1
OT INTERVENTIONS FOR ELL WEEK 8 EXAM
COGNITIVE ASSESSMENTS & APRAXIA 2026
JUST RELEASED
1. Identify best occupational therapy practices for the assessment
of perceptual and cognitive skills
Cognitive Assessments -
Screening tools:
⇨ Mini-mental
status exam
☆ Screening tool with 11 questions on calculation, abstraction,
orientation, attention, learning,
information, construction, and delayed recall
☆ BIAS towards verbal items and insensitive to right-sided brain
damage and mild cognitive
defic
its meaning this test IS NOT APPLICABLE IF THEY HAVE THIS
☆ 24 or <24 = cognitive disorder
☆ Most widely used with HIGH validity but low ecological validity
(clinical practice)
⇨ Montreal Cognitive Assessment (MoCA)
☆ Valid if you have MILD cognitive impairment
☆ Short-term memory recall task, visuospatial abilities, executive
function, verbal abstraction, attention, concentration, working
memory, orientation, and language
⇨ Cognitive Assessment of Minnesota (CAM)
☆ Overview of cognitive functioning but has little literature on its
use in rehab
☆ Money & math skills, planning and abstract reasoning, problem-
solving, attention, memory Orientation, neglect, and following
directions
⇨ Lowenstein OT Cognitive Assessment (LOTCA)
☆ Cognitive capacities, NOT SENSITIVE for clients with mild
injuries and DOES NOT have a
measure
of memory
☆ Orientation, perception, visuomotor operations, and thinking
operations are assessed
⇨ Rivermead Behavioral Memory Test (RBMT)
⇨ St. Louis University Mental Status Exam (SLUMS)
☆ Identifies mild cognitive problems
☆ Includes simple math computation, naming animals, recalling
facts, and drawing the hands on
a
clock
Occupation-based assessments: HIGH ECOLOGICAL VALIDITY
⇨ Activity Card Sort
,2
☆ Clients describe IADL, leisure activity, and social activities
☆ Assists in building routines of meaningful and healthy activities
for clients
⇨ Executive Function Performance Test Assessment (EFPT)
☆ 4 IADL activities
☆ Level of independence recorded and categorized into 5
executive function constructs (initiation,
organization, sequencing, judgment, and safety, and completion
⇨ Performance Assessment of Self-Care Skills
,3
☆ 26 core tasks
Functional mobility
Basic activities of daily
living IADL with
cognitive emphasis IADL
with physical emphasis
☆ Performance rated for independence,
safety and adequacy
⇨ Co-op Cognitive Orientation to Daily
Occupational Performance
☆ clients succeeding towards their OWN goals
☆ performance-based, problem solving, intervention approach,
enables skill-acquisition, right
fit,
environmental supports/barriers, performance problems and
strategies
⇨ Cognitive Performance Test (CPT)
☆ 6 areas of ADL tasks - dress, shop, toast, phone, wash, travel
⇨ Weekly Calendar
Planning Activity
☆ Measures executive
function
⇨ Kettle Test
☆ Preparing two cups of hot beverage (for the client and
examiner), ask to read verbatim from
manual, ask client to repeat instructions, during the tasks
clinician observes them perform task and provides cues during
specific situations, after the clinician notes process and asks
client to recall steps of task and describe their performance
☆ high scores = severe problems with performance
☆ Assess cognitive skills in a functional context
⇨ Multiple Errands Test
⇨ Catherine Bergego Scale (CBS)
⇨ The Arnadottir OT-ADL Neurobehavioral Evaluation (A-One)
⇨ Rabideau Kitchen Evaluation
⇨ Kitchen Task Assessment
⇨ Assessment of Motor and Process Skills (AMPS)
Perceptual Test:
⇨ Motor-Free Visual Perception Test (MVPT)
2. Give examples of how perceptual deficits (i.e., figure-
ground discrimination, spatial relations, form constancy)
impact function following stroke and the remediative and
, 4
adaptive approaches used as intervention
Visual-Spatial Perception Disorders
• Visual-spatial perception refers to the ability to understand
spatial relationships, including the positioning of one’s body,
objects in relation to oneself, and the relationships between
objects in space.
• Neurological Basis:
o The right hemisphere processes spatial information
holistically (gestalt).
o The left hemisphere focuses on discrete details.
• Impact on Occupational Performance:
o Essential for activities like driving, where quick
interpretation of spatial relationships prevents accidents.
