NBCOT Test Prep A (2022) Questions And Answers
A1. An older adult with peripheral neuropathy resulting from the chronic effects of diabetes expresses
... [Show More] concern over the ability to have a satisfying sexual relationship with a partner. Which is the most beneficial recommendation for the occupational therapist to make to the older adult?
a. Experiment with different positions during sexual expression activities.
b. Focus on intact senses and areas of intact sensation.
c. Schedule sexual expression activities after rest periods.
d. Advise the older adult to accept decreased abilities in sexual expression as a normal part of aging. - b
A2. An individual with amyotrophic lateral sclerosis requires the use of an environmental control unit (ECU) to access electrical devices and a personal emergency response system. The individual lives alone and self-directs personal care attendants to perform personal activities of daily living. During instruction to the individual on the capabilities and use of the ECU, which is most important for the occupational therapist to discuss with the client?
a. The ECU's back-up power source and charging instructions.
b. Additional assistive technology available.
c. Augmentative alternative communication options.
d. Funding for the ECU and assistive technology. - a
A3. A nine-year-old child identifies the assembly of a model as the most desired play activity. The occupational therapist determines that the child would have difficulty completing the selected model. Which action is most effective for the therapist to take during the next intervention session?
a. Allow the child to work on the model and provide maximum assistance as the child completes the project.
b. Explore with the child why completing the model is desired by the child and provide alternative project choices.
c. Break the project down into accomplishable segments and instruct the child to complete one segment at a time.
d. Explain to the child several reasons why the selected model is not the best choice for the child and provide alternative project choices. - c
A4. A child with myelomeningocele meets the short-term goals of achieving functional gross grasp and lateral pinch. After several additional weeks of occupational therapy, the child does not meet the goals of demonstrating pincer grasp and three jaw chuck. Consequently, the therapist modifies the child's intervention plan. Which intervention is best to include in the revised plan?
a. Increase strength of lateral pinch as a basis to develop pincer grasp and three jaw chuck.
b. Teach the child to use gross grasp and lateral pinch for functional activities.
c. Teach the child to use ulnar grasp for functional activities. - b
A5. An individual attends an outpatient parenting skills group. The person has a history of serious recurrent depression and is taking Nardil. The client complains of recurrent headaches and difficulty focusing during the day (e.g., when helping children with their homework). Which action is best for the occupational therapist to make in response to the client's expressed concerns? [Show Less]