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Occupational Performance and Client Factors Flashcards

7 cards from real NBCOT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Occupational Performance and Client Factors flashcards as text

  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?

    Answer: Neuromusculoskeletal functions

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

  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?

    Answer: Functional mobility within IADLs

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

  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?

    Answer: Environment

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

  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?

    Answer: Dyspraxia

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

  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 A client with chronic pain avoids social gatherings and has withdrawn from her volunteer role at church.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?

    Answer: Social participation

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

  6. An OT documents that a client 'requires minimal assistance for lower body dressing, needing only verbal cues for sequencing.' Using the Functional Independence Measure (FIM), what level BEST describes this performance?

    Answer: FIM Level 4 — Minimal Assistance

    FIM Level 4 (Minimal Assistance) indicates the client performs 75% or more of the task but requires physical or verbal assistance for the remainder.

  7. An OT working with a client post-hand surgery notes the client has full passive ROM but limited active ROM due to extensor tendon adhesions. This discrepancy between active and passive ROM MOST directly reflects an impairment in which client factor?

    Answer: Muscle power functions

    When passive ROM is preserved but active ROM is limited, the deficit lies in muscle power functions — the ability to generate force through voluntary muscle contraction despite tendon restrictions.