NBCOT Evaluation and Assessment 4 — Questions and Answers
Question 1: A therapist administers the Functional Independence Measure (FIM) to a patient post-stroke. The patient requires minimal assistance for grooming. What FIM score should be recorded?
- 3 - Moderate assistance
- 4 - Minimal assistance (Correct answer)
- 5 - Supervision
- 6 - Modified independence
Correct answer: 4 - Minimal assistance
A FIM score of 4 (Minimal Assistance) indicates the client performs 75% or more of the task but still requires hands-on help.
Question 2: When assessing a child's sensory processing using the Sensory Profile, which domain specifically addresses vestibular processing?
- Auditory Processing
- Movement Processing (Correct answer)
- Tactile Processing
- Visual Processing
Correct answer: Movement Processing
The Sensory Profile includes a Movement Processing section that captures responses to vestibular input such as movement and balance.
Question 3: An OT is assessing a client's occupational history using the Occupational Performance History Interview (OPHI-II). Which of the following is NOT a scale rated in the OPHI-II?
- Occupational Identity Scale
- Occupational Competence Scale
- Occupational Settings Scale
- Occupational Motivation Scale (Correct answer)
Correct answer: Occupational Motivation Scale
The OPHI-II rates three scales: Occupational Identity, Occupational Competence, and Occupational Settings (Behavior Settings).
Question 4: During a home assessment for a client with low vision, the OT evaluates contrast sensitivity. Which tool is most appropriate for this assessment?
- Snellen Chart
- Pelli-Robson Contrast Sensitivity Chart (Correct answer)
- Amsler Grid
- Ishihara Color Plates
Correct answer: Pelli-Robson Contrast Sensitivity Chart
The Pelli-Robson Contrast Sensitivity Chart is specifically designed to measure contrast sensitivity across a range of levels.
Question 5: A therapist uses dynamic assessment to evaluate a child's learning potential. Which principle distinguishes dynamic assessment from static assessment?
- It uses standardized norms for comparison
- It measures performance only at one point in time
- It includes mediated learning experiences during testing (Correct answer)
- It relies exclusively on parent-reported outcomes
Correct answer: It includes mediated learning experiences during testing
Dynamic assessment incorporates guided learning or mediation within the testing session to determine the child's capacity to learn and respond to instruction.
Question 6: When conducting a driver rehabilitation evaluation, which assessment most directly measures on-road performance?
- Trail Making Test
- Motor-Free Visual Perception Test
- Behind-the-Wheel Road Test (Correct answer)
- Useful Field of View (UFOV)
Correct answer: Behind-the-Wheel Road Test
The Behind-the-Wheel Road Test is the direct measure of actual driving performance in real traffic conditions.
Question 7: An OT is evaluating upper extremity edema using volumetric water displacement. The affected hand displaces 425 mL and the unaffected hand displaces 380 mL. What is the percent difference in volume?
- About 8%
- About 10%
- About 12% (Correct answer)
- About 15%
Correct answer: About 12%
The difference is 45 mL; 45/380 × 100 ≈ 11.8%, which rounds to approximately 12% greater volume in the affected hand.
NBCOT Evaluation and Assessment 4
A therapist administers the Functional Independence Measure (FIM) to a patient post-stroke.
The patient requires minimal assistance for grooming.
What FIM score should be recorded?