CTRS Treatment Planning & Intervention Strategies 3 — Questions and Answers
Question 1: According to the ICF (International Classification of Functioning, Disability and Health) framework used in TR practice, 'participation restrictions' refer to:
- Physiological impairments at the body structure level
- Problems an individual has in involvement in life situations (Correct answer)
- Environmental barriers within the built environment
- Activity limitations in performing specific tasks
Correct answer: Problems an individual has in involvement in life situations
The ICF defines participation restrictions as problems an individual experiences in involvement in life situations, distinct from activity limitations or body impairments.
Question 2: A CTRS is developing a stress management program for cardiac rehabilitation patients. Which evidence-based intervention is MOST appropriate?
- High-intensity competitive sports to build resilience
- Progressive muscle relaxation and mindfulness-based activities (Correct answer)
- Passive entertainment such as television viewing
- Unstructured free time to allow self-directed coping
Correct answer: Progressive muscle relaxation and mindfulness-based activities
Progressive muscle relaxation and mindfulness are evidence-based stress reduction techniques appropriate for cardiac populations.
Question 3: When using task analysis in a TR intervention, the CTRS is primarily:
- Evaluating a client's overall leisure satisfaction
- Breaking down a complex activity into sequential steps for instruction or assessment (Correct answer)
- Identifying community resources for post-discharge leisure
- Measuring a client's cardiovascular endurance during activity
Correct answer: Breaking down a complex activity into sequential steps for instruction or assessment
Task analysis involves breaking a complex activity into sequential, manageable steps to facilitate instruction, grading, or assessment.
Question 4: A CTRS working in a long-term care facility wants to reduce behavioral symptoms in residents with dementia. Which intervention has the strongest evidence base?
- Pharmacological sedation to reduce agitation
- Validation therapy combined with individualized meaningful activity engagement (Correct answer)
- Restricting sensory stimulation to prevent overstimulation
- Group reality orientation sessions held daily
Correct answer: Validation therapy combined with individualized meaningful activity engagement
Validation therapy combined with individualized meaningful activities has strong evidence for reducing behavioral symptoms in dementia care.
Question 5: A CTRS documents that a client 'demonstrated 3 of 5 targeted social skills independently during a 30-minute group session.' This notation reflects which type of data collection?
- Interval recording
- Frequency/event recording (Correct answer)
- Duration recording
- Anecdotal recording
Correct answer: Frequency/event recording
Counting discrete occurrences of a behavior (skills demonstrated) within a session is frequency/event recording.
Question 6: A client with chronic pain is referred to TR. Which intervention philosophy is MOST aligned with current TR practice for pain management?
- Eliminating all physical activity to avoid pain exacerbation
- Applying a biopsychosocial model using activity engagement to improve pain coping and quality of life (Correct answer)
- Focusing solely on biomedical treatments and deferring to medical staff
- Using distraction techniques only during acute pain episodes
Correct answer: Applying a biopsychosocial model using activity engagement to improve pain coping and quality of life
The biopsychosocial model addresses physical, psychological, and social dimensions of pain, and activity engagement supports coping and quality of life.
Question 7: Which principle of the Self-Determination Theory is MOST directly applied when a CTRS allows a client to choose their own leisure activity goal?
- Competence
- Relatedness
- Autonomy (Correct answer)
- Intrinsic motivation
Correct answer: Autonomy
Autonomy, one of Self-Determination Theory's three basic psychological needs, is supported when clients make their own choices.
CTRS Treatment Planning & Intervention Strategies 3
According to the ICF (International Classification of Functioning, Disability and Health) framework used in TR practice, 'participation restrictions' refer to: