Intervention Implementation Flashcards

A CTRS is implementing a cognitive retraining program for a client with a traumatic brain injury. Which activity would BEST address working memory deficits?

Answer: Sequencing card games requiring the client to remember and apply rules across multiple turns

Sequencing card games challenge working memory by requiring the client to hold, manipulate, and apply rules and game states across multiple turns — directly targeting the working memory deficits common after TBI.

In a sensory stimulation program for a client with a severe disorder of consciousness, the CTRS should structure sessions to:

Answer: Provide single-modality stimuli at low intensity, monitoring for any behavioral response

For clients with disorders of consciousness, sensory stimulation should be presented in single modalities at low intensity to avoid overwhelming an already compromised neurological system while carefully monitoring for any behavioral signs of awareness or response.

Which facilitation technique involves the CTRS progressively reducing assistance as the client demonstrates growing competence?

Answer: Fading

Fading is a behavioral technique in which the CTRS systematically reduces the level of prompting or assistance as the client demonstrates increasing independence, promoting skill generalization and self-sufficiency.

A CTRS leading an expressive arts group for clients with PTSD should primarily aim to:

Answer: Create a safe, structured environment where clients can process emotions and reduce trauma-related symptoms through creative expression

Expressive arts therapy for PTSD creates a safe, structured environment where nonverbal creative expression provides an alternative pathway for processing traumatic memories and reducing hyperarousal, avoidance, and emotional numbing.

Which TR intervention would be MOST appropriate for an older adult in long-term care who is experiencing social isolation?

Answer: Facilitated intergenerational recreation program connecting residents with community youth

Intergenerational recreation programs create structured, meaningful opportunities for social interaction between older adults and younger community members — directly addressing social isolation while providing mutual benefit to both groups.

When implementing a therapeutic recreation program using adapted sports, the CTRS should FIRST ensure:

Answer: The activity is safe and appropriately adapted for each participant's functional level and equipment needs

Safety and appropriate adaptation must be the CTRS's first consideration when implementing adapted sports, ensuring that equipment, rules, and environment are modified to match each participant's individual functional abilities without creating injury risk.