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NCTRC PAID EXAM SAMPLE QUESTIONS > NCTRC PAID EXAM SAMPLE QUESTIONS > Flashcards

NCTRC PAID EXAM SAMPLE QUESTIONS Flashcards

1
Q

A CTRS applying for NCTRC recertification may earn continuing education hours for which of the following professional activities?

a) Presenting an orientation session to new employees at the certificant’s agency
b) Attending a basic first aid and CPR class
c) Writing a newsletter article for a professional therapeutic recreation association
d) Presenting a session that was given seven years ago at a professional therapeutic recreation conference

A

c) Writing a newsletter article for a professional therapeutic recreation association

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2
Q

A client who is diagnosed with schizophrenia has withdrawn from the group. The client reports having difficulty paying attention and constantly hearing voices. Which of the following symptoms is the client displaying?

a) Delusions
b) Hallucinations
c) Blunted affect
d) Bizarre repetive behaviors

A

b) Hallucinations

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3
Q

Which of the following conditions has a midlife onset and is characterized by muscle tremors and progressive mental deterioration?

a) Huntington’s chorea
b) Amyotrophic lateral sclerosis (ALS)
c) Guillain-Barré syndrome
d) Duchenne’s muscular dystrophy

A

a) Huntington’s chorea

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4
Q

All of the following could be evaluated as part of a quality improvement program within a therapeutic recreation department EXCEPT

a) program incident reports
b) medication records
c) risk management
d) case reviews

A

b) medication records

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5
Q

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 types of verbal responses by the CTRS would be MOST effective?

a) Probing
b) Informing
c) Self-disclosing
d) Confronting

A

a) Probing

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6
Q

Which of the following is the BEST format for recording the frequency that a person engages in a specific behavior?

a) tally method
b) duration method
c) interval recordings
d) instantaneous time sampling

A

a) tally method

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7
Q

A CTRS is working with a client in a rehabilitation hospital. The client’s goal is to resume swimming at the YMCA after being discharged. With the client’s consent, the CTRS meets with the YMCA staff to discuss reasonable accommodations the client would require. The CTRS is engaged in which of the following activities?

a) Advocacy
b) Public relations
c) Accountability
d) Risk management

A

a) Advocacy

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8
Q

Which of the following is NOT a behavioral approach used within therapeutic recreation?

a) Assertiveness training
b) Progressive relaxation
c) Reminiscense therapy
d) Social skills training

A

c) Reminiscense therapy

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9
Q

The LEAST acceptable method for documenting therapeutic recreation program accountability is the

a) use of progress notes
b) evaluation of behavioral objectives
c) collection, analysis and interpretation of client data
d) performance evaluation of team members

A

d) performance evaluation of team members

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10
Q

Which of the following therapeutic recreation practice models is designed to help clients to recover from a threat to their health and to achieve optimal health through participation in prescriptive activity, recreation, and leisure?

a) TR Service
b) Optimizing Lifelong Health and Well-being
c) Self-determination and Enjoyment Enhancement
d) Health Protection/Health Promotion Model

A

d) Health Protection/Health Promotion Model

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11
Q

Relaxation techniques such as yoga, deep breathing, and meditation are facilitation techniques a CTRS would use with clients who need to

a) reduce stress
b) increase physical conditioning
c) learn to feel their emotional state
d) improve creative problem solving

A

a) reduce stress

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12
Q

Personnel policies in a therapeutic recreation department manual should include all of the following EXCEPT

a) performance standards
b) purchasing procedures
c) position descriptions
d) grievance procedures

A

b) purchasing procedures

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13
Q

The purpose of clinical privileging is to…

a) incorporate clinical practice as part of the personnel evaluation process
b) ensure that the clinical staff possesses the qualifications deemed necessary to implement specific programs
c) censure CTRSs who do not meet departmental performance expectations
d) assist CTRSs in gaining parity with other professional staff members

A

b) ensure that the clinical staff possesses the qualifications deemed necessary to implement specific programs

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14
Q

The LEAST effective method of evaluating therapeutic recreation intervention services is…

a) interviewing clients regarding the usefulness of the programs
b) determining the % of client treatment goals met at the time of d/c
c) requesting that clients complete satisfaction surveys
d) tabulating attendance records for programs

A

d) tabulating attendance records for programs

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15
Q

All of the following respect a client’s autonomy and right to self-determination EXCEPT

a) ensuring confidentiality in oral and written communication
b) making attendance at programs dependent on the client’s choice
c) giving clients sufficient information to participate in decisions about their treatment
d) involving clients in treatment team meetings when they are physically and cognitively able to participate

