NCCAP Therapeutic Recreation 3 — Questions and Answers
Question 1: Under the ICF framework used in TR practice, 'participation restrictions' refer to:
- Impairments in body structure or function
- Problems an individual experiences in life situations (Correct answer)
- Environmental barriers in the built environment
- Personal factors such as age and gender
Correct answer: Problems an individual experiences in life situations
The ICF defines participation restrictions as difficulties an individual has engaging in life situations, distinguishing them from impairments and activity limitations.
Question 2: A CTRS is writing a SOAP note. The 'O' section should contain:
- The client's self-reported feelings
- Objective, measurable observations from the session (Correct answer)
- The clinician's interpretation of the data
- The planned next steps for intervention
Correct answer: Objective, measurable observations from the session
The Objective section captures factual, quantifiable data such as counts, times, and direct behaviors observed by the clinician.
Question 3: Which leadership style is MOST appropriate when facilitating a TR group with cognitively impaired older adults who need high structure?
- Laissez-faire
- Democratic
- Autocratic/directive (Correct answer)
- Consultative
Correct answer: Autocratic/directive
A directive leadership style provides the clear structure, cues, and guidance that cognitively impaired participants need to engage safely.
Question 4: Which ethical standard requires a CTRS to maintain client confidentiality except in cases of imminent danger?
- Fidelity
- Veracity
- Confidentiality (Correct answer)
- Beneficence
Correct answer: Confidentiality
The confidentiality standard obligates the TR specialist to protect client information, with recognized exceptions for safety threats.
Question 5: Horticulture therapy is best classified under which category of TR intervention modality?
- Cognitive-behavioral interventions
- Nature-based and animal-assisted interventions (Correct answer)
- Expressive arts therapies
- Aquatic therapy modalities
Correct answer: Nature-based and animal-assisted interventions
Horticulture therapy uses plant-related activities and falls within nature-based intervention modalities in TR practice.
Question 6: A CTRS notices a colleague documenting interventions that were never delivered. The MOST appropriate first action is to:
- Ignore it as an internal matter
- Report immediately to state licensure board
- Confront the colleague directly and document the incident (Correct answer)
- Alter the colleague's notes to be accurate
Correct answer: Confront the colleague directly and document the incident
Addressing the colleague directly first is typically required by professional ethics codes before escalating; the incident must also be documented.
Question 7: A CTRS wants to assess leisure barriers for a newly admitted client. Which assessment tool is MOST specific to this purpose?
- Leisure Diagnostic Battery (LDB) (Correct answer)
- Global Assessment of Functioning (GAF)
- Hamilton Anxiety Rating Scale
- Activities of Daily Living Checklist
Correct answer: Leisure Diagnostic Battery (LDB)
The Leisure Diagnostic Battery is specifically designed to measure perceived freedom in leisure and identify barriers to leisure functioning.
NCCAP Therapeutic Recreation 3
Under the ICF framework used in TR practice, 'participation restrictions' refer to: