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A study guide for the nbcot (national board for certification in occupational therapy) certification standards of practice exam. It covers various topics related to the roles and responsibilities of occupational therapists (otrs) and certified occupational therapy assistants (cotas) in the evaluation, treatment, and documentation processes. The guide includes multiple-choice questions and answers to help students prepare for the exam. It provides insights into ethical principles, supervision requirements, reimbursement considerations, and the scope of practice for occupational therapy professionals. The comprehensive nature of the content suggests this document could be useful for students studying to become otrs or cotas, as well as practicing professionals seeking to enhance their knowledge and skills.
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David Mungai [Date] [Course title]
According to the Standards of Practice for Occupational Therapy, which task can the COTA® can complete in the evaluation process? - Answer>> Perform delegated assessments using current tools. An OTR®; is supervising an occupational therapy student for Level II fieldwork. The OTR notices that the student did not gather complete information regarding a client's occupational history. Which comment BEST represents effective feedback from the supervising OTR regarding this error? - Answer>> "In the future, you may want to use a checklist to ensure that your occupational history interviews are comprehensive." When working on eating skills with a client, the OTR® notices the client swallowing slowly and coughing after drinking thin liquids. Which team member should the OTR® consult? - Answer>> Speech-language pathologist According to the Standards of Practice for Occupational Therapy, what is the role of the COTA® in the screening process? - Answer>> Providing observations to the OTR® An OTR®; is developing a professional development plan. The OTR has identified personal needs for growth after completing a self-assessment. What step should the OTR take NEXT in developing the professional development plan? - Answer>> Determine what learning needs to occur. An OTR®; is looking for evidence to support a new mental health intervention. In searching the literature, the OTR finds several
other prefers a more hands-on approach. Which approach is the BEST way for the OTR® to supervise both COTA®s? - Answer>> Have one COTA® perform new tasks and the other observe. A client who is currently receiving occupational therapy services has become unemployed and lost access to health care insurance. The treating OTR®; has received permission to provide pro bono services to ensure that the client continues on the path to recovery. What ethical principle likely informed the OTR's decision in this situation? - Answer>> Justice An OTR®; has gone out on a date with a client that the OTR is still treating. A colleague of the OTR finds out about the date and wants to report the incident as a breach of ethics. What ethical principle will the OTR be reported as violating? - Answer>> Nonmaleficence Which part of original Medicare covers stays at hospitals and inpatient rehabilitation facilities? - Answer>> A An OTR®; is reviewing hard-copy client charts before a group treatment session. While reviewing the charts, the OTR receives an urgent phone call and must leave the chart room. How can the OTR ensure that the charts remain protected during the OTR's absence from the room? - Answer>> Close the charts and return them to their original secure location. An OTR®; is treating a client for agoraphobia and feels frustrated that the client is not making faster progress. The OTR discusses the client's case with a work colleague over lunch at a fast-food restaurant. The OTR does not use the client's name but does verbalize verbatim statements made by the client. What can you conclude about the ethical nature of the OTR's conversation? -
Answer>> The OTR did not behave ethically: Confidentiality was not preserved, because the OTR shared specific details in a public place without the client's permission. In what setting do an OTR® and COTA® need to consider the client's Individualized Education Program (IEP) when completing documentation? - Answer>> School system A COTA® working on an inpatient rehabilitation unit has had two patients fall in the past month. The supervising OTR® has concerns about the COTA®'s safety awareness during certain interventions. Which approach is the BEST for the OTR® to take to address these concerns? - Answer>> Collaborate with the COTA® to determine potential causes of the falls and provide direct supervision with more deliberate feedback. Believing that treatment was not medically necessary, a third- party payer has denied payment for occupational therapy services. What step should the OTR®; take to appeal the denial of payment? - Answer>> Write an appeal letter that explains the client's need for the occupational therapy services that were provided. An OTR® working at an outpatient clinic receives a physician's order for occupational therapy evaluation and intervention for a new client. During the first appointment with the OTR®, the client asks, "Will Medicare pay for this?" How should the OTR® answer? - Answer>> Medicare Part B covers 80% of allowable costs after the yearly deductible. According to the Standards of Practice for Occupational Therapy, which of the following is a requirement to practice as an OTR® in the United States? - Answer>> Completing licensure, certification, or registration requirements
psychiatric hospital hires the student for a COTA® position. The student plans to sit for the NBCOT® exam in 2 weeks. How should the OTR® supervise this new employee? - Answer>> Supervise the employee consistent with national and state guidelines on uncertified employees An OTR®; is conducting a cooking group for people with schizophrenia. The OTR writes the following information in a progress note after a treatment session: "Client participated in a 60-minute group cooking session in the hospital kitchen to address attention and task completion secondary to delusional thinking." Where in a SOAP note would the OTR document this information? - Answer>> In the O section When an OTR® or COTA® completes documentation, which of the following actions is MOST in compliance with HIPAA regulations for maintaining patient privacy and confidentiality? - Answer>> Positioning computer screens and patient charts out of others' view An OTR®; is conducting a cooking group for people with schizophrenia who are nearing discharge from the hospital. The OTR writes the following goal for one group member using the COAST method: "The client will cook a meal before being discharged." What conclusion can you draw about the specific conditions (or S) under which this client is supposed to complete the occupation? - Answer>> The client will complete the occupation in the hospital's kitchen using no adaptive equipment or modified techniques. According to the Standards of Practice for Occupational Therapy, which BEST describes the role of the COTA® in client outcomes?
According to the Scope of Practice, which BEST describes an intervention strategy consisting of instructing a client in one- handed homemaking strategies? - Answer>> Compensation A COTA® who spent 2 years working on the orthopedics unit of an acute care hospital is now working on the neurological floor. How is appropriate supervision BEST described? - Answer>> The OTR® and COTA® agree that close supervision is best at this time. More frequent supervision may be necessary when the OTR®, COTA®, or both determine that additional supervision is needed as a result of changes in work demands, such as in caseloads or populations served. In this case, a COTA® who has experience working with patients with orthopedic conditions may require more close supervision when working with clients with myriad health conditions. An OTR® is working in an outpatient setting and observes a COTA® setting up electrical stimulation on a patient with a significant cardiac history, including a pacemaker. What action should the OTR® take? - Answer>> Stop the COTA® from proceeding, check the evaluation and treatment plan and, if needed, review physical agent modalities and appropriate use. An OTR® is providing consultative services to develop a new occupational therapy department as part of a comprehensive rehabilitation program for a rural regional medical center. When reviewing the impact of the macroenvironment on the organization, what MUST the OTR® consider? - Answer>> Local and national legislative acts and regulatory policies that affect service delivery models