Domain 01: Evaluation and AssessmentDifficulty 3/5
An OTR modifies the instructions of a standardised assessment so a client with aphasia can participate. How should the results be reported?
- AAs standardised scores, because the client completed every required item
- BAs descriptive observations, because modification invalidates the norms
- CAs standardised scores with the modification noted in the discharge summary
- DAs an incomplete assessment that provides no usable clinical information
Show answer and rationale
Correct: B. Altering instructions, materials or positioning removes the conditions under which the norms were established, so normative comparison is no longer valid. The observations remain clinically useful and should be reported descriptively.
- A — Completing the items under altered conditions does not restore the norms.
- C — Noting the modification later does not make the standardised score valid.
- D — The information is still useful; it is simply not normative.