NCCAP Therapeutic Recreation 5 — Questions and Answers
Question 1: Which legislation MOST directly mandates that persons with disabilities have equal access to recreation programs in publicly funded facilities?
- Older Americans Act
- Americans with Disabilities Act (ADA) (Correct answer)
- Individuals with Disabilities Education Act (IDEA)
- Rehabilitation Act Section 504
Correct answer: Americans with Disabilities Act (ADA)
The ADA prohibits discrimination in public accommodations and services, requiring accessible recreation programs and facilities for people with disabilities.
Question 2: A CTRS conducting a community reintegration program focuses primarily on:
- Acute medical stabilization
- Helping clients transfer skills to real-world leisure environments (Correct answer)
- Cognitive rehabilitation through memory games
- Reducing hospital readmission rates
Correct answer: Helping clients transfer skills to real-world leisure environments
Community reintegration TR bridges the clinical setting and natural environment by practicing leisure skills in real community contexts.
Question 3: When using task analysis in TR, the CTRS breaks an activity into sequential steps to:
- Reduce the number of staff needed
- Identify where a client needs support and grade the challenge appropriately (Correct answer)
- Shorten session length
- Eliminate the need for goal documentation
Correct answer: Identify where a client needs support and grade the challenge appropriately
Task analysis pinpoints each component of an activity so the CTRS can provide targeted assistance and progressively increase independence.
Question 4: A client with a spinal cord injury at C6 would MOST likely retain which functional ability relevant to TR participation?
- Full hand grip for equipment use
- Wrist extension allowing tenodesis grasp (Correct answer)
- Independent ambulation
- Full respiratory muscle control
Correct answer: Wrist extension allowing tenodesis grasp
C6 injuries typically preserve wrist extensors, enabling tenodesis grasp — a functional grip pattern important for many adaptive leisure activities.
Question 5: A CTRS facilitating a reminiscence group with older adults with dementia would MOST appropriately use:
- Abstract problem-solving puzzles
- Familiar music, photos, and objects from the client's past (Correct answer)
- Current news discussion to maintain orientation
- High-speed card games for cognitive challenge
Correct answer: Familiar music, photos, and objects from the client's past
Reminiscence therapy uses long-term memory triggers such as familiar music and personal artifacts, which remain accessible even in moderate dementia.
Question 6: Which quality improvement model uses Plan-Do-Study-Act (PDSA) cycles commonly applied to TR program evaluation?
- SWOT Analysis
- Continuous Quality Improvement (CQI) (Correct answer)
- Root Cause Analysis
- Failure Mode and Effects Analysis (FMEA)
Correct answer: Continuous Quality Improvement (CQI)
Continuous Quality Improvement employs iterative PDSA cycles to systematically test and refine TR programs based on outcome data.
Question 7: According to NCCAP standards, which of the following is a requirement for maintaining the Activity Director Certified (ADC) credential?
- Passing a written exam every year
- Completing continuing education hours within each renewal cycle (Correct answer)
- Maintaining active employment in a nursing home
- Publishing at least one research article
Correct answer: Completing continuing education hours within each renewal cycle
NCCAP requires certified professionals to complete continuing education units (CEUs) within each renewal period to maintain their credentials.
NCCAP Therapeutic Recreation 5
Which legislation MOST directly mandates that persons with disabilities have equal access to recreation programs in publicly funded facilities?