CRC CRC Rehabilitation Planning & Goal Setting 2 — Questions and Answers
Question 1: Which of the following is a key principle of the World Health Organization's International Classification of Functioning, Disability and Health (ICF)?
- Disability is solely a medical condition
- Disability results from the interaction between health conditions and contextual factors (Correct answer)
- Only physical impairments qualify as disabilities
- Mental health conditions are excluded
Correct answer: Disability results from the interaction between health conditions and contextual factors
The ICF views disability as a dynamic interaction between health conditions, body functions/structures, activity limitations, participation restrictions, and environmental and personal factors.
Question 2: In rehabilitation planning, 'work hardening' is best defined as:
- Psychological desensitization therapy
- A structured program using real or simulated work to restore physical and work tolerances (Correct answer)
- Ergonomic modification of the workstation
- On-the-job training subsidized by VR
Correct answer: A structured program using real or simulated work to restore physical and work tolerances
Work hardening uses graded work activities — real or simulated — to restore physical conditioning, work behaviors, and tolerances needed to return to competitive employment.
Question 3: The 'ecological assessment' approach in rehabilitation planning primarily involves:
- Environmental toxin screening
- Evaluating the client within their actual work and community environments (Correct answer)
- Assessing animal-assisted therapy needs
- Conducting IQ testing
Correct answer: Evaluating the client within their actual work and community environments
Ecological assessment observes and evaluates clients within their natural settings — such as actual workplaces or community sites — for a realistic picture of functional ability.
Question 4: A CRC counselor reviewing a client's Residual Functional Capacity (RFC) form is primarily seeking information about:
- Insurance premium amounts
- What physical and mental work activities the client can still perform despite their impairment (Correct answer)
- Medication side effects
- Academic history
Correct answer: What physical and mental work activities the client can still perform despite their impairment
An RFC assessment documents the maximum activities a claimant can perform on a sustained basis despite limitations, directly informing vocational goal feasibility.
Question 5: The 'person-centered planning' model in rehabilitation emphasizes that services must be:
- Standardized across all clients
- Directed by the individual's own goals, strengths, and preferences (Correct answer)
- Primarily determined by family input
- Based exclusively on diagnostic categories
Correct answer: Directed by the individual's own goals, strengths, and preferences
Person-centered planning places the individual at the center of decision-making, building the rehabilitation plan around their unique life goals, strengths, and choices.
Question 6: When documenting a rehabilitation plan, which type of outcome measurement best demonstrates program effectiveness to funders?
- Number of counselor sessions held
- Competitive employment outcomes with wages and hours documented (Correct answer)
- Number of assessments administered
- Client satisfaction surveys only
Correct answer: Competitive employment outcomes with wages and hours documented
Funders and accrediting bodies measure VR program effectiveness primarily by competitive employment outcomes — individuals employed in integrated settings earning at least minimum wage.
CRC CRC Rehabilitation Planning & Goal Setting 2
Which of the following is a key principle of the World Health Organization's International Classification of Functioning, Disability and Health (ICF)?