NCCAP Therapeutic Recreation 2 — Questions and Answers
Question 1: Which TR model emphasizes the continuum from treatment to leisure with the goal of independent leisure functioning?
- Health Protection/Health Promotion Model
- Leisure Ability Model (Correct answer)
- Self-Determination Model
- Optimizing Lifelong Health Model
Correct answer: Leisure Ability Model
The Leisure Ability Model (Stumbo & Peterson) positions TR on a continuum from functional intervention through leisure education to recreation participation.
Question 2: A TR specialist observes a client withdraw from group activities and sleep excessively. These signs most likely indicate:
- Improved coping skills
- Depression requiring further assessment (Correct answer)
- Normal adjustment to facility
- Side effects of dehydration
Correct answer: Depression requiring further assessment
Social withdrawal and hypersomnia are hallmark behavioral signs of depression that warrant further clinical assessment.
Question 3: During a leisure education session, a CTRS helps a client identify personal values related to free time. This activity primarily addresses which component?
- Social skills training
- Leisure awareness (Correct answer)
- Resource awareness
- Activity skills development
Correct answer: Leisure awareness
Leisure awareness helps clients understand their own attitudes, values, and knowledge about leisure experiences.
Question 4: A CTRS wants to measure a client's functional independence in daily tasks. Which standardized tool is MOST appropriate?
- Beck Depression Inventory
- Functional Independence Measure (FIM) (Correct answer)
- Mini-Mental State Exam
- SF-36 Health Survey
Correct answer: Functional Independence Measure (FIM)
The FIM measures functional independence across motor and cognitive domains and is widely used in rehabilitation settings.
Question 5: In which phase of the TR process does the CTRS collaborate with the client to set measurable goals?
- Assessment
- Planning (Correct answer)
- Implementation
- Evaluation
Correct answer: Planning
Goal-setting is a core activity of the planning phase, where the CTRS and client co-create the intervention plan.
Question 6: A resident in long-term care refuses to attend any group programs. The ethical principle that supports respecting this decision is:
- Beneficence
- Justice
- Autonomy (Correct answer)
- Nonmaleficence
Correct answer: Autonomy
Autonomy upholds an individual's right to self-determination, including the right to decline services.
Question 7: Which activity modification would BEST support a client with low vision during a board game session?
- Shortening the session length
- Using large-print, high-contrast materials (Correct answer)
- Assigning a peer to make all decisions
- Eliminating the competitive element
Correct answer: Using large-print, high-contrast materials
Large-print, high-contrast materials directly reduce the visual barrier without removing the client from meaningful participation.
NCCAP Therapeutic Recreation 2
Which TR model emphasizes the continuum from treatment to leisure with the goal of independent leisure functioning?