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NBCOT Exam Prep 51 Questions with Complete Solutions., Exams of Medicine

NBCOTExamPrep51QuestionswithComplete Solutions. A COTA® is working with an 18-month-old child with bilateral transverse upper-arm deficiency who was recently fitted with myoelectric prosthetics. Which self-care tasks would be appropriate to work on in therapy? A. Donning and doffing prosthetics independently B. Using ties or hook-and-loop fastener to fasten shoes bimanually C. Raising upper extremities to assist with upper-body dressing D. Indicating to a caregiver when more juice is desired - Correct Answer Raising upper extremities to assist with upper-body dressing A 16-year-old client with attention deficit hyperactivity disorder is learning how to set a table for a job at a banquet facility. Th

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NBCOT Exam Prep 51 Questions with Complete

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A COTA® is working with an 18 - month-old child with bilateral transverse upper-arm deficiency who was recently fitted with myoelectric prosthetics. Which self-care tasks would be appropriate to work on in therapy? A. Donning and doffing prosthetics independently B. Using ties or hook-and-loop fastener to fasten shoes bimanually C. Raising upper extremities to assist with upper-body dressing D. Indicating to a caregiver when more juice is desired - Correct Answer Raising upper extremities to assist with upper-body dressing A 16 - year-old client with attention deficit hyperactivity disorder is learning how to set a table for a job at a banquet facility. The client has trouble remembering proper utensil placement and requires increased time to complete the task. Which intervention strategy would help the client place the utensils in the correct order? A. Construct single-step cards with pictures of single utensils and corresponding steps to follow when setting the table B. Provide a visual cue card that has a picture of a completed place setting to follow when setting the table C. Develop a visual reinforcement chart and put a star or check mark on it for every table successfully set D. Set a visual timer to a specified amount of time and require the client to complete the task in that time - Correct Answer Provide a visual cue card that has a picture of a completed place setting to follow when setting the table An OTA® is working with a client in an area of practice for which the OTA has not demonstrated competence. The client requires a seating and positioning evaluation for a wheelchair. This is not an area for which the OTA has any experience. The OTA asks the supervising OTR® to assign an OTA who has experience in this area. The OTA is following which ethical standard? A. Justice B. Nonmaleficence C. Beneficence

D. Fidelity - Correct Answer Beneficence A client who has had a stroke is displaying signs of visual field loss. How would the COTA® BEST determine whether visual field loss is present? A. Conduct automated perimetry or visual field testing B. Request that the OTR® complete automated perimetry testing C. Refer to an eye care professional for automated perimetry testing D. Refer to a low vision specialist for visual field testing - Correct Answer Refer to an eye care professional for automated perimetry testing An OTR®; is conducting a cooking group for people with schizophrenia who are nearing discharge from the hospital. The COTA; is assisting the OTR in writing the following goal for one group member using the COAST method: "The client will cook a meal before being discharged." Which of the following phrases is the MOST measurable formulation of the occupation (or O) element of this goal? A. "Cook an entrée and a side dish." B. "Cook an entrée using a recipe that has four steps." C. "Cook chicken soup." D. "Cook independently." - Correct Answer "Cook an entrée using a recipe that has four steps." A COTA® is working with a child with bradydactyly. Which occupation might the child have difficulty with? A. Eating a sandwich. B. Talking with a friend on the phone. C. Ordering at a restaurant. D. Buttoning shirt buttons - Correct Answer Buttoning shirt buttons What is an effective strategy to improve the ability of a client with dementia to find the client's bedroom in a long-term care facility? A. A unique symbol that is familiar to the client B. The client and the client's family in a recent photo C. A picture of the client labeled with the client's name

