NBCOT Intervention Management 2

Question 1

An OT is working with a client who has hemiplegia after a stroke. Which intervention approach best supports motor re-learning through task-specific practice?

Accepted Answer

Constraint-Induced Movement Therapy (CIMT)

Answer

CIMT forces use of the affected limb through intensive task-specific practice, promoting cortical reorganization and motor re-learning.

Question 2

When using a compensatory approach for a client with low vision, the OT would most likely recommend:

Accepted Answer

Increased ambient lighting and high-contrast materials

Answer

Compensatory strategies for low vision include environmental modifications such as improved lighting and high-contrast materials to maximize remaining functional vision.

Question 3

A therapist is selecting an orthotic for a client with radial nerve palsy. Which device is most appropriate?

Accepted Answer

Dynamic wrist extension splint

Answer

Radial nerve palsy causes wrist drop; a dynamic wrist extension splint positions the wrist in extension and allows functional hand use.

Question 4

Which of the following best describes the 'just-right challenge' principle in OT intervention?

Accepted Answer

Offering tasks that match the client's skill level to promote engagement and growth

Answer

The just-right challenge means grading activities so they are neither too easy nor too hard, optimizing motivation and therapeutic benefit.

Question 5

A child with sensory processing disorder shows tactile defensiveness. Which strategy would an OT FIRST implement?

Accepted Answer

Deep pressure and proprioceptive input before light touch tasks

Answer

Deep pressure and proprioceptive activities are calming and organizing, preparing the nervous system to tolerate light tactile input.

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT Intervention Management 2