NBCOT Analysis and Interpretation 3

Question 1

An OT administers the Functional Independence Measure (FIM) and scores a client as a '3' on bathing. What does this score mean?

Accepted Answer

Client requires moderate assistance; performs 50–74% of the task

Answer

A FIM score of 3 (Moderate Assistance) means the client performs 50–74% of the bathing task independently.

Question 2

When interpreting a client's AMPS (Assessment of Motor and Process Skills) results, a motor ability score of 1.0 logits indicates:

Accepted Answer

Borderline competence; the client is at risk for difficulty with IADL motor demands

Answer

An AMPS motor score of 1.0 logit or below is a cut-point indicating the client may struggle with IADL motor demands.

Question 3

A client with TBI demonstrates adequate attention during a structured 1:1 session but fails to complete work tasks in an open office environment. This pattern suggests:

Accepted Answer

Difficulty generalizing attention skills to complex, real-world environments

Answer

Performance breakdown in complex environments despite success in structured settings indicates difficulty generalizing attentional skills to real-world contexts.

Question 4

On the Allen Cognitive Level Screen (ACLS), a client demonstrates a leather lacing score of 4.6. Which activity is MOST appropriate at this level?

Accepted Answer

Simple, structured, repetitive tasks with demonstration

Answer

At ACL 4.6, clients benefit from simple, concrete tasks with demonstration and limited novel problem-solving demands.

Question 5

An OT analyzes a client's work samples and finds decreased accuracy on tasks requiring sustained attention beyond 15 minutes. The best interpretation is:

Accepted Answer

The client has an attention fatigue threshold affecting productivity in extended tasks

Answer

Decreased accuracy after 15 minutes indicates an attention fatigue threshold that must be addressed in work rehabilitation planning.

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT Analysis and Interpretation 3