NCTRC Practice Exam Questions
and Answers (Grade A+)
The first step in choosing the best type of assessment for a client is to
a. identify the purpose of the assessment
b. discuss assessment options with the client
c. determine which assessment was used most often in the past
d. find the easiest assessment for the client to complete—ANSWER--a. identify the purpose
of the assessment
Which of the following is the FIRST step of a leisure education program for a client who has a
dual diagnosis of clinical depression and chronic alcoholism?
a. demonstrate recreational skills
b. discuss time management
c. explore leisure resources
d. develop leisure awareness—ANSWER--d. develop leisure awareness
Which of the following skills would a therapeutic recreation intervention for a client with
Duchenne's muscular dystrophy address?
,a. memory
b. gross motor
c. fine motor
d. conentration—ANSWER--b. gross motor
Which therapeutic recreation practice model is designed to help clients to recover from a
threat to their health and to achieve optimal health through participation in perspective
activity, recreation, and leisure?
a. leisure ability
b. optimizing lifelong health and well-being
c. self-determination and enjoyment enhancement
d. health protection/ health promotion—ANSWER--d. health protection/ health promotion
The unit psychologist informs a CTRS that a client is being educated about obsessive-
compulsive disorder. The CTRS recommends and provides a book for the client to read that
helps bring new insight into the illness. Which intervention is the CTRS using?
a. remotivation
b. bibliotherapy
c. validation
d. orientation—ANSWER--d. bibliotherapy
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
,Prior to a CTRS teaching a client how to access the internet for movie times, the CTRS makes
a list of the steps involved and places them in their proper sequence. Which of the following
type of analysis has the CTRS completed?
a. task
b. content
c. activity
d. behavioral—ANSWER--a. task
A 58 year old client is currently residing in a long term care facility surrounded by persons
who are considerably older. The client repeatedly complains of loneliness, boredom, and
being ignored by friends and family. which of the following verbal responses by the CTRS
would be effective?
a. probing
b. informing
c. self-disclosing
d. confronting—ANSWER--a. probing
Which of the following therapeutic recreation ethical principles is being violated when the
CTRS fails to discuss the results of an assessment and related plan for intervention with the
client?
a. fidelity
b. confidentiality
, c. veracity
d. non-maleficence—ANSWER--c. veracity
Which of the following service settings is a CTRS working in when reviewing the client's
Functional Independence Measure (FIM) score and intake summary prior to conducting an
assessment?
a. acute care
b. behavioral health care
c. outpatient ambulatory services
d. inpatient rehabilitation—ANSWER--d. inpatient rehabilitation
Which of the following activities may be used to improve dynamic balance?
a. walking heel to toe on a balance beam
b. standing and balancing on one foot
c. maintaining balance while seated on a fitness ball
d. balancing on the knees with the toes raised off the floor—ANSWER--a. waling heel to toe
on a balance beam
In a nursing home setting, which of the following interdisciplinary tools would a CTRS be
responsible for completing?
a. inpatient rehabilitation facility-patient assessment instrument (IRF-PAI)
b. functional independecne measure (FIM)
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
and Answers (Grade A+)
The first step in choosing the best type of assessment for a client is to
a. identify the purpose of the assessment
b. discuss assessment options with the client
c. determine which assessment was used most often in the past
d. find the easiest assessment for the client to complete—ANSWER--a. identify the purpose
of the assessment
Which of the following is the FIRST step of a leisure education program for a client who has a
dual diagnosis of clinical depression and chronic alcoholism?
a. demonstrate recreational skills
b. discuss time management
c. explore leisure resources
d. develop leisure awareness—ANSWER--d. develop leisure awareness
Which of the following skills would a therapeutic recreation intervention for a client with
Duchenne's muscular dystrophy address?
,a. memory
b. gross motor
c. fine motor
d. conentration—ANSWER--b. gross motor
Which therapeutic recreation practice model is designed to help clients to recover from a
threat to their health and to achieve optimal health through participation in perspective
activity, recreation, and leisure?
a. leisure ability
b. optimizing lifelong health and well-being
c. self-determination and enjoyment enhancement
d. health protection/ health promotion—ANSWER--d. health protection/ health promotion
The unit psychologist informs a CTRS that a client is being educated about obsessive-
compulsive disorder. The CTRS recommends and provides a book for the client to read that
helps bring new insight into the illness. Which intervention is the CTRS using?
a. remotivation
b. bibliotherapy
c. validation
d. orientation—ANSWER--d. bibliotherapy
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
,Prior to a CTRS teaching a client how to access the internet for movie times, the CTRS makes
a list of the steps involved and places them in their proper sequence. Which of the following
type of analysis has the CTRS completed?
a. task
b. content
c. activity
d. behavioral—ANSWER--a. task
A 58 year old client is currently residing in a long term care facility surrounded by persons
who are considerably older. The client repeatedly complains of loneliness, boredom, and
being ignored by friends and family. which of the following verbal responses by the CTRS
would be effective?
a. probing
b. informing
c. self-disclosing
d. confronting—ANSWER--a. probing
Which of the following therapeutic recreation ethical principles is being violated when the
CTRS fails to discuss the results of an assessment and related plan for intervention with the
client?
a. fidelity
b. confidentiality
, c. veracity
d. non-maleficence—ANSWER--c. veracity
Which of the following service settings is a CTRS working in when reviewing the client's
Functional Independence Measure (FIM) score and intake summary prior to conducting an
assessment?
a. acute care
b. behavioral health care
c. outpatient ambulatory services
d. inpatient rehabilitation—ANSWER--d. inpatient rehabilitation
Which of the following activities may be used to improve dynamic balance?
a. walking heel to toe on a balance beam
b. standing and balancing on one foot
c. maintaining balance while seated on a fitness ball
d. balancing on the knees with the toes raised off the floor—ANSWER--a. waling heel to toe
on a balance beam
In a nursing home setting, which of the following interdisciplinary tools would a CTRS be
responsible for completing?
a. inpatient rehabilitation facility-patient assessment instrument (IRF-PAI)
b. functional independecne measure (FIM)
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
