NCTRC Evaluation and Documentation 5 — Questions and Answers
Question 1: A CTRS is writing a long-term goal for a client with depression. Which goal is written most correctly?
- Client will identify three leisure activities that increase positive mood within 60 days (Correct answer)
- Client will improve depression symptoms
- Client will feel better about leisure participation
- Client will be encouraged to try new activities
Correct answer: Client will identify three leisure activities that increase positive mood within 60 days
A correctly written goal is client-centered, measurable, uses an action verb, and includes a timeframe.
Question 2: Which assessment domain is MOST relevant when evaluating a client's ability to independently access community recreation programs?
- Functional skills and community reintegration (Correct answer)
- Leisure attitudes and values
- Social support networks
- Diagnosis and medical history
Correct answer: Functional skills and community reintegration
Community reintegration and functional skills assessment directly addresses the client's ability to independently navigate and use community resources.
Question 3: A client refuses to complete a standardized assessment. How should the CTRS respond?
- Document the refusal, use alternative methods, and note limitations in data (Correct answer)
- Force the assessment to comply with facility policy
- Skip the assessment and proceed directly to intervention
- Discharge the client from TR services
Correct answer: Document the refusal, use alternative methods, and note limitations in data
Clients have the right to refuse; the CTRS should document the refusal, use alternative assessment strategies, and note any resulting data limitations.
Question 4: Progress notes should be written at what minimum frequency according to standard TR practice?
- As required by facility policy and accreditation standards (Correct answer)
- Only at discharge
- Once per month
- Only when something unusual occurs
Correct answer: As required by facility policy and accreditation standards
Documentation frequency is typically governed by facility policy and accreditation body requirements (e.g., CARF, The Joint Commission), which vary by setting.
Question 5: Which of the following BEST describes the purpose of a discharge summary in therapeutic recreation?
- Summarize goal attainment, functional status at discharge, and recommendations for continued leisure participation (Correct answer)
- Record all activities the client attended during treatment
- Provide a billing record for insurance reimbursement
- Document any behavioral incidents during the client's stay
Correct answer: Summarize goal attainment, functional status at discharge, and recommendations for continued leisure participation
A TR discharge summary captures the client's progress toward goals, functional status upon leaving, and recommendations to support ongoing leisure health.
Question 6: The Functional Assessment of Characteristics for Therapeutic Recreation (FACTR) evaluates clients across which domains?
- Functional, social, and leisure domains (Correct answer)
- Cognitive, behavioral, and vocational domains
- Physical, nutritional, and psychological domains
- Medical, legal, and educational domains
Correct answer: Functional, social, and leisure domains
FACTR assesses functional abilities, social behaviors, and leisure skills to guide TR planning and measure outcomes.
Question 7: When documenting a client's progress, which approach best demonstrates evidence-based practice?
- Linking observed outcomes to specific TR interventions and established research (Correct answer)
- Listing all activities the client participated in during the reporting period
- Focusing on the client's enjoyment as reported by staff
- Comparing the client to other clients on the unit
Correct answer: Linking observed outcomes to specific TR interventions and established research
Evidence-based documentation explicitly connects intervention choices and observed client outcomes to current research and best-practice guidelines.
NCTRC Evaluation and Documentation 5
A CTRS is writing a long-term goal for a client with depression.
Which goal is written most correctly?