NCTRC EXAM SAMPLE QUESTIONS
WITH CORRECT ANSWERS
During an initial assessment, a client shows little facial expression or is very slow to
show expressions. How would the CTRS document this client's affect? - Correct
Answers -Blunted
Which of the following is NOT an essential outcome of rehabilitation therapy for
pediatric clients? - Correct Answers -Reduced cost of care
According to Havighurst's Theory of Adult Development, which of the following best
characterizes middle age? - Correct Answers -Achieving civil and social responsibility
and maintaining an economic standard of living
When choosing a recreational activity for a client, the most important consideration is
the client's... - Correct Answers –Interests
When developing an individual recreation therapy program for a client with Alzheimer's
Disease and moderate dementia in a long-term care facility, the MOST important factor
to consider is - Correct Answers -Past interests and activities
If the CTRS finds that there are no community-based recreational facilities that
accommodate clients with disabilities, the CTRS should - Correct Answers -Provide
education and guidance regarding inclusion
An adolescent hospitalized and under strict isolation may MOST benefit from - Correct
Answers -Playing electronic games
Before children and adolescents with Down Syndrome engage in gymnastics or contact
sports, it is MOST important to - Correct Answers -Have the cervical spine evaluated by
a physician
Which of the following Nintendo Wii sports simulation programs is best to improve
balance and coordination? - Correct Answers -Hula hoop
Which Theory states that a change in one family member's behavior will affect others in
the family? - Correct Answers -Bowen's Family Systems Theory
,Which of the following is NOT acceptable for the continuing education credit required for
recertification? - Correct Answers -Taking a CPR course
Which of the following principles in the American Therapeutic Recreation Association
(ATRA) Code of Ethics requires that the CTRS use skills to assist clients while
respecting the clients' rights to make a decision and preventing harm? - Correct
Answers -Nonmalificence
Which of the following laws requires that clients in nursing homes be engaged in a
program of activities? - Correct Answers -Omnibus Budget Reconciliation Act (OBRA)
Which of the following in NOT an example of adult client advocacy? - Correct Answers -
Telling family members the client states he's depressed
Beep baseball was primarily designed for those with which type of disability? - Correct
Answers -Visual impairment
Which of the following best describes Kolb's Model of Experiential Learning? - Correct
Answers -Knowledge develops from experience interacting with cognition and
perception
Which is the best solution for a client who has limited mobility and tends to push food
from the plate and accidentally shove plates onto the floor? - Correct Answers -Provide
a clip-on plate edge and a non-skid plate mat
In Jean Piaget's Theory of Cognitive Development, which stage is characterized by poor
logical ability, magical thinking, egocentrism, and beginning to understand cause and
effect? - Correct Answers -Preoperational
Which of the following is NOT an indication of tactile sensitivity? - Correct Answers -
Brushing hair three to four times daily
Pseudohypertrophic (Duchenne) muscular dystrophy is characterized by - Correct
Answers -Muscle weakness, enlarged muscles from fatty infiltration, and joint and other
skeletal deformities
Which of the following is NOT characteristic of placing children with disabilities in the
least restrictive environment for study, sports, and recreation? - Correct Answers -
Discontinuing all self-contained special programs
Which of the following is an example of normalization for a 20-year-old man with Down
Syndrome? - Correct Answers -Assisting him in taking a bus independently to attend a
movie theater
,A group of adolescents with autistic disorder are going to attend an inclusive summer
camp with non-disabled adolescents. Which of the following is the first step? - Correct
Answers -Assess individual needs
A 24-year old woman with cerebral palsy would like to participate in bowling but has
poor mobility and cannot maintain balance and swing or throw the bowling ball. Which
intervention is MOST appropriate? - Correct Answers -Bowling ramp
Which of the following is NOT included in the 2004 Individuals with Disabilities Act
(IDEA)? - Correct Answers -Best education program available
A 70-year old man with dementia of the Alzheimer type has episodes of extreme
agitation and combative behavior two or three times daily. Which of the following is the
BEST initial approach? - Correct Answers -Analyze the pattern of agitation
A 45-year old man with a traumatic brain injury exhibits pronounced changes in
personality, impulsive risk-taking behavior, and little facial emotion. Which of the
following is the most likely site of injury? - Correct Answers -Frontal lobe
Which of the following is NOT a characteristic of attention-deficit/hyperactivity disorder
(ADHD)? - Correct Answers -Speech disorder
During a recreational program in a correctional facility, an inmate asks the CTRS if he is
married. Which of the following is the best response? - Correct Answers -"I'm sorry, I
can't discuss personal information."
