NBCOT Occupational Therapy Certification Practice Exam

The OT and client agree on a baking activity to work on decision-making skills, but the client is reluctant to participate. What is the MOST appropriate approach?

1. Premeasure all the dry and liquid ingredients

2. Use a recipe with no more than 3 steps

3. Offer a choice of slice-and-bake cookies or a cake mix

4. Create a checklist to use as each ingredient is added

The correct answer is: Offer a choice of slice-and-bake cookies or a cake mix

Offering a choice between slice-and-bake cookies or a cake mix is the most effective approach in this scenario because it actively engages the client in decision-making, which is the goal of the activity. By providing options, the client feels more empowered and involved in the process, which can help to increase their motivation to participate. This choice can also foster a sense of ownership in the activity, making it more likely that the client will engage with the baking task and the skills it is designed to develop. When clients are reluctant to engage in a prescribed activity, introducing personal preference can enhance their willingness to participate. This approach respects the client's autonomy and encourages them to take an active role, which is particularly important in an occupational therapy context where self-determination is crucial for effective therapy outcomes.