NBCOT EXAM LATEST PREDICTOR LATEST EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A

NBCOT EXAM LATEST PREDICTOR 2023-2024

LATEST EXAM 400 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A

It is important to use therapeutic use of self with clients who have dementia. By

acknowledging the client's issue, the OTR® is able to establish rapport and

demonstrate empathy. In addition, by living in the client's reality, the OTR® will

be able to observe how the client responds to stimuli and how to approach the

client in the future and plan interventions.

A: Arguing with a client with dementia is never a good idea. Because people with

dementia lack insight into their condition, argument is likely to increase agitation.

B: Asking a client with dementia who is agitated to complete any new task would

not be wise; it might increase the client's agitation.

C: Abandoning a client with dementia would not be wise because the OTR® might

be able to calm the client with therapeutic use of self.

Which of the following goals would be appropriate for an client with mild

dementia?

A. Client will improve money management skills to independent as evidenced by

paying five of five bills on time in 30 days.

B. Client will verbalize with 100?curacy the names of at least four family

members once cued when looking at family photos.

C. Client will maintain good safety during independent light meal preparation

while using visual cues for sequencing as needed.

D. Client will improve bathing to independent while using adaptive equipment for

safety. - ANSWER- Solution: The correct answer is C.

The primary goals for clients with dementia are related to maintaining functional

capacity.

A, D: Goals that aim to improve skills in clients with dementia should be avoided.

B: Verbalizing names of family members, although useful, is probably not

appropriate; because the client is only mildly involved, recognition of family

members is likely intact.

An OTR® is preparing to assess a student who is 17 years old and has moderate

symptoms associated with autism spectrum disorder (ASD). The purpose of the

assessment is to determine the student's strengths and needs for a work-study

experience as part of a transition services program. What type of assessment would

be MOST BENEFICIAL to administer when gathering information to achieve this

goal?

A. Self-administered occupational performance checklists

B. Self-perception questionnaire related to occupational performance

C. Social interactions and social adjustment inventory

D. Functional capacities and work readiness evaluation - ANSWER- Solution: The

correct answer is C.

Social skills such as getting along with others and functioning socially in a group

situation have been found to be significant predictors of employment for

individuals with ASD. This would be the most beneficial information to gather in

this assessment.

A, B: Assessment of vocational potential to prepare for transition services should

focus on social and vocational functioning for individuals with ASD; occupational

performance areas that relate to work, leisure, and social skills should be the focus,

not personal ADLs. Assessments addressing prevocational skills should be brief

and focused on work-related skills to avoid discouraging the student.

D: Functional capacities and work readiness evaluation are appropriate in

situations when a work injury has occurred; these services are not used in transition

services planning.

A client is recovering from an acute flare-up of rheumatoid arthritis. An initial

screening indicates significant joint laxity in both hands. What type of assessment

would be CONTRAINDICATED for the OTR® to use during this stage of the

client's disease process?

A. Manual muscle testing

B. Standardized test of hand function

C. Goniometric ROM measurements

D. Comprehensive sensory testing - ANSWER- Solution: The correct answer is A.

Resistance applied during manual muscle testing may be harmful to inflamed

tissue and joints and is contraindicated in an acute phase of arthritis.

B: Standardized test of hand function is not contraindicated during an acute phase

of arthritis though the practitioner should use caution when stressing painful or

vulnerable joints.

C: Goniometric ROM measurements are used to assess active ROM and are not

contraindicated in the acute phase of arthritis though the measurements may be

difficult when joint deformity is present.

D: Comprehensive sensory testing is not contraindicated in the acute phase of

arthritis and should be considered when nerves have been compressed or damaged

because of swelling.

An OTR® is observing a 6-year-old child who has a sensory modulation disorder.

The OTR® notes that the child maintains foot contact with the ground at all times

whenever playing on moving playground equipment. What do the child's behaviors

suggest?

A. Gravitational insecurity

B. Sensation-seeking behaviors

C. Somatodyspraxia

D. Tactile defensiveness - ANSWER- Solution: The correct answer is A.

Gravitational insecurity results from vestibular sensation, and a child may attempt

to keep feet in contact with the ground in response to the overresponsiveness of the

vestibular system with the moving playground equipment.

B: Sensation-seeking behaviors are demonstrated by a child who is

underresponsive to a stimulus and then seeks intense stimulation.

C: Somatodyspraxia involves an inability to plan and execute a motor act while

simultaneously having poor tactile discrimination and perception. A child with this

sensory discrimination problem would likely be unable to play on moving

playground equipment at all.

D: Tactile defensiveness occurs when a child overreacts to a normal touch

sensation, and the child would not want to place the foot on the ground.

An OTR® is working with a client with Down syndrome to develop cooking skills.

The client successfully makes a peanut butter and jelly sandwich. Which

therapeutic activity would be BEST for the next treatment session?