NCTRC EXAM QUESTIONS WITH
VERIFIED SOLUTIONS
During an initial assessment, the 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
Assessment is covered in which NTRS standard of practice - Correct Answers -
Individual treatment/program plan
The NTRS standards for practice covers what information that ATRA does not - Correct
Answers -Scope of service
The process used to define the limits of professional practice based on the
professional's credentials is called - Correct Answers -Clinical privileging
When choosing a recreational activity for a client, the MOST important consideration is
the client's - Correct Answers -interests
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 ATRA Code of Ethics requires that the CTRS
use skills to assist clients while respecting the client's rights to make decisions and
preventing harm? - Correct Answers -Nonmaleficence
,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 is NOT an example of adult client advocacy? - Correct Answers -
Telling family members the client states he is 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 -Provide funding
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
Education Act (IDEA)? - Correct Answers -Best educational 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 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 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 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, adult learners 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? - Correct Answers -"I
can't exercise. My foot hurts."
, 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."
When completing 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 pull 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 stage is
characteristic of those 6 to 12 years old? - Correct Answers -Industry vs inferiority
Which of the following is an early sign of mild to moderate lithium toxicity? - Correct
Answers -Shakiness, diarrhea, and vomiting
When a client with paraplegia is doing a wheelchair pressure release by leaning side to
side, how long should the client take the weight off one side before returning to neutral
position? - Correct Answers -30 to 90 seconds
The CTRS is planning an exercise program for a client with Raynaud's syndrome.
Which of the following is correct? - Correct Answers -She should exercise in a warm
environment
VERIFIED SOLUTIONS
During an initial assessment, the 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
Assessment is covered in which NTRS standard of practice - Correct Answers -
Individual treatment/program plan
The NTRS standards for practice covers what information that ATRA does not - Correct
Answers -Scope of service
The process used to define the limits of professional practice based on the
professional's credentials is called - Correct Answers -Clinical privileging
When choosing a recreational activity for a client, the MOST important consideration is
the client's - Correct Answers -interests
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 ATRA Code of Ethics requires that the CTRS
use skills to assist clients while respecting the client's rights to make decisions and
preventing harm? - Correct Answers -Nonmaleficence
,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 is NOT an example of adult client advocacy? - Correct Answers -
Telling family members the client states he is 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 -Provide funding
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
Education Act (IDEA)? - Correct Answers -Best educational 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 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 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 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, adult learners 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? - Correct Answers -"I
can't exercise. My foot hurts."
, 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."
When completing 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 pull 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 stage is
characteristic of those 6 to 12 years old? - Correct Answers -Industry vs inferiority
Which of the following is an early sign of mild to moderate lithium toxicity? - Correct
Answers -Shakiness, diarrhea, and vomiting
When a client with paraplegia is doing a wheelchair pressure release by leaning side to
side, how long should the client take the weight off one side before returning to neutral
position? - Correct Answers -30 to 90 seconds
The CTRS is planning an exercise program for a client with Raynaud's syndrome.
Which of the following is correct? - Correct Answers -She should exercise in a warm
environment
