NBCOT Plan

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

Domain 02: Analysis, Interpretation, and PlanningDifficulty 3/5

After three weeks of intervention the data show no progress toward a goal, and treatment integrity is high. What should the OTR do?

  1. ADischarge the client, because the lack of progress indicates no potential
  2. BIncrease session frequency while keeping the same intervention approach
  3. CContinue the plan unchanged, because occupational change takes time
  4. DModify the plan, changing the approach or the goal based on the data
Show answer and rationale

Correct: D. When the plan is being delivered as written and the data show no change, the plan itself is what needs to change — the approach, the grading or the goal.

  • C — Continuing an approach the data contradicts wastes the episode.
  • A — Lack of progress with one approach does not establish absence of potential.
  • B — More of an ineffective intervention is still ineffective.

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