NCCAP Therapeutic Recreation 4 — Questions and Answers
Question 1: Which technique is used in TR to help clients gradually face feared leisure activities through step-by-step exposure?
- Reality orientation
- Systematic desensitization (Correct answer)
- Reminiscence therapy
- Validation therapy
Correct answer: Systematic desensitization
Systematic desensitization pairs relaxation with incremental exposure to anxiety-provoking stimuli, reducing avoidance of feared activities.
Question 2: A CTRS working in a psychiatric setting would MOST likely use which TR goal for a client with social anxiety?
- Improve cardiovascular endurance
- Increase initiation of peer interactions in structured groups (Correct answer)
- Develop vocational job skills
- Enhance nutritional awareness
Correct answer: Increase initiation of peer interactions in structured groups
Social anxiety treatment in psychiatric TR focuses on building social initiation and interaction skills in supported group environments.
Question 3: The primary purpose of a TR program outcome study is to:
- Satisfy accreditation paperwork requirements
- Demonstrate the effectiveness of TR interventions on client outcomes (Correct answer)
- Compare staff performance across departments
- Create marketing materials for the facility
Correct answer: Demonstrate the effectiveness of TR interventions on client outcomes
Outcome studies provide evidence that TR interventions produce measurable changes in client health, function, or quality of life.
Question 4: Which positioning strategy reduces aspiration risk during a mealtime leisure activity for a client with dysphagia?
- Supine with head flat
- Upright at 90 degrees with chin slightly tucked (Correct answer)
- Reclined at 45 degrees
- Side-lying with head extended
Correct answer: Upright at 90 degrees with chin slightly tucked
A 90-degree upright position with chin tuck uses gravity and airway geometry to reduce the risk of food or liquid entering the airway.
Question 5: In behavior management within TR, 'extinction' refers to:
- Punishing undesired behavior with a negative stimulus
- Withholding reinforcement to decrease a behavior (Correct answer)
- Reinforcing an incompatible positive behavior
- Removing a negative stimulus to increase behavior
Correct answer: Withholding reinforcement to decrease a behavior
Extinction involves removing the reinforcement that maintains an undesired behavior, causing it to decrease over time.
Question 6: A CTRS using the Self-Determination Theory framework would MOST focus on supporting which three psychological needs?
- Safety, belonging, and esteem
- Competence, autonomy, and relatedness (Correct answer)
- Achievement, affiliation, and power
- Mastery, purpose, and independence
Correct answer: Competence, autonomy, and relatedness
Deci and Ryan's Self-Determination Theory identifies competence, autonomy, and relatedness as the three basic psychological needs for intrinsic motivation.
Question 7: Which documentation format uses measurable goals tied to specific problem statements and tracks progress at each encounter?
- Narrative format
- Problem-Oriented Medical Record (POMR) (Correct answer)
- Focus charting (DAR)
- Charting by exception
Correct answer: Problem-Oriented Medical Record (POMR)
The Problem-Oriented Medical Record links every goal and note to a numbered problem list, enabling systematic progress tracking.
NCCAP Therapeutic Recreation 4
Which technique is used in TR to help clients gradually face feared leisure activities through step-by-step exposure?