NBCOT-OTR : NBCOT Occupational Therapist Registered (OTR) - 2024 Exam

Question: 846
What is a significant advantage of using visual aids in health education?
A. They complicate the learning process
B. They cater to various learning styles and enhance understanding
C. They replace the need for verbal explanations
D. They limit client interaction
Answer: B
Explanation: Visual aids cater to various learning styles and enhance understanding, making health information more accessible and engaging for clients.
Question: 847
Which outcome measure is most effective for evaluating a client’s readiness to return to work after a stroke?
A. FIM
B. Work Environment Impact Scale
C. Canadian Occupational Performance Measure
D. Functional Capacity Evaluation (FCE)
Answer: D
Explanation: The Functional Capacity Evaluation assesses an individual's physical and functional capabilities in relation to job demands, making it ideal for evaluating readiness to return to work.
Question: 848
What is the most important consideration for an occupational therapist when working with a client experiencing suicidal ideation?
A. Discussing the client's past experiences in detail
B. Encouraging social engagement immediately
C. Establishing a safety plan with clear coping strategies
D. Focusing on physical rehabilitation only
Answer: C
Explanation: Establishing a safety plan with clear coping strategies is critical in ensuring the client's immediate safety and providing tools for managing suicidal thoughts.
Question: 849
Which of the following is NOT a requirement for state licensure for occupational therapists in the United States?
A. Completion of an accredited OT program
B. Membership in AOTA
C. Continued education units (CEUs)
D. Passing the NBCOT certification exam
Answer: B
Explanation: While AOTA membership can be beneficial, it is not a requirement for state licensure.
Question: 850
When assessing a client's occupational engagement, which factor should be considered first?
A. Medication side effects
B. Environmental barriers
C. Client's personal goals
D. Family dynamics
Answer: C
Explanation: Understanding the client's personal goals is fundamental, as it directly informs the relevance of the assessment and subsequent interventions.
Question: 851
Which biomechanical consideration is vital when fabricating an orthotic device for a patient with arthritis?
A. Joint immobilization
B. Weight distribution
C. Material flexibility
D. Temperature regulation
Answer: B
Explanation: Weight distribution is crucial to minimize stress on affected joints and enhance comfort for patients with arthritis when using orthotic devices.
Question: 852
Which precaution should an occupational therapist consider when treating a client post-knee surgery?
A. Monitoring for signs of infection at the surgical site
B. Encouraging full weight-bearing immediately
C. Limiting all physical activity
D. Avoiding any range of motion exercises
Answer: A
Explanation: Monitoring for signs of infection is essential to ensure safe recovery and identify complications early in the rehabilitation process.
Question: 853
In individuals with rheumatoid arthritis, which of the following is a common sign that may limit occupational performance?
A. Symmetrical joint pain
B. Increased joint flexibility
C. Enhanced grip strength
D. Complete independence
Answer: A
Explanation: Symmetrical joint pain is characteristic of rheumatoid arthritis and can significantly limit an individual's ability to perform daily tasks.
Question: 854
A patient experiences a seizure during a therapy session. What is the first action an occupational therapist should take?
A. Restrain the patient to prevent injury
B. Place a spoon in the patient’s mouth
C. Move objects away from the patient
D. Leave the room to get help
Answer: C
Explanation: Moving objects away from the patient helps prevent injury during a seizure. Restraining or placing objects in the mouth can lead to further harm.
Question: 855
Which of the following is an example of a method to enhance informed decision-making?
A. Providing a detailed clinical report without explanation
B. Limiting client involvement in the decision process
C. Discussing options and encouraging questions
D. Relying solely on the therapist's recommendations
Answer: C
Explanation: Discussing options and encouraging questions promotes informed decision-making, allowing clients to engage actively in their care.
Question: 856
What client factor is most critical in determining the successful use of assistive technology?
A. Developmental, physical, and cognitive status
B. Aesthetic preferences
C. Cost of the technology
D. Brand name
Answer: A
Explanation: The individual's developmental, physical, and cognitive status significantly impacts their ability to effectively use and maintain assistive technology.
Question: 857
What is the primary benefit of using a sliding board for transfers?
A. It eliminates the need for assistance
B. It reduces the distance of the transfer
C. It is less costly than other methods
D. It allows for smoother movement across surfaces
Answer: D
Explanation: A sliding board allows for smoother movement across surfaces, reducing friction and making the transfer easier and safer for the client.
Question: 858
During a therapy session, a client demonstrates increased anxiety when discussing their rehabilitation goals. What is the most appropriate initial response from the occupational therapist?
A. Encourage the client to express their feelings
B. Redirect the conversation to physical tasks
C. Reassure the client that they will improve
D. Explain the importance of setting goals
Answer: A
Explanation: Allowing the client to express their feelings can help them process their anxiety and can lead to more effective interventions tailored to their emotional needs.
Question: 859
Which of the following is a characteristic of the moderate stage of dementia?
A. Complete independence in daily activities
B. Difficulty with recognition and memory
C. Enhanced problem-solving abilities
D. Improved physical functioning
Answer: B
Explanation: In the moderate stage of dementia, individuals often experience significant difficulty with recognition and memory, affecting their ability to perform daily tasks.
Question: 860
When fitting a client for a wheelchair, which biomechanical consideration is most important?
A. The color of the upholstery
B. The tire size
C. The manufacturer's brand
D. The angle of the seat and backrest
Answer: D
Explanation: The angle of the seat and backrest directly affects posture, comfort, and pressure distribution, making it a key biomechanical consideration.
Question: 861
What is a potential consequence of failing to monitor client outcomes effectively?
A. Improved client satisfaction
B. Increased therapy duration
C. Inability to demonstrate therapy effectiveness
D. Enhanced client engagement
Answer: C
Explanation: Inability to demonstrate therapy effectiveness can lead to questions about the value of the interventions and hinder the justification for ongoing or future therapy services.
Question: 862
Which of the following is a common psychosocial factor that may affect occupational performance in individuals with chronic pain?
A. Increased social support
B. Feelings of isolation
C. Heightened motivation
D. Improved coping mechanisms
Answer: B
Explanation: Chronic pain often leads to feelings of isolation, which can significantly hinder an individual's ability to engage in social and occupational activities.
Question: 863
Which aspect of ergonomics focuses on the interaction between people and the systems they use?
A. Task analysis
B. Environmental design
C. Cognitive ergonomics
D. Physical ergonomics
Answer: C
Explanation: Cognitive ergonomics studies how people interact with systems, including the mental processes involved, which is vital for designing effective work environments.
Question: 864
Which of the following should an occupational therapist consider when adapting an intervention plan for a client who has experienced a traumatic brain injury?
A. The client's physical therapy goals
B. The client's pre-injury occupational roles
C. The client's nutritional needs
D. The client's family history of neurological disorders
Answer: B
Explanation: Understanding the client's pre-injury roles allows the therapist to tailor interventions that are meaningful and relevant to the client's life, promoting better engagement and outcomes.

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