NCTRC Practice Exam Questions
and Answers (Grade A+) (with
rationales)
A CTRS asks a client to remember three items (e.g., dog, pencil, book). The CTRS states the
three items and asks the client to repeat them. After a 5-minute conversation with the
client, the CTRS asks the client to repeat the three items. Which of the following domains is
the CTRS assessing?
A. Affective
B. Social
C. Cultural
D. Cognitive—ANSWER--D. Cognitive
,"Cognitive examples of functional abilities include memory, orientation, attention span,
reading ability, ability to follow directions and other mental functions that are prerequisites
to leisure behavior."
When documenting a client's progress toward treatment goals, subjective interpretation of
the client's progress must be supported with
A. assessment of data
B. behavioral observations
C. client comments
D. input from the treatment team—ANSWER--B. behavioral observations
"In all cases, documentation and written records should focus on client behavior, rather than
the specialist's perceptions or guesses. In each case, the specialist is responsible for selecting
the most significant aspects of client behavior for documentation."
A CTRS would use interventions such as yoga, deep breathing, and meditation with clients
who need to improve
A. stress management skills
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
,B. physical conditioning
C. awareness of their emotional state
D. mindful self-awareness—ANSWER--A. stress management skills
"Relaxation techniques are a means to deal with excess tension brought about by stress. In
the section that follows, several methods for eliciting a state of relaxation are described.
Covered are deep breathing, progressive relaxation training, autogenic training, imagery,
meditation, yoga, laughter yoga, biofeedback, massage, stretching, and physical exercise."
All of the following are techniques used in behavior management programs EXCEPT
A. cognitive restructuring
B. backward chaining
C. aversion therapy
D. resocialization—ANSWER--D. resocialization
, "Table 3.6 Overview of Specific Behavior Management Techniques: Aversion therapy:
developing an aversion to a stimulus by pairing that stimulus with vividly imagined noxious
stimuli, Cognitive restructuring: changing maladaptive behavior by demonstrating the
irrationality of the assumptions on which the behavior is based and teaching the person
more adaptive self-talk, Backward chaining: instruction starts with the last step in a
sequence and when the client has acquired the last step, the next to last step is taught and
so on until the first task in the chain is accomplished."
All of the following are appropriate behavioral objectives for therapeutic recreation EXCEPT
A. Upon request, the client will select two personal activity choices from a list of options.
B. Upon request, the client will verbalize the appropriate use of five resources, as judged by
the CTRS.
C. Upon request, the client will demonstrate knowledge of the leisure planning process by
being active on weekends.
D. Upon request, the client will be able to drive a golf ball a minimum of 100 yards on three
out of five attempts.—ANSWER--C. Upon request, the client will demonstrate knowledge of
the leisure planning process by being active on weekends.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
and Answers (Grade A+) (with
rationales)
A CTRS asks a client to remember three items (e.g., dog, pencil, book). The CTRS states the
three items and asks the client to repeat them. After a 5-minute conversation with the
client, the CTRS asks the client to repeat the three items. Which of the following domains is
the CTRS assessing?
A. Affective
B. Social
C. Cultural
D. Cognitive—ANSWER--D. Cognitive
,"Cognitive examples of functional abilities include memory, orientation, attention span,
reading ability, ability to follow directions and other mental functions that are prerequisites
to leisure behavior."
When documenting a client's progress toward treatment goals, subjective interpretation of
the client's progress must be supported with
A. assessment of data
B. behavioral observations
C. client comments
D. input from the treatment team—ANSWER--B. behavioral observations
"In all cases, documentation and written records should focus on client behavior, rather than
the specialist's perceptions or guesses. In each case, the specialist is responsible for selecting
the most significant aspects of client behavior for documentation."
A CTRS would use interventions such as yoga, deep breathing, and meditation with clients
who need to improve
A. stress management skills
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
,B. physical conditioning
C. awareness of their emotional state
D. mindful self-awareness—ANSWER--A. stress management skills
"Relaxation techniques are a means to deal with excess tension brought about by stress. In
the section that follows, several methods for eliciting a state of relaxation are described.
Covered are deep breathing, progressive relaxation training, autogenic training, imagery,
meditation, yoga, laughter yoga, biofeedback, massage, stretching, and physical exercise."
All of the following are techniques used in behavior management programs EXCEPT
A. cognitive restructuring
B. backward chaining
C. aversion therapy
D. resocialization—ANSWER--D. resocialization
, "Table 3.6 Overview of Specific Behavior Management Techniques: Aversion therapy:
developing an aversion to a stimulus by pairing that stimulus with vividly imagined noxious
stimuli, Cognitive restructuring: changing maladaptive behavior by demonstrating the
irrationality of the assumptions on which the behavior is based and teaching the person
more adaptive self-talk, Backward chaining: instruction starts with the last step in a
sequence and when the client has acquired the last step, the next to last step is taught and
so on until the first task in the chain is accomplished."
All of the following are appropriate behavioral objectives for therapeutic recreation EXCEPT
A. Upon request, the client will select two personal activity choices from a list of options.
B. Upon request, the client will verbalize the appropriate use of five resources, as judged by
the CTRS.
C. Upon request, the client will demonstrate knowledge of the leisure planning process by
being active on weekends.
D. Upon request, the client will be able to drive a golf ball a minimum of 100 yards on three
out of five attempts.—ANSWER--C. Upon request, the client will demonstrate knowledge of
the leisure planning process by being active on weekends.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
