NBCOT Evaluation and Assessment 2 — Questions and Answers
Question 1: A therapist conducts a kitchen assessment with a client following TBI. This is an example of which assessment approach?
- Standardized norm-referenced testing
- Performance-based naturalistic assessment (Correct answer)
- Questionnaire-based assessment
- Chart review
Correct answer: Performance-based naturalistic assessment
Performance-based naturalistic assessment observes clients completing real tasks in real or simulated environments to evaluate functional occupational performance.
Question 2: Which sensory assessment tool is commonly used with children to measure sensory processing patterns?
- Sensory Profile
- SIPT
- SPM
- All of the above (Correct answer)
Correct answer: All of the above
The Sensory Profile, Sensory Integration and Praxis Tests (SIPT), and Sensory Processing Measure (SPM) are all validated tools for assessing sensory processing in children.
Question 3: A therapist uses the Allen Cognitive Level Screen (ACLS) with a psychiatric patient. What does this tool primarily assess?
- Fine motor coordination
- Cognitive processing capacity and functional cognition (Correct answer)
- Emotional regulation
- Sensory processing
Correct answer: Cognitive processing capacity and functional cognition
The ACLS assesses cognitive processing capacity using a leather-lacing task to identify functional cognitive level and guide activity-based intervention.
Question 4: Which assessment tool is the gold standard for evaluating upper extremity function after stroke?
- DASH
- Fugl-Meyer Assessment (Correct answer)
- Jebsen Hand Function Test
- Box and Block Test
Correct answer: Fugl-Meyer Assessment
The Fugl-Meyer Assessment is a widely validated, comprehensive tool for measuring upper and lower extremity motor recovery after stroke.
Question 5: An OT reviews a client's medical history, imaging reports, and prior therapy notes before the initial evaluation. This is called:
- Observation
- Standardized testing
- Chart review or record review (Correct answer)
- Structured interview
Correct answer: Chart review or record review
Reviewing medical records, reports, and prior documentation before direct client contact is a chart or record review, used to inform evaluation planning.
Question 6: During a cognitive assessment, a client is asked to recall three words after a 5-minute delay. This tests which cognitive domain?
- Attention
- Executive function
- Delayed memory (Correct answer)
- Processing speed
Correct answer: Delayed memory
Delayed recall of previously learned information assesses delayed memory, a key cognitive domain affected by dementia and TBI.
NBCOT Evaluation and Assessment 2
A therapist conducts a kitchen assessment with a client following TBI.
This is an example of which assessment approach?