Occupational Therapy Documentation and Supervision, Exams of Occupational therapy

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NBCOT National Board for Certification of

Occupational Therapy Module 1

Assessment Questions and Answers 100%

Pass | Graded A+

David Mungai [Date] [Course title]

NBCOT National Board for Certification

of Occupational Therapy Module 1

Assessment Questions and Answers

100% Pass | Graded A+

An OT practitioner is being audited by NBCOT® to verify the validity of the documentation that was submitted as part of the renewal process. Which statements are true in terms of the NBCOT® 's license renewal requirements? Select the 3 best answers. a. A professional development unit (PDU) is the term NBCOT® utilizes with its renewal program b. NBCOT® certification requires at least 36 units accrued during a 1 year renewal cycle for both Registered Occupational Therapists and Certified Occupational Therapy Assistants. c. PDUs may only be earned from an AOTA®-certified provider d. Completed assessment units (CAU) are awarded for activities completed through "NBCOT®'s Navigator Platform". e. NBCOT® certification requires at least 36 units accrued during a 3 year renewal cycle for both Registered Occupational Therapists and Certified Occupational Therapy Assistants. f. All PDUs can be completed online via webinars or online training a. A professional development unit (PDU) is the term NBCOT® utilizes with its renewal program

a. No, the information was found on the internet b. No, OT and orthopedic surgery are different professions c. Yes, Justice d. Yes, Veracity d. Yes, Veracity An OT is helping a patient apply for durable medical equipment (DME) which is covered by Medicare. Which of the following is considered to be medically necessary equipment by Medicare? a. Universal cuff b. Hospital bed c. Raised toilet seat d. Long-handled reacher b. Hospital bed Reginald, a 68-year-old patient who presents with mild flexor spasticity of his dominant upper extremity, is working with the OTR® on selecting activities to incorporate into his intervention plan. Functionally, Reginald has good stability and balance to perform standing tasks. He discusses his hobbies with the OTR® and expresses his joy in cooking simple meals and entertaining his friends at home. Using a bottom-up approach, which of the following activities addresses Reginald's underlying deficit and also gives him the opportunity to continue participating in his preferred occupations? a. Train the patient in the use of an adaptive cutting board and a roller knife to slice cheese b. Play a seated card game with the dominant upper extremity

supported on the table c. Place cans of food in upper cabinets using the affected hand while wearing a hand mitt on the unaffected hand d. Sorting coins and feeding them into a slotted container with the non-dominant hand c. Place cans of food in upper cabinets using the affected hand while wearing a hand mitt on the unaffected hand In which of the following settings would Medicare cover OT services? a. Hospice/Palliative Care b. Assisted living facilities c. Group homes d. Adult Day Care a. Hospice/Palliative Care Which intervention is an example of tertiary prevention? a. An educational program on safety at home for senior citizens b. Screening oral motor skills of a 2-year-old who was born prematurely. c. Recommending a patient wear wrist brace while typing to prevent repetitive stress injury d. Teaching joint protection techniques and providing a pamphlet on joint protection techniques to a man with rheumatoid arthritis d. Teaching joint protection techniques and providing a pamphlet on joint protection techniques to a man with rheumatoid arthritis

b. Cultural context c. Personal context d. Virtual context b. Cultural context Sally, a program director at an outpatient rehabilitation facility has identified the need to introduce a system that continuously monitors patients' outcomes as she wants to evaluate the quality of service provided by the occupational therapists. What data would be the MOST useful to gather in order to demonstrate the effectiveness of the OT services? a. The difference between the patient's intervention plan and their perceived needs b. The relationship between the patients' length of stay and their diagnosis c. Details of the patients' involvement in their therapy sessions d. The improvements in the patients' function or level of independence pre-discharge d. The improvements in the patients' function or level of independence pre-discharge In an outpatient clinic, you are working with a 43-year-old patient who is recovering from a right CVA. The patient has been working as a school bus driver for the past ten years and his main goal is to return to work as soon as possible. However, you have observed that the patient's reaction time and vision have been significantly affected by his CVA. What action should you take NEXT, in this scenario? a. Propose that the patient attend driver training

