Purple Book NBCOT Prep Exam 2025–2026
Accurate Real Exam Questions and Verified Correct
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what is the BEST method for assessing ADL performance of an individual with severe cognitive
limitations and poor communication skills?
a. self report
b. observation
c. ACL screen
d. allen diagnostic model - answer>>>b. observation
observation assessments are particularly useful with people with communication difficulties,
limited mental capacity, or younger clients. It allows the degree of flexibility that enables the
therapist to use judgments and improvisation when moving from theory and hypothesis.
answer A would not be appropriate for a person with poor communication skills. answers c and
D evaluate cognitive level and assist with treatment planning and intervention, but they do not
assess ADL performance.
What is the method MOST important to apply when conducting a SEMI-STRUCTURED
interview?
a. utilize questions to influence a clients thinking and facilitate self-reflection
b. follow a predetermined protocol, adjusting the process as needed
c. ask questions exactly as they are stated on the eval tool
d. use good timing and attention to the clients boundaries. - answer>>>b. follow a
predetermined protocol, adjusting the process as needed
generally occupational therapists administer two basic types of interview. The first type
includes a semi-structured interview in which a therapist follows a predetermined protocol and
asks a set of questions designed to probe for specific information. skillful interviewing also
involves good timing and attention to boundaries and utilizing questions to influence a client's
thinking to facilitate self-reflection, regardless of the type of interview. standardized
assessments require the therapist to follow protocal exactly.
,An individual with a history of homelessness, substance abuse, and mental illness has begun to
participate in the OT program in a shelter for individuals in recovery. the individual has
indicated an interest in employment as a primary goal and reports previous work as a carpenter
10 years ago. What is the FIRST action of the OT in addressing work potential?
a. observe the individual during a morning cleaning activity
b. identify a low-demand volunteer job within the shelter
c. conduct a readines - answer>>>c. conduct a readiness assessment
this individual has a history of chronic mental illness. according to the transtheoretical model, a
person will not change until he is ready to change. a readiness assessment is an important first
step in any rehabilitation assessment process and must come before conducting functional and
resource assessments. answer a and answer B qualifies for any type of work program which will
occur later.
Which of the following methods is best for evaluating a hood grasp?
a. direct the individual to hold a sewing needle while it is being threaded
b. observe the individual lift a tall glass half filled with water
c. have the individual hold a heavy handbag by the handles
d. hand the individual a key to place in a lock - answer>>>c. have the individual hold a heavy
handbag by the handle
a hook grass is strongly based on the use of digits 2 to 5. It is the only prehension pattern that
does not include the thumb to supply opposition. this grass occurs when an individual is holding
a shopping bag, pale, or briefcase. answer A would be held with a two-point pinch. answer B
would be a cylindrical grass. And answer D would be a lateral pinch
Using the MOHO FOR, eval of an individual should focus primarily on which of the following?
a. an identification of problem behaviors that need to be extinguished
b. clarification of thoughts, feelings, and experiences that influence behavior
c. assessment of cognitive function, including assets and limitations
,d. eval of effects of values, routines, performance skills, and the environment on role
performance. - answer>>>d. evaluation of effects of values, routines, performance skills, and
the environment on role performance
The concept of this model address the motivation for occupation, the routine patterns of
occupations, the nature of skilled performance, and the influence of the environmental
occupation. answer a is the behavioral frame of reference. answer c evaluates cognitive
disability frame of reference.
the OT has received a referral for a patient recently admitted to the psych unit. what is the best
method to quickly screen for overall cognitive functioning?
a. barth time construction
b. AMPS
c. ACL
d. Mini mental - answer>>>d. mini Mental
this is a widely screening tool for cognitive function that can be done in approximately 10
minutes. answer a requires an individual to complete a color-coded chart to demonstrate how
the individual spends their time during the day. answer be assesses ADL performance, scoring
the individual on both motor and process abilities. answer c uses leather lacing to assess
problem solving skills.
