NBCOT RATIONALE (Ethics, Work, SOP, PEDs, mixed)

Question 1

What is the difference between intensity, frequency, and duration?

Answer 1

Intensity= light, moderate, or heavy. But in terms of session–> the amount of time spent in a session.

Frequency= sessions per day or per week

Duration= length of time over the course

Question 2

In order to identify a client’s essential job function, what should the comprehensive FCE assess?

Answer 2

Assess the demands outlined from the Dictionary of Occupational Titles (DOT) job classification and description.

Question 3

During the platuea phase of Guillan-Barre Syndrome, what does the OT typically observe in terms of communication?

Answer 3

inability to communicate vocally. (because this disease paralyze the head and neck muscles)

Question 4

For clients with MS, what is an effective strategy to recommend in dealing with fatigue to complete tasks within the day?

Answer 4

Scheduling tasks in intervals throughout the day will best address energy conservation and compensate cognitive strategy.

Question 5

What is correlation coefficient?

Answer 5

Compares the variables of one measure to the variables of another measure.

Closer to 1= the stronger the relationship between variables.

e.g: .71= strong positive correlation

Question 6

What are some interventions you can do with a pt w/ median nerve injury after surgery?

Answer 6

AROM of wrist, thumb, fingers 24-48 hrs post/op. MEDIAN NERVE GLIDES

Question 7

Besides endurance, what should the OTR assess for a pt who has GBS in the acute phase?

Answer 7

Sensation

Question 8

What are fading approaches?

Answer 8

Reducing or eliminating supports as client skills improve and develop.

Question 9

What is scaffolding method?

Answer 9

The OT helps the client break down parts of the task that are difficult and the client completes it.

Question 10

How should you address fatigue while building strength during the recovery phase of GBS?

Answer 10

Taking rest periods without pushing to the point of fatigue while gradually increasing tolerance for activity.

Question 11

What is the hierarchy of functional return?

Answer 11

Gradual gradation of tasks

• Gross to fine motor movements
• increased resistance
• repetition from simple to complex tasks with postural changes to promote neuromuscular reeducation.

Question 12

What is a work therapy program?

Answer 12

Work therapy may occur during any point in the healing of injured tissues. It typically occurs during the acute phase of rehabilitation before tissue reaches homeostasis.

Question 13

A pt with CRPS in Type 1, what should be the focus on work conditioning program?

Answer 13

Treatment should focus on management of pain and edema along with AROM. The most recognized therapeutic intervention for CRPS is a stress loading program (scrubbing and carrying)

Question 14

What is the jurisdiction of the AOTA Ethics Commission?

Answer 14

ONLY OT/OTA members of AOTA

Question 15

What happens when medical entry is not present during documentation?

Answer 15

Information that must be entered out of sequence should be entered into the medical record as a late entry and must be identified as such per AOTA guidelines.

Question 16

What is the Joint Commision’s focus?

Answer 16

Improving health care services by facilitating effective and safe services.

Question 17

An OTR® is working with an infant who is recovering from a brachial plexus injury. What type of sling should the OTR® fabricate?

Answer 17

Sling that fits around the humerus

Question 18

What is the typical duration of Ayres SI treatment?

Answer 18

1-2 times/ week for 2 years

Question 19

What should the OTR expect to see for a child with fluctuating tone from low to normal when reaching for a toy positioned on the table?

Answer 19

A limb that appeared to be athethoid.

Characterized by tone that fluctuates from low to normal with little spasticity.

Question 20

A student in the first grade has illegible handwriting. Results of a standardized assessment indicate the student scored –0.5 standard deviations from the mean on a gross motor subtest and –2.0 standard deviations from the mean on a fine motor subtest. What do these results indicate?

Answer 20

SD that less than 1.5 of score suggest a need for OT services. The GM does not suggest the delay, but FM does and can be addressed through intervention plan to improve handwriting.

Question 21

What intervention should the OT do for a child with dysgraphia?

Answer 21

Provide the child with a copy of partially completed notes so he only has to fill in key words. Dysgraphia is a learning disability associated with difficulty producing written language.

Question 22

Which occupation might the child have difficulty with bradydactyly participate in?

Answer 22

Buttoning shirt buttons. A child with bradydactyly has overly large digits and may have difficulty with ADLs that require FM manipulation.

Question 23

An OTR working in a school setting receiving referral for SPED services. What is the first thing the OTR should do as part of the evaluation process?

Answer 23

Gather information to create student’s occupational profile

Question 24

An OTR in I/P facility working with a group of adolescents and a group member becomes frustrated w/a teammate and is angry. What is the BEST response in this situation?

Answer 24

Offer choices for effective coping strategies to deal with emotional outbursts.

“You seem upset, would you take a minute to calm down or go back to your room for now?”

Question 25

What visual skills are affected as a result of CNS damage?

Answer 25

Stereopsis. (Binocular depth perception)

Question 26

What intervention strategy would be appropriate when working with a child with sickle-cell anemia?

Answer 26

Pain management

Question 27

Which biomechanical technique would be appropriate to include in the client with juvenile RA during exacerbation?

Answer 27

AROM Program. A/PROM exercises along with splinting, monitoring joint function, preventing deformation, teaching energy conservation techniques, AE are all recommended.

Question 28

Which condition that often occurs concurrently with oppositional defiant disorder should the OTR® look for?

