While observing the client at work in her kitchen retrieving items to make a sandwich,

cutting bread, reaching for dishes, loading the dishwasher, and opening and closing drawers, the therapist noticed that the client often grimaced when applying pressure to knives, lifting dishes, and opening the refrigerator. The therapist also observed that the client sometimes appeared con-fused, left out ingredients, and put dirty dishes in the cabinet instead of the clean ones she had set aside. When the client noticed some of her mistakes, she said, "Oh well, I live alone; who cares if the dish is a little dirty?" The occupation-based functional motion assessment allowed the practitioner to assess which of the following?
A. ROM, muscle strength, pain, endurance
B. Cognitive deficits, pain, perceptual deficits, endurance
C. Muscle strength, task importance, endurance
D. Task importance, cognitive deficits, pain, perceptual deficits

ANS: D
The occupation-based functional motion assessment provides information regarding ROM and muscle strength endurance. This client exhibited possible deficits in additional areas that may not be seen in the more singular-structured formal assessments. Through clinical observation during this assessment, the practitioner may have gained further insight into the client's problems, as (D) indicates, and can therefore proceed with more specific assessments.