A

a) ensuring confidentiality in oral and written communication

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16
Q

Which of the following reflects the PRIMARY purpose of therapeutic recreation services in an outpatient day treatment program for clients with traumatic brain injury?

a) Physical reconditioning and stabilization
b) Reintegration into the community
c) Assessment of communication skills
d) Development of activities of daily living skills

A

b) Reintegration into the community

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17
Q 
The goal of cognitive retraining is to improve all of the following EXCEPT
A. social skills
B. problem solving skills
C. short-term memory
D. hand-eye coordination
A

D. hand-eye coordination

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18
Q

A critical pathway can correctly be described as a…

a) process used to determine the actual cost of service
b) process of comparing the quantity of services to available resources
c) compilation of multidisciplinary input driven by a specific time-oriented outcome
d) measurable change in a client’s functional capacity after receiving therapeutic recreation intervention

A

c) compilation of multidisciplinary input driven by a specific time-oriented outcome

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19
Q

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 of the following types of intervention is the CTRS using?

a) Remotivation
b) Bibliotherapy
c) Values clarification
d) Reality orientation

A

b) Bibliotherapy

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20
Q

Which of the following behavioral objectives would be MOST appropriate for increasing short-term memory recall in a client with traumatic brain injury?

a) The client will participate in a painting group once a week.
b) The client will complete drawings in each painting class with the assistance of a CTRS.
c) The client will follow 75% of the directions given by the CTRS in each painting class.
d) d) The client will work on a drawing with the assistance of a CTRS.

A

c) The client will follow 75% of the directions given by the CTRS in each painting class.

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21
Q

The interaction pattern of an activity which encompasses a cooperative action by at least two persons to achieve a mutual goal is termed

a) intergroup
b) aggregate
c) intragroup
d) unilateral

A

c) intragroup

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22
Q

A CTRS is working with a child who displays the following behaviors: likes to be alone, is especially attached to and focused on a specific toy, and repeats the CTRS’s questions in a reflective response. Which of the following is the MOST likely diagnosis?

a) Autism
b) Down Syndrome
c) Prader-Willi syndrome
d) Attention-defict disorder

A

a) Autism

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23
Q

The behavior modification process that uses successive approximations of a desired terminal behavior is called

a) shaping
b) sequencing
c) extinction
d) forward chaining

A

a) shaping

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24
Q

Which of the following is most important for a supervisor to focus upon when providing clinical supervision to a CTRS in order to improve overall competence in providing treatment?

a) Level of knowledge, skills, and abilities for therapeutic recreation interventions
b) Ability to articulate treatment strategies in team meetings
c) Ability to consistently follow policies and procedures
d) CTRS’s reports of clients’ behavior and reported satisfaction with interventions

A

a) Level of knowledge, skills, and abilities for therapeutic recreation interventions

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25
Q

A 67 year old client was admitted to a rehabilitation center with a diagnosis of a cerebrovascular accident (CVA) that affected her right side and speech. The client is a retired executive who had played golf and bridge several times a week. She is now able to walk 200 feet with a cane. She also has good receptive skills. Which of the following are the MOST appropriate factors to assess prior to the client’s resumption of golf?

a) Balance, coordination, and endurance
b) Auditory deficits, visual spatial skills, and health history
c) Grip, forearm strength, and verbal expression
d) Grip strength, verbal expression, and cognitive sequencing

A

a) Balance, coordination, and endurance

26
Q

Which of the following interview behaviors by a CTRS would NOT encourage client response?

a) Direct eye contact
b) Silence
c) Interpreting statements
d) paraphrasing

A

c) Interpreting statements

27
Q

The MOST appropriate therapeutic recreation intervention for a client with Duchenne’s muscular dystrophy would address which of the following skills?

a) Memory
b) Gross motor
c) Fine motor
d) Concentration

A

b) Gross motor

28
Q

An appropriate therapeutic recreation assessment technique for determining a client’s level of physical functioning is

a) an interview
b) a task performance
c) range of motion testing
d) muscle strength testing

A

b) a task performance

29
Q

The PRIMARY purpose for reassessing a client is to

a) measure staff performance
b) measure changes in the client’s status
c) diagnose any secondary function in the client
d) evaluate the client’s satisfactions w/ the treatment program

A

b) measure changes in the client’s status

30
Q

During which stage of group development do cooperation and enjoyment take place?

