NCTRC STUDY GUIDE EXAM QUESTIONS AND ANSWERS
1. 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?
a. flat
b. broad
c. blunted
d. inappropriate - CORRECT ANSWER✅✅c
2. Which of the following is NOT an essential outcome of rehabilitation therapy for pediatric clients?
a. improved physical health
b. reduced complications
c. reduced cost of care
d. improved skills in coping with hospitalization - CORRECT ANSWER✅✅c
3. According to Havighurst's Theory of Adult Development, which of the following best characterizes
middle age?
a. managing a home and finding a congenial social group
b. establishing ties with those in the same age group and adjusting to decreased physical strength
c. establishing physical living arrangements that are satisfactory
d. achieving civil and social responsibility and maintaining an economic standard of living - CORRECT
ANSWER✅✅d
4. When choosing a recreational activity for a client, the MOST important consideration is the client's
a. interests
b. physical abilities
c. mental status
d. financial resources - CORRECT ANSWER✅✅a
5. Which of the following Nintendo Wii sports simulation programs is BEST to improve balance and
coordination?
,a. golfing
b. tennis
c. hula hoop
d. bowling - CORRECT ANSWER✅✅c
6. Which theory states that a change in one family member's behavior will affect others in the family?
a. Rosenstock's Health Belief Model
b. Azjen's Theory of Planned Behavior
c. Bowen's Family Systems Theory
d. Fishbein and Azjen's Theory of Reasoned Action - CORRECT ANSWER✅✅c
7. Which of the following is NOT acceptable for the continuing education credit required for
recertification?
a. completing field-related academic courses
b. presenting a lecture at a national recreation therapy conference
c. making a poster presentation at a state recreation therapy conference
d. taking a CPR course - CORRECT ANSWER✅✅d
8. Which of the following principles in the ATRA Code of Ethics requires that the CTRS use skills to assist
clients while respecting the clients' rights to make decisions and preventing harm?
a. beneficence
b. nonmaleficence
c. autonomy
d. justice - CORRECT ANSWER✅✅b
9. Which of the following laws requires that clients in nursing homes be engaged in a program of
activities?
a. American's with Disabilities Act (ADA)
b. Older American Act (OAA)
c. Omnibus Budget Reconciliation Act (OBRA)
,d. Health Insurance Portability and Accountability Act (HIPAA) - CORRECT ANSWER✅✅c
10. Which of the following is NOT an example of adult client advocacy?
a. describing the client's apprehensions to other team members'
b. listening to and observing client to determine needs
c. requesting intervention to meet client's needs
d. telling family members the client states he is depressed - CORRECT ANSWER✅✅d
11. Beep baseball was primarily designed for those with which type of disability?
a. Hearing Impairment
b. Visual Impairment
c. Mental Impairment
d. Paraplegia - CORRECT ANSWER✅✅b
12. Which of the following best describes Kolb's Model of Experiential Learning?
a. Knowledge develops from experience interacting with cognition and perception
b. knowledge and experience are equally important
c. experience precedes knowledge in learning
d. learning cannot be acquired without experience and perception - CORRECT ANSWER✅✅a
13. 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?
a. assist the client with eating
b. feed the patient
c. provide a clip-on plate edge and a non-skid plate mat
d. provide liquids and finger foods only - CORRECT ANSWER✅✅c
14. 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?
, a. sensorimotor
b. preoperational
c. concrete operational
d. formal operational - CORRECT ANSWER✅✅b
15. Which of the following is NOT an indication of tactile sensitivity?
a. exhibiting distress when hands are dirty
b. complaining about clothing labels rubbing against the skin
c. refusing to wear uncomfortable clothing
d. brushing hair three to four times daily - CORRECT ANSWER✅✅d
16. Psuedohypertrophic (Duchenne) muscular dystrophy is characterized by
a. muscle weakness, enlarged muscles from fatty infiltration, and joing and other skeletal deformities
b. weakness in the upper arms, shoulders that are angled forward, and a lack of facial mobility
c. weakness of proximal muscles of the pelvic and shoulder girdles
d. weakness of eyelids and throat muscles - CORRECT ANSWER✅✅a
17. Which of the following is NOT characteristic of placing children with disabilities in the least
restrictive environment for study, sports, and recreation?
a. placing a child in an environment as close to traditional as possible
b. discontinuing all self-contained special programs
c. placing the child according to individual needs
d. providing alternative choices - CORRECT ANSWER✅✅b
18. Which of the following is an example of normalization for a 20-year-old man with Down Syndrome?
a. assisting him in taking a bus independently to attend a movie theater
b. placing him in a long-term care facility with full-time supervision
c. refusing to allow him to carry or play with children's toys in public
d. providing rules for behavior in different situations - CORRECT ANSWER✅✅a
1. 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?