Which of the following is the MOST appropriate initial aid/assistance in teaching a deaf
32-month-old girl how to do an activity? - Correct Answers -Doll demonstration
Which of the following should be the FIRST step in conflict resolution? - Correct
Answers -Allow both sides to present their side of the conflict without bias
Following a traumatic brain injury, a 57-year-old woman has a Functional Independence
Measure (FIM) score of 40 on acute hospital admission and 63 on discharge to a
rehabilitation facility, with discharge scores in all areas ranging from 3 to 4. What level
of independence or care in the facility is MOST indicated by these scores? - Correct
Answers -Minimal to moderate contact assistance (physical assistance)
According to Knowles' Principles of Adult Learning, adults tend to be... - Correct
Answers -Practical and goal oriented
Which members of the recreational therapy teams are responsible for identifying quality
performance improvement projects? - Correct Answers -All staff
Which of the following is the primary purpose of intern supervision? - Correct Answers -
Promoting professional growth/skills and ensuring program integrity
, In which part of the APIE process is the treatment plan documented? - Correct Answers
-Plan
When dealing with clients in a mental health facility, which of the following activities is
BEST to evaluate a client's ability to stay on task and concentrate? - Correct Answers -
Arts and crafts project
Which of the following statements should be used to document in the subjective portion
of SOAP notes that a client refused to participate in an activity?P - Correct Answers -"I
can't exercise. My foot hurts." (client quotes)
Which of the following comprises the three components of Carol Peterson's Leisure
Ability Model of therapeutic recreation? - Correct Answers -Treatment, leisure
education, and recreation participation
Using a utilitarian ethical standard of the most good for the most people, which of the
following activities should be selected for an afternoon program for 40 clients in a long-
term care facility? - Correct Answers -Sing-along
Which of the following statements does NOT justify a violation of confidentiality? -
Correct Answers -"I hate my father. I wish he were dead." (No imminent verbal threat to
themselves or others)
When contemplating a pre-transfer assessment, which are the three primary factors to
consider? - Correct Answers -Physical, cognitive, and emotional status
A client needs a single-person transfer from a wheelchair into a car, but the wheelchair
is not on level ground. Which of the following is the best solution? - Correct Answers -
Move the car and wheelchair to a level area
When assisting a client with an activity to improve balance, which of the following types
of feedback should be provided? - Correct Answers -Contingent, motivational and
informational
Which of the following is the best response for an 18-year-old man with paraplegia who
slips onto the floor but is able to push himself onto the bed without help and with no
injury? - Correct Answers -"You used good problem-solving skills."
A client repeatedly uses passive-aggressive behavior such as arriving late for activities,
making demands, complaining, and over-sleeping. These behaviors are interfering with
progress. Which of the following referrals is most appropriate? - Correct Answers -
Assertiveness training
In Erikson's Psychosocial Development Model, which of the following stages is
characteristic of those 6 to 12 years old? - Correct Answers -Industry vs. InferiorityS
WITH CORRECT ANSWERS
During an initial assessment, a client shows little facial expression or is very slow to
show expressions. How would the CTRS document this client's affect? - Correct
Answers -Blunted
Which of the following is NOT an essential outcome of rehabilitation therapy for
pediatric clients? - Correct Answers -Reduced cost of care
According to Havighurst's Theory of Adult Development, which of the following best
characterizes middle age? - Correct Answers -Achieving civil and social responsibility
and maintaining an economic standard of living
When choosing a recreational activity for a client, the most important consideration is
the client's... - Correct Answers –Interests
When developing an individual recreation therapy program for a client with Alzheimer's
Disease and moderate dementia in a long-term care facility, the MOST important factor
to consider is - Correct Answers -Past interests and activities
If the CTRS finds that there are no community-based recreational facilities that
accommodate clients with disabilities, the CTRS should - Correct Answers -Provide
education and guidance regarding inclusion
An adolescent hospitalized and under strict isolation may MOST benefit from - Correct
Answers -Playing electronic games
Before children and adolescents with Down Syndrome engage in gymnastics or contact
sports, it is MOST important to - Correct Answers -Have the cervical spine evaluated by
a physician
Which of the following Nintendo Wii sports simulation programs is best to improve
balance and coordination? - Correct Answers -Hula hoop
Which Theory states that a change in one family member's behavior will affect others in
the family? - Correct Answers -Bowen's Family Systems Theory
,Which of the following is NOT acceptable for the continuing education credit required for
recertification? - Correct Answers -Taking a CPR course
Which of the following principles in the American Therapeutic Recreation Association
(ATRA) Code of Ethics requires that the CTRS use skills to assist clients while
respecting the clients' rights to make a decision and preventing harm? - Correct
Answers -Nonmalificence
Which of the following laws requires that clients in nursing homes be engaged in a
program of activities? - Correct Answers -Omnibus Budget Reconciliation Act (OBRA)
Which of the following in NOT an example of adult client advocacy? - Correct Answers -
Telling family members the client states he's depressed
Beep baseball was primarily designed for those with which type of disability? - Correct
Answers -Visual impairment
Which of the following best describes Kolb's Model of Experiential Learning? - Correct
