NBCOT Plan

NBCOT exam practice question: Domain 02: Analysis, Interpretation, and Planning

Domain 02: Analysis, Interpretation, and PlanningDifficulty 2/5

When should discharge planning begin?

  1. AAt the final session, once the client's outcomes have been measured
  2. BAt the evaluation, because the expected discharge setting shapes the plan
  3. CAt the midpoint of the episode, once progress can be estimated reliably
  4. DWhen the payer requests a discharge date for authorisation purposes
Show answer and rationale

Correct: B. The expected discharge environment determines which occupations and skills are worth training, so it belongs in the plan from the evaluation onward.

  • C — Waiting until midpoint wastes sessions on skills that may not transfer.
  • D — Payer timing is administrative rather than clinical.
  • A — Planning at the end leaves no time to train what the environment requires.

Concept being tested

23% of the OTR exam. Turning assessment data into conclusions about client needs and priorities — interpreting results, writing measurable client-centred goals, selecting frames of reference and approaches, planning discharge and monitoring the plan over time. — 23% of the exam. Study guide for Domain 02: Analysis, Interpretation, and Planning.

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Primary references

  1. Certification Exam Handbook (2025) — National Board for Certification in Occupational Therapy (NBCOT) · primary · retrieved 2026-09-22, verified 2026-09-22
Last reviewed: 2026-10-07Reviewed by: Jessica Lin, OTD, OTR/L, Occupational therapy clinical practice & item reviewHow we verify facts