a) Forming
b) Storming
c) Norming
d) Performing

A

c) Norming

31
Q

A CTRS implements a gardening program with a new client. At the beginning of the session, the CTRS shows the client an example of a finished potted plant and introduces the client to others who are at various stages of the potting process. Which of the following instructional strategies is being employed by the CTRS?

a) timing affects learning
b) reinforcement strengthens learning
c) modeling can enhance learning
d) move from simple to the complex

A

c) modeling can enhance learning

32
Q

A CTRS needs to assess how much time a client is spending in a leisure activity. Which of the following methods of client observation would be MOST helpful?

a) interval recording
b) tally recording
c) duration recording
d) continuous recording

A

c) duration recording

33
Q

A CTRS’s failure to discuss the results of an assessment and related plan for intervention with the client violates which of the following therapeutic recreation ethical principles?

a) Fidelity
b) Confidentiality
c) Veracity
d) Beneficence/nonmaleficence

A

c) Veracity

34
Q

When documenting a client’s progress toward treatment goals, subjective interpretation of the client’s progress must be supported with

a) assessment of data
b) behavioral observations
c) client comments
d) input from the treatment team

A

b) behavioral observations

35
Q

The MOST appropriate focus of therapeutic recreation services for individuals with addictive disorders is

a) leisure ed.
b) diversional services
c) cognitive retraining
d) fitness programming

A

a) leisure ed.

36
Q

In which of the following activities is the interaction pattern of extraindividual displayed?

a) Tennis
b) Reading
c) Volleyball
d) Choir

A

b) Reading

37
Q

Which of the following activities may be used to improve the dynamic balance of individuals with hearing impairments?

a) walking heel to toe on a balance beam
b) standing and balancing on 1 foot
c) bending at the waist and touching toes
d) balancing on the knees w/ the toes raised off the floor

A

a) walking heel to toe on a balance beam

38
Q

Upon returning to the hospital after his first community reintegration experience, the client expresses discomfort with using a wheelchair in public, stating that strangers either avoided him or were very patronizing. Which of the following would be an appropriate response by the CTRS?

a) Suggest that the client ignore rude and thoughtless people
b) Discuss this issue by supporting the client and offering problem-solving skills
c) Discuss this issue by supporting the client and offering problem-solving skills
d) Change the subject, since the CTRS is not a psychotherapist

A

b) Discuss this issue by supporting the client and offering problem-solving skills

39
Q

The theory of internal locus of control postulates that perceived control commonly leads to a

a) sense of psychological well-being
b) desire for power over other people
c) sense of depression
d) sense of being controlled by others

A

a) sense of psychological well-being

40
Q

Inclusion and accessibility are issues primarily related to

a) quality improvement
b) program evaluation
c) program delivery
d) counseling techniques

A

c) program delivery

41
Q

According to standard ethical principles, placing a client in an activity that poses a high risk of danger without programming for those risks is considered which of the following?

a) Autonomy
b) Veracity
c) Maleficence
d) Competence

A

c) Maleficence

42
Q

Biofeedback is an example of which of the following intervention techniques?

a) Values clarification
b) Cognitive retraining
c) Stress management
d) Behavior management

A

c) Stress management

43
Q

Norms are used in the interpretation of standardized assessment scores in order to

a) identify leisure participation choices
b) establish the intensity of problem behaviors
c) identify whether a client can perform a specific task
d) compare a client to a reference group w/ similar characteristics

A

d) compare a client to a reference group w/ similar characteristics

44
Q

The movement toward the use of client satisfaction data within therapeutic recreation program evaluation has PRIMARILY been influenced by which of the following?

a) Increased involvement of client’s family members in their care
b) Increased need for financial donations from stakeholders
c) Request for outcome measurement by accrediting and regulatory organizations
d) Increased number of public relations departments within health care facilities

A

c) Request for outcome measurement by accrediting and regulatory organizations

45
Q

Which of the following is NOT a technique used in behavior management programs?

a) Cognitive restricting
b) Backward chaining
c) Aversion therapy
d) Assertiveness training

A

d) Assertiveness training

46
Q

All of the following are appropriate behavioral objectives for therapeutic recreation EXCEPT

a) Upon request, the client will write two personal activity choices for three leisure activity categories.
b) Upon request, the client will verbally identify five resources and explain how each can be used, as judged appropriate by the CTRS.
c) Upon request, the client will demonstrate knowledge of the leisure planning process by being active on weekends.
d) Upon request, the client will be able to drive a golf ball a minimum of 100 yards on three out of five attempts.

