NBCOT Occupational Performance and Client Factors 5

Question 1

A client with multiple sclerosis reports fatigue that worsens throughout the day and limits her ability to complete household tasks. According to the OTPF, fatigue is classified under which category of client factors?

Accepted Answer

Neuromusculoskeletal functions

Answer

Fatigue related to neuromuscular conditions is classified under neuromusculoskeletal and movement-related functions in the OTPF body functions.

Question 2

During a home evaluation, an OT notices a client with Parkinson's disease freezes at doorway thresholds when walking. Which occupational performance area is MOST affected by this freezing of gait?

Accepted Answer

Functional mobility within IADLs

Answer

Freezing of gait impairs functional mobility, which is classified as an IADL in the OTPF and is essential for independent home navigation.

Question 3

A therapist is applying the Person-Environment-Occupation (PEO) model. A client has limited hand function (person) and works in an office requiring extensive typing (occupation). The OT modifies the workstation with adaptive equipment. Which PEO component is PRIMARILY being addressed?

Accepted Answer

Environment

Answer

Modifying the workstation addresses the physical environment component of the PEO model to improve occupational performance fit.

Question 4

An OT evaluates a child using the Sensory Integration and Praxis Tests (SIPT). The child has difficulty with bilateral coordination, sequencing new motor tasks, and constructional play. These findings MOST suggest a deficit in which area?

Accepted Answer

Dyspraxia

Answer

Dyspraxia is characterized by difficulty planning and executing novel motor tasks, including bilateral coordination and construction activities.

Question 5

A client with chronic pain avoids social gatherings and has withdrawn from her volunteer role at church. According to the OTPF, which occupation is MOST directly affected?

Accepted Answer

Social participation

Answer

Social participation encompasses engagement with community, family, peers, and friends, including roles like volunteering and attending social events.

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 5