Answers -Knowledge develops from experience interacting with cognition and
perception
Which is the best solution for a client who has limited mobility and tends to push food
from the plate and accidentally shove plates onto the floor? - Correct Answers -Provide
a clip-on plate edge and a non-skid plate mat
In Jean Piaget's Theory of Cognitive Development, which stage is characterized by poor
logical ability, magical thinking, egocentrism, and beginning to understand cause and
effect? - Correct Answers -Preoperational
Which of the following is NOT an indication of tactile sensitivity? - Correct Answers -
Brushing hair three to four times daily
Pseudohypertrophic (Duchenne) muscular dystrophy is characterized by - Correct
Answers -Muscle weakness, enlarged muscles from fatty infiltration, and joint and other
skeletal deformities
Which of the following is NOT characteristic of placing children with disabilities in the
least restrictive environment for study, sports, and recreation? - Correct Answers -
Discontinuing all self-contained special programs
Which of the following is an example of normalization for a 20-year-old man with Down
Syndrome? - Correct Answers -Assisting him in taking a bus independently to attend a
movie theater
,A group of adolescents with autistic disorder are going to attend an inclusive summer
camp with non-disabled adolescents. Which of the following is the first step? - Correct
Answers -Assess individual needs
A 24-year old woman with cerebral palsy would like to participate in bowling but has
poor mobility and cannot maintain balance and swing or throw the bowling ball. Which
intervention is MOST appropriate? - Correct Answers -Bowling ramp
Which of the following is NOT included in the 2004 Individuals with Disabilities Act
(IDEA)? - Correct Answers -Best education program available
A 70-year old man with dementia of the Alzheimer type has episodes of extreme
agitation and combative behavior two or three times daily. Which of the following is the
BEST initial approach? - Correct Answers -Analyze the pattern of agitation
A 45-year old man with a traumatic brain injury exhibits pronounced changes in
personality, impulsive risk-taking behavior, and little facial emotion. Which of the
following is the most likely site of injury? - Correct Answers -Frontal lobe
Which of the following is NOT a characteristic of attention-deficit/hyperactivity disorder
(ADHD)? - Correct Answers -Speech disorder
During a recreational program in a correctional facility, an inmate asks the CTRS if he is
married. Which of the following is the best response? - Correct Answers -"I'm sorry, I
can't discuss personal information."
Which of the following is the MOST appropriate initial aid/assistance in teaching a deaf
32-month-old girl how to do an activity? - Correct Answers -Doll demonstration
Which of the following should be the FIRST step in conflict resolution? - Correct
Answers -Allow both sides to present their side of the conflict without bias
Following a traumatic brain injury, a 57-year-old woman has a Functional Independence
Measure (FIM) score of 40 on acute hospital admission and 63 on discharge to a
rehabilitation facility, with discharge scores in all areas ranging from 3 to 4. What level
of independence or care in the facility is MOST indicated by these scores? - Correct
Answers -Minimal to moderate contact assistance (physical assistance)
According to Knowles' Principles of Adult Learning, adults tend to be... - Correct
Answers -Practical and goal oriented
Which members of the recreational therapy teams are responsible for identifying quality
performance improvement projects? - Correct Answers -All staff
Which of the following is the primary purpose of intern supervision? - Correct Answers -
Promoting professional growth/skills and ensuring program integrity
, In which part of the APIE process is the treatment plan documented? - Correct Answers
-Plan
When dealing with clients in a mental health facility, which of the following activities is
BEST to evaluate a client's ability to stay on task and concentrate? - Correct Answers -
Arts and crafts project
Which of the following statements should be used to document in the subjective portion
of SOAP notes that a client refused to participate in an activity?P - Correct Answers -"I
can't exercise. My foot hurts." (client quotes)
Which of the following comprises the three components of Carol Peterson's Leisure
Ability Model of therapeutic recreation? - Correct Answers -Treatment, leisure
education, and recreation participation
Using a utilitarian ethical standard of the most good for the most people, which of the
following activities should be selected for an afternoon program for 40 clients in a long-
term care facility? - Correct Answers -Sing-along
Which of the following statements does NOT justify a violation of confidentiality? -
Correct Answers -"I hate my father. I wish he were dead." (No imminent verbal threat to
themselves or others)
When contemplating a pre-transfer assessment, which are the three primary factors to
consider? - Correct Answers -Physical, cognitive, and emotional status
A client needs a single-person transfer from a wheelchair into a car, but the wheelchair
is not on level ground. Which of the following is the best solution? - Correct Answers -
Move the car and wheelchair to a level area
When assisting a client with an activity to improve balance, which of the following types
of feedback should be provided? - Correct Answers -Contingent, motivational and
informational
Which of the following is the best response for an 18-year-old man with paraplegia who
slips onto the floor but is able to push himself onto the bed without help and with no
injury? - Correct Answers -"You used good problem-solving skills."
A client repeatedly uses passive-aggressive behavior such as arriving late for activities,
making demands, complaining, and over-sleeping. These behaviors are interfering with
progress. Which of the following referrals is most appropriate? - Correct Answers -
Assertiveness training
In Erikson's Psychosocial Development Model, which of the following stages is
characteristic of those 6 to 12 years old? - Correct Answers -Industry vs. InferiorityS
