NBCOT Questions

8. An entry-level COTA begins working at a long-term care facility and needs direct continuous supervision. Which statement BEST describes this type of supervision? a. The COTA and supervising OTR are in the rehab. Gym, the OTR observes the COTA's performance b. The COTA and OTR meet at the end of the day to discuss the COTA's caseload and review documentation c. The supervising OTR is in the facility but in another area d. The COTA emails or texts the OTR questions throughout the day as needed, and the OTR reviews the COTA's documentation regularly.

a. The COTA and supervising OTR are in the rehab. Gym, the OTR observes the COTA's performance

12. Which statement Best describes how a COTA assists with performing an OT eval?

a. The COTA may perform delegated assessments and provide reports of a client's capabilities to the OTR

3. The spouse of a client with Alzheimer's dementia tells the OTR that the client has become more agitated, wanders, resists care, and displays inappropriate and sometimes destructive bx. The spouse confides that feelings of stress have begun to feel overwhelming. a. Training the spouse to provide simple, one-step directions and avoid abstractions b. Role playing with the spouse and the client ways of providing explanations that will clarify the client's confusion c. Assertiveness training with the spouse d. Conflict resolution sessions between the spouse and client

a. Training the spouse to provide simple, one-step directions and avoid abstractions

10. A generalist OTR is working with a teenage with developmental disabilityies who hopes to acquire a driver's license. Which intervention MOST appropriately addresses this clients' community mobility needs? a. Training to improve the client's comprehension of travel rules tested in the licensing process b. Practice in driving skills in the OTR's vehicle in the school parking lot c. Practice in handwriting skills to improve the client's communication about driving skills d. Use of cognitive-behavioral therapy to address the client's beliefs about the ability to drive

a. Training to improve the client's comprehension of travel rules tested in the licensing process

5. Believing that treatment was not medically necessary, a third-party payer has denied payment for OT services. What step should OT take to appeal the denial of payment? a. Write an appeal letter that explains the client's need for the OT services that were provided b. Correct technical errors in previously submitted documentation c. Write an appeal letter that requires reconsideration of previously submitted documentation d. Ask the payer whether a different intervention would better fit the payment guidelines

a. Write an appeal letter that explains the client's need for the OT services that were provided

1. Which of the following statements about OT FW is accurate? a. a health care professional other than an OTR can supervise OT students on Level I FW b. payers are not able to regulate the supervision of OT students c. initial suggested supervision for level II OT student is indirect d. An OT or COTA can supervise a level II OT FW student

a. a health care professional other than an OTR can supervise OT students on Level I FW

76 y/o client will be using a w/c after D/C from acute rehab. Pt has achieved I in w/c mobility on level surfaces but requires min A for transfers. Pt plans to move in with daughter which was not his initial plan. OT is planning a home evaluation with the client and daughter. Before the home evaluation, what will be the most appropriate action for the OT to take? a. interview client and daughter to get occupational profile and determine role expectations the client will assume after D/C b. discuss functional mobility limitations with client and the level of assistance needed for toilet transfer as a part of fall prevention education c. interview daughter about detailed measurements and the layout of the home and acceptance of necessary home modifications d. provide client and daughter with info regarding the ADA's accessibility guidelines for buildings and facilities

a. interview client and daughter to get occupational profile and determine role expectations the client will assume after D/C

11. Which characteristic of a general education classroom would promote access to the general education curriculum of a student diagnosed with level 1 autism spectrum disorder without intellectual impairment (Asperger syndrome)? a. Large classroom size b. Predictable transitions c. Teacher's gender d. Low level of structure

b. Predictable transitions

12. During a commode-to-bed transfer, the client begins to slip from the OTR's grasp. What action is best for the OT to take? a. Continue with the transfer, and try to get the client to the bed as quickly as possible b. Have the client return to the commode c. Ease the client to the floor, then get assistance d. Call for help, and get the attention of the client's nurse

c. Ease the client to the floor, then get assistance

3. An OTR is working in an outpatient setting and observes a COTA setting up electrical stimulation on a patient with a significant cardiac history, including a pacemaker.

c. Stop the COTA from proceeding, check the eval and treatment plan and if needed review physical agent modalities and appropriate use

