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Exam Number : NBCOT
Exam Name : National Board for Certification of Occupational Therapists - COTA - 2022
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DOMAIN
EVALUATION AND ASSESSMENT 25%
Acquire information regarding factors that influence
occupational performance on an ongoing basis throughout
the occupational therapy process.

- Impact of typical development and aging on occupational performance, health, and wellness across the life span
- Expected patterns, progressions, and prognoses associated with conditions that limit occupational performance
- Impact of body functions, body structures, and values, beliefs, and spirituality on occupational performance
- Resources for acquiring information about the clients current condition and occupational performance
- Administration, purpose, indications, advantages, and limitations of standardized and non-standardized screening and assessment tools
- Internal and external factors influencing a clients meaningful engagement in occupation related to typical habits, roles, routines, and rituals, and the level and type of assistance required
- Therapeutic application of theoretical approaches, models of practice, and frames of reference that guide intervention in a variety of practice contexts and environments
- Task analysis in relation to a clients performance skills, the occupational profile, practice setting, stage of occupational therapy process, areas of occupation, and activity demands

DOMAIN
ANALYSIS AND INTERPRETATION 23%
Formulate conclusions regarding client needs and priorities to develop and monitor an intervention plan throughout the occupational therapy process.

- Interpretation and analysis of quantitative assessments designed to measure specific client factors and performance skills
- Integration of qualitative data collected from interviews, observation, and assessment of the social and physical
environments, valued activities, necessary occupations, and priorities
- Integration of screening and assessment results with the client occupational profile, client condition, expected outcomes, and level of service delivery to guide critical decision-making for determining eligibility for services, prioritizing needs, and identifying a targeted intervention plan
- Characteristics and functions of interprofessional teams for coordinating client care and providing efficient and effective programs and services consistent with specific core competencies, expertise, unique contributions, team roles, and context of the organization
- Management of collaborative client-centered intervention plans, Individualized Education Program plans, and transition plans based on client skills, abilities, and expected outcomes in relation to available resources, level of service delivery, and frequency and duration of intervention
- Prioritization of intervention goals and activities based on client needs, wants, developmental skills, abilities, progress, and expected outcomes in relation to level of service delivery as well as frequency and duration of intervention
- Strategies used for assessing and addressing health literacy to enhance non-verbal and verbal interactions with a client and relevant others in order to promote positive health behaviors, enable informed decisions, maximize safety of care delivery, and promote carry-over of the intervention to support positive intervention outcomes
- Factors used for determining and managing the context and type of individual and group activities for effectively supporting intervention goals and objectives

Methods for monitoring the effectiveness of individual and group intervention in order to make decisions about continuation of the intervention or modifications to the intervention approach, context, or goals - Clinical decision-making for adapting or modifying the intervention plan and prioritizing goals in response to physiological changes, behavioral reaction, emotion regulation, and developmental needs of the client

DOMAIN
INTERVENTION MANAGEMENT 37%
Select interventions for managing a client-centered plan throughout the occupational therapy process.