An OT is performing a functional ROM assessment on a n individual with arthritis. How should
the OT eval IR?
a. ask the individual to touch the back of his neck
b. use a goni to measure IR in a supine position
c. observe the individual touching the small of his back
d. interview the individual regarding areas of pain and stiffness - answer>>>c. observe the
individual touching the small of his back
touching the small of the back requires shoulder abduction and internal rotation. answer a
requires external rotation. agoniometer would be used when formal joint measurement is
required. an interview will provide useful information concerning pain, stiffness, and
limitations, but it is not a reliable method for assessing ROM.
, during an initial visit with a 5-year-old child with a suspected learning disability, the OT
observes the child run across the room, hop around on one foot, pick up a pencil, and draw a
stick figure using a tripod grasp. when asked to complete a 10-piece puzzle, the child gives up
after several unsuccessful attemp. which type of assessment is most appropriate to gather
additional information to understand this child's difficulty?
a. fine motor
b. gross motor
c. developmental
d. visual perceptual - answer>>>d. visual perceptual
visual perceptual deficits may result in problems with cutting, coloring, constructing with
blocks, doing puzzles, or construction toys. running hopping using a tripod grass, drawing a stick
figure, and putting together a 10-piece puzzle are all developmentally appropriate skills for a 5-
year-old. although this child cannot put together the puzzle, the gross and fine motor skills
required are observed to be intact. No fine motor evaluation is necessary because A tripod
grasp is achieved. No gross motor evaluation is necessary because running and hopping skills
are evident. Because the child's abilities appear developmentally appropriate, developmental
evaluation is not indicated.
A student working at her desk has difficulty when alternating visual focus on a blackboard 20 ft
away and then on items on the desktop area to complete mathematics problems. This most
likely indicates a problem with:
a. ocular motility
b. binocular vision
c convergence
d. accommodation - answer>>>d. accommodation
answer a refers to the ability to pursue an object visually in an efficient and smooth manner.
answer B is the ability to focus the eyes on an object at varying distances and on seeing a single
object clearly. answer c is the ability to move eyes inward or outward with continued focus on
the object
an individual who alternately laughs and cries without a parent provocation throughout an
evaluation would be identified as a exhibiting what type of behavior?
a. mania
Accurate Real Exam Questions and Verified Correct
Answers JUST RELEASED
what is the BEST method for assessing ADL performance of an individual with severe cognitive
limitations and poor communication skills?
a. self report
b. observation
c. ACL screen
d. allen diagnostic model - answer>>>b. observation
observation assessments are particularly useful with people with communication difficulties,
limited mental capacity, or younger clients. It allows the degree of flexibility that enables the
therapist to use judgments and improvisation when moving from theory and hypothesis.
answer A would not be appropriate for a person with poor communication skills. answers c and
D evaluate cognitive level and assist with treatment planning and intervention, but they do not
assess ADL performance.
What is the method MOST important to apply when conducting a SEMI-STRUCTURED
interview?
a. utilize questions to influence a clients thinking and facilitate self-reflection
b. follow a predetermined protocol, adjusting the process as needed
c. ask questions exactly as they are stated on the eval tool
d. use good timing and attention to the clients boundaries. - answer>>>b. follow a
predetermined protocol, adjusting the process as needed
generally occupational therapists administer two basic types of interview. The first type
includes a semi-structured interview in which a therapist follows a predetermined protocol and
asks a set of questions designed to probe for specific information. skillful interviewing also
involves good timing and attention to boundaries and utilizing questions to influence a client's
thinking to facilitate self-reflection, regardless of the type of interview. standardized
assessments require the therapist to follow protocal exactly.
,An individual with a history of homelessness, substance abuse, and mental illness has begun to
participate in the OT program in a shelter for individuals in recovery. the individual has
indicated an interest in employment as a primary goal and reports previous work as a carpenter
10 years ago. What is the FIRST action of the OT in addressing work potential?
a. observe the individual during a morning cleaning activity
b. identify a low-demand volunteer job within the shelter
c. conduct a readines - answer>>>c. conduct a readiness assessment
this individual has a history of chronic mental illness. according to the transtheoretical model, a
person will not change until he is ready to change. a readiness assessment is an important first
step in any rehabilitation assessment process and must come before conducting functional and
resource assessments. answer a and answer B qualifies for any type of work program which will
occur later.