A

c) Upon request, the client will demonstrate knowledge of the leisure planning process by being active on weekends.

47
Q

A CTRS is trying to encourage a client to participate in an archery program. What sequence of events reflects the progression from contrived to natural reinforcement for participation in this activity?

  1. A candy treat for each shot; 2. Inherent enjoyment of the sport; 3. Verbal praise for each round of shots; 4. A pat on the back at the end of the activity session
    a) 1, 3, 2, 4
    b) 1, 3, 4, 2
    c) 3, 1, 2, 4
    d) 4, 1, 3, 2
A

b) 1, 3, 4, 2

48
Q

Which of the following types of exercise is MOST likely to increase bone mass in an older adult with osteoporosis?

a) Walking
b) Chair aerobics
c) Yoga
d) Swimming

A

a) Walking

49
Q

Which of the following is the MOST appropriate progress note to enter on a client’s chart?

a) The client was depressed and reluctant to participate in the activity.
b) The client was uncooperative and fumed about participating in the activity.
c) The client attended the activity but was depressed.
d) The client said he was tired and did not want to participate in the activity.

A

d) The client said he was tired and did not want to participate in the activity.

50
Q

A 72 year old client was admitted to a rehabilitation center with a diagnosis of a cerebrovascular accident (CVA) that affected her right side and speech. The client is a retired executive who had played golf and bridge several times a week. She is now able to walk 200 feet with a cane. She also has good receptive skills. Appropriate adaptive devices that would be introduced to this client include all of the following EXCEPT

a) a card holder
b) built-up handles
c) large-print cards
d) an adaptive golf cart

A

c) large-print cards

51
Q

Which of the following assessment instruments focus on assessing the client’s perceptions of freedom as it relates to leisure involvement?

a) TR Index (TRI)
b) Leisure Diagnostic Battery (LDB)
c) Community Integration Questionnaire (CIQ)
d) Idyll Arbor Activity Assessment (IAAA)

A

b) Leisure Diagnostic Battery (LDB)

52
Q

Unlike special recreation, therapeutic recreation is characterized by

a) qualified recreation staff
b) variety in programming
c) individualized treatment planning
d) program evaluation

A

c) individualized treatment planning

53
Q

The director of an outpatient rehabilitation department directs a CTRS to administer a hot pack modality treatment. The CTRS should do which of the following?

a) Agree to help for a limited time only
b) Refuse to help and file a written complaint
c) Accept the opportunity and thereby enrich the CTRS’s role as a member of the treatment team
d) Tell the director that this intervention is beyond the scope of TR practice

A

d) Tell the director that this intervention is beyond the scope of TR practice

54
Q

Which of the following is the MOST appropriate facilitation technique to use with an 80-year-old client who is mildly confused and disoriented?

a) Reality orientation
b) Remotivation training
c) Behavior mod
d) Validation therapy

A

a) Reality orientation

55
Q

Which of the following techniques can be effectively used by a CTRS with post-stroke geriatric residents who exhibit limited socialization and decreased emotional expression?

a) Community reintegration
b) Behavior mod
c) Remotivation
d) Values clarification

A

c) Remotivation

56
Q

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 rec
c) join after school programs
d) remain in the classroom w/ peers

A

a) benefit from special education

57
Q

Before a client begins an aerobic fitness program, the CTRS should do all of the following EXCEPT

a) obtain a physician’s order
b) determine the client’s resting, maximum and training heart rates
c) determine the client’s maximum oxygen uptake
d) set goals based on client assessment

A

c) determine the client’s maximum oxygen uptake

58
Q

The criterion is the part of the behavioral objective that identifies which of the following?

a) The circumstance under which the behavior will occur
b) The indication that the objective has been achieved
c) The action taken to demonstrate the behavior
d) The objective behavior that will be observed

A

b) The indication that the objective has been achieved

59
Q

A CTRS, who is doing an initial assessment, is unable to collect background information from a client who has dementia and expressive aphasia due to a recent cerebrovascular accident (CVA). To complete the assessment, it would be BEST for the CTRS to base the assessment on the client’s

a) chart and the physician’s order
b) physical and cognitive abilities
c) chart and information from the client’s family
d) home and community

A

c) chart and information from the client’s family

60
Q

To communicate with a person who has a partial hearing loss, it is BEST to

a) write the information
b) use a communication board
c) face the person and speak clearly
d) stand to the side of the person and speak loudly

A

c) face the person and speak clearly

NCTRC PAID EXAM SAMPLE QUESTIONS (1 decks)

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