D. A symbol in the client's favorite color - Correct Answer A picture of the client labeled with the client's name A school-based OTR®; is working with a child who has severe emotional disturbance. The child frequently responds "No!" to provoke a strong response from others, is extremely disorganized when provided a series of instructions, and has sudden emotional outbursts when frustrated with challenging tasks. Which strategy to enhance the client's behavioral performance in school will be MOST effective? A. Ask the child whether he or she wants to do a particular activity during therapy B. Avoid the use of written rules because they will only provoke strong emotional reactions from the child C. Use a small, enclosed room to help contain behavioral expression during sudden outbursts - Correct Answer Use a small, enclosed room to help contain behavioral expression during sudden outbursts A COTA®, in conjunction with an OTR®, has been asked to provide an inservice for a facility's nursing assistants to prevent back pain or on-the-job injury. What principle BEST reflects safe patient lifting? A. Keep feet together to maintain a high center of gravity. B. Place foot on stool for ease of weight shifting. C. Use a stoop lift to assist clients in tub transfers. D. Maintain the client's body as close as possible while transferring. - Correct Answer Maintain the client's body as close as possible while transferring An OTR®; is working with a child who has autism. The teachers and parents complain that each time the child uses the bathroom, the child will be in the bathroom for at least 10 minutes. The child becomes fixated and needs to flush the toilet five times or the child gets very upset. The OTR decides to create a social story to help the child understand the implications of such behavior. Which example of a social story sentence goal is MOST appropriate for this goal? A. "I will not flush the toilet more than 1 time each time I use it." B. "I will only flush the toilet one time when I go to the bathroom in the school or in a public place." C. "It may bother other people when a child uses the bathroom for a long time and flushes the toilet 5 times."

D. "I will not spend a long time in the bathroom so others can use it too." - Correct Answer "I will only flush the toilet one time when i go to the bathroom in the school or in a public place." A client with Alzheimer's disease (AD) reports getting lost when going to a daughter's apartment. The client's daughter has been living in the same apartment building for more than 10 years, but she lives 3 hours away from the client. In what stage of dementia is this client? A. End B. Early C. Middle D. Late - Correct Answer Early A client with multiple sclerosis (MS) is displaying symptoms of depressed mood. The client has been referred to occupational therapy by a physician because of increasing feelings of difficulty with life tasks secondary to depression. The COTA® asks how the client feels, and the client responds, "I just don't feel like I can do anything right." Which strategy would be appropriate for the COTA to implement? A. Provide tasks that are graded for successful completion B. Implement energy conservation techniques C. Provide fine motor tasks to improve motor skills D. Discuss areas of life in which the client feels unhappy - Correct Answer Provide tasks that are graded for successful completion A COTA; is assisting an OTR®; who uses the Cognitive Orientation to daily Occupational Performance (CO-OP) approach to encourage use of effective and appropriate social behaviors for a 9 - year-old with attention deficit hyperactivity disorder. Which example illustrates an application of the CO-OP approach? A. The COTA, with some input from the child, establishes goals for the child regarding essential skills that the COTA thinks need to be developed. B. The COTA directly teaches important strategies to help the child remember how to respond in stressful social situations. C. The COTA targets multiple skills in social situations to optimize the learning environment.

D. The COTA asks questions to allow the child to process what behaviors were appropriate and inappropriate in a situation. - Correct Answer The COTA asks questions to allow the child to process what behaviors were appropriate and inappropriate in a situation A COTA® is working in outpatient rehabilitation facility with a client with a spinal cord injury who is interested in using public transportation to engage in part-time work but is unable to used regular fixed-route services. What is one possible disadvantage of using paratransit services from the client's perspective? A. Paratransit services typically offer more flexible travel time options than do fixed transit routes. B. Paratransit operators are trained to assist riders with functional limitations in boarding vehicles. C. Paratransit systems use smaller and more accessible vehicles than fixed transit routes. D. Paratransit systems require that reservations be made in advance to use the service. - Correct Answer Paratransit systems require that reservations be made in advance to use the service Seating biomechanics take into account the client's stability, postural support, and mobility needs. When determining seating requirements, what would the OTR®-COTA® team FIRST assess? A. Head and neck B. Upper extremities C. Trunk D. Pelvis - Correct Answer Pelvis Which of the following is considered an area of occupation, as described in the Occupational Therapy Practice Framework? A. Drinking coffee with breakfast B. Hearing functions C. Rest and sleep D. A student in the fifth grade - Correct Answer Rest and sleep A client with Parkinson's disease has experienced a significant decrease in participation in activities in the home. The initial evaluation from the OTR® states that this decrease in

