final exam

Question 1

American with DIsabilities Act

Answer 1

protects the civil rights of people with disabilities in all aspects of employment, in accessing public services such as transportation, and guaranteeing access to public accommodations

Question 2

IDEA

Answer 2

improving, in the least restrictive setting, the educational and functional outcomes of toddlers, children and youth

Question 3

rehabilitation act

Answer 3

ensures the right of people with disabilities to live independently, enjoy self-determination, make choices, contribute to society

Question 4

Least restrictive environments

Answer 4

included in the IDEA Act and ensures preference for children being included as much as possible with their peers

Question 5

What does the area of foundational knowledge for CRTS include?

Answer 5

theories and developmental knowledge governing the basis for TR

Question 6

What does the area of Practice Knowledge includes?

Answer 6

concepts, models and professional prep

Question 7

What does the area of Organization of TR include?

Answer 7

program design, ability to logically plan for outcomes

Question 8

What does the area of Advancement of Profession include?

Answer 8

knowledge of history and professional associations

Question 9

Discuss the KEY differences between TR and other allied health professions (OT, PT and speech).

Answer 9

TR uses leisure/recreation as the main tool by which individuals achieve outcomes related to improved leisure lifestyle

others focus on specific functional improvements that enable individuals to perform activities of daily living

TR is Conducted in a variety of settings - community, long term care, hospitals, rehab, homes,

Question 10

Quality of life is characterized by which one of the following:

Answer 10

feelings of satisfaction, contentment, and joy

Question 11

Identify the principles of quality of life that are the foundation of person centered approach

Answer 11

life experience are composed of same factors and relationships that are important to all persons

life experiences are validated by peers, families, professionals

full participation and acceptance within family, community and work environments

Question 12

What does the Role of TR in Clinic Settings focus on

Answer 12

focuses on functional outcomes

Question 13

What does the Role of TR in community setting focus on

Answer 13

focus on development of a satisfying leisure life-style

Question 14

What does the Role of TR in Educational setting focus on

Answer 14

Prepares student for transition to adulthood and full integration in community

Question 15

What does Role of TR in hospitals/childlife settings focus on

Answer 15

Improves adjustment to hospital environments and reduces anxiety for medical procedures

Question 16

Describe how TR can be used to help individuals with disabilities establish a healthy leisure lifestyle.

Answer 16

enables client’s to be goal oriented, work on personal goals, strategies to adjust to life changes

Question 17

Select all the primary areas that influenced the emergence of TR as a profession.

Answer 17

growth of public/private hospitals

medical/health care reform

recognition of the importance of recreation/leisure in social reform

use of recreation as diversion and rehab in military hospitals

Question 18

The American with Disabilities Act is considered the most important civil rights legislation protecting the rights of people with disabilities. What 3 factors define Disability within the Legislation?

Answer 18

a physical or mental impairment that substantially limits one or more of the major life activities of the individual.
a record of such impairment.
being regarded as having such an impairment.

Question 19

Choose all suggested answers that reflect the World Health Organization (WHO) definition of health.

Answer 19

a holistic balancing of one’s functioning (mind, body, spirit) and environmental influences

Question 20

Identify the three components (program areas) of the Leisure Ability Model.

Answer 20

recreation participation
functional intervention (therapy)
leisure education

Question 20

What is the primary outcome of the Leisure Ability model?

Answer 20

improved leisure satisfaction and leisure functioning

Question 21

Describe the characteristics and qualities of the four common core values associated with the provision of TR services

Answer 21

Right to leisure gives you percieved freedom and competence

Autonomy- the right to govern oneself

Optimal health- right to strive for and experience mental health

Quality of life- one’s assessment in their position of life

Question 22

Self-Determination is defined as the ability of the client to regulate behavior of clients

Answer 22

False

Question 23

What are the professional competencies of TRs professionals. Competencies are the minimum skills, knowledge, abilities, and protocol practices of TRW professionals.