b. Report your observations to the physician c. Report the patient to the Department of Motor Vehicles d. Refer the patient to an optometrist b. Report your observations to the physician Name the research method that starts with the collection and analysis of data and does not begin with a hypothesis. a. Case study b. Grounded theory c. Quantitative research d. Cohort study b. Grounded theory What is the value of prudence most associated with? a. Promoting fairness in interaction with others b. Ensuring accurate and truthful information c. Using clinical and ethical reasoning skills d. Adhering to applicable laws and standards c. Using clinical and ethical reasoning skills A 24-year- old woman has been referred to the outpatient clinic for occupational therapy treatment, for carpal tunnel syndrome. The woman's health insurance has very limited coverage of occupational therapy services and refuses to pay for additional treatment after 4 sessions. The woman could definitely benefit from additional treatment. What is the best action to take in this scenario?

d. 0. a. 0. In the OT process, how should an OT evaluation always begin? a. Depends on what the physician has requested b. Screening c. Acknowledgement of the referral d. Establishing an occupational profile d. Establishing an occupational profile When working with a patient who has Huntington's disease, what model/FOR is the BEST to base your intervention on, if the patient's goal is to continue to perform their desired occupations? a. The Canadian Model of Occupational Performance and Engagement (CMOPE) b. Biomechanical Frame of Reference c. Dynamic Interactional Model of Cognitive Rehabilitation d. Cognitive Behavioral Frame of Reference a. The Canadian Model of Occupational Performance and Engagement (CMOPE) An OTR® and COTA® are collaborating to improve the quality of patient services at an outpatient rehab facility. This process incorporates reviewing outcomes to determine the success of OT interventions. Which of the following questions is BEST to ask during the review? a. Were the appropriate physical agent modalities chosen using a client-centered approach?

b. Was the proper clinical reasoning used as the basis to select and communicate therapeutic activities? c. Did the intervention promote a positive change in a client's engagement in occupation? d. Were the activities during treatment sessions occupation-based using the most current evidence-based practice? c. Did the intervention promote a positive change in a client's engagement in occupation? What method in research is based on the consensus of professionals and their judgments and not on actual evidence driven by scientific methods to gain data? a. Randomized control trial b. Cohort study c. Case study d. Expert opinion d. Expert opinion An OT with two years of experience submits her resume to an assisted living facility for an open position. She previously worked in a skilled nursing facility as a staff OT. On her resume, she has listed her experience as direct provision of occupational therapy services to patients, supervision of 1 OTA, and collection and compilation of outcomes data. In reality, the OT only assisted with gathering the outcomes data and her supervisor compiled it. What principle has the OT violated on her resume? a. Principle 1: Beneficence b. Principle 3: Autonomy

Which FOR uses a remedial approach and therefore assumes patients are able to acquire the voluntary motor skills necessary to perform their desired human occupation? The main goals of this FOR are preventing deterioration and maintaining existing movements for occupational performance, restoring movements for occupational performance, and compensating/adapting for loss of movements in occupational performance. a. PEOP b. Compensatory c. Occupational Adaptation d. Biomechanical d. Biomechanical A patient who resides in a SNF refuses to be treated by a Level ll fieldwork student. He states that he is tired of having to always work with different clinicians and he insists that he will only work with someone who is qualified and experienced. What action should the supervising OT take in this scenario? a. The OT should walk away and leave the student to deal with this patient b. The OT should treat the patient and allow the student to observe the session c. The OT should end the session and discharge the patient from OT services d. The OT should try to coax the patient to work with the student b. The OT should treat the patient and allow the student to observe the session

