The Stages of Change model guides the development of rehabilitation plans by assessing an individual's readiness to pursue specific goals. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) emphasizes evaluating stages of change to prioritize goals in person-centered planning (Task IV.A.
2: "Assess individual's stage of change and readiness for goal-setting"). Option C (Contemplation) aligns with this, as the individual is considering returning to college (indicating awareness of the goal) but prioritizes other objectives first, suggesting she is not yet ready to act on the college goal but is weighing its importance.
Option A (Acceptance) is not a stage of change, though it may describe an attitude in later stages. Option B (Action) involves actively pursuing a goal, which does not match the individual's focus on other objectives.
Option D (Maintenance) applies to sustaining changes already made, not planning future goals. The PRA Study Guide describes contemplation as the stage where individuals are aware of a goal but not yet committed to action, supporting Option C.
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CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.2.
PRA Study Guide (2024), Section on Stages of Change Model.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.

This question pertains to Domain IV: Assessment, Planning, and Outcomes, which includes evaluating and revising rehabilitation plans to ensure they remain relevant and effective. The CPRP Exam Blueprint states that practitioners must "periodically reassess rehabilitation objectives to ensure they align with the individual' s current needs, goals, and circumstances." When no progress is observed, the best practice is to reassess the plan's objectives to ensure they are realistic, relevant, and aligned with the individual's current priorities.
* Option B: Reassessing the objectives to match the individual's current goals ensures the rehabilitation plan remains person-centered and relevant. Lack of progress may indicate that the objectives are misaligned with the individual's current needs, abilities, or priorities, and reassessment is a proactive, recovery-oriented response.
* Option A: Referring to a psychiatrist assumes symptoms are the primary barrier without first evaluating the plan's appropriateness, which is premature and not person-centered.
* Option C: Discussing motivation may be relevant later but risks blaming the individual without first ensuring the objectives are appropriate, which is not aligned with recovery principles.
* Option D: Offering encouragement without addressing the lack of progress is passive and fails to adjust the plan to support the individual's recovery effectively.
Extract from CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes):
"Tasks include: 4. Evaluating progress toward rehabilitation objectives and revising plans as needed. 5.
Ensuring rehabilitation objectives align with the individual's current goals and circumstances."
:
Psychiatric Rehabilitation Association (PRA). (2014). CPRP Exam Blueprint. Retrieved from PRA Certification Handbook.
PRA. (2024). CPRP Exam Preparation & Primer Online 2024 Course: Module 5 - Assessment, Planning, and Outcomes.
Cohen, M., Farkas, M., & Anthony, W. A. (2008). Psychiatric Rehabilitation Training Technology. Boston University Center for Psychiatric Rehabilitation (emphasizes reassessment in planning).

Assessing rehabilitation readiness involves understanding an individual's motivation, confidence, and personal drivers for pursuing recovery goals. The CPRP Exam Blueprint (Domain IV: Assessment, Planning, and Outcomes) includes identifying personal preferences and values as part of readiness assessment to determine an individual's preparedness for goal-setting (Task IV.A.2: "Assess individual's stage of change and readiness for goal-setting"). Option C (rehabilitation readiness) aligns with this, as preferences and values (e.g., what matters most to the individual, such as family or independence) inform their willingness and motivation to engage in rehabilitation activities.
Option A (resource needs) focuses on external supports, not personal values. Option B (mental health status) pertains to clinical symptoms, not preferences or readiness. Option D (skill functioning) assesses abilities, not motivational factors like values. The PRA Study Guide emphasizes that understanding preferences and values is critical for assessing readiness, supporting Option C.
:
CPRP Exam Blueprint (2014), Domain IV: Assessment, Planning, and Outcomes, Task IV.A.2.
PRA Study Guide (2024), Section on Rehabilitation Readiness Assessment.
CPRP Exam Preparation & Primer Online 2024, Module on Assessment, Planning, and Outcomes.

Advocating for an individual's cultural and spiritual practices, such as smudging, requires interpersonal competencies that prioritize collaborative, culturally sensitive problem-solving. The CPRP Exam Blueprint (Domain I: Interpersonal Competencies) emphasizes working with individuals and their cultural contexts to find solutions that respect their beliefs and needs (Task I.B.1: "Collaborate with individuals and their support systems to address barriers in a culturally competent manner"). Option B (solutions to problems should be sought with individuals, families, and their cultures) aligns with this by advocating for a collaborative approach to address the fire code barrier, such as exploring alternative ways to incorporate smudging (e.g., using smokeless methods) while respecting the individual's cultural practice.
Option A (positive cultural relations to the community) is unrelated to the immediate advocacy need within the hospital. Option C (strengths/wellness approach) is relevant but too broad, as it does not specifically address problem-solving for cultural practices. Option D (interventions aligned with cultural practices) is close but less precise, as it focuses on intervention design rather than collaborative problem-solving to overcome barriers. The PRA Study Guide highlights culturally collaborative advocacy as a key principle, supporting Option B.
:
CPRP Exam Blueprint (2014), Domain I: Interpersonal Competencies, Task I.B.1.
PRA Study Guide (2024), Section on Cultural Competence and Advocacy.
CPRP Exam Preparation & Primer Online 2024, Module on Interpersonal Competencies.

After confirming readiness for employment, the practitioner must prepare to support the individual's job pursuit by identifying relevant resources. The CPRP Exam Blueprint (Domain III: Community Integration) emphasizes coordinating access to employment resources, such as job boards, supported employment programs, or vocational services, to facilitate community-based work (Task III.C.1: "Coordinate access to community resources to support integration"). Option C (identify potential resources for employment opportunities) aligns with this, as it involves researching and compiling options like IPS programs or local job services to match the individual's goals and needs, setting the stage for job search.
Option A (assist to find employment) is a subsequent step after resource identification. Option B (speak with family) is not indicated unless family involvement is requested. Option D (establish stronger relationship) is less relevant, as readiness assessment implies sufficient rapport. The PRA Study Guide highlights resource identification as key post-readiness, supporting Option C.
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CPRP Exam Blueprint (2014), Domain III: Community Integration, Task III.C.1.
PRA Study Guide (2024), Section on Employment Resource Coordination.
CPRP Exam Preparation & Primer Online 2024, Module on Community Integration.