FREE NBCOT Intervention Management Questions and Answers

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A new patient named Mrs. Jones suffered a stroke three weeks ago; an occupational therapist in a long-term care facility meets with the medical team to discuss her case. Because of the possibility of aspiration, she was on a level two dysphagia diet in her previous setting. Which of the following does the team consider Mrs. Jones should avoid?

Correct! Wrong!

Explanation:
Because it requires more chewing than other soft foods, bread is regarded as an advanced food. The remaining meal combinations are acceptable for a diet for level two dysphagia.

A 30-year-old man who recently had surgery to amputate above the elbow is excited to start driving again. He does not use a prosthetic on the side that is handicapped and is fully functional with his non-dominant upper extremity. Which assistive technology should be recommended?

Correct! Wrong!

Explanation:
For people who can use one arm functionally, the round spinning knob is suitable. A device called a wheel cuff is meant to accommodate drivers with limited grasp. When using a prosthesis, a wheel ring is utilized. Individuals who lack the power or stamina to maneuver the typical resistance of a steering wheel should use reduced-effort steering.

Staff members at a long-term care institution are receiving fall prevention training from an occupational therapist. Which of the following client factors increases the risk of falls among residents?

Correct! Wrong!

Explanation:
An individual may become less mobile due to a fear of falling, which can weaken and impair the musculoskeletal system. Falls can be directly caused by presbyopia, impaired visual acuity, and vertigo.

In a rehabilitation facility, a patient with an L1 spinal cord injury is being evaluated by an entry-level occupational therapist. The OT learns that the patient is eager to resume sexual activity when doing the evaluation interview section. Which of the following interventions would be suitable for a beginning occupational therapist to perform?

Correct! Wrong!

Explanation:
Sex intervention falls under the scope of occupational therapy since it is an ADL. If further needs arise for a referral to a marriage counselor or specialist, or if medical intervention is required, an occupational therapist should make the appropriate referral.

Ana, a transcriptionist with a history of carpal tunnel disease and an outpatient client, has moved to a remote work position. Her new workstation's ergonomics are worrying her. What is the best recommendation?

Correct! Wrong!

Explanation:
Wrists should be positioned neutrally when the workstation is adjusted. When seated, the surface height for typing should not be higher than 28 inches, and the knees should be at a 90-degree angle. Additionally, the neck needs to be in a neutral posture.

In their early education classroom, a preschooler is receiving push-in occupational therapy services. The child screams and runs around the classroom in circles when the fire alarm goes off. Which tool could the therapist use, from a sensory perspective?

Correct! Wrong!

Explanation:
One strategy that could assist a child in feeling safe and calm is to provide them with pressure input. During this safety precaution, the therapist should assist the kid in leaving the room. Thus, it would not be beneficial to use a less stimulating area. The vestibular system is triggered when a youngster spins, which may exacerbate their dysregulation. One behavioral method is to provide a transition item.

After a radial nerve injury, an occupational therapist prepares to make a splint for a patient who has a wrist drop. Which splint is the best to use?

Correct! Wrong!

Explanation:
The client's wrist needs to be placed in a functional position by the therapist so that support and strengthening can occur. A C-bar splint opposes the thumb to preserve the initial web gap. When there is an ulnar nerve injury, such as a claw hand deformity, an MCP flexion block splint is utilized. For flexor tendon injuries, a dorsal protective splint is used.

Regarding the design of a new community building, an architecture firm is collaborating with an occupational therapist. They must build a ramp that raises the user by 16 inches. Which of the following wheelchair ramps should the occupational therapist suggest installing to guarantee that this building is accessible?

Correct! Wrong!

Explanation:
There must be a minimum of 12 inches of ramp for every inch of rise. If not, wheelchair users may find the slope to be too steep to navigate. The 16-foot ramp meets the criterion of 1:12.

A student doing level II fieldwork is employed at a cardiopulmonary rehabilitation facility. The student discovers that the patient is capable of engaging in MET level 2 activities while looking over a patient chart. Which treatment approach is suitable for the student to choose?

Correct! Wrong!

Explanation:
Only activities that are at or below the patient's MET level should be chosen by the student. Standing to brush one's teeth is regarded as MET level 2. The other exercises are inappropriate at this point in the healing process and demand more energy.

A patient with Raynaud's illness is being treated by a therapist who chooses a physical agent modality before preparing a meal. Which type of modality is not appropriate?

Correct! Wrong!

Explanation:
Reduced blood circulation, particularly to the hands, is an indicator of Raynaud's illness. For those suffering from Raynaud's disease or other circulatory problems, cryotherapy is not recommended. For those with Raynaud's illness, other modalities can be employed to get ready to participate in activities.

A 48-year-old lady recently suffered a fracture to her Colles after falling on ice. She no longer has a fracture, but she now has complex regional pain syndrome in the affected hand and wrist. Out of the following interventions, which one is NOT recommended?

Correct! Wrong!

Explanation:
For a patient with CRPS, a passive range of motion may result in greater localized pain and swelling. The ideal range of motion is active. The other possibilities are suitable pain management strategies that preserve participation in everyday activities.

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