NBCOT Occupational Performance and Client Factors 4

Question 1

A client with rheumatoid arthritis reports difficulty opening jars and turning doorknobs. Which client factor is MOST directly impaired?

Accepted Answer

Joint mobility and grip strength

Answer

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?

Accepted Answer

Process skills — organizes

Answer

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?

Accepted Answer

Sensation avoiding

Answer

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?

Accepted Answer

Process skill — attends

Answer

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?

Accepted Answer

Proprioceptive functions

Answer

Proprioceptive functions provide sensory information about body position, movement, and force from muscles and joints.

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT - National Board for Certification in Occupational Therapy Practice Test

NBCOT Occupational Performance and Client Factors 4