3. According to the Standards of Practice for OT, what is the role of the COTA in the screening process a. Completing the screening process b. Initialing the screening process c. Analyzing and interpreting screening results d. Providing observations to the OTR

d. Providing observations to the OTR

An adolescent referred for OT has oppositional defiant disorder. During the initial interview, the parent reports that the youth never listens to requests, become angry several times a day, blames mistakes on an older sibling. Which area is most related? a. ADLs b. Rest and Sleep c. Leisure d. Social participation

d. Social participation

While reviewing work hardening program documentation, an OTR realizes there is no entry in the client's medical record of a meeting conducted with the insurance case manager, client, and client's employer regarding light-duty options. According to best practice guidelines, how should the OTR amend the client's medical record to include a summary of the meeting? a. back-date the entry to correspong to the actial date of the meeting b. insert a summary of the meeting into the margins of the client's medical record. D. Enter the information as a late entry into the client's medical record.

D. Enter the information as a late entry into the client's medical record.

16. A COTA is shifting roles within a skilled nursing facility to become the manager of the therapeutic recreation department. In which way does supervision from the OTR change? a. Supervision is no longer needed b. Supervision is an as-needed basis c. The OTR and COTA meet monthly to discuss clients d. The OTR and COTA meet quarterly to discuss clients

a. Supervision is no longer needed

6. The OTR is working on a task-oriented gardening activitiy with a small group of adolescents in an inpatient mental health setting. One of the participants becomes self-absored and distractible and has bursts of energy that are affecting the other members of the group. a. "How are we doing with our pot transfers? We need to get this done today."- goal directed action b. "Can I speak to you privately about your behavior during the group work?" c. "You seem to be distracting the other members of the group." d. "Please stop whatever it is you are doing."

a. "How are we doing with our pot transfers? We need to get this done today."- goal directed action

8. Which high school extracurricular activity would a youth with oppositional defiant disorder by most likely to succeed at? a. An art program with well-established boundaries in which students are encouraged to pursue their own interests b. A chess club in the library in which students participate in tournaments and, when not playing, participate observers c. A school basketball team that has the rule that students cannot play in a game if they miss a practice or are tardy or absent from school d. A science club in which students work together in small groups to prepare science projects for the state science fair

a. An art program with well-established boundaries in which students are encouraged to pursue their own interests

2. According to the Standards of Practice for OT which of the following is a requirement to practice as an OTR in the U.S. a. Completing licensure, certification, or registration requirements b. Passing state licensure examination for OT c. Graduating from a private OT program d. Successfully finishing an independent fieldwork experience

a. Completing licensure, certification, or registration requirements

1. A school district's supervising OTR receives a phone call from an irate parent of a middle school student whose individualized education plan (IEP) includes OT twice a week. The student did not receive OT for 3 weeks because one of the district's OTR was out with work-related injury. What is the OTR best option? a. Ensure that OT services are provided to this child, because it is included in the child's IEP b. Put the child on a waiting list while the therapist is out c. Reduce the frequency of OT visits to once a week while the therapist is out d. Discharge the child from OT because the parent is difficult to deal with

a. Ensure that OT services are provided to this child, because it is included in the child's IEP

14. A large outpatient hand clinic employs certified hand therapists who are either licensed OTRs or licensed PT's. COTAs are used to efficiently manage caseloads. Which description of the supervision requirement for COTA working in this environment is most accurate? a. Must be supervised by a licensed OTR in accordance with state licensure and scope of practice for COTAs b. Does not require supervision if the COTA has a minimum of 5 years of experience treating clients with upper extremity conditions

a. Must be supervised by a licensed OTR in accordance with state licensure and scope of practice for COTAs

3. Older women who are members of an ethic minority and live on lower incomes have been identified as using public transportation more than most people in their age cohort. How might this reliance on public transportation influence the engagement in community occupations of this population? a. Participation in community occupations will be limited by the hours of transportation service and the cost to use it b. Access to taxi services will expand this population's access to community occupations. c. Public transportation offers access to more geographic areas than does a private automobile

a. Participation in community occupations will be limited by the hours of transportation service and the cost to use it

