NBCOT Occupational Performance and Client Factors 4 — Questions and Answers
Question 1: A client with rheumatoid arthritis reports difficulty opening jars and turning doorknobs. Which client factor is MOST directly impaired?
- Muscle endurance
- Joint mobility and grip strength (Correct answer)
- Sensory processing
- Postural control
Correct answer: Joint mobility and grip strength
Rheumatoid arthritis commonly impairs joint mobility and grip strength, directly affecting manipulation tasks like opening jars and doorknobs.
Question 2: During an NBCOT scenario, an OT observes that a client with a traumatic brain injury initiates tasks but cannot sequence the steps of meal preparation. This difficulty BEST reflects a deficit in which performance skill?
- Motor skills — calibrates
- Process skills — organizes (Correct answer)
- Social interaction skills — times response
- Process skills — heeds
Correct answer: Process skills — organizes
Sequencing steps in a multi-step task like meal prep is captured by the AMPS process skill 'organizes,' which involves logically ordering task steps.
Question 3: A pediatric client avoids playground equipment and dislikes being touched unexpectedly. According to Dunn's Model of Sensory Processing, this child MOST likely has which sensory processing pattern?
- Low registration
- Sensation seeking
- Sensory sensitivity
- Sensation avoiding (Correct answer)
Correct answer: Sensation avoiding
Sensation avoiding describes children with high neurological thresholds who actively restrict sensory input to prevent overload.
Question 4: An OT is evaluating a client's ability to perform IADL tasks. The client can complete each step of laundry independently but forgets to move clothes from the washer to the dryer without a cue. Which performance skill is MOST impaired?
- Process skill — attends (Correct answer)
- Motor skill — endures
- Process skill — notices/responds
- Social interaction skill — regulates
Correct answer: Process skill — attends
The AMPS process skill 'attends' refers to maintaining focus on a task without being distracted or losing track of task progress.
Question 5: Which body function, as defined in the OTPF, includes awareness of body position and movement in space?
- Vestibular functions
- Proprioceptive functions (Correct answer)
- Tactile functions
- Visual perceptual functions
Correct answer: Proprioceptive functions
Proprioceptive functions provide sensory information about body position, movement, and force from muscles and joints.
Question 6: A client recovering from a stroke has difficulty grading the force used when picking up fragile objects, often crushing paper cups. This BEST represents an impairment in which performance skill?
- Motor skill — calibrates (Correct answer)
- Motor skill — stabilizes
- Process skill — chooses
- Motor skill — coordinates
Correct answer: Motor skill — calibrates
The AMPS motor skill 'calibrates' refers to the ability to regulate force, speed, and extent of movement during task performance.
Question 7: An OT uses the Model of Human Occupation (MOHO) to guide intervention. A client states they 'used to love cooking but don't feel capable anymore' since their injury. This statement MOST reflects a change in which MOHO component?
- Habituation — roles
- Volition — personal causation (Correct answer)
- Performance capacity — objective body
- Habituation — habits
Correct answer: Volition — personal causation
Personal causation within MOHO volition refers to a person's sense of their own effectiveness and belief in their capacity to perform.
NBCOT Occupational Performance and Client Factors 4
A client with rheumatoid arthritis reports difficulty opening jars and turning doorknobs.
Which client factor is MOST directly impaired?