Answer 28

ADHD

Question 29

The OTR wants to determine whether the child has difficulty with integrated process of handwriting rather than specific components that support production. Which assessment can the OT use?

Answer 29

Print Tool

Question 30

Which would best describe the correct use of a weighted vest?

Answer 30

The vest weight should be no more than 10% of the child’s body weight.

Question 31

Which occupation would a child with poor interoceptive sensory skill have difficulty with?

Answer 31

Toileting. Interoception is the ability to perceive information from inside the body.

Question 32

What is tonic-clonic seizures?

Answer 32

people experience an “aura” or a sensation that the seizure is about to begin. During this type of seizure, people usually lose consciousness and their body goes through a series of rhythmic clonic contractions.

Question 33

What is myclonic?

Answer 33

seizures involve a single muscle group.

Question 34

What is akinetic seizures?

Answer 34

involve the loss of normal muscle tone for approximately 30 minutes or more.

Question 35

what is absence seizures?

Answer 35

Looks like they are “zoning out” or daydreaming; these seizures are characterized by a brief lapse or loss of awareness. In addition, clients who experience absence seizures will suspend all motor activity (even eye blinking) during a seizure. These seizures usually last less than 30 seconds.

Question 36

According to the biomechanical model of practice, which piece of adaptive equipment would MOST LIKELY promote a more functional forearm position for handwriting?

Answer 36

A rubber band sling

Transitional grasp would promote a more neutral wrist position and pronated forearm position.

Question 37

An OTR® is reviewing a chart on an infant who was referred to the developmental follow-up clinic. The OTR® notes that the mother transmitted syphilis to the baby during birth. Which impairments might be seen in the child?

Answer 37

Poor tolerance of passive range of motion

Congenital syphilis may result in osteochondritis at the joints, other bone anomalies, dental anomalies, and visual and auditory deficits. PROM may be painful.

Question 38

The infant has bronchopulmonary dysplasia (BPD). Which occupation would be affected by this condition?

Answer 38

Feeding

Infants with BPD may require the use of mechanical ventilation and other traumatic interventions to treat acute respiratory problems. In addition, they may experience excess mucus and airway thickening that may make feeding difficult.

Question 39

An OTR® recognizes that a client with an incomplete spinal cord injury will be ready for discharge to home in the next few weeks. What is the BEST method to determine the client’s occupational performance?

Answer 39

A home evaluation

Question 40

A goal for a client with traumatic brain injury is to be accurate with orientation to place and time. The client is at Rancho Level IV (i.e., with confusion and agitation). What intervention is appropriate to meet this goal?

Answer 40

Have client use a logbook that provides a calendar with the current therapy session schedule

Question 41

An OTR® has completed a screening of fine motor skills with all of the students enrolled in a kindergarten class. The results indicate that five students in the class are functioning in the lower 25th percentile. What INITIAL action should the OTR® take in response to these findings?

Answer 41

Discuss the students’ results and potential follow-up options with the classroom teacher.

Question 42

An OTR® is working with a child who has a diagnosis of myclomeningocele spina bifida. Which ADLs might be difficult for a child with this condition?

Answer 42

Toileting

Bowel and bladder programs may need to be implemented to help children with toileting across environments

Question 43

According to the Healthcare Common Procedure Coding System (HCPCS) for durable medical equipment, including wheelchairs and their accessories what is HCPCS code for a standard wheelchair?

Answer 43

K001

Question 44

Which client would be MOST appropriate for vocational evaluation?

Answer 44

A client with a recent spinal cord injury who wants to pursue a new occupation.

Question 45

The treating OTR®; has received permission to provide pro bono services to ensure that the client continues on the path to recovery. What ethical principle likely informed the OTR’s decision in this situation?

Answer 45

Justice

Question 46

An OTR® has developed a prevocational program for clients who have an enduring mental illness. Program modules include assessing the advantages and disadvantages of employment, evaluating work and leisure skills, practicing completion of job applications, and learning to write resumes and cover letters. Which frame of reference reflects the design of this program?

Answer 46

Cognitive-Behavioral

Question 47

The client attempted to return to work; however, the pain persists, and the client is unable to sleep at night, affecting the ability to focus and complete daily tasks. In determining the client’s ability to return to work, what should the occupational therapist do FIRST?

Answer 47

Simulate a workstation to assess the job the client must perform daily.

Question 48

Which statement BEST describes the role of occupational therapy in an early intervention program under the Individuals With Disabilities Education Act Part C?

Answer 48

Occupational therapy is one of 16 primary services provided for children in need of early intervention services.

Question 49

What is the purpose of the Disciplinary Council as described in the Enforcement Procedures for the Occupational Therapy Code of Ethics and Ethics Standards?

Answer 49

To give the Respondent an opportunity to present evidence and provide witnesses to answer and refute a charge

Question 50

GCS SCORES FOR MILD

Answer 50

13-15

Question 51

GCS SCORES FOR MODERATE

Answer 51

9-12

Question 52

GCS SCORES FOR SEVERE

Answer 52

8 or less

Question 53

A client with Down syndrome is preparing for transition from high school to work and is seeking a work placement. The client needs to identify vocational interests and abilities for general job tasks. To which service should the OTR® refer the client?

Answer 53

Job coaching

Question 54

An OTR® is working with a child who is overresponsive to vestibular input, extremely scared of movement, and fearful of jumping. What type of sensory dysfunction might this child have?

Answer 54

Gravitational Insecurity