NBCOT Practice Questions Flashcards
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NBCOT Practice Questions Flashcards

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Questions and Answers

Celia has spina bifida at C5 level and wants to use a computer play system. What is the most appropriate recommendation for an OT to suggest?

  • Hand splint
  • Foot pedal system
  • Joystick controller
  • Dorsal splint with universal cuff (correct)
  • What stage is Sara in recovering from a CVA with extensive motor learning intervention?

    Skill acquisition

    What level can a person use overt trial and error problem solving according to Allen cognitive level?

    5

    What is an example of completing a list of group goals and progress after group meetings?

    <p>Concurrent review</p> Signup and view all the answers

    What is the appropriate angle of pull for an outrigger on a dynamic splint?

    <p>90 degrees</p> Signup and view all the answers

    What spinal level is a tenodesis splint used?

    <p>C6-C7</p> Signup and view all the answers

    What angle is the wrist left at in a splint for carpal tunnel?

    <p>0-15 in extension</p> Signup and view all the answers

    What areas will an OT most likely assess for an individual with a mild TBI?

    <p>Orientation, attention, memory</p> Signup and view all the answers

    What does a child displaying arms and legs extended on one side and flexed on the opposite side when the head is turned show?

    <p>ATNR</p> Signup and view all the answers

    An individual recovering from a TBI at level 8 of the Rancho Level would benefit from community re-entry activities.

    <p>True</p> Signup and view all the answers

    An individual recovering from a TBI at level 3 of the Rancho Level can benefit from repetitive self-care tasks such as brushing hair.

    <p>False</p> Signup and view all the answers

    What is Joel lacking if he frequently gets lost in his house after a TBI?

    <p>Topographical orientation</p> Signup and view all the answers

    What is the name of the PNF intervention that involves passive rhythmic movement followed by active participation?

    <p>Rhythmic initiation</p> Signup and view all the answers

    According to PNF, quick stretching is used to elicit __________.

    <p>contraction</p> Signup and view all the answers

    What oral motor development skill is a 12-month-old able to demonstrate in a screening if within normal limits?

    <p>Cup drinking with firm jaw &amp; rotary chewing</p> Signup and view all the answers

    ___________ is the redirection of an emotion or reaction from one object to a similar but less threatening one.

    <p>Displacement</p> Signup and view all the answers

    __________ score is used to measure various changes in behavior.

    <p>Scaled</p> Signup and view all the answers

    What is the ability of a C8 complete injury patient to button buttons with a button hook?

    <p>Button buttons with button hook</p> Signup and view all the answers

    What can a patient with a complete C6 injury do according to discharge documentation?

    <p>Button buttons with button hook, brush teeth</p> Signup and view all the answers

    What is the flexor synergy for scapula movement?

    <p>Elevation and retraction</p> Signup and view all the answers

    What is the flexor synergy for elbow movement?

    <p>Flexion</p> Signup and view all the answers

    What should the OT prioritize after ADL goals in a spinal cord injury client?

    <p>Community reintegration</p> Signup and view all the answers

    One arm drive wheelchairs are easy to use.

    <p>False</p> Signup and view all the answers

    _____________ involves the detection of problems in a population at risk for developing complicating conditions.

    <p>Secondary prevention</p> Signup and view all the answers

    _________ target individuals with no pre-existing conditions.

    <p>Primary conditions</p> Signup and view all the answers

    At what age is a communication device possible?

    <p>12-18 months</p> Signup and view all the answers

    What would be an appropriate activity for Sarah in stage I of cardiac recovery?

    <p>Listening to radio</p> Signup and view all the answers

    What would be an appropriate activity for Sarah in stage IV of cardiac recovery?

    <p>Light gardening</p> Signup and view all the answers

    Isometric exercises are contraindicated for all stages of cardiac rehab.

    <p>True</p> Signup and view all the answers

    Brandy, who is taking Nardil, should inform her psychiatrist of her headaches.

    <p>True</p> Signup and view all the answers

    ___________ means practicing your profession correctly.

    <p>Competence</p> Signup and view all the answers

    _____________ refers to decision-making skills in implementing services.

    <p>Judgement</p> Signup and view all the answers

    _________ refers to having the patient involved in therapy decisions reflecting personal goals.

    <p>Autonomy</p> Signup and view all the answers

    Julia, recovering from skin grafting due to full thickness burns, has a splinting protocol of one hour on and 15 min off for the first 72 hours.

