NBCOT Plan

NBCOT exam practice question: Domain 04: Competency and Practice Management

Domain 04: Competency and Practice ManagementDifficulty 2/5

Which task may be assigned to an occupational therapy aide?

  1. ACollecting range-of-motion data to monitor progress toward a goal
  2. BProviding caregiver education on a home exercise programme
  3. CImplementing a portion of the intervention plan with a stable client
  4. DSetting up equipment and transporting a client to the therapy area
Show answer and rationale

Correct: D. Aides perform non-skilled, routine tasks such as setup and transport under direct supervision. Any activity requiring clinical judgement — intervention, data collection for clinical decisions, education — is outside their scope.

  • C — Implementing intervention is an OTA activity within service competence.
  • A — Collecting clinical data requires judgement and training.
  • B — Caregiver education is a skilled intervention.

Concept being tested

16% of the OTR exam. Managing professional activities of self and others — supervision of OTAs and aides, service competence, documentation and reimbursement, regulatory and ethical compliance, evidence-based practice, safety and infection control, and quality improvement. — 16% of the exam. Study guide for Domain 04: Competency and Practice Management.

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Primary references

  1. Certification Exam Handbook (2025) — National Board for Certification in Occupational Therapy (NBCOT) · primary · retrieved 2026-09-22, verified 2026-09-22
Last reviewed: 2026-10-07Reviewed by: Jessica Lin, OTD, OTR/L, Occupational therapy clinical practice & item reviewHow we verify facts