Which of the following methods is best for evaluating a hood grasp?
a. direct the individual to hold a sewing needle while it is being threaded
b. observe the individual lift a tall glass half filled with water
c. have the individual hold a heavy handbag by the handles
d. hand the individual a key to place in a lock - answer>>>c. have the individual hold a heavy
handbag by the handle
a hook grass is strongly based on the use of digits 2 to 5. It is the only prehension pattern that
does not include the thumb to supply opposition. this grass occurs when an individual is holding
a shopping bag, pale, or briefcase. answer A would be held with a two-point pinch. answer B
would be a cylindrical grass. And answer D would be a lateral pinch
Using the MOHO FOR, eval of an individual should focus primarily on which of the following?
a. an identification of problem behaviors that need to be extinguished
b. clarification of thoughts, feelings, and experiences that influence behavior
c. assessment of cognitive function, including assets and limitations
,d. eval of effects of values, routines, performance skills, and the environment on role
performance. - answer>>>d. evaluation of effects of values, routines, performance skills, and
the environment on role performance
The concept of this model address the motivation for occupation, the routine patterns of
occupations, the nature of skilled performance, and the influence of the environmental
occupation. answer a is the behavioral frame of reference. answer c evaluates cognitive
disability frame of reference.
the OT has received a referral for a patient recently admitted to the psych unit. what is the best
method to quickly screen for overall cognitive functioning?
a. barth time construction
b. AMPS
c. ACL
d. Mini mental - answer>>>d. mini Mental
this is a widely screening tool for cognitive function that can be done in approximately 10
minutes. answer a requires an individual to complete a color-coded chart to demonstrate how
the individual spends their time during the day. answer be assesses ADL performance, scoring
the individual on both motor and process abilities. answer c uses leather lacing to assess
problem solving skills.
An OT is performing a functional ROM assessment on a n individual with arthritis. How should
the OT eval IR?
a. ask the individual to touch the back of his neck
b. use a goni to measure IR in a supine position
c. observe the individual touching the small of his back
d. interview the individual regarding areas of pain and stiffness - answer>>>c. observe the
individual touching the small of his back
touching the small of the back requires shoulder abduction and internal rotation. answer a
requires external rotation. agoniometer would be used when formal joint measurement is
required. an interview will provide useful information concerning pain, stiffness, and
limitations, but it is not a reliable method for assessing ROM.
, during an initial visit with a 5-year-old child with a suspected learning disability, the OT
observes the child run across the room, hop around on one foot, pick up a pencil, and draw a
stick figure using a tripod grasp. when asked to complete a 10-piece puzzle, the child gives up
after several unsuccessful attemp. which type of assessment is most appropriate to gather
additional information to understand this child's difficulty?
a. fine motor
b. gross motor
c. developmental
d. visual perceptual - answer>>>d. visual perceptual
visual perceptual deficits may result in problems with cutting, coloring, constructing with
blocks, doing puzzles, or construction toys. running hopping using a tripod grass, drawing a stick
figure, and putting together a 10-piece puzzle are all developmentally appropriate skills for a 5-
year-old. although this child cannot put together the puzzle, the gross and fine motor skills
required are observed to be intact. No fine motor evaluation is necessary because A tripod
grasp is achieved. No gross motor evaluation is necessary because running and hopping skills
are evident. Because the child's abilities appear developmentally appropriate, developmental
evaluation is not indicated.
A student working at her desk has difficulty when alternating visual focus on a blackboard 20 ft
away and then on items on the desktop area to complete mathematics problems. This most
likely indicates a problem with:
a. ocular motility
b. binocular vision
c convergence
d. accommodation - answer>>>d. accommodation
answer a refers to the ability to pursue an object visually in an efficient and smooth manner.
answer B is the ability to focus the eyes on an object at varying distances and on seeing a single
object clearly. answer c is the ability to move eyes inward or outward with continued focus on
the object
an individual who alternately laughs and cries without a parent provocation throughout an
evaluation would be identified as a exhibiting what type of behavior?
a. mania