    <p>False</p> Signup and view all the answers

    __________ provides services in a fair and equitable manner; OT has concern for patient safety.

    <p>Beneficence</p> Signup and view all the answers

    ________ OT personnel shall take reasonable precaution to avoid imposing or inflicting harm.

    <p>Nonmaleficence</p> Signup and view all the answers

    _________ OT personnel shall achieve and continually maintain high standards of competence.

    <p>Duty</p> Signup and view all the answers

    _________ OT personnel shall provide accurate information when representing the profession.

    <p>Veracity</p> Signup and view all the answers

    _________ OT personnel shall treat colleagues with respect, fairness, discretion, and integrity.

    <p>Fidelity</p> Signup and view all the answers

    Study Notes

    Spina Bifida and Assistive Technology

    • Recommendation for Celia with spina bifida at C5 level: use a dorsal splint with a universal cuff for computer play.

    Motor Learning Stages

    • Sara, recovering from a CVA, is in the skill acquisition stage due to frequent errors and inconsistent performance.

    Cognitive Levels

    • Overt trial and error problem solving indicates an Allen cognitive level of 5.

    Therapy Evaluation and Documentation

    • Example of concurrent review: submitting a list of group goals and progress after meetings.

    Dynamic Splinting

    • The appropriate angle of pull for an outrigger on a dynamic splint is 90 degrees.

    Spinal Injuries and Tenodesis Splints

    • Tenodesis splint is applicable for C6-C7 spinal level injuries.

    Carpal Tunnel Splinting

    • Wrist angle for a carpal tunnel splint: 0-15 degrees in extension.

    Cognitive Assessments Post-TBI

    • Areas assessed post mild TBI: orientation, attention, and memory.

    Reflexes in Infants

    • ATNR (Asymmetric Tonic Neck Reflex) observed when an infant extends limbs on the side they're turned toward.

    Rancho Levels and Interventions

    • Level 8 on the Rancho scale allows for community re-entry activities.
    • Level 3 on the Rancho scale requires sensory stimulation activities, not self-care tasks.

    Orientation and TBI

    • Lack of topographical orientation noted in TBI patients who get lost in familiar environments.

    Proprioceptive Neuromuscular Facilitation (PNF)

    • Rhythmic initiation involves passive rhythmic movement followed by active participation.

    PNF Techniques

    • Quick stretching in PNF is utilized to elicit muscle contraction.

    Developmental Milestones

    • At 12 months, children should demonstrate cup drinking with a firm jaw and rotary chewing.

    Psychological Concepts

    • Displacement is the redirection of an emotion from one object to a less threatening one.

    Behavioral Assessment

    • Scaled scores measure changes in behavior effectively.

    Spinal Cord Injury and ADL Capabilities

    • C8 level patients are typically capable of tying shoes.

    Synergies in Upper Extremity

    • Scapula synergy: Flexor - elevation and retraction; Extensor - depression and protraction.
    • Shoulder flexor synergy: abduction and lateral rotation; Extensor - medial rotation and adduction.
    • Elbow flexor synergy: flexion; Extensor - extension.
    • Forearm flexor synergy: supination; Extensor - pronation.

    Motor Learning Principles

    • The motor learning approach incorporates random practice of multiple tasks in varying orders.

    Accessibility in Design

    • Pharmacy customer service area counter height should not exceed 31 inches.

    Therapeutic Approaches

    • Selecting an approach considers the client’s auditory processing skills.

    Cardiac Rehabilitation Guidelines

    • Isometric exercises are contraindicated at all stages of cardiac rehab.

    Communication Development

    • Communication devices can be anticipated around 12-18 months of age.

    Occupational Therapy in Community Reintegration

    • Post attainment of ADL goals, focus shifts to community reintegration for spinal cord injury clients.

    Wheelchair Considerations for TBI

    • A lightweight, standard-size wheelchair is appropriate for individuals with flaccid hemiparesis due to TBI.

    Prevention Strategies

    • Secondary prevention aims at detecting problems in populations at risk for complications.

    Ethics in Occupational Therapy

    • Beneficence involves providing services equitably and ensuring client safety.
    • Nonmaleficence refers to avoiding harm to clients and their property.
    • Veracity is the commitment to provide accurate information regarding qualifications and the profession.
    • Fidelity emphasizes respect and integrity among colleagues, safeguarding confidential information.

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    Test your knowledge with these flashcards designed for NBCOT exam preparation. Each card presents a clinical scenario relevant to occupational therapy, covering important concepts and interventions. Perfect for students and professionals looking to reinforce their understanding.

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