1. When an OTR or COTA completes documentation, which of the following actions is MOST in compliance with HIPAA regulations for maintaining patient privacy and confidentiality? a. Positioning computer screens and patient charts out of others' view b. Collaborating with other therapist in the OTR discipline c. Maintaining electronic client documents d. Keeping hard-copy record in a central area

a. Positioning computer screens and patient charts out of others' view

9. Which suggestion that the OTR might provide to a caregiver who is living with a client who has AD is the best? a. Suggest appropriate activities that can engage the client during unoccupied time and improve daily structure b. Suggest that the caregiver allow the client to continue cooking Indep. With adapted cooking utensils to improve safety. c. Suggest that the caregiver provide challenge to the client's daily routine by maintaining distance during routine tasks d. Suggest modifications to the house environment to include arrows that lead to the bedroom and bathroom

a. Suggest appropriate activities that can engage the client during unoccupied time and improve daily structure

2. An OTR wants to search the literature for rationales related to a sensory integration intervention for clients with dementia. Which is an appropriate question for an evidence-based practice literature review? a. "What is a sensory integration approach?" b. "How is sensory integration used with people with dementia?" c. "What is the efficacy of sensory integration?" d. "What are the outcomes of sensory integration?"

b. "How is sensory integration used with people with dementia?"

6. A client arrives for an OT eval. Upset because of an inability to travel home in time to attend the wedding of a family member. Which reponses by the OTR communicates a professional use of empathy? a. "Why don't you come back later when you are feeling better? b. "You seem upset that you are going to miss the wedding." c. "Life goes on. It will be okay" d. "You need to calm down so we can complete your OT for today."

b. "You seem upset that you are going to miss the wedding."

8. An OTR is evaluating a 16-year old adolescent with major despression and suicide precautions in an inpatient facility. Which source of info. Will best enable the OTR to document the intensity, severity, and duration of these symptoms? a. Observation during occupational performance b. A life events inventory of the client c. Interviews with caregivers d. Interviews with roommates in the facility

b. A life events inventory of the client

6. A COTA decides that a client has returned to the previous level of function and continued OT services are no longer needed. Best way to discharge patient? a. COTA sets a last tx day, provides home exercise program and review progress with the patient while completing the discharge notes b. COTA alerts the OTR and the OTR review the documentation discusses the patient's progress and response to intervention, and collaborates on a last tx day c. COTA notified the OTR who meets with the patient to discuss potential discharge from therapy, the OTR proceeds the discharge d. COTA sets a last tx day, provides a home exercise program and home safety packet, and reports final notes on functional levels to the OTR

b. COTA alerts the OTR and the OTR review the documentation discusses the patient's progress and response to intervention, and collaborates on a last tx day

1. An OTR in a home health setting is working with a client in the kitchen and hears a heated argument between the client's spouse and one of the client's children in the next room. The client begins to cry, indicating that the arguing is causing stress. a. Confront the people in the next room b. Call the medical social worker and report the incident c. Drive the client to a shelter d. Try to resolve the conflict

b. Call the medical social worker and report the incident

11. According to the Standards of Practice for OT, which best describes the role of the COTA in client outcomes? a. Develops a transition plan b. Contributes to discontinuation plan - however unable to Ind. Discontinue a client from OT. c. Reduces the intensity of services d. Interprets achieved outcomes

b. Contributes to discontinuation plan - however unable to Ind. Discontinue a client from OT.

1. The director of OT services for a large metropolitan home health agency is conducting a supervisory visit and notices the OTR is writing progress notes on a persona electronic tablet. OT is excited about using tablet and shares with the director that it saves a great deal of time. Most appropriate response from director? a. Applaud the OT for using technology efficiently b. Develop a policy prohibiting the use of personal electronic tablets for note writing c. Ask the OT to describe the use of electronic recording to the other OT at the agency d. Ask home health clients for their opinions regarding electronic record keeping

b. Develop a policy prohibiting the use of personal electronic tablets for note writing

7. An extremely agitated pt. is admitted to an inpatient psychiatric hospital late on a Friday afternoon. Because nursing is short staffed, the nurse on the unit requires that the patient attend an OT group being led by a COTA that evening. The COTA calls the OTR who is working at a location far from the unit, for guidance. The OTR is unable to return to the unit in time to evaluate the patient. What should the OTR recommend to the COTA? a. Allow the patient to attend the group b. Do no allow the patient to attend the group c. Cancel the group and eval. The client d. Allow the patient to attend the group with the understanding that the OTR will complete the eval on returning to the unit.

