NCTRC Risk Management Protocols Questions and Answers

Question 1

A CTRS is planning a community outing to a local botanical garden for a group of clients with moderate cognitive impairments.
What is the MOST critical first step in the risk management process for this specific outing?

Accepted Answer

Conducting a site visit to identify potential environmental and programmatic hazards.

Answer

Ensuring the agency's liability insurance is current.

Answer

Reviewing each client's medical chart for medication side effects.

Answer

Having all participants' family members sign a liability waiver.

Question 2

Which of the following is the BEST example of a proactive risk management strategy in a therapeutic recreation department?

Accepted Answer

Conducting and documenting routine safety inspections of adaptive sports equipment.

Answer

Completing an incident report after a client falls during a session.

Answer

Notifying a supervisor immediately after a piece of equipment breaks.

Answer

Debriefing with staff following a behavioral emergency.

Question 3

During an adventure therapy program, a participant freezes on a high-ropes course. According to the legal principle of 'standard of care,' the CTRS is obligated to:

Accepted Answer

act as a reasonably prudent professional with similar training would in the same situation.

Answer

offer only verbal encouragement, as physical intervention increases liability.

Answer

immediately contact emergency services without attempting a rescue.

Answer

allow the participant unlimited time to overcome their fear independently.

Question 4

A CTRS is leading a walking group when a client trips on an uneven sidewalk but is uninjured. The client states they are fine and wants to continue. What is the CTRS's responsibility regarding this event?

Accepted Answer

To document the 'near miss' in an incident report.

Answer

To verbally report the event to the next staff member on shift.

Answer

To take no action since no injury occurred.

Answer

To ask the client to sign a form stating they were not injured.

Question 5

A CTRS is developing an Emergency Action Plan (EAP) for a newly established aquatic therapy program. Which component is MOST essential to include for an effective response?

Accepted Answer

Clear identification of personnel and their specific roles during an emergency.

Answer

The schedule for routine pool chemical testing.

Answer

A list of participants' swimming abilities and goals.

Answer

The budget allocated for new flotation devices.

Question 6

A CTRS is working with a client in a long-term care facility who has a documented history of elopement. When planning for the client to join a small group outing to an unfenced courtyard, which risk mitigation technique is most appropriate?

Accepted Answer

Ensuring a one-to-one staff-to-client ratio for the duration of the outing.

Answer

Choosing an activity the client is known to enjoy to increase engagement.

Answer

Reviewing the elopement policy with the client before leaving the building.

Answer

Having the client wear a facility-issued identification bracelet.

A CTRS is planning a community outing to a local botanical garden for a group of clients with moderate cognitive impairments.What is the MOST critical first step in the risk management process for this specific outing?

A CTRS is planning a community outing to a local botanical garden for a group of clients with moderate cognitive impairments.
What is the MOST critical first step in the risk management process for this specific outing?