FREE NBCOT Analysis and Interpretation Questions and Answers

Mr. Smith is an elderly man with age-related musculoskeletal deterioration who was recently assessed by an occupational therapist. Though he was able to utilize a rolling walker recently, he is no longer able to stand without assistance. Mr. Smith's cognitive abilities are not a concern for the occupational therapist. Which wheelchair would be the most appropriate given this information?

Manual wheelchair with displaced rear axle and pneumatic tires

Manual lightweight chair with contoured seat

Tilt-in-space wheelchair with hip and knee joints maintained at 90 degrees

Power wheelchair with fluid pressure release cushion

Correct! Wrong!

Explanation:
Mr. Smith could manage a manual lightweight wheelchair as he has most recently utilized a rolling walker. Maintaining his upper body strength will be aided by his ability to propel himself.

An occupational therapist reviews a goal regarding an elderly client with a hip fracture who recently fell while peer-reviewing a colleague's documentation. Which SMART goal criteria is missing from this objective?

"Tracy will transfer to and from her toilet, given a walker and grab bars, with minimum assistance in 4/4 trials within three days."

Measurable

Specific

Relevant

Attainable

Correct! Wrong!

Explanation:
She may not be able to accomplish this goal in the allotted time given her old age and recent fall. The particular action of toileting provides sufficient context for the purpose. Even without Ana's entire occupational profile, the goal is relevant to address her fundamental needs because using the restroom is an ADL. Ana's level of assistance and the level of accuracy required are measured by the goal.

The school team is receiving advice from an occupational therapist after Tom, a 6-year-old student, had a sensory assessment. The student wants proprioceptive input because he is overly responsive to auditory and tactile input. Which modification would be suitable to encourage Tom's participation in class?

Physical indications for attention, such as a tap on the shoulder

Taking part in an unstructured musical instrument discovery session.

Removing distracting posters and pictures from the classroom.

Taking a heavy break from work every two hours.

Correct! Wrong!

Explanation:
The proprioceptive system is stimulated by heavy work, and Tom can enhance his participation in class by taking advantage of scheduled opportunities. Children who are overly sensitive to visual stimuli can benefit from the method of clearing out visual clutter. Tom is too receptive to tactile cues, thus they should be avoided. Given Tom's sensory profile, unstructured music time could be alarming.

An occupational therapist (OT) evaluating self-care for a patient who just had a brain injury instructs the patient to comb his hair right away after washing his face. The patient rapidly washes his face, but the therapist has to remind him to comb his hair multiple times. Which area is the OT most likely to see this as a deficit?

Hearing

Abstraction

Working memory

Judgment

Correct! Wrong!

Explanation:
Working memory is the area where information is temporarily stored while being handled or worked on. One aspect of it is the capacity to remember details right away upon exposure. It facilitates conscious attentional focus and information tracking while an activity is being performed.

Mary is a five-year-old who attends preschool. She recently had an occupational therapy evaluation, and on a standardized test of her visual-motor skills, she performed two deviations below average. With this information, what would be a reasonable objective?

Mary is going to draw representational pictures using shapes.

Mary will use a search and find an image to find five objects.

Mary is going to use a tripod grasp to hold a pencil.

Mary is going to move ten pegs onto a pegboard.

Correct! Wrong!

Explanation:
A five-year-old should be able to draw realistic pictures, as it is a visual motor ability that prepares them for writing. Finding pictures requires visual perception; holding a pencil requires grasp alone; moving pegs is activity-based and too specialized to be applied to other contexts.

Treatment plans are being planned by an occupational therapist for a teenage patient with an intellectual disability. The client mentioned that he prefers to shop alone using transportation. For this client, which of the following interventions would NOT be appropriate?

Practicing solving problems in transit at bus and train stations.

Playing out various money scenarios through role-playing.

Creating a comprehensive list of every step required to complete the task.

Instruction and practice with GPS applications on phones and paper maps.

Correct! Wrong!

Explanation:
In terms of safety, this person must be able to apply knowledge to various situations. Making a comprehensive list is too inflexible and useless in the event of a change.

Jerry, 30, is being assessed after experiencing a flare-up of symptoms related to multiple sclerosis. With a greater emphasis on performance skills, the occupational therapist intends to develop a comprehensive occupational profile. What is an example of a performance skill?

Ability to pace

Muscle tone

Routines

Values

Correct! Wrong!

Explanation:
The three types of performance skills are social, process, and motor. Performance patterns include routines. Client factors include muscular tone and values.

A child avoids playground equipment that requires her feet to be off the ground. What does this conduct probably indicate?

Somatodyspraxia

Gravitational insecurity

Bilateral integration/sequencing deficit

Difficulty modulating proprioception

Correct! Wrong!

Explanation:
Gravitational insecurity is known as "fear response to movement". The child easily gets afraid of falling and would rather have her feet planted firmly on the ground.

Regarding an eight-year-old who has been newly diagnosed with autism spectrum disorder and is enrolled in the school's response to intervention (RTI) program, an occupational therapist who works in the school provides advice to a teacher. The teacher explains that she has concerns about his lack of social connection, limited attention span, and sensory-seeking behavior. Which Tier 2 setting is the best fit for the therapist to execute the intervention?

Within the classroom with 1:1 support

Within the sensory room with 1:1 support

During break time, with all grade-level students.

A group of five children engaged in STEM-focused construction

Correct! Wrong!

Explanation:
Small groups are used in Tier 2 interventions to provide more specialized assistance to children who are at risk. A Tier 3 (universal) intervention would take place at recess and involve every child in the grade level. Tier 1 interventions include the ones in answers C and D.

With a possible overuse injury, an adolescent softball pitcher's occupational therapist creates goals. Which objective is the most suitable?

Do three times a week at-home workouts.

When participating in approved softball drills, report no more than a 3/10 on a pain scale.

Increase the rotator cuff muscles' strength to a 5/5.

ROM (shoulder abduction and extension) should be increased.

Correct! Wrong!

Explanation:
This objective is activity-based and measurable. Within the scope of occupational therapy practice, the other possibilities can be acceptable objectives but not goals.

The occupational therapist suspects a child may have somatodyspraxia during an initial evaluation. Which area of the evaluation should the OT concentrate on?

New motor task planning

Reading competency

Ability to print or write

Math calculations

Correct! Wrong!

Explanation:
A deficit in learning new motor skills, planning new motor actions, and generalizing motor plans is referred to as “somatodyspraxia.”

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FREE NBCOT Analysis and Interpretation Questions and Answers

Mary is a five-year-old who attends preschool. She recently had an occupational therapy evaluation, and on a standardized test of her visual-motor skills, she performed two deviations below average. With this information, what would be a reasonable objective?

Treatment plans are being planned by an occupational therapist for a teenage patient with an intellectual disability. The client mentioned that he prefers to shop alone using transportation. For this client, which of the following interventions would NOT be appropriate?

Jerry, 30, is being assessed after experiencing a flare-up of symptoms related to multiple sclerosis. With a greater emphasis on performance skills, the occupational therapist intends to develop a comprehensive occupational profile. What is an example of a performance skill?

A child avoids playground equipment that requires her feet to be off the ground. What does this conduct probably indicate?

With a possible overuse injury, an adolescent softball pitcher's occupational therapist creates goals. Which objective is the most suitable?

The occupational therapist suspects a child may have somatodyspraxia during an initial evaluation. Which area of the evaluation should the OT concentrate on?

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