b. Do no allow the patient to attend the group

19. An OTR has just begun working on the cardiology unit of an acute care hospital and will be responsible for supervising the COTA that has been working there for 5 years. What is the best level of supervision? a. Continuous b. Minimal c. Routine d. Close

b. Minimal

15. A COTA has established service competency for administration and scoring of the Mini-Mental State Exam. Which supervision is the most appropriate for the OTR to provide? a. Close supervision on an ongoing basis to ensure maintenance of service competency b. Minimal supervision to periodically recheck that service competency is maintained c. Supervision on an as-needed basis per the COTA's request to fine-tune service competency d. None, unless otherwise indicated by the facility, state law, or licensing changes.

b. Minimal supervision to periodically recheck that service competency is maintained

11. An adolescent hospitalized for suicidal ideation and depression is meeting with an OTR for discharge planning. What aspect of the discharge plan is MOST urgent? a. Provide client education on the effects of prescription medication b. Review the contract for safety procedures the client will follow when thoughts of suicide commence c. Contact the client's school system to see if a suicide prevention program is in place d. Reinforce the need for follow-up OT treatments to monitory progress

b. Review the contract for safety procedures the client will follow when thoughts of suicide commence

1. An OTR is working to establish a therapeutic relationship with a client in a skilled nursing facility. Which consideration is the MOST important in establishing an effective relationship? a. The OTR has the power to determine the goals b. The client is an informed equal in the relationship c. The OTR is solely responsible for any positive outcomes d. The client is expected to follow the OTR advice

b. The client is an informed equal in the relationship

An OT consulting with a transitional living program housing adults with mental illness is working with a resident to support their new role as a part time employee of the library located a few blocks from the residence. The resident doesn't drive, which intervention is best to address com mobility skills relevant to their situation? a. teach the client how to safely move heavy books b. educate client about pedestrian safety and practice the walk to work c. educate client on automobile safety in the event that the client can find a ride to work d. work with client to obtain a drivers license

b. educate client about pedestrian safety and practice the walk to work

The owner of a construction company asks an OT completing work tolerance screenings to notify applicants whether they have been hired on the basis of their screening results. What should the OT do? a. suggest that the owner revise the written policies for work tolerance screenings to reflect this change in the process b. inform the owner that the OT will review the results of the completed work tolerance screening with the owner so the owner can summarize results with applicants and notify them regarding the hiring decision c. keep good documentation of the agreement to support the need for this change in the work tolerance screening process d. implement a quality assurance monitoring system to determine reasonable outcomes for this revised process

b. inform the owner that the OT will review the results of the completed work tolerance screening with the owner so the owner can summarize results with applicants and notify them regarding the hiring decision

3. An OTR is approached by a client with Alzheimer's dementia who asks, "do I finish high school next year, or am I already finished? I don't want to go back." What is the best response for the OTR to make? a. "Try to remember that you completed high school 60 years ago." b. "I'll have to find out if you finished high school. Try not to ask me again." c. "It sounds like you're getting a little worried about that. You're already finished with high school. You don't have to go back." d. "Didn't you go to college?"

c. "It sounds like you're getting a little worried about that. You're already finished with high school. You don't have to go back."

5. An OTR in an acute care setting is working on a dressing program with a client with spinal cord injury. What statement by the OTR is appropriate to facility positive coping for the client? a. "I have selected these clothes for you today." b. "Would you like to wear the blue or the red shirt?" c. "What clothes do you want to wear today?" d. "You should wear these clothes today."

c. "What clothes do you want to wear today?"

An OTR is supervising an OT student for Level II FW. The OTR notices that the student did not gather complete info. Regarding a client's Occ. History. Which comment best represents effective feedback? a. "you missed some info when you were recording the client's occ. History b. "in the future, you need to ask better questions about the client's occ. History c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are comprehensive. d. you should practice doing occ. History interviews

c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are comprehensive.

