CTRS Special Populations & Clinical Considerations Flashcards

For a client with a traumatic brain injury (TBI), TR interventions should primarily address:

Answer: Cognitive, behavioral, emotional, and social consequences of injury alongside physical recovery

TBI produces multidimensional impairments across cognitive, behavioral, emotional, and physical domains that TR must address through carefully graded activity selection.

When working with clients who have schizophrenia, a CTRS should be aware that negative symptoms include:

Answer: Flat affect, social withdrawal, anhedonia, and avolition that affect leisure motivation and participation

Negative symptoms of schizophrenia—such as anhedonia (inability to feel pleasure) and avolition (lack of motivation)—directly challenge leisure engagement and require targeted TR strategies.

Sensory integration techniques in TR are most commonly used with which population?

Answer: Children and adults with autism spectrum disorder or sensory processing disorders

Sensory integration approaches address sensory processing differences common in autism and related conditions, helping clients regulate arousal and engage in leisure activities.

In geriatric TR practice, 'reminiscence therapy' is evidence-based for improving:

Answer: Cognitive engagement, sense of identity, mood, and social connection in older adults

Structured reminiscence activities activate long-term memory, reinforce personal identity, reduce depression, and promote social interaction in older adult populations.

A TR specialist working in a pediatric oncology unit should prioritize which type of intervention?

Answer: Normalization experiences, play, creative expression, and coping skill development appropriate to developmental stage

Pediatric oncology TR uses age-appropriate play and creative activities to normalize the hospital experience, build coping skills, and support developmental progression during treatment.

For clients with spinal cord injury (SCI) at the C6 level, TR programming should consider that the client typically retains:

Answer: Wrist extension but not finger function, requiring adapted equipment for many leisure activities

C6 SCI preserves wrist extension (radial wrist extensors) but eliminates intrinsic hand and finger function, requiring tenodesis or adaptive equipment for TR activities.