NBCOT Therapeutic Use of Occupations and Activities 4

Question 1

A therapist is working with a client with ALS who can no longer prepare meals. Which approach best reflects occupational adaptation?

Accepted Answer

Teach compensatory strategies using adaptive equipment to maintain meal prep roles

Answer

Occupational adaptation supports role continuity by modifying how the occupation is performed rather than abandoning it.

Question 2

During a leisure activity group, a client with schizophrenia suddenly becomes disruptive. The therapist's FIRST response should be to:

Accepted Answer

Calmly redirect the client to a quieter, less stimulating activity

Answer

Graded environmental modification and calm redirection are first-line responses to decompensation during activity groups.

Question 3

Which principle of activity analysis is MOST important when selecting a therapeutic activity for a child with sensory processing disorder?

Accepted Answer

The activity's sensory demands must match the child's regulatory needs and tolerance

Answer

Matching sensory demands to the child's regulatory threshold is foundational in sensory integration-informed OT practice.

Question 4

A client recovering from a right CVA has left neglect and is learning to dress independently. The therapist should FIRST address:

Accepted Answer

Scanning the left side of the body and environment before and during dressing

Answer

Training systematic leftward scanning is the foundational compensatory strategy for unilateral neglect during ADLs.

Question 5

According to the MOHO, which factor would BEST explain why a retired firefighter refuses to engage in craft activities during inpatient rehabilitation?

Accepted Answer

Volition mismatch — crafts conflict with the client's occupational identity and values

Answer

MOHO's volition component encompasses values and occupational identity, which may be incompatible with craft-based activities for this client.

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT Therapeutic Use of Occupations and Activities 4