6. During the OTR initial interview, a client with stage 2 Parkinson's disease explains the importance of the client's role of head of household and expresses a fear of being dependent on his or her children. The client's chief complaints are tremors and fatigue, which are starting to affect the client's performance of higher-level ADL and IADL tasks. a. Energy conservation education, such as delegating tasks to family members to reduce fatigue b. Stress management skills, because stress tends to exacerbate symptoms such as tremors c. Activity and environmental modifications for home management skills to successfully maintain the client's role d. Therapeutic exercise to improve balance, which will enhance the client's participation in higher-level tasks.

c. Activity and environmental modifications for home management skills to successfully maintain the client's role

7. A client with middle-stage dementia has been wandering outside the house in the middle of the night. The client's caregivers have been using monitoring devices and recently added door alarms, but usually are too late. Weather is beginning to get cold, and the caregivers do not want to the client to get frostbite. What is the next intervention for the client? a. Install bed rails to keep the client from climbing out of bed b. Place the client in a nursing home c. Conceal the doorknobs so that the client cannot open the door d. Move the client's bed into one of the caregivers room

c. Conceal the doorknobs so that the client cannot open the door

10. An OTR works with elderly clients with low vision. A client with macular degeneration is referred after substantial symptom progression and loss of vision. The client's spouse states that for the past 3 months, the client has uncharacteristically refused to participate in social activities, is frequently irritable and uncommunicative, and is unwilling to perform personal care or routine risks. a. Consider exporing assisted living alternatives b. Insist that the client resume accompanying the spouse to bridge club and prepare a snack to share with the club c. Encourage the client to consult a mental health provider d. Advise the client and spouse to seek professional counseling to adjust to the inevitable changes in the marriage

c. Encourage the client to consult a mental health provider

4. Which statement best describes an important consideration for OTR's working with clients with dementia and their caregivers? a. Providing a variety of new occupations creates a sense of well-being for the caregiver and care recipient b. A brief respite from caregiving benefits the caregiver but is detrimental to the care recipient c. Everyday occupation is central to a caregiver's sense of well-being d. Psychologically resisting the inevitability of chronic illness improves satisfaction with caregiving.

c. Everyday occupation is central to a caregiver's sense of well-being

4. An adult client is receiving home health OT services from an OTR. At the initial session, the adult child of the client informs the OTR that the client's spouse passed away 2 months ago. The adult child states that the client has never been so down, that the client has to be encouraged to go to restaurants or movies and the client often cries. a. Tell the client's adult child that the client is experiencing depression and should seek psychiatric care b. Describe the difference between grief and depression to the client's adult child c. Further explore with the client's adult child the extent of the client's sadness and negative moods before recommending a course of action d. Ask the client's adult child about any potential physical or psychological abuse the client may have experienced in his or her lifetime.

c. Further explore with the client's adult child the extent of the client's sadness and negative moods before recommending a course of action

When working with a client with chorninc pain, the OTR needs to set a tone that will facilitate a therapeutic relationship with the client. Which statement sets an open and appropriate tone when working with a client who has chronic pain? a. your pain is all in your head. All you have to do is ignore it b. I have pain when I wake up in the morning. I have arthritis. It usually takes a while before it gets any better. Maybe you should try to exercise in the morning to get things moving like I do c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop, let me know, but I would like to see you push yourself. d. I think we should slowly increase the time you are spending at work-related tasks

c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop, let me know, but I would like to see you push yourself.

9. An OTR is working with a child diagnosed with oppositional defiant disorder in a public middle school. The child has been breaking rules in the Phys. Ed. Class by not wearing sneakers in the gym, chewing gum during class, and repeatedly forgetting to bring a swimsuit for the swimming class. Which solution would be best for the student? a. Referral to an alternative school located nearby b. Assignment of in-school suspension during gym class c. Implementation of a behavioral plan d. Replacement of gym class with another class

c. Implementation of a behavioral plan

4. Which method would be most effective to gather data on the needs of a homeless population in a large urban area? a. Face-to-face interviews with people who work with the homeless population b. A written survey distributed to people who are homeless c. Interviews with key informants who are homeless d. Telephone interviews with caseworkers at homework shelters

c. Interviews with key informants who are homeless

9. According to the Standards of Practice for OT, which task can the COTA complete in the eval. Process? a. Respond to the initial referral request b. Interpret and document the eval results c. Perform delegated assessments using current tools d. Make recommendations to other professionals

c. Perform delegated assessments using current tools

8. An OTR is working with a client with Alzheimer's disease (AD) in a skilled nursing facility. The client's adult child, who is the client's primary caregiver, appears to be stressed and fatigued and has asked the OTR for advice about how to best manage the parent's progressive decline in function. What would be the best approach? a. Refer the caregiver to a physician for treatment b. Refer the caregiver to the social worker for community resources c. Provide the caregiver with education about the progression of AD d. Suggest that the caregiver use the massage services at the facility.

