CTRS -CERTIFIED THERAPEUTIC RECREATION
SPECIALIST |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
People who are intrinsically motivated in their leisure tend to
A. avoid situations in which they are challenged to demonstrate a certain skill level.
B. seek challenges equal to their competence.
C. avoid situations which may result in negative feedback about their performance.
D. seek situations that are easily accomplished or quickly won.
CORRECT ANSWER
B. seek challenges equal to their competence.
Question 2
When he is upset or things do not go his way, the client lashes out at people, often making
very caustic remarks and sometimes striking them. A TR facilitation technique that is most
likely to help the client is called
A. journaling.
B. reality therapy.
C. resocialization.
D. anger management.
CORRECT ANSWER
D. anger management.
Question 3
1
,A ________ is a document kept within a client's medical record that specifies the actions
to be taken on behalf of and by the client in order to reach his goals.
A. critical pathway
B. written plan of operation
C. protocol
D. treatment plan
CORRECT ANSWER
D. treatment plan
Question 4
The CTRS is asked to submit an annual budget that assumes she starts with no dollars and
asks her to justify each dollar she then requests. This type of budgeting is called
A. zero-based budgeting.
B. zero-sum budgeting.
C. revenue and expense budgeting.
D. NIL (No income or losses) budgeting.
CORRECT ANSWER
A. zero-based budgeting.
Question 5
If the client does not understand the language used on the assessment or becomes
fatigued, what is likely to happen?
A. The CTRS will gain insight into the sitting tolerance of the client.
B. The therapist still will be able to use the assessments from other disciplines to build a
treatment plan.
C. Nothing, most CTRS's do not use assessment scores anyway.
2
,D. The assessment score will not be reflective of the person's skills, attitudes, and
knowledge.
CORRECT ANSWER
D. The assessment score will not be reflective of the person's skills, attitudes, and
knowledge.
Question 6
After the client assessment has been completed, the next step in the programming process
is to:
A. write treatment summaries.
B. analyze activities.
C. identify the problems and strengths of the client.
D. develop goals and objectives.
CORRECT ANSWER
C. identify the problems and strengths of the client.
Question 7
Why does "thought stopping" help reduce stress reactions in people who have obsessive
or phobic thoughts?
A. Thoughts precede emotions, which precede physiological responses.
B. It punishes them for their negative thoughts.
C. It isolates them from the group before they can be hurt.
D. It shows them they have value and worth.
CORRECT ANSWER
A. Thoughts precede emotions, which precede physiological responses.
3
, Question 8
A facility that provides comprehensive services for individuals with physical disabilities on
an inpatient and outpatient basis is called a
A. community mental health center.
B. physical medicine and rehabilitation center.
C. sheltered workshop.
D. homebound program.
CORRECT ANSWER
B. physical medicine and rehabilitation center.
Question 9
A CTRS selects the Comprehensive Evaluation in Recreational Therapy Scale (CERT-Psych)
to measure behavior of a client as observed in group activities. Which assessment
characteristic has the CTRS considered in making this selection
A. validity
B. reliability
C. usability
D. practicability
CORRECT ANSWER
A. validity
Question 10
The purpose of quality improvement activities is to
A. gather client input into the improvement of programs.
B. increase communication with other members of the treatment team.
C. increase documentation of TR services.
4
SPECIALIST |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
People who are intrinsically motivated in their leisure tend to
A. avoid situations in which they are challenged to demonstrate a certain skill level.
B. seek challenges equal to their competence.
C. avoid situations which may result in negative feedback about their performance.
D. seek situations that are easily accomplished or quickly won.
CORRECT ANSWER
B. seek challenges equal to their competence.
Question 2
When he is upset or things do not go his way, the client lashes out at people, often making
very caustic remarks and sometimes striking them. A TR facilitation technique that is most
likely to help the client is called
A. journaling.
B. reality therapy.
C. resocialization.
D. anger management.
CORRECT ANSWER
D. anger management.
Question 3
1
,A ________ is a document kept within a client's medical record that specifies the actions
to be taken on behalf of and by the client in order to reach his goals.
A. critical pathway
B. written plan of operation
C. protocol
D. treatment plan
CORRECT ANSWER
D. treatment plan
Question 4
The CTRS is asked to submit an annual budget that assumes she starts with no dollars and
asks her to justify each dollar she then requests. This type of budgeting is called
A. zero-based budgeting.
B. zero-sum budgeting.
C. revenue and expense budgeting.
D. NIL (No income or losses) budgeting.
CORRECT ANSWER
A. zero-based budgeting.
Question 5
If the client does not understand the language used on the assessment or becomes
fatigued, what is likely to happen?
A. The CTRS will gain insight into the sitting tolerance of the client.
B. The therapist still will be able to use the assessments from other disciplines to build a
treatment plan.
C. Nothing, most CTRS's do not use assessment scores anyway.
2
,D. The assessment score will not be reflective of the person's skills, attitudes, and
knowledge.
CORRECT ANSWER
D. The assessment score will not be reflective of the person's skills, attitudes, and
knowledge.
Question 6
After the client assessment has been completed, the next step in the programming process
is to:
A. write treatment summaries.
B. analyze activities.
C. identify the problems and strengths of the client.
D. develop goals and objectives.
CORRECT ANSWER
C. identify the problems and strengths of the client.
Question 7
Why does "thought stopping" help reduce stress reactions in people who have obsessive
or phobic thoughts?
A. Thoughts precede emotions, which precede physiological responses.
B. It punishes them for their negative thoughts.
C. It isolates them from the group before they can be hurt.
D. It shows them they have value and worth.
CORRECT ANSWER
A. Thoughts precede emotions, which precede physiological responses.
3
, Question 8
A facility that provides comprehensive services for individuals with physical disabilities on
an inpatient and outpatient basis is called a
A. community mental health center.
B. physical medicine and rehabilitation center.
C. sheltered workshop.
D. homebound program.
CORRECT ANSWER
B. physical medicine and rehabilitation center.
Question 9
A CTRS selects the Comprehensive Evaluation in Recreational Therapy Scale (CERT-Psych)
to measure behavior of a client as observed in group activities. Which assessment
characteristic has the CTRS considered in making this selection
A. validity
B. reliability
C. usability
D. practicability
CORRECT ANSWER
A. validity
Question 10
The purpose of quality improvement activities is to
A. gather client input into the improvement of programs.
B. increase communication with other members of the treatment team.
C. increase documentation of TR services.
4