OT INTERVENTIONS FOR ELL WEEK 8 EXAM
COGNITIVE ASSESSMENTS & APRAXIA 2026
JUST RELEASED
1. Identify best occupational therapy practices for the assessment
of perceptual and cognitive skills
Cognitive Assessments -
Screening tools:
⇨ Mini-mental
status exam
☆ Screening tool with 11 questions on calculation, abstraction,
orientation, attention, learning,
information, construction, and delayed recall
☆ BIAS towards verbal items and insensitive to right-sided brain
damage and mild cognitive
defic
its meaning this test IS NOT APPLICABLE IF THEY HAVE THIS
☆ 24 or <24 = cognitive disorder
☆ Most widely used with HIGH validity but low ecological validity
(clinical practice)
⇨ Montreal Cognitive Assessment (MoCA)
☆ Valid if you have MILD cognitive impairment
☆ Short-term memory recall task, visuospatial abilities, executive
function, verbal abstraction, attention, concentration, working
memory, orientation, and language
⇨ Cognitive Assessment of Minnesota (CAM)
☆ Overview of cognitive functioning but has little literature on its
use in rehab
☆ Money & math skills, planning and abstract reasoning, problem-
solving, attention, memory Orientation, neglect, and following
directions
⇨ Lowenstein OT Cognitive Assessment (LOTCA)
☆ Cognitive capacities, NOT SENSITIVE for clients with mild
injuries and DOES NOT have a
measure
of memory
☆ Orientation, perception, visuomotor operations, and thinking
operations are assessed
⇨ Rivermead Behavioral Memory Test (RBMT)
⇨ St. Louis University Mental Status Exam (SLUMS)
☆ Identifies mild cognitive problems
☆ Includes simple math computation, naming animals, recalling
facts, and drawing the hands on
a
clock
Occupation-based assessments: HIGH ECOLOGICAL VALIDITY
⇨ Activity Card Sort
,2
☆ Clients describe IADL, leisure activity, and social activities
☆ Assists in building routines of meaningful and healthy activities
for clients
⇨ Executive Function Performance Test Assessment (EFPT)
☆ 4 IADL activities
☆ Level of independence recorded and categorized into 5
executive function constructs (initiation,
organization, sequencing, judgment, and safety, and completion
⇨ Performance Assessment of Self-Care Skills
,3
☆ 26 core tasks
Functional mobility
Basic activities of daily
living IADL with
cognitive emphasis IADL
with physical emphasis
☆ Performance rated for independence,
safety and adequacy
⇨ Co-op Cognitive Orientation to Daily
Occupational Performance
☆ clients succeeding towards their OWN goals
☆ performance-based, problem solving, intervention approach,
enables skill-acquisition, right
fit,
environmental supports/barriers, performance problems and
strategies
⇨ Cognitive Performance Test (CPT)
☆ 6 areas of ADL tasks - dress, shop, toast, phone, wash, travel
⇨ Weekly Calendar
Planning Activity
☆ Measures executive
function
⇨ Kettle Test
☆ Preparing two cups of hot beverage (for the client and
examiner), ask to read verbatim from
manual, ask client to repeat instructions, during the tasks
clinician observes them perform task and provides cues during
specific situations, after the clinician notes process and asks
client to recall steps of task and describe their performance
☆ high scores = severe problems with performance
☆ Assess cognitive skills in a functional context
⇨ Multiple Errands Test
⇨ Catherine Bergego Scale (CBS)
⇨ The Arnadottir OT-ADL Neurobehavioral Evaluation (A-One)
⇨ Rabideau Kitchen Evaluation
⇨ Kitchen Task Assessment
⇨ Assessment of Motor and Process Skills (AMPS)
Perceptual Test:
⇨ Motor-Free Visual Perception Test (MVPT)
2. Give examples of how perceptual deficits (i.e., figure-
ground discrimination, spatial relations, form constancy)
impact function following stroke and the remediative and
, 4
adaptive approaches used as intervention
Visual-Spatial Perception Disorders
• Visual-spatial perception refers to the ability to understand
spatial relationships, including the positioning of one’s body,
objects in relation to oneself, and the relationships between
objects in space.
• Neurological Basis:
o The right hemisphere processes spatial information
holistically (gestalt).
o The left hemisphere focuses on discrete details.
• Impact on Occupational Performance:
o Essential for activities like driving, where quick
interpretation of spatial relationships prevents accidents.