c. Provide the caregiver with education about the progression of AD

12. An OTR is assessing a client with bulimia. The client has become preoccupied with hiding purging behaviors from friends and family. While developing an occupational profile with the client, the OTR notices that the client's bulimia has evolved, and that the client has replaced all other activities with the bulimia. a. Teach the client relaxation strategies to provide relief from the stress caused by the bulimia b. Recommend social activities to encourage the client to interact with friends and family in a more positive way c. Provide the client with leisure's activities that will create more balance and offer the client more control over the client's life d. Assign the client small-group activities with other clients to provide the client with info. About the health impact of bulimia.

c. Provide the client with leisure's activities that will create more balance and offer the client more control over the client's life

10. Which recommendation should an OTR make to the caregiver of a client with dementia, who is suffering from caregiver stress? a. Recommend that the caregiver inquire about medication to reduce the caregiver's stress b. Recommend that the caregiver inquire about additional sleep medication for the client c. Recommend that the caregiver contact a local adult day care to inquire about its services d. Recommend that the caregiver find a teenager in the neighborhood who can watch the client

c. Recommend that the caregiver contact a local adult day care to inquire about its services

18. A client with hip osteoarthritis has been referred for an OT assessment and treatment. What can the OTR have a COTA contribute to the assessment? a. Identify whether the client will need OT b. Decide which eval should be completed c. Select and implement therapeutic activities d. Interpret from the outcome if client can engage in occupations

c. Select and implement therapeutic activities

Evaluating a client in lunchroom, OT under fee-for-service contract observes another client w. level 1 autism reacting negatively to another student that accidentally brushed against him in line. What is the best response for the OT to make? a. Do nothing- OT is on their way to work with another student b. Deliver negative consequences to the client for misbehaving c. Suggest the client move to the end of line to avoid crowd d. Suggest client eat alone in another room to avoid being crowded

c. Suggest the client move to the end of line to avoid crowd

17. An OTR who supervised an OT assistant student in the student's final level II fieldwork in an acute psychiatric hospital hires the student for a COTA position. The student plans to sit for the NBCOT exam in 2 weeks. How should the OT supervise the COTA? a. Supervise the new employee as a COTA/L because the employee has completed all courses and fieldwork b. Always provide direct, face-to-face supervision for the new employee c. Supervise the employee consistent with national and state guidelines on uncertified employees d. Ask the new employee to initiate an OT assessment.

c. Supervise the employee consistent with national and state guidelines on uncertified employees

4. A COTA who spend 2 years working on the ortho. Unit of an acute care hospital is now working on the neuro. Floor. How is appropriate supervision best described? a. The OTR and COTA decide to set up supervisory visits on an as-needed basis b. The COTA requires minimal supervision owing to his or her 2 years of experience c. The OTR and COTA agree that close supervision is best at this time d. The OTR and COTA decide that continuous supervisor is needed.

c. The OTR and COTA agree that close supervision is best at this time

2. An OTR is conducting a group for older adult clients on prep. For driving cessation. Several group members express a fear of using public transportation because they have never done so. a. Referrals to a psychologist to address issues of fear and anxiety b. Driving evals. To ensure that the clients can continue to drive for as long as possible. c. Travel training to practice use of public transportation with the clients until they feel comfortable on their own d. Simulation of public transportation by driving the clients along the same routes used by the transit system

c. Travel training to practice use of public transportation with the clients until they feel comfortable on their own

An OT consultant is educating a group of supervisors from a furniture manufacturing company about common work related risk factors for cumulative trauma disorders. What are some of the primary physical risk factors that the OT would explain to the supervisors? a. regulated temperatures, noise, and lighting b. body mass index greater than 25 c. forceful exertions, repetition and excessive vibration d. old age, being female, and lower socioeconomic group

c. forceful exertions, repetition and excessive vibration

A person with level 1 ASD without intellectual impairment (Asperger's) is having a difficult time transitioning to a new adult foster care home, OT is contracted to make 4 home visits to access the client and provide appropriate intervention. When the OT arrives and attempts to interview the client, he angrily refuses to speak with the OT. What option is the best response? a. stay long enough to convince the client to cooperate so that the placement can be successful b. engage the client in their fav game and convince the client to work together c. leave the home allowing the client to refuse OT services d. tell the client that the OT will stop hassling the client after four visits

c. leave the home allowing the client to refuse OT services

Since getting new workstations, clerical workers at a law office are noticing increased neck stiffness, and OT is prepping a one week educational program for them. What strategy would be most likely to reduce neck stiffness? a. require workers to march in place for 5 mins once every hour b. provide neck strengthening and stretching exercises to improve flexibility c. move computer monitors to align with keyboards so workers face monitor straight on d. position workers with forearms resting on the edge of the desk while typing for support

c. move computer monitors to align with keyboards so workers face monitor straight on