a. flat
b. broad
c. blunted
d. inappropriate - CORRECT ANSWER✅✅c
2. Which of the following is NOT an essential outcome of rehabilitation therapy for pediatric clients?
a. improved physical health
b. reduced complications
c. reduced cost of care
d. improved skills in coping with hospitalization - CORRECT ANSWER✅✅c
3. According to Havighurst's Theory of Adult Development, which of the following best characterizes
middle age?
a. managing a home and finding a congenial social group
b. establishing ties with those in the same age group and adjusting to decreased physical strength
c. establishing physical living arrangements that are satisfactory
d. achieving civil and social responsibility and maintaining an economic standard of living - CORRECT
ANSWER✅✅d
4. When choosing a recreational activity for a client, the MOST important consideration is the client's
a. interests
b. physical abilities
c. mental status
d. financial resources - CORRECT ANSWER✅✅a
5. Which of the following Nintendo Wii sports simulation programs is BEST to improve balance and
coordination?
,a. golfing
b. tennis
c. hula hoop
d. bowling - CORRECT ANSWER✅✅c
6. Which theory states that a change in one family member's behavior will affect others in the family?
a. Rosenstock's Health Belief Model
b. Azjen's Theory of Planned Behavior
c. Bowen's Family Systems Theory
d. Fishbein and Azjen's Theory of Reasoned Action - CORRECT ANSWER✅✅c
7. Which of the following is NOT acceptable for the continuing education credit required for
recertification?
a. completing field-related academic courses
b. presenting a lecture at a national recreation therapy conference
c. making a poster presentation at a state recreation therapy conference
d. taking a CPR course - CORRECT ANSWER✅✅d
8. Which of the following principles in the ATRA Code of Ethics requires that the CTRS use skills to assist
clients while respecting the clients' rights to make decisions and preventing harm?
a. beneficence
b. nonmaleficence
c. autonomy
d. justice - CORRECT ANSWER✅✅b
9. Which of the following laws requires that clients in nursing homes be engaged in a program of
activities?
a. American's with Disabilities Act (ADA)
b. Older American Act (OAA)
c. Omnibus Budget Reconciliation Act (OBRA)
,d. Health Insurance Portability and Accountability Act (HIPAA) - CORRECT ANSWER✅✅c
10. Which of the following is NOT an example of adult client advocacy?
a. describing the client's apprehensions to other team members'
b. listening to and observing client to determine needs
c. requesting intervention to meet client's needs
d. telling family members the client states he is depressed - CORRECT ANSWER✅✅d
11. Beep baseball was primarily designed for those with which type of disability?
a. Hearing Impairment
b. Visual Impairment
c. Mental Impairment
d. Paraplegia - CORRECT ANSWER✅✅b
12. Which of the following best describes Kolb's Model of Experiential Learning?
a. Knowledge develops from experience interacting with cognition and perception
b. knowledge and experience are equally important
c. experience precedes knowledge in learning
d. learning cannot be acquired without experience and perception - CORRECT ANSWER✅✅a
13. 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?
a. assist the client with eating
b. feed the patient
c. provide a clip-on plate edge and a non-skid plate mat
d. provide liquids and finger foods only - CORRECT ANSWER✅✅c
14. 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?
, a. sensorimotor
b. preoperational
c. concrete operational
d. formal operational - CORRECT ANSWER✅✅b
15. Which of the following is NOT an indication of tactile sensitivity?
a. exhibiting distress when hands are dirty
b. complaining about clothing labels rubbing against the skin
c. refusing to wear uncomfortable clothing
d. brushing hair three to four times daily - CORRECT ANSWER✅✅d
16. Psuedohypertrophic (Duchenne) muscular dystrophy is characterized by
a. muscle weakness, enlarged muscles from fatty infiltration, and joing and other skeletal deformities
b. weakness in the upper arms, shoulders that are angled forward, and a lack of facial mobility
c. weakness of proximal muscles of the pelvic and shoulder girdles
d. weakness of eyelids and throat muscles - CORRECT ANSWER✅✅a
17. Which of the following is NOT characteristic of placing children with disabilities in the least
restrictive environment for study, sports, and recreation?
a. placing a child in an environment as close to traditional as possible
b. discontinuing all self-contained special programs
c. placing the child according to individual needs
d. providing alternative choices - CORRECT ANSWER✅✅b
18. Which of the following is an example of normalization for a 20-year-old man with Down Syndrome?
a. assisting him in taking a bus independently to attend a movie theater
b. placing him in a long-term care facility with full-time supervision
c. refusing to allow him to carry or play with children's toys in public
d. providing rules for behavior in different situations - CORRECT ANSWER✅✅a
