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Exam (elaborations)

CTRS Practice Test 1 – 2025/2026: 120+ Questions with Answers on TR Models, Disabilities, Ethics, Assessment Tools & Documentation Formats

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This comprehensive CTRS Practice Test 1 (2025/2026 edition) includes 120+ accurate multiple-choice questions and answer keys, aligned with the NCTRC exam framework for the Certified Therapeutic Recreation Specialist (CTRS) credential. It is designed to reinforce theoretical knowledge, ethical practice, and clinical skills required for success in both the exam and professional settings. The practice test spans the full spectrum of therapeutic recreation competencies, including client assessment, treatment planning, interventions, professional conduct, and regulatory standards. Every question is paired with the correct answer and reflects current best practices used in recreation therapy across healthcare, education, and community-based systems. Topics covered include: Major TR service models: Leisure Ability, Health Promotion/Protection, Person-Centered Model, Continuum Model, and Medical Model Assessment instruments: CERT-Psych, CERT-Physical Disabilities, MMSE, MDS 3.0, FACTR, LCM, FOX, GRST, and FIM Documentation formats: SOAP, PIE, DARP, narrative charting, goal writing with SMART criteria, and treatment summaries Developmental and psychological theories: Maslow, Erikson, Freud, Pavlov, Piaget, Bandura Ethics and standards of practice: ATRA Code of Ethics, informed consent, confidentiality, scope of practice, and interdisciplinary communication Common diagnoses and disability-specific care: TBI, autism, dementia, CP, Down syndrome, aphasia, Alzheimer’s, behavioral disorders Legal and regulatory mandates: HIPAA, ADA, IDEA, OBRA, patient rights, advocacy, and accessibility standards Professional competencies: conflict resolution, leadership, group dynamics, supervisory roles, recreation program evaluation Best suited for: • Students in Therapeutic Recreation, Rehabilitation Therapy, or Health and Human Services programs • Individuals preparing for the CTRS certification or recertification exam • Clinical interns in long-term care, mental health, pediatric care, or rehabilitation • Educators and faculty looking to build mock tests or training resources • Allied health professionals incorporating recreational therapy into interdisciplinary care Relevant Courses: • CTRS Exam Prep – Foundations and Practice • Documentation and Assessment in TR • Disability and Diagnosis in Therapeutic Recreation • Behavioral Theory and Development in Health Care • Clinical Skills in Rehabilitation and Allied Health This practice test provides essential, exam-style preparation with a balanced mix of clinical content, theory, and ethical decision-making—perfect for passing the CTRS exam and excelling in therapeutic recreation practice. Keywords: CTRS exam, therapeutic recreation, assessment tools, TR documentation, SOAP notes, SMART goals, CERT, LCM, FACTR, FIM, developmental theory, Maslow, Piaget, Erikson, ATRA ethics, HIPAA, IDEA, ADA, disabilities, autism, TBI, aphasia, dementia, patient care, clinical documentation, TR models, leisure ability model, interdisciplinary teams, behavioral therapy

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Uploaded on
September 9, 2025
Number of pages
76
Written in
2025/2026
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Exam (elaborations)
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CTRS Practice Test 1 2025/2026 Exam
Questions and Correct Answers | New
Update



A CTRS, who works with 3-to 5-year-old in a preschool program, uses

Erikson's Theory of Psychosocial Development to improve the age-

appropriateness of his programs. Specifically he teaches the children to




A. know when to take action and when to use self-restraint

B. play games that require intra-group social interaction skills

C. meet their own needs through intrinsically motivated play


D. recoginize their own strengths and weaknesses - 🧠ANSWER ✔✔A.

know when to take action and when to use self-restraint

,The CTRS conducted an activity analysis of the leisure education activity in

order to ensure that the




A. content is up-to-date

B. activity requirements match the clients' abilities

C. patients are placed in to the right program to meet their needs


D. activity will fit into the times slot available - 🧠ANSWER ✔✔B. activity

requirements match the clients' abilities

When an agency has decided to use the Functional Independence

Measure (FIM), the CTRS may be called upon to assess which of the

following sections?




A. Self-care

B. Mobility

C. Home skills


D. Social/cognition - 🧠ANSWER ✔✔D. Social/cognition

,The CTRS uses the Transtheoretical Model of Behavior change in

organizing her documentation on client behavior change. What are the

"stages" of behavior change that she observes and documents on?




A. Thought, affect, behavior, evaluation

B. Rapid behavior change, slowed behavior change, and maintained

behavior change

C. Precontemplation, contemplation, preparation, action, maintenance, and

termination


D. Preparation, action, evaluation, and new action - 🧠ANSWER ✔✔C.

Precontemplation, contemplation, preparation, action, maintenance, and

termination

High-quality patient documentation focuses on "behavioral language."

Which of the following is NOT an example of a behavioral statement?




A. The client was 15 minutes late to the therapeutic recreation (TR)

program

B. The client stated that she was bored during the social skills program

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, C. The patient verbalized her appreciation for TR services


D. The patient appeared distraught and upset - 🧠ANSWER ✔✔D. The

patient appeared distraught and upset

All of the following assist individuals in coping with stress, EXCEPT their




A. attitudes of feeling challenged instead of threatened

B. feelings of having adequate resources to deal with the situation

C. Type A personalities


D. adequate social support networks - 🧠ANSWER ✔✔C. Type A

personalities

Stress management involves a variety of techniques, activities, and

interventions designed to




A. reduce unfamiliar stress

B. cope more effectively with distress and add more positive stress

(eustress)

C. increase the individual's capacity to take on and handle more stress

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