A new therapy aide is hired to work in the rehab department. Is an entry-level OTA allowed to supervise this aide? a. Yes, once the entry-level OTA shows service competency to a supervising OT b. No, only senior-level OTAs can supervise therapy aides c. Yes, an entry-level OTA can supervise a therapy aide without any conditions d. No, only OTR®s can supervise therapy aides. a. Yes, once the entry-level OTA shows service competency to a supervising OT What management system is being used when an OTR® supervisor performs chart audits on coworkers to maintain documentation standards? a. Utilization review b. Prospective review c. Peer review d. Professional review a. Utilization review Ensuring the privacy and protection of patients' healthcare data is mandatory by law. Which statements are TRUE about patient confidentiality in healthcare? Select the 3 best answers. a. Always safeguard private information about patients, employees, colleagues, and students b. Posting photos of a patient on social media is only allowed if verbal consent is provided

d. Nonmaleficence e. Beneficence f. Fidelity a. Veracity d. Nonmaleficence e. Beneficence Which method of gathering data would be the most objective source of information about the current dressing skills of a 10- year-old child with moderate developmental and cognitive delays secondary to ASD? a. Having the child complete a simple checklist b. Asking the parents to complete a questionnaire c. Observation is the most objective way to gather information about dressing skills d. Administering a functional independence screen c. Observation is the most objective way to gather information about dressing skills The OTA delivers occupational therapy services under the supervision of and in partnership with the OT. How can the OT determine the OTA's service competency? a. The demonstrated ability to use an identified intervention task in a safe and effective manner with a similar outcome as the OT b. The need for routine and general supervision for unfamiliar tasks

c. The amount of continuing education the OTA has completed. d. The view of the OTA's performance by the supervising OT a. The demonstrated ability to use an identified intervention task in a safe and effective manner with a similar outcome as the OT An OT is reviewing an OTA's daily treatment notes and notices that the OTA has not written notes in one of her patient's chart, for three days. The OTA reports that she was extremely busy on those days and forgot to document her treatment sessions for that patient. What should the OT instruct the OTA to do? a. Rewrite the daily notes page and include the missing entries b. Do nothing because it is too late to document the treatment sessions c. Write the missing notes in after the notes that are already written and mark each note as a "late entry" d. Write a letter to the patient's insurance company explaining why no documentation exists for the treatment sessions c. Write the missing notes in after the notes that are already written and mark each note as a "late entry" An OT reads an article that states the construct validity of her preferred standardized fine motor test is being questioned by researchers due to errors in its design. How should the OT respond to this information? a. Continue to use the test because it still measures fine motor skills b. Stop using the test until the test design has been corrected c. Continue to use the test but discontinue using the norms associated with the test

An OT practitioner who works in the field of pediatrics is attending a 2-hour lecture on the importance of sleep for the infant's developing brain. How many CEUs will they receive? a. 2.0 CEUs b. 1.2 CEUs c. 0.4 CEUs d. 0.2 CEUs d. 0.2 CEUs What is the next step in the OT process once the OT has received a referral, completed a medical chart review, and performed a screening on a patient who recently underwent a full knee replacement? a. Consult with the rest of the team members to give them feedback b. Plan for the patient's needs to be met, post discharge c. Perform the Functional Independence Measure (FIM) d. Select an evaluation based on the patient's needs d. Select an evaluation based on the patient's needs Audrey, a director of a rehabilitation facility, is conducting a research study on patient satisfaction. When distributing the questionnaire, she hands it to every fifth patient listed on the rehabilitation floor. What type of sampling method is she using? a. Stratified Random Sample b. Random Sample

c. Snowball Sample d. Systematic Sample d. Systematic Sample While transferring a patient from a wheelchair to a raised toilet seat, an entry level OT is observed locking the wheelchair brakes before the transfer. Which ethical principle did the therapist abide by? a. Autonomy b. Veracity c. Nonmaleficence d. Fidelity c. Nonmaleficence Billy, an OTR® specializing in hand therapy, is working with a professional pianist who suffers from CTD (cumulative trauma disorders) due to the long hours of practice. Billy is not certified in physical agent modalities but he is considering applying an ice pack to the patient's wrist as he has noticed that the patient's wrist is red and warm. Is this the best course of action for Billy to take? a. Yes, the OT feels that he is competent in integrating this modality into his occupational therapy intervention b. Since the OT is not certified in physical agent modalities, he cannot apply the ice pack c. No, PAMs should never be administered by OTs d. Billy should check with the state laws and regulations regarding PAMs