Methods and techniques for selecting and preparing the environment to support optimal engagement in the intervention and promote goal achievement
- Indications, contraindications, and precautions associated with wound management, considering the characteristics of a wound, the stage of wound healing, and the influence of the wound on engagement in occupation as guided by evidence, best practice standards, scope of practice, and state licensure practice acts in order to support functional outcomes
- Indications, contraindications, precautions, and appropriate clinical application of superficial thermal agents as guided by evidence, best practice standards, scope of practice, and state licensure practice acts
- Indications, contraindications, precautions, and appropriate clinical application of deep thermal, mechanical, and electrotherapeutic physical agent modalities as guided by evidence, best practice standards, scope of practice, and state licensure practice acts
- Interventions for supporting leisure and play-based exploration and participation consistent with client interests, needs, goals, and context
- Methods for grading an activity, task, or technique based on level of development, client status, response to intervention, and client needs
- Methods for facilitating individual and group participation in shared tasks or activities consistent with the type, function, format, context, goals, and stage of the group
- Interventions to support optimal sensory arousal, and visual motor, cognitive, or perceptual processing for supporting engagement in meaningful occupations consistent with developmental level, neuromotor status, mental health, cognitive level, psychosocial skills and abilities, task characteristics, context, and environmental demands 030205 Compensatory and remedial strategies for managing cognitive and perceptual deficits or intellectual disabilities
- Adaptive and preventive strategies for optimal engagement in occupation consistent with developmental level, neuromotor status, and condition
- Intervention strategies and techniques used to facilitate oral motor skills for drinking, eating, and swallowing consistent with developmental level, client condition, caregiver interaction, and mealtime environment and context
- Prevocational, vocational, and transitional services, options, and resources for supporting strengths, interests, employment, and lifestyle goals of the adolescent, middle-aged, and older adult client
- Methods for grading various types of therapeutic exercise and conditioning programs consistent with indications and precautions for strengthening muscles, increasing endurance, improving range of motion and coordination, and increasing joint flexibility in relation to task demands
- Methods and strategies used to develop, implement, and manage sensory and motor reeducation, pain management, desensitization, edema reduction, and scar management programs
- Techniques and activities for promoting or improving postural stability, facilitating dynamic balance, and teaching proper body mechanics and efficient breathing patterns during functional tasks to support engagement in occupation
- Types and functions of immobilization, mobilization, restriction, and non-articular orthoses for managing specific conditions
- Influence of anatomical, physiological, biomechanical, and healing principles on orthotic selection, design, fabrication, and modification
- Methods and techniques for training in the safe and effective use of orthotic and prosthetic devices consistent with prioritized needs, goals, and task demands in order to optimize or enhance function
- Factors related to measuring, selecting, monitoring fit of, and recommending modifications to seating systems, positioning devices, and mobility aids
- Characteristics and features of high- and low-tech assistive technology for supporting engagement in meaningful occupation
- Mobility options, vehicle adaptations, and alternative devices for supporting participation in community mobility
- Training methods and other factors influencing successful use and maintenance of commonly used assistive technology options, adaptive devices, and durable medical equipment
- Principles of ergonomics and universal design for identifying, recommending, and implementing reasonable accommodations and features in the workplace, home, and public spaces in order to optimize accessibility and usability
- Processes and procedures for identifying, recommending, and implementing modifications in the workplace, home, and public spaces, considering the interaction among client factors, contexts, roles, task demands, and resources

DOMAIN COMPETENCY AND PRACTICE MANAGEMENT 15%
Manage professional activities of self and relevant others as guided by evidence, regulatory compliance, and standards of practice to promote quality care.

- Methods for defining a clinical question and performing a critical appraisal to support evidence-based practice
- Methods for applying continuous quality improvement processes and procedures to occupational therapy service delivery
- Methods for evaluating, monitoring, and documenting service competency and professional development needs of self and assigned personnel based on scope of practice and certification standards for occupational therapy
- Methods for developing, analyzing, and applying evidence that supports occupation-based programming to advance positive health outcomes for individuals, groups, and specific populations
- Application of ethical decision-making and professional behaviors guided by the NBCOT standards of practice and Code of Conduct
- Precautions or contraindications associated with a client condition or stage of recovery
- Infection control procedures and universal precautions for reducing transmission of contaminants
- Basic first aid in response to minor injuries and adverse reactions
- Safety procedures to implement during interventions
- Preventive measures for minimizing risk in the intervention environment
- Methods for identifying, locating, and integrating federal regulations, facility policies, and accreditation guidelines related to service delivery across occupational therapy practice settings
- Influence of reimbursement policies and guidelines on occupational therapy service delivery
- Accountability processes and procedures using relevant practice terminology, abbreviations, information technology, and reporting mechanisms for justifying, tracking, and monitoring sentinel events and outcomes related to occupational therapy service delivery



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