NCTRC Standardized Assessment Instruments 4 — Questions and Answers
Question 1: Which standardized instrument uses a 5-point Likert scale to measure leisure satisfaction across six dimensions including psychological, educational, and social?
- Leisure Satisfaction Scale (LSS) (Correct answer)
- Leisure Diagnostic Battery (LDB)
- Leisure Competence Measure (LCM)
- Functional Independence Measure (FIM)
Correct answer: Leisure Satisfaction Scale (LSS)
The Leisure Satisfaction Scale (LSS) measures satisfaction across six subscales using a 5-point Likert response format.
Question 2: When administering the Functional Independence Measure (FIM), a score of 5 in a motor domain item indicates:
- Total assistance required
- Supervision or setup only
- Supervision with verbal cueing
- Modified independence with a device (Correct answer)
Correct answer: Modified independence with a device
A FIM score of 5 means the individual performs the task independently but requires an assistive device or modified technique.
Question 3: The Comprehensive Evaluation in Recreational Therapy – Psych/Behavioral (CERT-Psych/Behavioral) was primarily designed for use in which setting?
- Acute physical rehabilitation
- Psychiatric and behavioral health (Correct answer)
- Long-term skilled nursing care
- Pediatric developmental services
Correct answer: Psychiatric and behavioral health
The CERT-Psych/Behavioral scale was developed specifically to assess functioning in psychiatric and behavioral health contexts.
Question 4: In standardized assessment, 'criterion-referenced' means test scores are interpreted by comparing them to:
- A normative peer group of same-age individuals
- A predetermined standard or level of performance (Correct answer)
- The client's own previous scores over time
- National recreational therapy benchmarks
Correct answer: A predetermined standard or level of performance
Criterion-referenced assessments measure performance against a fixed standard rather than against a peer group.
Question 5: Which assessment tool is specifically designed to evaluate a client's leisure barriers and includes subscales for internal, interpersonal, and structural barriers?
- Leisure Motivation Scale
- Barriers to Leisure Scale (Correct answer)
- Activity Index
- Recreation Early Development Scale
Correct answer: Barriers to Leisure Scale
The Barriers to Leisure Scale systematically measures constraints across internal, interpersonal, and structural domains.
Question 6: A recreational therapist uses the same assessment tool with the same client two weeks apart and gets very different scores with no intervening treatment. This suggests a problem with:
- Validity
- Reliability (Correct answer)
- Sensitivity
- Standardization
Correct answer: Reliability
Consistency of scores over time without change in the client's condition reflects test-retest reliability, and inconsistent results indicate poor reliability.
Question 7: The Global Assessment of Functioning (GAF) scale ranges from 1 to 100; a score between 41–50 indicates:
- Superior functioning with no symptoms
- Moderate symptoms or difficulty in social functioning
- Serious symptoms such as suicidal ideation or severe obsessions (Correct answer)
- Minimal symptoms with good function across all areas
Correct answer: Serious symptoms such as suicidal ideation or severe obsessions
GAF scores of 41–50 reflect serious symptoms or serious impairment in social, occupational, or school functioning.
NCTRC Standardized Assessment Instruments 4
Which standardized instrument uses a 5-point Likert scale to measure leisure satisfaction across six dimensions including psychological, educational, and social?