NBCOT - DOMAIN 1 MINI TEST Questions with 100% Accurate Answers with Rationale. Rated A+

Document Content and Description Below

A 13-month-old child, who has a developmental delay, recently learned to roll over, sit independently without support, and hold a bottle during feeding. What would indicate that the child has master... ed the NEXT gross motor developmental level? A. Walk while carrying a soft toy B. Stand with support at an activity table C. Climb up the stairs with supervision - ANS-Correct Answer: B Rationale: The next level of development for a child who has mastered rolling and independent sitting is to be able to stand with support. An elementary student with sensory integrative dysfunction has difficulties attending a musical concert being held in the school auditorium. What is the PRIMARY reason for this occurrence? A. Vestibular over-responsiveness B. Auditory defensiveness C. Executive dysfunction - ANS-Correct Answer: B Rationale: A student with sensory integrative dysfunction may be overresponsive to the sounds associated with the concert due to auditory defensiveness. A COTA is completing a manual muscle test of the wrist extensors of a client who has full wrist range of motion. The client can hold the wrist in full extension, but when the COTA pushes down across the knuckles, the client's wrist drops into slight flexion. Which muscle strength grade is MOST CONSISTENT with this response? A. Good (4/5) B. Poor (2/5) C. Fair (3/5) - ANS-Correct Answer: C Rationale: Based on the Manual Muscle Testing grading system, full ROM against gravity is rated as Fair (3/5).A COTA is reviewing the medical record of a patient in an acute care hospital. In addition to a hospitalist, who is coordinating the medical care for the patient, the patient is also under the care of a psychiatrist. What is the PRIMARY role of a psychiatrist on the interprofessional team? A. To increase functional ability and quality of life related to disabilities or physical impairments B. To prescribe medication and assist with issues of coping associated with mental health disorders C. To address diseases of the respiratory system and interventions involving mechanical ventilation - ANS-Correct Answer: B Rationale: The role of the psychiatrist on the interprofessional team is to prescribe medication and assist with issues of coping associated with mental health disorders. A student with oppositional defiant disorder who will complete high school in one year wants to obtain a job after graduation. The student has difficulty following instructions given by others, especially by a person who is in a position of authority. What would be MOST BENEFICIAL to include in the intervention for this student while working toward the post-graduation vocational goal? A. Support the student's motivation and desire to achieve occupational readiness. B. Recommend the student initially work toward a supported employment job opportunity. C. Refer the student to vocational rehabilitation services for job-specific skills and training. - ANSCorrect Answer: A Rationale: This option promotes self-efficacy and self-determination to encourage the student to reach the highest possible vocational potential. Which of the following options represent procedures TYPICALLY associated with non-standardized assessments? Select the three BEST responses. A. Interview with the student's classroom and physical education teachers B. Informal observation of a student's social interactions during recess C. Administration of a test following a specific protocol in the test manual D. Comparison of a student's test performance to age-related norms E. Measurement of a student's abilities against a set of predetermined criteria F. Completion of a site-developed checklist during a classroom activity - ANS-Correct Answers: A,B,F Rationale: These options represent non-standardized assessments which are informal methods to gather information but do not have a specific administration or scoring protocol, nor the ability to compare results against a group of age peers.Which would be the MOST CHALLENGING activity for an infant with an absent sucking reflex? A. Crying B. Feeding C. Breathing - ANS-Correct Answer: B Rationale: When a stimulus touches the roof of the infant's mouth, the infant reflexively begins to suck allowing for intake of nutrition and feeding. What is the PRIMARY reason to teach adaptive dressing strategies to an inpatient with a complete T6 (ASIA A) spinal cord injury? A. Impaired hand function B. Decreased arm strength C. Poor trunk control - ANS-Correct Answer: C Rationale: A patient with a complete (ASIA A) spinal cord injury at the level of T6 would have intact hand function and normal arm strength, but would have decreased truck control. Which option is an example of an open-ended question used to gather information during an interview with a child's caregiver? A. What is the child's routine before going to bed? B. How many hours does the child typically sleep at night? C. Who is responsible for helping the child to get ready for bed? - ANS-Correct Answer: A Rationale: An open-ended question encourages a narrative response from the caregiver and provides the interviewer with more details then are produced with close-ended questions. Which task would require a client to complete a minimum of 150° of elbow flexion without using compensation techniques? A. Pushing a door open with the palm of the hand B. Bringing hand to mouth during self-feeding C. Turning the pages in a magazine or a book - ANS-Correct Answer: B Rationale: The results of a task analysis of each of these activities indicate that pushing a door open requires elbow extension and turning the pages in a book require forearm pronation, whereas bringing hand to mouth requires a minimum of 150° of elbow flexion.A COTA is providing recommendations to a client, who was recently diagnosed with Alzheimer's disease, and has customized the communication method to match the health literacy abilities of the client. What are the clinical reasons for considering the health literacy of the client when providing information? Select the three BEST responses. A. To promote self-management for optimum participation in everyday activities B. To identify the amount of caregiver assistance routinely required by the client C. To enable the client to actively participate in the decision-making process D. To establish level of function based on the progressive stages of the disease E. To enhance the client's ability to select personal preferences and make choices F. To determine the client's level of performance in home and community tasks - ANS-Correct Answers: A,C,E Rationale: To maintain a client-centered approach during implementation of the intervention plan, considering health literacy and actively involving the client in the learning process will result in enhanced client outcomes. [Show More]

Last updated: 1 year ago

Preview 1 out of 34 pages