Assessment & Evaluation in Therapeutic Recreation Flashcards

Which of the following BEST describes a formative evaluation in TR practice?

Answer: Ongoing assessment of client progress during an intervention to allow adjustments

Formative evaluation is continuous and occurs during the intervention phase to monitor progress and guide real-time modifications to the treatment plan.

A CTRS is evaluating a client's social skills during a group activity. Which behavioral anchors would make the observation MOST objective and reliable?

Answer: Specific, observable descriptors for each rating level (e.g., 'initiates conversation with peers without prompting')

Behaviorally anchored rating scales with specific observable descriptors reduce subjectivity and increase inter-rater reliability.

When measuring goal attainment in TR, a CTRS documents that a client moved from 'requires maximal assistance' to 'requires minimal assistance' in leisure planning. This is an example of tracking change using a:

Answer: Functional independence continuum or assistance scale

Assistance level scales represent a functional independence continuum that tracks meaningful improvement in real-world performance.

A CTRS conducts a re-assessment 30 days after admission. What is the PRIMARY purpose of this re-assessment?

Answer: To measure client progress toward established goals and update the treatment plan

Re-assessment compares current performance to baseline to evaluate progress toward goals and determine whether plan modifications are needed.

Which of the following represents an environmental factor that a CTRS should consider during a leisure participation assessment?

Answer: Availability of accessible community recreation facilities

Environmental factors such as facility accessibility directly influence a client's ability to participate in community leisure regardless of their personal capacities.

In ethical assessment practice, a CTRS must obtain informed consent before administering a standardized assessment. Which element is ESSENTIAL to informed consent?

Answer: Explaining the purpose, process, and how results will be used in language the client understands

Informed consent requires that clients understand what the assessment involves, why it is being done, and how the data will be used, in accessible language.

A CTRS documents that a client 'appeared sad during the session.' Which revision makes this statement MORE objective and appropriate for a clinical record?

Answer: 'Client sat alone, made no eye contact, and did not respond to peer interactions during the 45-minute session'

Objective documentation describes specific, observable behaviors rather than interpretive labels or assumptions about internal states.