NBCOT Assistive Technology and Adaptive Equipment

Question 1

When selecting assistive technology for a client, which factor should be the PRIMARY consideration?

Accepted Answer

The client's goals and functional abilities

Answer

AT selection must be driven by the client's functional goals, performance skills, and personal preferences to ensure adoption and meaningful use. Cost, caregiver ease, and aesthetics are secondary considerations.

Question 2

A client with severe motor impairments has only reliable voluntary head movement. Which AAC access method is MOST appropriate?

Accepted Answer

Switch scanning with a head switch

Answer

A head switch with scanning allows the client to activate a switch with reliable head movement to navigate a scanning interface. Eye gaze requires good ocular motor control; direct selection requires hand use; sip-and-puff relies on oral motor function.

Question 3

A client with ALS is losing upper extremity function but retains functional voice. Which environmental control unit feature would MOST benefit this client?

Accepted Answer

Voice-activated control

Answer

Voice activation allows the client to control environmental systems without motor input, compensating for progressive UE weakness. As ALS progresses voice may also decline, but it is the most functional current solution given retained speech.

Question 4

A client is discharged home with a new manual wheelchair. During AT training, the OT should address which skill FIRST?

Accepted Answer

Propulsion techniques on level surfaces

Answer

Basic propulsion on level surfaces is the foundational mobility skill that enables all other wheelchair-related activities. Safety and independence with basic mobility must be established before progressing to transfers, ramps, or vehicle loading.

Question 5

Which funding source would MOST likely cover assistive technology for a working-age adult whose TBI resulted from a motor vehicle accident?

Accepted Answer

Auto insurance or personal injury settlement

Answer

AT costs resulting from a vehicle accident are typically covered by auto insurance or pursued through personal injury litigation. VR focuses on employment-related AT; Medicare/Medicaid have specific medical necessity requirements with separate eligibility criteria.

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT Assistive Technology and Adaptive Equipment