activity is related to the client's postural instability and the caregiver's fear that the client will fall. Which intervention is BEST to restore this client's participation in home activities? A. Ask the OTR to refer the client to another profession to address mobility B. Instruct the caregiver in ways to assist the client's participation in activities C. Train the client in energy conservation techniques to improve posture D. Assist the client in finding new activities to be involved with at home - Correct Answer Instruct the caregiver in ways to assist the clients participation in activities A client in the burn unit sustained deep partial-thickness burns to the bilateral dorsal hands 1 week ago. What are appropriate positions for splinting to prevent deformity? Select the 3 BEST choices. A. Volar forearm/hand splint with wrist in neutral, metacarpals (MPs) in slight hyperextension, interphalangeals (IPs) in full extension, and thumb in abduction B. Volar hand splint with MPs in 70° flexion, IPs in full extension, and thumb in abduction C. Volar forearm/hand splint with wrist in 30° extension, MPs in 70° flexion, IPs in full extension, and thumb in abduction D. Dorsal forearm/hand splint with wrist in 30° flexion, MPs and IPs in full extension, and thumb in adduction E. Volar forearm/hand splint with wrist in 15° of extension, MPs in 70° flexion, IPs in full extension, and thumb in abduction F. Dorsal hand splint with MPs in 70° flexion, IPs in 50°-70° flexion, and thumb in abduction - Correct Answer B. Volar hand splint with MPs in 70° flexion, IPs in full extension, and thumb in abduction C. Volar forearm/hand splint with wrist in 30° extension, MPs in 70° flexion, IPs in full extension, and thumb in abduction E. Volar forearm/hand splint with wrist in 15° of extension, MPs in 70° flexion, IPs in full extension, and thumb in abduction A COTA® is working with a child in a treatment session focused on using constraint- induced movement therapy within the context of an art project. Why does the COTA® anticipate that this treatment will be effective?

A. Because the COTA® is inhibiting the child's tone B. Because the COTA® is forcing the child to use the affected extremity C. Because the COTA® is using a familiar task D. Because the COTA® is encouraging the development of efficient habits - Correct Answer Because the COTA is forcing the child to use the affected extermity A COTA® is working with a child with a developmental disability on feeding. The child presents with an exaggerated, uncontrolled pushing of food out of the mouth. Which term BEST describes this child's presentation? A. Tongue thrust B. Tongue protrusion C. Tongue hypotonia D. Tongue lateralization - Correct Answer Tongue thrust A client with an acute mild brachial plexus stretch injury affecting the left side reports limited forward shoulder flexion because of pain; limited cervical mobility;, forward head and rounded shoulder posture; and decreased sensation in the thumb, index, and radial side of the long finger. The client has full range of motion in internal and external rotation of the shoulder. The occupational profile reveals that the client is an accountant who enjoys surfing and tennis on the weekends. What instruction should the COTA® provide on the first visit? A. Rotator cuff strengthening exercises for humeral head stability to reduce impingement pain noted with forward flexion B. Forward flexion active-assisted exercises to reduce capsular tightness C. Postural correction exercises, modification of the workstation to promote appropriate posture, and reduction of overhead activities D. Recommendation to maintain normal work act - Correct Answer Postural correction exercises, modification of the workstation to promote appropriate posture, and reduction of overhead activities Which recommendation is appropriate for a client with arthritis who presents with a boutonniere deformity? A. A splint that blocks the proximal interphalangeal (PIP) joint in extension while leaving the distal interphalangeal (DIP) joint free to flex B. A splint to restrict unwanted PIP hyperextension motions during functional activities

C. A splint that provides immobilization of the metacarpophalangeal (MCP) joints out of ulnar deviation D. A dynamic splint to facilitate finger flexion in daily functional activities - Correct Answer A splint that blocks the proximal interphalangeal (PIP) joint in extension while leaving the distal interphalangeal (DIP) joint free to flex A COTA® is explaining the purposes of therapeutic exercise and therapeutic activity to a physician. What are the PRIMARY reasons that these interventions are used for musculoskeletal conditions? A. To improve function, increase strength, and prevent muscle imbalances B. To improve function, maintain joint range of motion, and maintain strength C. To improve coordination, maintain joint range of motion, and increase billable time in therapy D. To maintain strength and teach compensatory movement patterns for weak muscle groups - Correct Answer To improve function, increase strength, and prevent muscle imbalances A COTA® wants to use an intervention activity that will provide a child with proprioceptive input. Which intervention activity would provide this type of input? A. Looking for toys hidden in a bin of dried rice or beans B. Swinging on a platform swing while "climbing" a rope with the hands C. Finger painting at an easel D. Walking on a balance beam - Correct Answer Swinging on a platform swing while "climbing" a rope with the hands A COTA® has established service competency for administration and scoring of the Mini- Mental State Examination. Which supervision is the MOST APPROPRIATE for the OTR® to provide? A. Close supervision on an ongoing basis to ensure maintenance of service competency B. Minimal supervision to periodically recheck that service competency is maintained C. Supervision on an as-needed basis per the COTA®'s request to fine-tune service competency D. None, unless otherwise indicated by the facility, state law, or licensing changes - Correct Answer Minimal supervision to periodically recheck that service competency is maintained

