NCTRC PRACTICE EXAM QUESTIONS
AND ANSWERS
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 - Correct Answers -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 - Correct Answers -d. develop leisure awareness
When the CTRS is formulating therapeutic recreation goals for an individualized
education plan (IEP), the CTRS must focus on the student's ability to
a. benefit from special education
b. engage in inclusive recreation
c. join after school programs
d. remain in the classroom with peers - Correct Answers -a. benefit from special
education
The purpose for reassessing a client is to
a. identify staff performance issues
b. evaluate changes in the client's status
c. identify secondary dysfunction in the client
d. evaluate the client's satisfaction - Correct Answers -b. evaluate changes in the clients
status
Which of the following informs a CTRS about how well the assessment results compare
to what is being measured?
a. equivalent-form reliability
b. criterion-related validity
c. test-retest reliability
d. construct validity - Correct Answers -b. criterion- related validity
,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 - Correct Answers -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 - Correct Answers -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 - Correct Answers -d. bibliotherapy
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 - Correct Answers -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 - Correct Answers -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 - Correct Answers -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 - Correct Answers -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 - Correct Answers -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)
c. leisure attitude measurement (LAM)
d. minimum data set (MDS) - Correct Answers -minimum data set (MDS)
Which of the following is of LEAST importance to the CTRS attempting to deliver
culturally relevant programming?
a. language translation skills
b. culturally-specific behaviors
c. culturally-specific values
d. socio-economic conditions - Correct Answers -d. socio-economic conditions
According to standard ethical principles, placing a client in an activity that poses a high
risk of danger without programming for those risks is a violation of
a. autonomy
b. veracity
c. non-maleficence
d. competence - Correct Answers -c. non-maleficence
All of the following should be included in a discharge summary EXCEPT
a. frequency of involvement
b. duration of involvement
c. dates of specific interventions
d. types of services received - Correct Answers -c. dates of specific interventions
All of the following are components of the problem-oriented medical record EXCEPT
AND ANSWERS
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 - Correct Answers -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 - Correct Answers -d. develop leisure awareness
When the CTRS is formulating therapeutic recreation goals for an individualized
education plan (IEP), the CTRS must focus on the student's ability to
a. benefit from special education
b. engage in inclusive recreation
c. join after school programs
d. remain in the classroom with peers - Correct Answers -a. benefit from special
education
The purpose for reassessing a client is to
a. identify staff performance issues
b. evaluate changes in the client's status
c. identify secondary dysfunction in the client
d. evaluate the client's satisfaction - Correct Answers -b. evaluate changes in the clients
status
Which of the following informs a CTRS about how well the assessment results compare
to what is being measured?
a. equivalent-form reliability
b. criterion-related validity
c. test-retest reliability
d. construct validity - Correct Answers -b. criterion- related validity
,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 - Correct Answers -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 - Correct Answers -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 - Correct Answers -d. bibliotherapy
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 - Correct Answers -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 - Correct Answers -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 - Correct Answers -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 - Correct Answers -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 - Correct Answers -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)
c. leisure attitude measurement (LAM)
d. minimum data set (MDS) - Correct Answers -minimum data set (MDS)
Which of the following is of LEAST importance to the CTRS attempting to deliver
culturally relevant programming?
a. language translation skills
b. culturally-specific behaviors
c. culturally-specific values
d. socio-economic conditions - Correct Answers -d. socio-economic conditions
According to standard ethical principles, placing a client in an activity that poses a high
risk of danger without programming for those risks is a violation of
a. autonomy
b. veracity
c. non-maleficence
d. competence - Correct Answers -c. non-maleficence
All of the following should be included in a discharge summary EXCEPT
a. frequency of involvement
b. duration of involvement
c. dates of specific interventions
d. types of services received - Correct Answers -c. dates of specific interventions
All of the following are components of the problem-oriented medical record EXCEPT
