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Rheumatoid arthritis can affect occupational performance through pain, inflammation, joint stiffness, decreased strength, and limited endurance. Occupational therapy evaluation should examine how these symptoms interfere with meaningful daily activities such as dressing, grooming, and bathing. Assessing self-care performance provides information about functional limitations, while evaluating joint protection needs and adaptive equipment options helps identify strategies for maintaining independence.

Option B does not address the client's primary concern involving self-care and joint function. Option C is unrelated unless cognitive concerns are present. Option D provides background information but does not demonstrate how the condition affects occupational participation.

NBCOT objectives emphasize evaluating the interaction between client factors, occupations, and environmental demands. Occupational therapists use evaluation findings to develop interventions that include activity modification, adaptive equipment training, energy conservation, joint protection education, and strategies to support safe participation.