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1. A CTRS notices a colleague falsifying documentation of client
participation. According to the NCTRC Code of Ethics, the FIRST
action the CTRS should take is to:
A) Immediately report the colleague to state licensure
board
B) Confront the colleague and demand they correct the
records
C) Discuss the concern with the colleague and, if unresolved,
report to supervisor
D) Ignore the situation to avoid workplace conflict
Answer: C
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, Rationale: The NCTRC Code of Ethics requires practitioners
to address ethical concerns directly with the individual
involved when possible, then escalate to supervision if
unresolved. Immediate reporting without discussion violates
procedural justice principles .
2. A CTRS is working with a client from a culture where direct
eye contact is considered disrespectful. The CTRS continues to
demand eye contact during sessions. This demonstrates:
A) Cultural competence
B) Cultural humility
C) Cultural imposition
D) Cultural relativism
Answer: C
Rationale: Cultural imposition occurs when one imposes their
own cultural values onto another person. The CTRS is
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, prioritizing their cultural norm (eye contact = respect) over
the client's cultural value, which is ethically problematic .
3. Which of the following BEST describes the purpose of the
NCTRC certification?
A) To legally restrict who can practice therapeutic
recreation
B) To grant recognition that an individual has met
predetermined qualifications
C) To establish salary standards for recreation therapists
D) To create treatment protocols for all agencies
Answer: B
Rationale: Certification is a voluntary process where a non-
governmental agency grants recognition to individuals who
meet specific qualifications, unlike licensure which is legally
mandated by states .
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, 4. A CTRS is asked to provide services outside their area of
competence. According to the NCTRC Code of Ethics, the CTRS
should:
A) Accept the assignment and learn on the job
B) Decline and refer to a qualified professional
C) Accept but document lack of training in the chart
D) Perform the service but charge a lower rate
Answer: B
Rationale: The principle of Competence requires CTRS
practitioners to practice only within their areas of
competence. Accepting assignments beyond one's training
violates ethical standards and risks client harm .
5. What does the ethical principle of "Non-maleficence" require
of a CTRS?
A) To promote the client's best interests
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