CTRS Assessment & Evaluation in Therapeutic Recreation 3 — Questions and Answers
Question 1: The Leisure Competence Measure (LCM) assesses client functioning across eight domains. Which domain addresses a client's ability to make choices and set goals related to leisure?
- Leisure awareness (Correct answer)
- Social functioning
- Cultural/social barriers
- Leisure resources
Correct answer: Leisure awareness
The Leisure Competence Measure's leisure awareness domain evaluates the client's understanding, attitude, and self-determination related to leisure choices and goal setting.
Question 2: Which psychometric property indicates how consistently an assessment tool measures the same construct over repeated administrations?
- Reliability (Correct answer)
- Validity
- Sensitivity
- Specificity
Correct answer: Reliability
Reliability refers to the consistency of a measurement tool across time, raters, or items.
Question 3: A CTRS uses a 1–10 Likert scale to measure a client's satisfaction with a TR program at admission and discharge. This is an example of which measurement level?
- Ordinal (Correct answer)
- Nominal
- Ratio
- Interval
Correct answer: Ordinal
Likert scales produce ordinal data because the numbers represent a rank order but the intervals between points are not necessarily equal.
Question 4: During an evaluation, a CTRS notices a significant discrepancy between a client's self-reported leisure satisfaction and observed engagement. What is the BEST next step?
- Explore the discrepancy through further questioning and additional assessment methods (Correct answer)
- Disregard the self-report and rely only on observation
- Accept the self-report as the more valid data source
- Document only the observed data without follow-up
Correct answer: Explore the discrepancy through further questioning and additional assessment methods
When discrepancies arise between data sources, further exploration using multiple methods helps the CTRS understand the full picture and improves assessment accuracy.
Question 5: In the APIE process, assessment findings are used primarily to:
- Plan individualized TR interventions and set measurable goals (Correct answer)
- Evaluate the overall effectiveness of the TR department
- Fulfill accreditation and credentialing documentation requirements only
- Schedule activities for the general client population
Correct answer: Plan individualized TR interventions and set measurable goals
Assessment data drives the Planning phase of APIE by identifying client needs, strengths, and baseline function from which individualized goals and interventions are developed.
Question 6: What does 'content validity' mean in the context of a TR assessment tool?
- The tool adequately covers all relevant aspects of the construct being measured (Correct answer)
- The tool produces consistent results across different raters
- The tool correlates strongly with an established gold-standard measure
- The tool can detect small but meaningful changes over time
Correct answer: The tool adequately covers all relevant aspects of the construct being measured
Content validity ensures the assessment instrument comprehensively samples all important dimensions of the construct it is intended to measure.
Question 7: A CTRS is selecting an assessment tool for a geriatric population with moderate dementia. Which characteristic is MOST critical when choosing the instrument?
- Brief administration time and observational or simple format (Correct answer)
- High reading level to challenge cognitive engagement
- Extensive normative data from young adult populations
- Reliance primarily on client self-report for all domains
Correct answer: Brief administration time and observational or simple format
Clients with moderate dementia benefit from brief, observationally based or simplified tools that minimize cognitive demand and reduce response burden.
CTRS Assessment & Evaluation in Therapeutic Recreation 3
The Leisure Competence Measure (LCM) assesses client functioning across eight domains.
Which domain addresses a client's ability to make choices and set goals related to leisure?