NBCOT Intervention Management 3 — Questions and Answers
Question 1: An OT is working with an older adult with Parkinson's disease on gait and functional mobility. Which intervention is MOST evidence-based?
- Bed rest to conserve energy
- LSVT BIG therapy focusing on large-amplitude movements (Correct answer)
- Static stretching only
- Passive range of motion exercises
Correct answer: LSVT BIG therapy focusing on large-amplitude movements
LSVT BIG is an evidence-based protocol that trains people with Parkinson's to use large-amplitude movements to improve functional mobility.
Question 2: When addressing feeding difficulties in a child with cerebral palsy, the OT would FIRST complete:
- A trial of thickened liquids
- An oral-motor assessment including jaw, lip, and tongue function (Correct answer)
- Introduction of pureed foods
- Placement of a nasogastric tube
Correct answer: An oral-motor assessment including jaw, lip, and tongue function
A thorough oral-motor assessment establishes the child's baseline function and guides safe, individualized feeding intervention.
Question 3: A client recovering from a total hip replacement needs to dress independently. Which adaptive equipment would the OT MOST likely recommend?
- Standard shoehorn
- Long-handled reacher and sock aid (Correct answer)
- Elastic shoelaces only
- Velcro-closure shoes without adaptive equipment
Correct answer: Long-handled reacher and sock aid
A long-handled reacher and sock aid allow lower extremity dressing while maintaining hip precautions (avoiding hip flexion beyond 90°).
Question 4: Which type of group is MOST appropriate for clients in an acute psychiatric inpatient setting who have limited insight and low functional capacity?
- Insight-oriented psychotherapy group
- Parallel group focusing on simple, parallel activities (Correct answer)
- Topical discussion group
- Long-term goal-setting group
Correct answer: Parallel group focusing on simple, parallel activities
Parallel groups allow members to work independently side-by-side on simple tasks, which is appropriate for low-functioning clients with limited social and cognitive capacity.
Question 5: An OT uses graded exposure to occupational tasks for a client with chronic pain. This intervention is based primarily on which model?
- Biomechanical model
- Fear-avoidance model of chronic pain (Correct answer)
- Sensory integration theory
- Neurodevelopmental approach
Correct answer: Fear-avoidance model of chronic pain
The fear-avoidance model explains how pain-related fear leads to activity avoidance; graded exposure directly addresses this by systematically reintroducing feared activities.
Question 6: A school-based OT is collaborating on IEP goals for a student with dysgraphia. Which intervention is MOST appropriate?
- Handwriting worksheets with repetitive practice only
- Multi-sensory handwriting program combined with keyboarding as an accommodation (Correct answer)
- Reducing all written work requirements permanently
- Referring solely to special education without OT involvement
Correct answer: Multi-sensory handwriting program combined with keyboarding as an accommodation
A multi-sensory handwriting program addresses underlying deficits while keyboarding serves as a compensatory accommodation, supporting participation in academic tasks.
Question 7: Which approach would an OT use when a client with a traumatic brain injury demonstrates impulsivity during a cooking task?
- Remove the client from cooking activities indefinitely
- Use environmental modifications and step-by-step verbal cuing to structure the task (Correct answer)
- Allow the client to proceed without supervision
- Focus exclusively on insight-oriented talk therapy
Correct answer: Use environmental modifications and step-by-step verbal cuing to structure the task
Environmental modifications and external cueing systems provide structure that compensates for impulsivity deficits in TBI, enabling safe task completion.
NBCOT Intervention Management 3
An OT is working with an older adult with Parkinson's disease on gait and functional mobility.
Which intervention is MOST evidence-based?