A 6 - year-old child with autism is trying to kick a ball through a goal 10 feet away. The child has made six attempts already. Although the child is able to kick the ball with correct movements, the child does not seem to be able to calibrate the amount of motor input to approximate the goal. When the child kicks the ball, it always lands beyond the goal. What skill seems to be impaired for this child? A. Visual dyspraxia B. Ideational dyspraxia C. Verbal dyspraxia D. Somatosensory dyspraxia - Correct Answer Somatosensory dyspraxia COTA®s can assist caregivers of clients with Alzheimer's disease (AD) with reducing stress and burden by providing what type of intervention? A. Habit training to improve independence in ADLs B. Education related to the progression of AD C. Environmental modifications to the home D. Recommendations related to assistive technology - Correct Answer Education related to the progression of AD An OTR® receives orders to evaluate and treat a client with an S1 spinal cord injury. The COTA® will be assisting with the evaluation by performing a standardized assessment. Which instrument is MOST appropriate for assessing the client's current level of independence? A. Canadian Occupational Performance Measure (COPM) B. Nine-Hole Peg Test C. FIM™ D. Adult Sensory Profile - Correct Answer FIM During a commode-to-bed transfer with the use of a gait belt, the client begins to slip from the COTA®'s grasp. Which actions are appropriate for the COTA to take? Select the 3 BEST choices. A. Continue with the transfer and try to get the client to the bed as quickly as possible B. Push forward against the pelvis and pull back on the anterior chest C. Ease the client to the floor, then get assistance

D. Call for help and get the attention of the client's nurse E. Support the client with the use of the gait belt F. Have the client return to the commode - Correct Answer B. Push forward against the pelvis and pull back on the anterior chest C. Ease the client to the floor, then get assistance E. Support the client with the use of the gait belt A COTA® is working on dressing in early intervention with a 2 - year-old who has a developmental delay. The child is able to take off socks and put legs through pant holes when pants are held up. What is the next area of dressing the COTA® should address? A. Lace shoes. B. Put on mittens. C. Remove coat. D. Put on socks. - Correct Answer Remove coat A client has moderately decreased hand dexterity secondary to multiple sclerosis. One of the client's goals is to fasten and unfasten a front-opening jacket or shirt. Which intervention methods would promote independence with these dressing tasks? Select the 3 BEST choices. A. Providing the client with specific exercises to improve fine motor skill B. Teaching the client therapy putty exercises for increasing hand strength C. Using activities with the client to simulate buttoning, zipping, and snapping D. Teaching the client to use adaptive clothing closures such as hook-and-loop fastener E. Teaching the client to use a button hook to compensate for fine motor issues F. Teaching the client to use a pullover shirt instead of a button-down shirt - Correct Answer D. Teaching the client to use adaptive clothing closures such as hook-and-loop fastener E. Teaching the client to use a button hook to compensate for fine motor issues F. Teaching the client to use a pullover shirt instead of a button-down shirt A young adult client with anorexia nervosa is referred to occupational therapy after an episode of depression for which the client was briefly hospitalized. The client presents with concerns about using time meaningfully to reduce both depression and urges to

