NBCOT Evaluation and Assessment 5 — Questions and Answers
Question 1: A therapist uses the Canadian Occupational Performance Measure (COPM) with a client. After identifying problem areas, the client rates current performance and satisfaction on a scale of:
- 0 to 5
- 1 to 7
- 1 to 10 (Correct answer)
- 0 to 100
Correct answer: 1 to 10
The COPM uses a 1–10 scale for both Performance and Satisfaction ratings for each identified occupational problem.
Question 2: During cognitive assessment, a client with a traumatic brain injury scores in the Rancho Los Amigos Level V. Which behavior best characterizes this level?
- No response to stimuli
- Generalized response to stimuli
- Confused and inappropriate, non-agitated
- Confused and agitated (Correct answer)
Correct answer: Confused and agitated
Rancho Level V is characterized by confused, agitated behavior where the client is highly distractible and has poor short-term memory.
Question 3: Which standardized assessment is used to measure a child's performance in activities of daily living, mobility, and social function, comparing functional status to peers?
- Peabody Developmental Motor Scales
- Pediatric Evaluation of Disability Inventory (PEDI) (Correct answer)
- Bruininks-Oseretsky Test of Motor Proficiency
- Bayley Scales of Infant Development
Correct answer: Pediatric Evaluation of Disability Inventory (PEDI)
The PEDI assesses functional capabilities and caregiver assistance in daily activities for children ages 6 months to 7.5 years, with normative comparisons.
Question 4: An OT screens a factory worker for risk of cumulative trauma disorder using the Strain Index. Which variable is NOT part of this tool's scoring?
- Intensity of exertion
- Posture of the wrist
- Duration of task per day
- Ambient temperature of the workspace (Correct answer)
Correct answer: Ambient temperature of the workspace
The Strain Index scores six variables: intensity of exertion, duration of exertion, efforts per minute, hand/wrist posture, speed of work, and duration of task per day — ambient temperature is not included.
Question 5: A therapist evaluates a client's ability to perform instrumental activities of daily living using the Lawton IADL Scale. Which of the following is included in this scale?
- Bathing
- Dressing
- Telephone use (Correct answer)
- Feeding
Correct answer: Telephone use
The Lawton IADL Scale assesses complex daily activities including telephone use, shopping, food preparation, housekeeping, laundry, transportation, medication management, and finances.
Question 6: When assessing grip strength using a Jamar dynamometer, the therapist should position the client's elbow at which angle?
- Full extension (0°)
- 45° flexion
- 90° flexion (Correct answer)
- 120° flexion
Correct answer: 90° flexion
Standardized grip strength testing per ASHT guidelines requires the elbow at 90° flexion with the forearm in neutral and the wrist between 0° and 30° extension.
Question 7: An OT evaluates a client using the Kohlman Evaluation of Living Skills (KELS). Which population is this assessment primarily designed for?
- Children with developmental delays
- Adults with psychiatric conditions (Correct answer)
- Older adults with dementia
- Workers with repetitive strain injuries
Correct answer: Adults with psychiatric conditions
The KELS was developed to assess independent living skills in adults with psychiatric conditions, though it is also used with other populations at risk for community living challenges.
NBCOT Evaluation and Assessment 5
A therapist uses the Canadian Occupational Performance Measure (COPM) with a client.
After identifying problem areas, the client rates current performance and satisfaction on a scale of: