Individualized Plan of Care Flashcards

A TR plan of care for a client post-total knee replacement should PRIMARILY focus on:

Answer: Regaining functional mobility for community recreation participation through adapted activities

Post-total knee replacement, the primary TR focus is restoring physical function and mobility to the level needed for community recreation participation, often using adapted activities that safely build range of motion, strength, and confidence.

In creating an individualized TR plan of care, the concept of 'client-centered practice' requires the CTRS to:

Answer: Incorporate the client's own goals, values, and preferences as central to the treatment plan

Client-centered practice places the client's own goals, values, and preferences at the center of the treatment plan — ensuring interventions are personally meaningful and increasing the likelihood of engagement and goal attainment.

Which element should be reviewed FIRST when updating a client's TR plan of care at a team conference?

Answer: The client's progress on existing goals as measured by objective data

Plan of care revisions should begin with a review of objective progress data for existing goals, as this evidence-based starting point determines whether goals should be continued, modified, or replaced with new targets.

A CTRS documents that a client's TR goals are 'achieved' at the time of discharge. What does this BEST indicate about the quality of care?

Answer: The goals were appropriately challenging and the client met the expected level of function

Goal achievement at discharge indicates that the TR treatment plan was appropriately designed and implemented — the client received sufficient intervention to meet the targeted level of function within the treatment episode.

When a client refuses to participate in their planned TR intervention, the CTRS should FIRST:

Answer: Explore the reason for refusal and offer alternative approaches that align with the client's goals

Refusal to participate is important clinical information that should prompt the CTRS to explore underlying reasons — such as fear, pain, misunderstanding, or cultural factors — and collaboratively identify alternative approaches that remain goal-directed.

Which of the following is an example of a 'long-term goal' appropriate for a TR plan of care in an inpatient psychiatric setting?

Answer: Client will identify two coping skills using leisure activities to manage stress by the time of discharge

A long-term goal targets the functional outcome expected by discharge, such as possessing leisure-based coping skills — a clinically significant, discharge-relevant skill for psychiatric clients.