NBCOT Occupational Therapy Certification Practice Exam 2025 – The All-in-One Guide to Exam Success!

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When assessing an individual with dysphagia, which area should the OT address first?

Jaw pain and tooth-grinding habits

Cranial nerve function assessment

Mental status, oral structures, and motor control of the head

In assessing an individual with dysphagia, focusing first on mental status, oral structures, and motor control of the head is essential because these areas directly influence the swallowing process.

Mental status evaluation is crucial, as cognitive function affects a person’s ability to follow instructions and respond during the assessment. Understanding how well an individual can comprehend and execute swallowing tasks is foundational in dysphagia management.

Additionally, examining oral structures is vital since any anatomical abnormalities, such as a reduced range of motion, could significantly impact swallowing efficacy. A thorough evaluation of motor control of the head aids in determining whether the individual can appropriately coordinate their movements during swallowing, which is necessary for safe and effective ingestion.

Addressing these areas allows for a more comprehensive understanding of the client's dysphagia and assists in developing an appropriate intervention plan tailored to their needs.

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Muscle length control via finger-to-nose tests

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