CRA Communication & Documentation 2 — Questions and Answers
Question 1: When documenting a participant's refusal to attend a recreation activity, what information is MOST important to include?
- The participant's name and the date only
- The reason given for refusal, the activity offered, and staff response (Correct answer)
- Only the staff member's name who attempted to engage the participant
- A note that the participant was non-compliant
Correct answer: The reason given for refusal, the activity offered, and staff response
Thorough documentation of a refusal includes the activity offered, reason stated, and how staff responded to ensure continuity of care.
Question 2: Which communication technique is BEST when giving instructions to a participant with a hearing impairment?
- Speak loudly and quickly to maintain their attention
- Face the participant, speak clearly, and use visual cues or gestures (Correct answer)
- Write all instructions and avoid speaking
- Ask a family member to relay all information
Correct answer: Face the participant, speak clearly, and use visual cues or gestures
Facing the person and using clear speech along with visual cues allows lip-reading and nonverbal comprehension to supplement hearing.
Question 3: An incident report should be completed:
- At the end of the shift when all paperwork is done together
- As soon as possible after the incident occurs (Correct answer)
- Only if the participant or staff is visibly injured
- Within 48 hours to allow time for full investigation
Correct answer: As soon as possible after the incident occurs
Incident reports should be completed promptly while details are fresh and accurate to support proper follow-up.
Question 4: In a care team meeting, the Recreation Aide's PRIMARY role in communication is to:
- Lead the meeting and set the agenda
- Provide observations of the participant's functional and social engagement during activities (Correct answer)
- Make clinical diagnoses based on activity performance
- Represent the participant's legal interests
Correct answer: Provide observations of the participant's functional and social engagement during activities
The Recreation Aide contributes by sharing functional observations from the activity setting that inform the broader care plan.
Question 5: A participant tells you something personal and asks you to keep it confidential. The BEST response is to:
- Promise confidentiality to maintain trust
- Explain that some information must be shared with the care team if it affects health or safety (Correct answer)
- Immediately report everything to your supervisor
- Document it in the participant's chart without telling the participant
Correct answer: Explain that some information must be shared with the care team if it affects health or safety
Recreation Aides should clarify the limits of confidentiality so participants understand when information must be shared for their protection.
Question 6: Which of the following is an example of objective documentation?
- 'Participant seemed unhappy during the activity.'
- 'Participant appeared to enjoy the group session.'
- 'Participant completed 3 of 5 ring toss attempts independently.' (Correct answer)
- 'Participant did not try hard enough during exercise.'
Correct answer: 'Participant completed 3 of 5 ring toss attempts independently.'
Objective documentation records measurable, observable facts rather than subjective interpretations or assumptions.
Question 7: When leaving a voicemail for a participant's family member regarding recreation programming, staff should:
- Include full diagnosis and medical details to keep family informed
- Speak quickly to leave room for a detailed message
- State only general information and avoid disclosing confidential health details (Correct answer)
- Leave all contact numbers including the nurse's station extension
Correct answer: State only general information and avoid disclosing confidential health details
HIPAA and privacy regulations require limiting health information shared on voicemails to protect participant confidentiality.
CRA Communication & Documentation 2
When documenting a participant's refusal to attend a recreation activity, what information is MOST important to include?