NCTRC EXAM SECRETS STUDY GUIDE
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? A) Improved physical health B) Reduced complications C) Reduced cost of care
D) Improved skills in coping with hospitalization - Correct Answers -C) Reduced cost of
care
According to Havighurst's Theory of Adult Development, what best characterizes middle
age? - Correct Answers -Achieving civil and social responsibility and maintaining an
economic standard of living
When choosing a recreational activity for a client, the most important consideration is
the client's: - Correct Answers –Interests
This section of SOAP notes typically includes measurements like age, weight, etc.; vital
signs; laboratory test results; physical examination findings. - Correct Answers -O -
Objective
This section of SOAP notes typically includes physicians' medical diagnoses made on
the date of the note. - Correct Answers -A - Assessment
This section of SOAP notes typically includes descriptions of intended provider
treatment actions, e.g. referrals, lab tests, procedures, medication prescriptions, etc. -
Correct Answers -P - Plan
Which of the following Nitendo Wii sports simulation programs is BEST to improve
balance and coordination? A) Golfing B) Tennis
C) Hula Hoop D) Bowling - Correct Answers -C) 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
What is NOT acceptable for the continuing education credit required for recertification? -
Correct Answers -Taking a CPR Course
(Accepted: Completing field-related academic courses, presenting a lecture at a
national RT conference, making a poster presentation at a state RT conference)
,Which principle in the American Therapeutic Recreation Association (ATRA) Code of
Ethics requires that the CTRS use skills to assist clients while respecting the clients'
rights to make decisions and preventing harm? - Correct Answers -Nonmaleficence
What law requires that clients in nursing homes be engaged in a program of activities? -
Correct Answers -Omnibus Budget Reconciliation Act
List an example that does NOT represent 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
What statement best describes Kolb's Model of Experiential Learning? - Correct
Answers -Knowledge develops from experience interacting with cognition and
perception
What is the best solution for a client who has limited mobility and tends to push food
from the plate and accidently 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? A) Distress when
hands are dirty B) Complaints about clothing labels rubbing against skin C) Refusing to
wear uncomfortable clothing D) Brushing hair 3-4x daily - Correct Answers -D) Brushing
hair 3-4x daily
Pseudohypertrophic (Duchenne) muscular dystrophy is characterized by: - Correct
Answers -Muscle weakness, enlarged muscles from fatty infiltration, and joint and other
skeletal deformities
What 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
What is an example of normalization for a 20-year-old man with Down syndrome? -
Correct Answers -Assisting him in taking a bus independently to attend a movie theater
A group of adolescents with autistic disorder are going to attend and inclusive summer
camp with non-disabled adolescents. What is the first step in making this happen? A)
Provide funding B) Identify support staff C) Assess individual needs D) Provide staff
training - 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. What
intervention would be most appropriate? - Correct Answers -Bowling ramp
Which of the following is NOT included in the 2004 Individual's with Disabilities
Education Act (IDEA)? A) Free appropriate public education B) Individualized education
programs (IEPs) C) Best educational program available D) Least restrictive environment
- Correct Answers -C) 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. What is the BEST initial
approach? - Correct Answers -Analyze the pattern of agitation
A 45-year-old man with a TBI exhibits pronounced changes in personality, impulsive
risk-taking behavior, and little facial emotion. Which of the following is the most likely
site of injury? A) Frontal lobe B) Parietal lobe C) Occipital lobe D) Cerebellum - Correct
Answers -A) Frontal Lobe
List three characteristics of attention-deficit/hyperactivity disorder (ADHD).
