Evaluation and Documentation Flashcards
6 cards from real NCTRC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Evaluation and Documentation flashcards as text
In TR evaluation, 'goal attainment scaling' (GAS) is BEST described as:
Answer: A client-centered evaluation technique that quantifies progress toward individualized goals on a standardized scale
Goal Attainment Scaling is a client-centered outcome measurement technique that scales individualized goal levels from less than expected to more than expected outcomes, allowing comparison of progress across clients with different goals.
Which of the following BEST illustrates measurable documentation of a client's leisure functioning?
Answer: Client initiated conversation with two peers during a 30-minute leisure activity without prompting on 3 of 3 observations this week
Measurable documentation uses specific, observable, quantifiable data — naming the behavior, frequency, context, and conditions — rather than vague subjective impressions.
A CTRS wants to evaluate whether clients are generalizing leisure skills learned in TR sessions to their home environment. Which evaluation method is MOST appropriate?
Answer: Using a follow-up interview or home leisure diary to assess community leisure participation post-discharge
Generalization to the home environment requires follow-up data collected outside the clinical setting, such as post-discharge interviews or leisure activity diaries that capture real-world participation.
Which of the following BEST describes the difference between 'process evaluation' and 'outcome evaluation' in TR?
Answer: Process evaluation examines how services are delivered; outcome evaluation examines the results achieved
Process evaluation examines the fidelity and quality of service delivery, while outcome evaluation measures the results and changes achieved by clients.
When a TR specialist writes 'client will increase independent leisure participation' in a progress note, this statement is problematic because:
Answer: It is not specific or measurable enough to track meaningful progress
'Increase independent leisure participation' lacks specificity about what activity, how much increase, under what conditions, and within what timeframe — making it impossible to objectively measure or determine when the goal has been achieved.
Which evaluation design would BEST demonstrate the effectiveness of a specific TR intervention by comparing clients who received the intervention to those who did not?
Answer: Randomized controlled trial or quasi-experimental comparison group design
A randomized controlled trial (RCT) or quasi-experimental design with a comparison group provides the strongest evidence that observed outcomes resulted from the intervention rather than other factors such as time, maturation, or co-treatments.