An OTR is working with an adult client with sensory processing difficulties who finds it uncomfortable to commute to a job via train because of the noise of the train and of other passengers talking. Which environmental modification would be appropriate? a. encourage the client to obtain a driver's license and avoid train b. petition the train to set off a section of silence c. recommend the use of noise-cancelling headphones with a device that plays music or books the client enjoys d. get a closer job

c. recommend the use of noise-cancelling headphones with a device that plays music or books the client enjoys

An OTR who has passed the initial NBCOT exam has decided not to be recerified through NBCOT. Which consequences will result from the OTR decision? a. the OTR will not be allowed to practice OT in the USA b. The OTR practice opportunities and credentials will remain unchanged c. the OTR may practice OT in the state that does not require certification, but the OTR's credential will change d. the OTR may practice OT in a state that does not require certification and the OTR credentials will not change

c. the OTR may practice OT in the state that does not require certification, but the OTR's credential will change

An OT who is a certified hand therapist is responsible for supervising a new COTA, what is the purpose of the supervisory process as defined by AOTA? a. to ensure that COTAs treat only clients with diagnoses about which they have extensive knowledge b. to ensure that COTAs practice with in their scope of practice with regard to state laws c. to ensure the safe and effective delivery of OT services and to foster professional competence and development d. to provide evaluative feedback on an ongoing basis to the COTA

c. to ensure the safe and effective delivery of OT services and to foster professional competence and development

7. An OTR in an inpatient facility is conducting a cooking activity to teach effective coping skills to a small group of adolescents. A group member becomes frustrated with a teammate and is angry and verbally threatening. a. "I see that you're becoming upset by your teammate. Let's calm down and berate for 10 seconds." b. "You seem to be getting upset by your teammate. Verbally threatening is not a good behavior to show others." c. "I need you to stop, pause for a while and calm down." d. "You seem really upset right now. Would you want to take a minute to calm down or just go back to your room for now?" - offer choices to deal with emotional outburst

d. "You seem really upset right now. Would you want to take a minute to calm down or just go back to your room for now?" - offer choices to deal with emotional outburst

7. An OTR in an inpatient facility is working with an adolescent with major depression who repeatedly expresses feelings of worthlessness and poor self-concept. What should the OT do? a. Activities that establish normal daily routines b. Activities that engage the client socially c. Activities that do not require too many choices d. Activities that allow for self-expression

d. Activities that allow for self-expression

9. During an OT eval., which approach would pose the biggest barrier to engaging in a client-centered process with an adult client who is able to converse? a. Paying attention to the meaning of nonverbal cues b. Being directive c. Being too empathetic with the client d. Asking too many closed-ended questions

d. Asking too many closed-ended questions

2. An OTR is reviewing hard-copy of client charts before a group session. While reviewing the charts, the OTR receives an urgent phone call and must leave the chart room. How can the OTR ensure that the charts remain protected during the OTR's absence? a. Close the charts and stack them on the table b. Lock the door to the chart room c. Cover the charts with other documents to obscure them from view d. Close the charts and return them to their original secure location

d. Close the charts and return them to their original secure location

5. An OTR works in an interdisciplinary adult day program for clients with chronic mental illness. Other professionals working in the program include a recreational specialist, an art therapist, and a social worker. For what area is the OTR MOST likely to assume leadership? a. Creative expression b. Crisis management c. Sports activities d. Community integration

d. Community integration

A COTA has been assigned to treat a new patient. The OTR has evaluated this patient but has not yet written the documentation. How should the COTA proceed? a. Do not treat the patient and document in the chart that intervention is on hold pending completion of eval. b. Review the chart to understand the patient's conditions and ask the patient what needs to be addressed as part of treatment c. Co-treat with the physical therapist to gain info on reason for admission and special issues, and document accordingly d. Discuss with the OTR reason for admission, precautions, and goals, and proceed, documenting the supervisory visit.

d. Discuss with the OTR reason for admission, precautions, and goals, and proceed, documenting the supervisory visit.

