NBCOT: Domain 2

Quantitative Data

Scores, Standardized Results

Qualitative Data

Observations, Client Interview, Behaviors

True/False: Observations can override scores if performance does not match test results.

True

Define Diagnostic Reasoning

(Reflective Reasoning) identifying underlying causes of a client's functional deficits

Define Procedural Reasoning

(Justified Reasoning) Choosing and justifying interventions based on the client's functional deficits

Define Narrative Reasoning

(Client-centered Reasoning) Adapting intervention plans as the client's needs, context, or goals change.

Define Conditional Reasoning

(Adaptive Reasoning) Adapting intervention plans as the client's needs, context, or goals change.

Average Percentile Ranks

16th-84th percentile (Typical)

Average Standard Scores/Z-Scores

Within ±1 SD of mean (z ≈ -1 to +1).

(+1 SD → above average, +2 SD → well above

-1 SD → below average, -2 SD → well below)

Cutoff Scores

single threshold (pass/fail), common for fall screening or cognitive impairment

True/False: Age-equivalent scores are appropriate for diagnosing delays

False

What is the meaning of High Sensitivity?

Negative results are trustworthy

What is the meaning of High Specificity?

Positive results are trustworthy

How should you breakdown, "What is the best next step?" on the NBCOT exam?

1. Identify the primary occupational problem

2. Identify what data confirms it

3. Choose the MOST functional, safe, and evidence-based intervention

4. Consider context (supports, barriers)

5. Modify the plan if progress is not occurring