List one characteristic that is not. - Correct Answers -3 characteristics of ADHD:
Restlessness/agitation, becoming easily bored, frequent daydreams
Not a characteristic: Speech disorder
During a recreational program in a correctional facility, an inmate asks the CTRS if he is
married. What 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? A) Video B) Doll demonstration C) Sign-
language interpreter D) Pictures - Correct Answers -B) Doll demonstration
What should be the first step in conflict resolution? - Correct Answers -Allow both sides
to present their side of the conflict without bias
Following a TBI, a 57-year-old woman has a Functional Independence Measure (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: A)
unmotivated B) lacking in self-direction C) practical and goal-oriented D) insecure -
Correct Answers -Practical and goal-oriented
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? A) Improved physical health B) Reduced complications C) Reduced cost of care
D) Improved skills in coping with hospitalization - Correct Answers -C) Reduced cost of
care
According to Havighurst's Theory of Adult Development, what best characterizes middle
age? - Correct Answers -Achieving civil and social responsibility and maintaining an
economic standard of living
When choosing a recreational activity for a client, the most important consideration is
the client's: - Correct Answers –Interests
This section of SOAP notes typically includes measurements like age, weight, etc.; vital
signs; laboratory test results; physical examination findings. - Correct Answers -O -
Objective
This section of SOAP notes typically includes physicians' medical diagnoses made on
the date of the note. - Correct Answers -A - Assessment
This section of SOAP notes typically includes descriptions of intended provider
treatment actions, e.g. referrals, lab tests, procedures, medication prescriptions, etc. -
Correct Answers -P - Plan
Which of the following Nitendo Wii sports simulation programs is BEST to improve
balance and coordination? A) Golfing B) Tennis
C) Hula Hoop D) Bowling - Correct Answers -C) 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
What is NOT acceptable for the continuing education credit required for recertification? -
Correct Answers -Taking a CPR Course
(Accepted: Completing field-related academic courses, presenting a lecture at a
national RT conference, making a poster presentation at a state RT conference)
,Which principle in the American Therapeutic Recreation Association (ATRA) Code of
Ethics requires that the CTRS use skills to assist clients while respecting the clients'
rights to make decisions and preventing harm? - Correct Answers -Nonmaleficence
What law requires that clients in nursing homes be engaged in a program of activities? -
Correct Answers -Omnibus Budget Reconciliation Act
List an example that does NOT represent 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
What statement best describes Kolb's Model of Experiential Learning? - Correct
Answers -Knowledge develops from experience interacting with cognition and
perception
What is the best solution for a client who has limited mobility and tends to push food
from the plate and accidently 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? A) Distress when
hands are dirty B) Complaints about clothing labels rubbing against skin C) Refusing to
wear uncomfortable clothing D) Brushing hair 3-4x daily - Correct Answers -D) Brushing
hair 3-4x daily
Pseudohypertrophic (Duchenne) muscular dystrophy is characterized by: - Correct
Answers -Muscle weakness, enlarged muscles from fatty infiltration, and joint and other
skeletal deformities
What 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
What is an example of normalization for a 20-year-old man with Down syndrome? -
Correct Answers -Assisting him in taking a bus independently to attend a movie theater
A group of adolescents with autistic disorder are going to attend and inclusive summer
camp with non-disabled adolescents. What is the first step in making this happen? A)
Provide funding B) Identify support staff C) Assess individual needs D) Provide staff
training - 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. What
intervention would be most appropriate? - Correct Answers -Bowling ramp
Which of the following is NOT included in the 2004 Individual's with Disabilities
Education Act (IDEA)? A) Free appropriate public education B) Individualized education
programs (IEPs) C) Best educational program available D) Least restrictive environment
- Correct Answers -C) 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. What is the BEST initial
approach? - Correct Answers -Analyze the pattern of agitation
A 45-year-old man with a TBI exhibits pronounced changes in personality, impulsive
risk-taking behavior, and little facial emotion. Which of the following is the most likely
site of injury? A) Frontal lobe B) Parietal lobe C) Occipital lobe D) Cerebellum - Correct
Answers -A) Frontal Lobe
List three characteristics of attention-deficit/hyperactivity disorder (ADHD).
List one characteristic that is not. - Correct Answers -3 characteristics of ADHD:
Restlessness/agitation, becoming easily bored, frequent daydreams
Not a characteristic: Speech disorder
During a recreational program in a correctional facility, an inmate asks the CTRS if he is
married. What 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? A) Video B) Doll demonstration C) Sign-
language interpreter D) Pictures - Correct Answers -B) Doll demonstration
What should be the first step in conflict resolution? - Correct Answers -Allow both sides
to present their side of the conflict without bias
Following a TBI, a 57-year-old woman has a Functional Independence Measure (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: A)
unmotivated B) lacking in self-direction C) practical and goal-oriented D) insecure -
Correct Answers -Practical and goal-oriented