binge and purge. What is the MOST appropriate initial plan for the OTR® and COTA® team to develop with this client? A. Client will enroll in a master swimming program to encourage continuation of a sport in which the client was previously active. B. Client will choose a different restaurant each day and eat lunch or dinner alone there. C. Client will explore volunteer options and allow the OTR® or COTA® to accompany the client to the first volunteer meetings. D. The OTR® or COTA® will enroll the client in a support group for people with anorexia nervosa. - Correct Answer Client will explore volunteer options and allow the OTR or COTA to accompany the client to the first volunteer meetings An OTR® receives evaluation orders for a client who has recently experienced a traumatic brain injury. The COTA® will be treating the client after the evaluation is completed. The client is swearing and anxiously looking for something. What Rancho Los Amigos level BEST corresponds with the client's behavior? A. VI B. IV C. V D. II - Correct Answer IV A COTA® is working with a client who has major depression and works for a service- based business that opens at 9:00 a.m. and closes at 5:00 p.m. The client finds work meaningful but is unable to keep up with a full-time schedule because of the depression. The COTA would like to advocate for workplace accommodations. According to the Americans With Disabilities Act of 1990 (ADA), what is a reasonable accommodation for this client? A. The client should be allowed to work 3 hours per day. B. The client should be given a flexible start time. C. The client could job share with a coworker. D. The client can break for 3 hours in the middle of the day. - Correct Answer The client could job share with a coworker "The client will cook a meal before being discharged." Which of the following phrases is the MOST measurable formulation of the occupation (or O) element of this goal? A. "Cook an entrée and a side dish."

B. "Cook an entrée using a recipe that has four steps." C. "Cook chicken soup." D. "Cook independently." - Correct Answer "Cook an entrée using a recipe that has four steps." A client with middle-stage Parkinson's disease demonstrates tremor and rigidity bilaterally in the upper extremities, mild difficulties with executive functioning, and increased fatigue during ADL and IADL performance. Which interventions should the COTA® consider? Select the 3 BEST choices - Correct Answer - Stabilization of both upper extremities on a counter or tabletop to reduce the intensity of tremors

  • Modification of clothing with minimal fasteners or hook-and-loop closures to reduce fine motor demands
  • Task simplification by having tools readily available for decreased energy expenditure A COTA® is educating a client about what to expect in the process of wound healing after surgery. What are the expected phases of wound healing after surgery? Select the 3 BEST choices. A. Inflammation B.Coagulation C. Proliferation D. Tension E. Remodeling F. Scar formation - Correct Answer Inflammation, proliferation, remodeling An order came in for a hand orthosis for a new client. The OTR® who completed the evaluation asked the newly graduated COTA® to fabricate the orthosis. The new COTA had not made an orthosis on a client before and requested assistance from the supervising OTR, who is a hand therapist. Which ethical principle did the newly graduated COTA follow? A. Veracity B. Beneficence C. Nonmaleficence D. Fidelity - Correct Answer Beneficence relates to occupational therapy practitioners having concern for the safety of clients. The newly graduated COTA needed to establish a

level of competence by working with the OTR to demonstrate proficient orthotic fabrication. Which occupation-based intervention activity is MOST appropriate to develop the bilateral hand skills of a 3 - year-old child with autism? A. Holding a cup while pouring water from a large pitcher B. Donning a dress and buttoning the five 2 - inch buttons on the dress C. Writing the child's own name while stabilizing the paper D. Holding the handle of a small bucket while filling it with water from a faucet - Correct Answer Holding the handle of a small bucket while filling it with water from a faucet A client has been using a wheeled walker for many years but has begun to complain that arthritis in the right hand is making it difficult to grasp the walker for any extended period of time, making functional ambulation difficult. Which recommendation would BEST help maintain this client's mobility? A. Use a wheelchair for the majority of functional activities. B. Add bilateral forearm troughs to the current walker. C. Add a padded grip to the right side of the walker. D. Use a cane on the left side during all activities. - Correct Answer A padded grip can be used on a walker to increase grip for someone with marked hand limitations. It allows the client to have the least restrictive device but remain safe Which example is an indirect intervention that an OTR®; can provide to support a child with mental and behavioral challenges? A. Coaching a caregiver on how to monitor the child's arousal levels at home and in the community B. Providing special instructions and working with the COTA® to provide the most effective sensory processing activities for the child C. Discreetly observing the child for any signs of problems in adapting in the classroom environment - Correct Answer Coaching a caregiver on how to monitor the child's arousal levels at home and in the community A COTA® is working with a client experiencing a cumulative trauma disorder of the right upper extremity. To document client improvement as a result of therapy, which occupation-based statement would the COTA® be MOST likely to write?

