NBCOT Plan

NBCOT exam practice question: Domain 01: Evaluation and Assessment

Domain 01: Evaluation and AssessmentDifficulty 3/5

A referral asks whether a client can return to independent medication management. Which assessment type answers that question most directly?

  1. AA caregiver interview about the client's habits before the admission
  2. BA norm-referenced cognitive screen comparing the client with age peers
  3. CA performance-based assessment of the actual medication-management task
  4. DA self-report questionnaire about perceived difficulty with medications
Show answer and rationale

Correct: C. The referral question is about performance of a specific occupation, so observing the client perform that task gives the most direct evidence. Screens and reports inform the picture but do not answer it.

  • B — A cognitive screen identifies impairment but not task performance.
  • D — Self-report is limited by insight, which is often the problem.
  • A — Prior habits describe the past rather than current capability.

Concept being tested

23% of the OTR exam. Acquiring information about the factors that influence occupational performance throughout the OT process — occupational profile, screening, standardised and non-standardised assessment selection and administration, performance skills and patterns, client factors, and contexts and environments. — 23% of the exam. Study guide for Domain 01: Evaluation and Assessment.

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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