2. A client with a herniated lumbar disk was referred to OT. The OTR completes an initial eval. And develops an intervention plan. Which task can the OTR assign to the COTA? a. Write up the initial eval. b. Alter the initial plan to address pain c. Do a complete reeval. Of strength d. Educate the client in proper body mechanics

d. Educate the client in proper body mechanics

5. A supervising OTR hires two newly graduated COTA's who have different learning styles. One prefers visual learning, and the other prefers hands on learning. Which approach is the best way for the OTR to supervise both COTAS a. Demonstrated tasks and have both COTAs return the demonstration b. Provide written instructions and protocols and discuss them c. Have both COTA role-play clinical scenarios d. Have one COTA perform new tasks and the other observe

d. Have one COTA perform new tasks and the other observe

6. A student OT arrives at a facility for Level 2 FW and discovers that the OTR supervisor has to take an unplanned eave for the duration of fieldwork. An entry-level COTA is present at the facility. What options does the student have for appropriate fieldwork supervision at that facility? a. The student may be supervised by the entry level COTA as long as the COTA consults with the OTR b. The student may be supervised by an OTR who works at another facility c. The student may be supervised by an entry-level COTA who works at another facility d. The student cannot complete fieldwork at the facility because adequate supervision is not available.

d. The student cannot complete fieldwork at the facility because adequate supervision is not available.

11. A client with secondary progressive multiple sclerosis (MS) is recovering from a recent relapse and seeks OT to manage anxiety associated with the disease and its effect on occupational performance. a. Participation in a cognitive retraining group b. Implementation of a home exercise plan that incorporates deep breaking c. Relaxation, such as taking a hot bath or yoga d. Using coping strategies for self-identified difficult tasks or situations

d. Using coping strategies for self-identified difficult tasks or situations

13. Under what circumstances is a COTA allowed to administer the Kohlman Eval. Of Living Skills to a new patient in an inpatient acute psychiatric hospital? a. After an OTR has directed the COTA to initiate the eval process b. When the OTR is unavailable to administer the assessment c. When the OTR is in the room while the COTA administers the assessment d. When the COTA has demonstrated competence in administering the assessment to the OTR

d. When the COTA has demonstrated competence in administering the assessment to the OTR

COTA working on an inpatient rehab has had 2 patients fall in last month. OTR has concerns about the COTA's safety awareness during certain interventions. Which approach is the best for the OTR? a. speak with the rehab manager about possible disciplinary action b. review the documentation of the 2 patients who fell and discuss their cases thoroughly with the COTA to determine cause of the falls c. ask the COTA whether more thorough supervision is needed and then proceed to provide close supervision d. collaborate with the COTA to determine potential causes of the falls and provide direct supervision with more deliberate feedback

d. collaborate with the COTA to determine potential causes of the falls and provide direct supervision with more deliberate feedback

An employer of a meat packing plant contracts an OT to provide consultation due to the recent increase in work-related musculoskeletal injuries. What would the OTs first course of action be? a. conduct role interest checklists with all employees b. complete functional capacity evaluations for injured employees c. administer vocational aptitude tests to all employees d. complete a job site analysis of activity demands

d. complete a job site analysis of activity demands

An OTR is working in a school with high incidence of violence in the district with increasing numbers of students diagnosed with ODD. The superintendent announces the formation of a task force to study the problem. Which response to the announcement would be best? a. document the progress of the OTR has made with students with ODD to justify continuing work with these students b. increase the frequency of visits to the students on the OTR caseload with his diagnosis because the task force will scrutinize intervention with these students. c. research intervention strategies to make sure that the intervention the OTR has been providing to these students is considered d. contact the superintendent and request to be appointed to a seat on the task force to study violence and incidence of ODD.

d. contact the superintendent and request to be appointed to a seat on the task force to study violence and incidence of ODD.

An OT develops an intervention plan for a client with bipolar disorder. OT focuses with the client's permission on the clients work environment because his employer is resistant to provide accommodations. The OT provides educational info to the boss about bipolar disorder. What approach does this strategy take? a. delay deterioration in performance skills b. maintain performance component skills c. prevent secondary disability and anticipatory action d. reduce behaviors and environmental barriers

d. reduce behaviors and environmental barriers