NBCOT Foundations and Theoretical Frameworks 2 — Questions and Answers
Question 1: In the Occupational Adaptation Model, the concept of 'relative mastery' refers to the client's sense of:
- Meeting the demands of the therapeutic environment
- Efficiency, effectiveness, and satisfaction with occupational performance (Correct answer)
- Achieving maximum ROM and strength
- Compliance with the OT's intervention plan
Correct answer: Efficiency, effectiveness, and satisfaction with occupational performance
Relative mastery in the Occupational Adaptation Model reflects the client's internal assessment of how efficiently, effectively, and satisfyingly they performed an occupation.
Question 2: The Canadian Model of Occupational Performance and Engagement (CMOP-E) places which concept at the center of the model?
- Environment
- Occupation
- Spirituality (Correct answer)
- Roles
Correct answer: Spirituality
Spirituality is placed at the core of the person in the CMOP-E, representing the individual's essence, meaning, and motivation that drives occupational engagement.
Question 3: Which theoretical perspective underpins the use of meaningful activities as the primary therapeutic medium in occupational therapy?
- Reductionist perspective
- Occupational science perspective (Correct answer)
- Biomedical model
- Behavioral conditioning theory
Correct answer: Occupational science perspective
Occupational science, as a foundational discipline for OT, provides theoretical grounding for using meaningful, purposeful occupations as therapeutic tools.
Question 4: The Cognitive Disabilities Model, developed by Claudia Allen, uses 'Allen Cognitive Levels' to assess a client's:
- Emotional regulation capacity
- Remaining functional cognitive capacity (Correct answer)
- Sensory processing abilities
- Motor planning and praxis
Correct answer: Remaining functional cognitive capacity
Allen's Cognitive Disabilities Model uses a 6-level hierarchy to assess a client's functional cognitive capacity and guide activity and environmental modifications.
Question 5: Which OT framework uses a top-down approach that begins with identifying the client's occupational roles and priorities before assessing performance components?
- Biomechanical Frame of Reference
- Neurodevelopmental Treatment (NDT)
- Canadian Occupational Performance Measure (COPM) approach (Correct answer)
- Rood Technique
Correct answer: Canadian Occupational Performance Measure (COPM) approach
The COPM reflects a top-down, client-centered approach where the therapist first identifies occupational performance issues the client prioritizes before assessing underlying components.
Question 6: In MOHO, 'occupational identity' is described as a person's sense of:
- Physical capacity to perform occupations
- Who they are and wish to become as occupational beings (Correct answer)
- The roles assigned by their social environment
- Their level of volition and intrinsic motivation
Correct answer: Who they are and wish to become as occupational beings
Occupational identity in MOHO represents the cumulative sense of who one is and desires to become, shaped through one's history of occupational participation.
Question 7: The rehabilitative frame of reference is BEST applied when an OT's goal is to:
- Restore underlying impaired skills to premorbid levels
- Promote compensation strategies to achieve functional independence (Correct answer)
- Prevent secondary complications from developing
- Modify the environment to remove all barriers
Correct answer: Promote compensation strategies to achieve functional independence
The rehabilitative frame of reference focuses on compensatory strategies and adaptive equipment to help clients function independently despite residual impairments.
NBCOT Foundations and Theoretical Frameworks 2
In the Occupational Adaptation Model, the concept of 'relative mastery' refers to the client's sense of: