NBCOT Therapeutic Use of Occupations and Activities 5

Question 1

A pediatric OT wants to use a cooking activity to address executive function deficits in an adolescent with TBI. Which task demand MOST directly targets executive function?

Accepted Answer

Sequencing recipe steps independently and self-monitoring for errors

Answer

Sequencing and error monitoring directly engage planning, organization, and self-regulation — core executive function components.

Question 2

A client with COPD is learning energy conservation during home management tasks. The BEST example of work simplification is:

Accepted Answer

Sliding heavy items along the counter rather than lifting them

Answer

Work simplification reduces the physical effort of a task by changing the method, such as sliding instead of lifting to minimize exertion.

Question 3

When using occupation-based intervention versus a preparatory method, the OT should recognize that:

Accepted Answer

Occupation-based intervention contextualizes skill application in meaningful daily tasks, which can enhance motivation and carryover

Answer

Occupation-based interventions embed skill practice in meaningful contexts, promoting generalization and client engagement beyond preparatory exercises.

Question 4

A client with rheumatoid arthritis asks the OT how to best protect her joints while gardening. The therapist should recommend:

Accepted Answer

Using long-handled tools and padded grips to distribute joint load and avoid sustained pinch

Answer

Joint protection principles include using larger joints, distributing force, and using ergonomic tools to reduce stress on vulnerable joints.

Question 5

An older adult in a skilled nursing facility refuses to participate in a morning ADL group, stating she has 'always bathed at night.' The OT's BEST response is to:

Accepted Answer

Adjust the bathing schedule to align with her lifelong routine and habits

Answer

Respecting established habits and routines is a client-centered principle that supports autonomy, dignity, and occupational engagement.

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 5