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A comprehensive occupational therapy evaluation requires the practitioner to examine the client’s occupational history, current roles, routines, environmental factors, and performance challenges. In this case, the client demonstrates difficulty dressing and consistently misses objects on the left side, which suggests possible visual-perceptual impairment, specifically unilateral neglect following a right CVA. A complete occupational profile combined with appropriate standardized assessments allows the therapist to understand how neurological impairments affect functional participation.

Option A focuses only on strength and does not address the client’s inability to notice objects on one side of the environment. Grip strength may be relevant later during intervention planning but does not explain the observed dressing difficulty. Option C evaluates physical movement limitations but does not assess cognitive or perceptual processing. Option D may identify discomfort but does not contribute to understanding the client’s functional performance problems.

OTR exam objectives emphasize selecting evaluation methods that directly relate to occupational performance. Therapists must choose assessments that provide meaningful information about how impairments influence daily activities. Therefore, a combination of occupational profile information and visual-perceptual evaluation is the most appropriate approach.