NBCOT Plan

NBCOT exam practice question: Domain 03: Select and Manage Interventions

Domain 03: Select and Manage InterventionsDifficulty 3/5

A client is issued a resting hand orthosis. Which instruction belongs in the wearing schedule?

  1. AWear it continuously for two weeks to maximise the positioning benefit
  2. BFollow a graded schedule with skin checks after each period of wear
  3. CWear it only during therapy sessions when the therapist can observe it
  4. DRemove it whenever it feels uncomfortable and resume the next day
Show answer and rationale

Correct: B. Orthotic wearing schedules are graded, with skin inspection after each wearing period to catch pressure areas early. Continuous wear risks skin breakdown and stiffness; therapy-only wear defeats the purpose.

  • A — Continuous wear without inspection risks pressure injury.
  • C — Wearing it only in sessions provides no therapeutic dosage.
  • D — Discomfort needs assessment and adjustment, not indefinite removal.

Concept being tested

The largest domain at 38% of the OTR exam. Selecting and implementing interventions for a client-centred plan — occupations and activities, preparatory methods and tasks, education and training, advocacy, group interventions, adaptive equipment and assistive technology, splinting, environmental modification and safety. — 38% of the exam. Study guide for Domain 03: Select and Manage Interventions.

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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