NBCOT Intervention Management 3

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?

Accepted Answer

LSVT BIG therapy focusing on large-amplitude movements

Answer

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:

Accepted Answer

An oral-motor assessment including jaw, lip, and tongue function

Answer

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?

Accepted Answer

Long-handled reacher and sock aid

Answer

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?

Accepted Answer

Parallel group focusing on simple, parallel activities

Answer

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?

Accepted Answer

Fear-avoidance model of chronic pain

Answer

The fear-avoidance model explains how pain-related fear leads to activity avoidance; graded exposure directly addresses this by systematically reintroducing feared activities.

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT Intervention Management 3