Answer 23

work in interdisiplinary teams

partner with communities in health care discussions

coummunicate with clients in a shared and fully open manner

provide patient centered programs/care

Question 24

Describe how the role of the TR specialist changes and the role of the client changes between the 3 Leisure Ability Model areas (functional intervention/therapy - leisure education - recreation participation)

Answer 24

Functional intervention - Specialist: Intervention is controlled by specialist (Highest level of control) Client: improve functional ability, treatment as necessary antecedent to leisure involvement (Least amount of freedom)

Leisure education - Specialist: Instructor/advisor, responsibility is shared (Less control) Client: Acquire leisure knowledge and skills, acquisition of leisure-based knowledge and skills (More freedom and self determination)

Recreation participation - Specialist: Leader/facilitator/supervisor, provides opportunity for participation (Lowest level of control) Client: Engage in organized participation, acquire leisure ability by participating voluntarily (Greatest freedom)

Question 25

What are the five domains of client behavior/functioning in which TR activities are structured to address?

Answer 25

emotional
cognitive
social
physical
spirituality

Question 26

There are many reasons why TRSs analyze activities. Which is the most important reason.

Answer 26

Activity analysis Mostly helps to understand what is needed to perform the activity including the skills, knowledge, abilities, settings, resources, risk, etc.

Question 27

what is the relationship of goals, objectives and PMs.

Answer 27

Goals are board statements that identify what behavior or skill changes the client will work to accomplish in the program, the objectives identify what the client must learn, demonstrate or emote that will enable them to achieve the goal, and the PMs are specific behavioral statements that demonstrate the client has achieved the stated objectives.

Question 28

Identify the outcomes most associated with adventure therapy

Answer 28

Improved feelings of resiliency
Improved interpersonal skills
Decreased anxiety and depression
Improved sense of identity

Question 29

Give 4 examples of TR activities that may be used to improve/maintain cognitive functioning and EXPLAIN how these activities support improving or maintaining cognitive functioning.

Answer 29

card, video and board games - strategy, attention, memory

cooking - following directions

drama, music, art therapies - attention, memory, verbalization, expression

Question 30

Identify the four components of the Therapeutic Recreation Accountability Model (TRAM)

Answer 30

1) Comprehensive Plan, 2) Specific Program Design, 3) Implementation, 4) Evaluation

Question 31

Define the cognitive domain and give examples of functional areas within the cognitive domain.

Answer 31

Cognitive Domain – mental processes used to obtain knowledge, or to become aware of environment
Includes: perception, imagination, judgment, memory, learning, thinking, and language

Question 32

Research indicates a multitude of positive outcomes for horticulture therapy which include which of the following

Answer 32

Improves memory, cognitive abilities, task initiation, language skills, and socialization

Promotes calmness and self-satisfaction, stimulates the senses, and improves mood

.
Strengthen muscles and improves coordination, balance, and endurance

Reduces stress, lowers BP

Question 33

What is APIE?.

Answer 33

Assessment, Plan, Intervention/Implementation, Evaluation, Documentation

Question 34

What is involved in social skills training AND
why is it an important tool/prescribe therapeutic approach in TR?

Answer 34

The quality of interpersonal relationships and how one is treated by others are impacted by inadequate and improper behaviors, skills training is used to boost a person’s self-esteem and capacity to function in society, particularly controlling events that lead to rage, social skills training aims to address the inadequacies that arise in social interactions.

Modeling, roleplaying, providing constructive criticism, recording, and assigning homework to practice skills in actual situations

Question 35

Mark the most appropriate respresentation of the functional/developmental areas that describe the affective domain.

Answer 35

inlcudes personality, social, and emotional development

Question 36

Identify all characterisics NOT associated with ADHD.

Attentive to group leader, easily distracted, has trouble waiting their turn or staying still, problems organizing daily tasks, is very detailed and precise, doesn’t finish task

Answer 36

Attentive to group leader, is very detailed and precise

Question 37

Identify the choice that includes all the required components of a Performance Measure.

Answer 37

1) Condition under which the client will be assessed, 2) specific behavior, skill, knowledge, that the client will perform, 3) criteria that will be used to judge if the client has meet the intended behavior.

Question 38

Identify all expected client outcomes for TR interventions when working with elderly individuals wit Dementia.

Answer 38

Regain/maintain sense of self & self confidence, enhanced social interactions, Maintenance of cognitive abilities