NBCOT Exam: Elaborative Questions
and Answers.
An OTR is administering a standardized assessment to a child who appears to be
demonstrating difficulty initiating one of the subtests. In order to obtain accurate results,
what action is required by the OTR to take?
A. Adapt instructions to meet the child's needs
B. Stop testing because child seems fatigued
C. Provide verbal and tactile cues as needed
D. Follow test protocol for giving additional directions -
\The correct answer is D) follow test protocol for giving additional directions.
When administering a standardized assessment, The OTR must follow the uniform
administration procedures outlined in the test manual to obtain valid and reliable or
accurate results. Pg.163 in your text.
(Choice A) Adapt instructions to meet the child's needs is not the correct answer. This
will compromise the accuracy of the results and take the test out of standardization.
(Choice B) Stop testing because child seems fatigued is not the correct answer. This is
a good consideration to contemplate, however for the most accurate and reliable results
it will be imperative to finish the test.
(Choice C) Provide verbal and tactile cues as needed is not the correct answer.
Providing verbal and tactile cues will skew the results as it modifies the instructions and
accuracy of the results.
Bottom line: Following the test protocol for giving additional directions for standardized
assessments is the action that is required for the OTR to take in order to ensure
accurate test results.
An OTR is interpreting a developmental test that was administered to a five year old
child. The child scored in the 74th percentile for the child's age and gender group. What
can the OTR conclude based on this score?
A. The child displays below-average developmental skills compared to similar children
B. Twenty-six percent of children in the sample group scored higher than this child
C. The child has major delays compared to the normative sample group
D. These scores are reliable for measuring changes and guiding treatment planning -
\The correct answer is B) twenty-six percent of children in the sample group scored
higher than this child.
, Twenty-six percent of children in the sample group scored higher than this child is the
correct conclusion based on a percentile score. The percentile score is the percentage
of subjects that score at or below a particular raw score. Pg. 176 in your text.
(Choice A) The child displays below-average developmental skills compared to similar
children is not the correct answer. This interpretation
(Choice C) The child has major delays compared to the normative sample group is not
the correct answer. This interpretation
(Choice D) These scores are reliable for measuring changes and guiding treatment
planning is not the correct answer. A criterion-reference test is the type of test that is
used for measuring changes in development and guiding treatment planning.
Bottom line: The OTR can conclude that twenty-six percent of children in the sample
group scored higher than this child based on the test score.
An OTR is making an early intervention home visit to a family in a rural community. The
grandmother, mother, and mother's sister are present during the session, and the
grandmother bottle-feeding the 8-month-old infant when the OTR arrives. The OTR's
goal for the child is to work with the family on further developing the child's motor skills.
What INITIAL action should the OTR take in the session with this family?
A. Wait until the child finishes eating for the mother to begin therapy with the child in
order to work on motor skill development
B. Re-schedule the child's therapy session due to concern that motor activities are
contraindicated after bottle-feeding
C. Focus the treatment session on feeding skills to incorporate the natural routine and
habits of the family
D. Engage the caregivers in conversation about the child and the progress made since
the last therapy visit -
\The correct answer is D) engage the caregivers in conversation about the child and the
progress made since the last therapy visit.
Engaging the caregivers in conversation about the child and the therapy progress is the
initial action the OTR should take with this family. It is a supportive, family/child-
centered approach which is appropriate and relevant for the setting and situation. The
therapist is considerate of the family's routines and habits and using therapeutic use of
self to make the most of every minute of the session to discuss the child and educate
the family about the child's progress.
(Choice A) Wait until the child finishes eating for the mother to begin therapy with the
child in order to work on motor skill development is not the correct answer. The therapist
will waste precious therapy time and an opportunity to gain information and educate the
family if they wait until the child finishes eating.
and Answers.
An OTR is administering a standardized assessment to a child who appears to be
demonstrating difficulty initiating one of the subtests. In order to obtain accurate results,
what action is required by the OTR to take?
A. Adapt instructions to meet the child's needs
B. Stop testing because child seems fatigued
C. Provide verbal and tactile cues as needed
D. Follow test protocol for giving additional directions -
\The correct answer is D) follow test protocol for giving additional directions.
When administering a standardized assessment, The OTR must follow the uniform
administration procedures outlined in the test manual to obtain valid and reliable or
accurate results. Pg.163 in your text.
(Choice A) Adapt instructions to meet the child's needs is not the correct answer. This
will compromise the accuracy of the results and take the test out of standardization.
(Choice B) Stop testing because child seems fatigued is not the correct answer. This is
a good consideration to contemplate, however for the most accurate and reliable results
it will be imperative to finish the test.
(Choice C) Provide verbal and tactile cues as needed is not the correct answer.
Providing verbal and tactile cues will skew the results as it modifies the instructions and
accuracy of the results.
Bottom line: Following the test protocol for giving additional directions for standardized
assessments is the action that is required for the OTR to take in order to ensure
accurate test results.
An OTR is interpreting a developmental test that was administered to a five year old
child. The child scored in the 74th percentile for the child's age and gender group. What
can the OTR conclude based on this score?
A. The child displays below-average developmental skills compared to similar children
B. Twenty-six percent of children in the sample group scored higher than this child
C. The child has major delays compared to the normative sample group
D. These scores are reliable for measuring changes and guiding treatment planning -
\The correct answer is B) twenty-six percent of children in the sample group scored
higher than this child.
, Twenty-six percent of children in the sample group scored higher than this child is the
correct conclusion based on a percentile score. The percentile score is the percentage
of subjects that score at or below a particular raw score. Pg. 176 in your text.
(Choice A) The child displays below-average developmental skills compared to similar
children is not the correct answer. This interpretation
(Choice C) The child has major delays compared to the normative sample group is not
the correct answer. This interpretation
(Choice D) These scores are reliable for measuring changes and guiding treatment
planning is not the correct answer. A criterion-reference test is the type of test that is
used for measuring changes in development and guiding treatment planning.
Bottom line: The OTR can conclude that twenty-six percent of children in the sample
group scored higher than this child based on the test score.
An OTR is making an early intervention home visit to a family in a rural community. The
grandmother, mother, and mother's sister are present during the session, and the
grandmother bottle-feeding the 8-month-old infant when the OTR arrives. The OTR's
goal for the child is to work with the family on further developing the child's motor skills.
What INITIAL action should the OTR take in the session with this family?
A. Wait until the child finishes eating for the mother to begin therapy with the child in
order to work on motor skill development
B. Re-schedule the child's therapy session due to concern that motor activities are
contraindicated after bottle-feeding
C. Focus the treatment session on feeding skills to incorporate the natural routine and
habits of the family
D. Engage the caregivers in conversation about the child and the progress made since
the last therapy visit -
\The correct answer is D) engage the caregivers in conversation about the child and the
progress made since the last therapy visit.
Engaging the caregivers in conversation about the child and the therapy progress is the
initial action the OTR should take with this family. It is a supportive, family/child-
centered approach which is appropriate and relevant for the setting and situation. The
therapist is considerate of the family's routines and habits and using therapeutic use of
self to make the most of every minute of the session to discuss the child and educate
the family about the child's progress.
(Choice A) Wait until the child finishes eating for the mother to begin therapy with the
child in order to work on motor skill development is not the correct answer. The therapist
will waste precious therapy time and an opportunity to gain information and educate the
family if they wait until the child finishes eating.
