NCTRC Program Service Design 5 — Questions and Answers
Question 1: A CTRS is writing measurable goals for a client with anxiety disorder. Which goal statement is MOST appropriate?
- Client will improve anxiety management
- Client will demonstrate 3 relaxation techniques with 80% accuracy by end of 4-week program (Correct answer)
- Client will feel better about anxiety
- Client will participate in group activities
Correct answer: Client will demonstrate 3 relaxation techniques with 80% accuracy by end of 4-week program
Measurable goals must include specific behaviors, criteria for success, and a timeframe to allow objective evaluation of progress.
Question 2: When designing therapeutic recreation programs for older adults with dementia, which environmental modification is MOST important?
- Introducing frequent changes to stimulate cognitive engagement
- Creating predictable, structured environments that reduce confusion (Correct answer)
- Minimizing all sensory input to prevent overstimulation
- Eliminating social interaction to reduce behavioral disturbances
Correct answer: Creating predictable, structured environments that reduce confusion
Predictable, structured environments reduce disorientation and anxiety in individuals with dementia, supporting participation and safety.
Question 3: The Leisure Ability Model identifies three service areas. Which of the following correctly represents one of these areas?
- Vocational rehabilitation
- Leisure education (Correct answer)
- Physical therapy
- Occupational therapy
Correct answer: Leisure education
The Leisure Ability Model includes Treatment/Functional Intervention, Leisure Education, and Recreation Participation as its three service areas.
Question 4: A CTRS is designing a program for veterans with PTSD. Which activity characteristic is MOST important to consider initially?
- High-stimulation group competitive sports
- Activities with predictable structure and participant control (Correct answer)
- Activities requiring extensive social disclosure
- Unstructured free time with no facilitation
Correct answer: Activities with predictable structure and participant control
For veterans with PTSD, activities that offer predictable structure and participant control help establish safety and reduce trauma triggers.
Question 5: Which scheduling consideration is MOST critical when planning therapeutic recreation programs in a long-term care facility?
- Scheduling all programs in the morning to maximize staff availability
- Coordinating with other department schedules and resident care routines (Correct answer)
- Offering programs only to ambulatory residents
- Limiting programs to weekdays to reduce overtime costs
Correct answer: Coordinating with other department schedules and resident care routines
Effective scheduling in long-term care requires coordination with nursing, therapy, and other departments to minimize conflicts and optimize resident participation.
Question 6: When using the Health Protection/Health Promotion Model in program design, what is the MAIN distinction between the two components?
- Health protection focuses on recreation, while health promotion focuses on leisure
- Health protection addresses illness/dysfunction, while health promotion focuses on optimal well-being (Correct answer)
- Health promotion is for inpatients and health protection is for outpatients
- There is no meaningful distinction between the two components
Correct answer: Health protection addresses illness/dysfunction, while health promotion focuses on optimal well-being
In Austin's Health Protection/Health Promotion Model, health protection moves clients away from illness, while health promotion moves toward optimal health and self-actualization.
Question 7: A CTRS wants to improve cultural competence in program design. Which action BEST demonstrates this commitment?
- Offering only activities that reflect mainstream American culture
- Incorporating culturally relevant activities and seeking participant input on cultural preferences (Correct answer)
- Assuming all participants from a cultural group share identical preferences
- Avoiding discussion of cultural backgrounds to prevent stereotyping
Correct answer: Incorporating culturally relevant activities and seeking participant input on cultural preferences
Cultural competence requires actively incorporating culturally relevant activities and soliciting individual participant input rather than applying group stereotypes.
NCTRC Program Service Design 5
A CTRS is writing measurable goals for a client with anxiety disorder.
Which goal statement is MOST appropriate?