CTRS Assessment & Evaluation in Therapeutic Recreation 2 — Questions and Answers
Question 1: Which assessment tool is specifically designed to measure functional independence across six domains and is commonly used in rehabilitation settings for TR practice?
- Functional Independence Measure (FIM) (Correct answer)
- Leisure Competence Measure (LCM)
- Recreation Early Development Screening Tool (REDS)
- Comprehensive Evaluation in Recreational Therapy (CERT)
Correct answer: Functional Independence Measure (FIM)
The FIM measures functional independence across motor and cognitive domains and is widely used in rehabilitation settings to establish TR baselines.
Question 2: A CTRS is conducting a leisure interest survey with a client who has a traumatic brain injury. What adaptation would BEST support valid data collection?
- Administer the survey verbally and allow extended response time (Correct answer)
- Use only written format to ensure standardization
- Limit the survey to five questions to avoid fatigue
- Have a family member complete the survey on the client's behalf
Correct answer: Administer the survey verbally and allow extended response time
Verbal administration with extended response time accommodates cognitive and communication challenges common after traumatic brain injury while preserving client voice.
Question 3: In TR assessment, 'norm-referenced' scoring means a client's performance is compared to:
- A standardized sample of peers with similar characteristics (Correct answer)
- The client's own previous performance
- Predetermined mastery criteria set by the TR program
- Clinical judgment of the treatment team
Correct answer: A standardized sample of peers with similar characteristics
Norm-referenced scoring compares an individual's performance to a normative sample to determine relative standing within a population.
Question 4: Which data collection method involves a CTRS directly watching and systematically recording a client's behavior in real time?
- Naturalistic observation (Correct answer)
- Structured interview
- Record review
- Self-report questionnaire
Correct answer: Naturalistic observation
Naturalistic observation involves the practitioner watching and recording behavior as it occurs in the natural or simulated environment.
Question 5: A CTRS wants to assess a client's perceived barriers to leisure participation. Which type of assessment instrument is MOST appropriate?
- Leisure barriers inventory or survey (Correct answer)
- Range-of-motion measurement tool
- Functional reach test
- Mini-Mental State Examination (MMSE)
Correct answer: Leisure barriers inventory or survey
Leisure barriers inventories are designed specifically to identify perceived constraints that prevent or limit recreation participation.
Question 6: When documenting assessment findings in a SOAP note, the 'O' (Objective) section should contain:
- Measurable data, test scores, and observable behaviors (Correct answer)
- The client's stated feelings and concerns
- The therapist's interpretation of findings
- Planned interventions and goals
Correct answer: Measurable data, test scores, and observable behaviors
The Objective section of a SOAP note includes quantifiable, observable data such as assessment scores, attendance, and directly observed behaviors.
Question 7: A CTRS reviews medical records before conducting a client intake assessment. What is the PRIMARY purpose of this record review?
- To gather background information that informs and focuses the assessment process (Correct answer)
- To replace the need for a direct client interview
- To complete the assessment without client involvement
- To fulfill only a billing and legal documentation requirement
Correct answer: To gather background information that informs and focuses the assessment process
Pre-assessment record review provides essential context about diagnosis, precautions, and history that helps the CTRS tailor and focus the assessment.
CTRS Assessment & Evaluation in Therapeutic Recreation 2
Which assessment tool is specifically designed to measure functional independence across six domains and is commonly used in rehabilitation settings for TR practice?