NCTRC (NATIONAL COUNCIL FOR
THERAPEUTIC RECREATION
CERTIFICATION) FINAL EXAM WITH
100 MULTIPLE-CHOICE QUESTIONS |
CORRECT ANSWERS | AND CLEAR
RATIONALES | 2026 WITH
COMPLETE SOLUTION
SECTION 1: PROFESSIONAL RESPONSIBILITIES &
ETHICS
1. The primary purpose of the NCTRC Code of Ethics is to:
A. Define reimbursement policies
B. Protect the profession and the public
C. Increase salaries for CTRSs
D. Replace state licensure laws
Correct Answer: B
Rationale:
The Code of Ethics exists to protect clients, the public, and the
integrity of the profession by defining ethical conduct and professional
responsibilities.
,2. A CTRS who practices outside their scope of
competence is violating which ethical principle?
A. Justice
B. Fidelity
C. Nonmaleficence
D. Autonomy
Correct Answer: C
Rationale:
Nonmaleficence means “do no harm.” Practicing beyond competence
can harm clients.
3. Confidential client information may be released without
consent when:
A. The family requests it
B. It benefits treatment planning
C. There is a legal obligation or imminent harm
D. The CTRS feels it is appropriate
Correct Answer: C
Rationale:
Confidentiality may only be broken for legal mandates or imminent
danger, consistent with HIPAA and ethical standards.
4. Informed consent requires that the client:
,A. Is over 18 years old
B. Understands risks, benefits, and alternatives
C. Signs a document
D. Has insurance coverage
Correct Answer: B
Rationale:
Informed consent is about understanding, not just signing a form.
5. Dual relationships are discouraged because they:
A. Increase workload
B. Reduce documentation needs
C. May impair professional judgment
D. Improve rapport
Correct Answer: C
Rationale:
Dual relationships can bias decision-making and compromise ethical
care.
SECTION 2: ASSESSMENT PROCESS
6. The primary purpose of assessment in therapeutic
recreation is to:
A. Diagnose illness
B. Determine eligibility for insurance
, C. Identify strengths, needs, and interests
D. Replace medical evaluations
Correct Answer: C
Rationale:
Assessment focuses on functional abilities, leisure interests,
strengths, and barriers.
7. Which assessment is MOST appropriate for measuring
change over time?
A. Interview
B. Norm-referenced test
C. Ongoing evaluation
D. Intake form
Correct Answer: C
Rationale:
Ongoing evaluation tracks progress throughout intervention.
8. Standardized assessments are valuable because they:
A. Are quicker to complete
B. Are subjective
C. Provide reliability and validity
D. Eliminate clinical judgment
Correct Answer: C
Rationale:
Standardized tools allow consistent, reliable, and valid
measurement.
THERAPEUTIC RECREATION
CERTIFICATION) FINAL EXAM WITH
100 MULTIPLE-CHOICE QUESTIONS |
CORRECT ANSWERS | AND CLEAR
RATIONALES | 2026 WITH
COMPLETE SOLUTION
SECTION 1: PROFESSIONAL RESPONSIBILITIES &
ETHICS
1. The primary purpose of the NCTRC Code of Ethics is to:
A. Define reimbursement policies
B. Protect the profession and the public
C. Increase salaries for CTRSs
D. Replace state licensure laws
Correct Answer: B
Rationale:
The Code of Ethics exists to protect clients, the public, and the
integrity of the profession by defining ethical conduct and professional
responsibilities.
,2. A CTRS who practices outside their scope of
competence is violating which ethical principle?
A. Justice
B. Fidelity
C. Nonmaleficence
D. Autonomy
Correct Answer: C
Rationale:
Nonmaleficence means “do no harm.” Practicing beyond competence
can harm clients.
3. Confidential client information may be released without
consent when:
A. The family requests it
B. It benefits treatment planning
C. There is a legal obligation or imminent harm
D. The CTRS feels it is appropriate
Correct Answer: C
Rationale:
Confidentiality may only be broken for legal mandates or imminent
danger, consistent with HIPAA and ethical standards.
4. Informed consent requires that the client:
,A. Is over 18 years old
B. Understands risks, benefits, and alternatives
C. Signs a document
D. Has insurance coverage
Correct Answer: B
Rationale:
Informed consent is about understanding, not just signing a form.
5. Dual relationships are discouraged because they:
A. Increase workload
B. Reduce documentation needs
C. May impair professional judgment
D. Improve rapport
Correct Answer: C
Rationale:
Dual relationships can bias decision-making and compromise ethical
care.
SECTION 2: ASSESSMENT PROCESS
6. The primary purpose of assessment in therapeutic
recreation is to:
A. Diagnose illness
B. Determine eligibility for insurance
, C. Identify strengths, needs, and interests
D. Replace medical evaluations
Correct Answer: C
Rationale:
Assessment focuses on functional abilities, leisure interests,
strengths, and barriers.
7. Which assessment is MOST appropriate for measuring
change over time?
A. Interview
B. Norm-referenced test
C. Ongoing evaluation
D. Intake form
Correct Answer: C
Rationale:
Ongoing evaluation tracks progress throughout intervention.
8. Standardized assessments are valuable because they:
A. Are quicker to complete
B. Are subjective
C. Provide reliability and validity
D. Eliminate clinical judgment
Correct Answer: C
Rationale:
Standardized tools allow consistent, reliable, and valid
measurement.
