NBCOT Occupational Therapy Certification Practice Exam

The selected activity, attempting a standard pivot transfer from a wheelchair to a bed in the hospital, is beneficial for assessing generalization of new learning because it closely mimics the everyday use of this skill in a similar context. When clients can successfully perform a transfer in a clinical or hospital setting, it indicates that they have not only learned the mechanics of the transfer but also that they can apply this new skill in situations that are relevant to their daily lives.

This activity enables the evaluator to observe the patient’s execution of the transfer, problem-solving techniques, safety awareness, and physical abilities in a controlled environment. It allows for immediate feedback and adjustment, which is crucial for reinforcing learning and ensuring competence in transfers as the patient transitions back to their home environment.

Other activities listed, such as identifying potential hazards in the bathroom or selecting an appropriate tub bench, deal with environmental adaptations or assessments rather than directly practicing the newly learned physical skill. While these activities are important for safety and planning, they do not effectively demonstrate the patient's ability to generalize pivot transfer skills learned in therapy to practical situations. Attempting a sliding board transfer focuses on a different transfer method, which may not assess the specific learning of the pivot transfer technique. Thus, the correct activity is one that