NBCOT Occupational Therapy Certification Practice Exam

The primary focus in an occupational therapy session for a child with developmental delays who struggles with fine motor skills should be on improving hand-eye coordination activities. Fine motor skills are essential for many daily tasks that require precise movement and coordination of the hands and fingers, such as writing, buttoning clothes, or manipulating small objects.

Activities aimed at improving hand-eye coordination help children develop their ability to control hand movements in relation to visual input. This can include exercises like catching a ball, threading beads, or playing with building blocks. These activities not only enhance fine motor skills but also build confidence, as children can see the improvement in their abilities as they practice these skills.

While engaging in visual scanning tasks and practicing daily living skills are also important aspects of a child's overall development, they do not specifically target the enhancement of fine motor skills in the same direct manner as activities focused on hand-eye coordination. Similarly, augmentative communication devices, while beneficial for communication, do not address fine motor skill development directly. Therefore, the emphasis on hand-eye coordination directly supports the child’s need to strengthen fine motor capabilities.