NCTRC NCTRC Facilitation Techniques and Activity Analysis 5 — Questions and Answers
Question 1: Which facilitation technique is MOST appropriate when a client is learning a new motor skill and needs to understand the relationship between their movements and outcomes?
- Verbal guidance only
- Augmented feedback (knowledge of results and knowledge of performance) (Correct answer)
- Removing all external feedback to encourage self-discovery
- Peer modeling without therapist input
Correct answer: Augmented feedback (knowledge of results and knowledge of performance)
Augmented feedback provides information about movement outcomes and quality, which is essential for motor learning when intrinsic feedback is insufficient.
Question 2: An activity analysis reveals that a pottery activity has HIGH cognitive demands. This means the activity primarily requires:
- Strong upper extremity strength and grip
- Planning, sequencing, problem-solving, and decision-making skills (Correct answer)
- Extensive social negotiation with peers
- Only basic gross motor coordination
Correct answer: Planning, sequencing, problem-solving, and decision-making skills
High cognitive demand activities involve complex mental processes such as sequencing steps, making decisions, and problem-solving throughout participation.
Question 3: When using the 'task analysis' approach, a CTRS breaks down which of the following?
- The theoretical basis of the therapeutic recreation service delivery model
- An activity into its smallest observable sequential steps for teaching purposes (Correct answer)
- Client diagnoses into impairment categories for billing
- Group dynamics into leader and follower roles
Correct answer: An activity into its smallest observable sequential steps for teaching purposes
Task analysis decomposes an activity into discrete, teachable steps, enabling systematic instruction and identification of where a client encounters difficulty.
Question 4: A CTRS running an aquatic therapy group adjusts the water depth for different clients. This is an example of which activity analysis principle?
- Normalization
- Environmental modification as an adaptation strategy (Correct answer)
- Intrinsic motivation enhancement
- Leisure education facilitation
Correct answer: Environmental modification as an adaptation strategy
Modifying the physical environment (water depth) is an adaptation strategy that changes activity demands to match individual client needs.
Question 5: Which of the following is an example of an 'intrinsic' motivation facilitation technique in therapeutic recreation?
- Offering a gift card reward for activity completion
- Designing activities that align with a client's personal interests and sense of choice (Correct answer)
- Requiring mandatory participation to meet program quotas
- Using competition between clients to drive engagement
Correct answer: Designing activities that align with a client's personal interests and sense of choice
Intrinsic motivation is fostered when clients engage in activities they find personally meaningful, with autonomy and self-determination at the forefront.
Question 6: During an activity analysis for a cooking group, the CTRS identifies 'fire and sharp utensils' as concerns. This step represents analyzing the activity's:
- Cognitive sequencing demands
- Inherent risks and safety considerations (Correct answer)
- Social cooperation requirements
- Financial cost to the facility
Correct answer: Inherent risks and safety considerations
Identifying inherent risks is a critical component of activity analysis that ensures the CTRS can implement appropriate safety precautions before programming.
Question 7: A client with unilateral arm weakness wants to participate in a drumming activity. The CTRS adapts the activity by securing the drum with a non-slip mat and providing a weighted drumstick. This is BEST classified as:
- Activity elimination due to contraindication
- Assistive technology and equipment adaptation (Correct answer)
- Cognitive restructuring intervention
- Normative recreation without modification
Correct answer: Assistive technology and equipment adaptation
Using assistive devices and equipment modifications enables participation by compensating for the client's physical limitation without eliminating the activity.
NCTRC NCTRC Facilitation Techniques and Activity Analysis 5
Which facilitation technique is MOST appropriate when a client is learning a new motor skill and needs to understand the relationship between their movements and outcomes?