A. Client's pain-free AROM of right elbow is now 15° to 110°. B. Client can perform 30 repetitions of elbow flexion-extension using a 1 - lb weight. C. Client can brush teeth using the involved upper extremity without pain. D. Client demonstrates grip strength to maintain grasp for 15 seconds. - Correct Answer Client can brush teeth using the involved upper extremity without pain. (Brushing teeth is the occupation) A client has frequent medical appointments within a 20 - mile radius of home. The client lives alone and is 10 blocks away from the closest bus station. What is the BEST choice for community mobility for this client? A. Fixed-route transportation B. Paratransit transportation C. Neighbors providing rides D. Volunteer driver program - Correct Answer The most reliable transportation service for this client is paratransit. The client can call ahead of time to reserve rides for the frequent medical appointments. A client sustained a nondisplaced humeral neck fracture after a fall. Which is the BEST course of occupational therapy that one would expect the OTR® to note on the evaluation? A. Instruct the client in use of a sling with no ROM for 3 weeks B. Instruct the client in use of a sling with supervised ROM C. Provide no occupational therapy intervention because the client will have a surgical reduction D. Fabricate a removable orthosis - Correct Answer Instruct the client in use of a sling with supervised ROM The dementia client expresses concern that the COTA® is going to make the client late to pick up the client's children from day care. What is the BEST approach for the COTA® to take in this situation? A. Remind the client that the children are grown adults. B. Attempt to engage the client in an alternative activity. C. Leave the client alone and plan to return later in the day.

D. Assure the client that the children will get picked up on time. - Correct Answer Assure the client that the children will get picked up on time A COTA® is approached by a client with Alzheimer's dementia who asks, "Do I finish high school next year, or am I already finished? I don't want to go back." What is the BEST response for the COTA® to make? A. "Try to remember that you completed high school 60 years ago. Would you like to see your graduation picture?" B. "I'll have to find out if you finished high school. Could you ask me again at a later time?" C. "It sounds like you're a little worried about that. You're already finished with high school. You don't have to go back." D. "Didn't you go to college?" - Correct Answer "It sounds like you're a little worried about that. You're already finished with high school. You don't have to go back." A COTA® is working with a client diagnosed with fibromyalgia who is experiencing disturbed sleep patterns. Which cognitive areas of functioning are disturbed sleep patterns MOST likely to interfere with? A. Arousal and orientation B. Sequencing and categorization C. Initiation of movement and language D. Attention span and short-term memory - Correct Answer Attention span and short-term memory A COTA® is working with a client with chronic obstructive pulmonary disease on therapeutic exercise and how to measure exercise tolerance. The client is performing seated bilateral shoulder flexion with 3 - lb weights and rates this activity as "very, very easy." How would the COTA® appropriately grade this activity? A. Change the muscle groups used by switching to shoulder abduction movements. B. Advise the client to perform the task in a standing position. C. Switch the client to resistance band exercises with increased resistance. D. Increase the number of repetitions and have the client perform the exercises while standing. - Correct Answer Advise the client to perform the task in a standing position

A COTA® is working with a client with orthostatic hypotension. The client becomes lightheaded and complains of blurred vision while sitting on the edge of the bed. What action does the COTA need to take if the client remains lightedheaded? A. Instruct the client to raise both arms simultaneously. B. Have the client use a reacher to pick up items rather than bend over. C. Remove the client's thrombolitic stockings immediately. D. Elevate the client's lower extremities. - Correct Answer Elevate the client's lower extremities A client with traumatic brain injury is displaying decorticate rigidity. How would the client's upper-extremity position BEST be described? A. Flaccid and extended, with internal rotation and adduction B. Spastic and flexed, with external rotation and abduction C. Flaccid and flexed, with external rotation and abduction D. Spastic and flexed, with internal rotation and adduction - Correct Answer Spastic and flexed, with internal rotation and adduction An OTA claims on a resume an ability to provide physical agent modality treatments. However, the OTA has not completed training in this area or ever provided such treatments. Which ethical principle is the OTA violating? A. Veracity B. Nonmaleficence C. Justice D. Freedom - Correct Answer Veracity requires personnel to be honest with claims of ability and professional skills. Personnel must "represent credentials, qualifications, education, experience, training, roles, duties, competence, contributions, and findings accurately in all forms of communication