the OTR® use to assess peripheral visual fields?

Answer 40

confrontation testing

Question 41

An older adult client with age-related macular degeneration presents for evaluation and demonstrates difficulty reading and signing consent forms. What visual function should the OTR® evaluate first?

Answer 41

Visual acuity

Question 42

Workers’ compensation claims resulting from low back muscle strains and sprains have increased at an auto mechanic company, and management asks an OTR® for a consultation on implementing an injury prevention program. Which goal would be reasonable for this program?

Answer 42

Reduce costs for the employer resulting from lost work days and workers’ compensation claims

Question 43

What type of control switch would be MOST BENEFICIAL for enabling this client to independently operate the wheelchair for pt with progressive cerebellar degeneration?

Answer 43

Sip and puff

to aid with coordination problems