PRACTICE QUESTIONS Flashcards
Which one of the four categories of child development does the skill “take turns” belong? A) Personal/social B) Adaptive/ fine motor C) Motor behavior D) Language
A) Personal/social
Which of the following is NOT an example of a TR department’s risk management plan?
A) Requiring TR student interns to complete their own client assessments.
B) Requiring employees to park on hospital premises
C) Conducting peer reviews by trained professionals
D) Incorporating family into the assessment procedure
A) Requiring TR student interns to complete their own client assessments.
Which of the following activities is MOST LIKELY to teach social skills to a group of at-risk youth?
A) Bingo
B) Volleyball, b/c it involves both cooperation and competition
C) Role plays of asking someone for assistance
D) Discussion of appropriate leisure skills in a variety of situations
C) Role plays of asking someone for assistance
All of the following may be found in a TR department’s policy and procedure manual, EXCEPT
A) Instructions for checking out and driving agency vehicles
B) Treatment protocols for disability groups served by the department.
C) Guidelines for prescribing meds.
D) Information about staff recruiting, hiring, supervision and firing.
C) Guidelines for prescribing meds.
The CTRS wants clients w/ severe intellectual disabilities to be able to freely choose their preferred leisure experiences. When the CTRS uses a variety of tactile, auditory and gustatory objects from which the client chooses, it is called… A) Reality orientation B) Remotivation C) Assertiveness training D) Sensory stimulation
D) Sensory stimulation
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
C) Precontemplation, contemplation, preparation, action, maintenance, and termination
Visualization can be helpful to clients because they can…
A) Use imaginary practice sessions for upcoming stressful situations.
B) Express their feelings without retribution from the group
C) Relax at their own pace
D) Only reveal to the group what they want to reveal
A) Use imaginary practice sessions for upcoming stressful situations.
When using behavior modification w/ a female child who is emotionally disturbed, the CTRS teaches her separate hygiene behaviors (brushing teeth, combing her hair) and then combines them all together in a morning wake up routine. What behavior modification technique is the CTRS using? A) Shaping B) Modeling C) Extinction D) Chaining
D) Chaining
The CTRS requires that all of her employees actively participate in diversity training on a regular basis. She is trying to ensure their… A) Prejudices B) Cultural competence C) Attitudinal awareness D) Recertification through NCTRC
B) Cultural competence
People w/ chronic pain may benefit from time management sessions because…
A) They tend to be the busiest people
B) They tend to be complainers and procrastinators
C) It would help them identify their goals for spending their least painful time constructively
D) It would help them develop a beneficial exercise routine at a local community center
C) It would help them identify their goals for spending their least painful time constructively
Which of the following is NOT appropriate in the TR department’s Written Plan of Operation?
A) The mission, vision, and goals of the unit
B) Comprehensive and specific program protocols
C) The listing of assessments, evaluation and their administrative procedures
D) Individual clients’ treatment and program plans
D) Individual clients’ treatment and program plans
A TR facilitation technique that focuses on taste, touch, sight, smell, hearing and bodily movement, and is often combined w/ reminiscence and remotivation is called… A) Sensory overload B) Aromatherapy C) Sensory stimulation D) Sensory integration
C) Sensory stimulation
The CTRS is teaching clients w/ panic disorders to breathe from their diaphragms, rather than their chests because…
A) Diaphragmatic breathing exchanges a greater volume of air
B) Diaphragmatic breathing can leave the individual light headed
C) Chest breathing is harder to learn
D) The activity analysis showed that more people would be successful
A) Diaphragmatic breathing exchanges a greater volume of air
One of the primary components of a job description is the listing of… A) Past work experiences B) Job duties to be performed C) References D) Education institutions attended
B) Job duties to be performed
The CTRS is working w/ teenagers in a psychiatric inpatient program that is oriented toward Freudian psychology. One of the activities the CTRS would recommend for the clients based on “sublimation of sexual urges” is… A) Crafts B) A dance C) Gymnastics D) Tennis
B) A dance
Which one of the following activities in MOST LIKELY to aid a client in increased physical endurance? A) Leisure resource discussion group B) Video games C) Walking D) Yoga
C) Walking
Which of the following is the LEAST likely way for a CTRS to improve her continuing professional competence?
A) Attend hospital grand rounds
B) Present in-service training sessions to her colleagues
C) Read brochures about services at similar facilities
D) Attend national conferences
C) Read brochures about services at similar facilities
Which method of behavioral observation and recording is the CTRS using when she wants to record how often a behavior occurs during consecutive time periods? A) Frequency or tally B) Duration C) Interval D) Instantaneous time sampling
C) Interval
Which method of behavioral observation and recording is a CTRS using when she wants to record how long a client’s outburst lasts? A) Frequency or tally B) Duration C) Interval D) Instantaneous time sampling
B) Duration
The best direct way to promote the value of TR services within a facility is to…
A) Provide in-service trainings to other disciplines
B) Attend hospital grand rounds
C) Create and post an activity calendar on the unit
D) Create a multidisciplinary assessment
A) Provide in-service trainings to other disciplines
Which method of behavioral observation and recording is the CTRS using when he notes how many times the client uses negative self-statements? A) Frequency or tally B) Duration C) Interval D) Instantaneous time sampling
A) Frequency or tally
One method to increase inter-rater reliability in observations is to…
A) Improve the construct validity of the instrument
B) Use clearly defined and non-overlapping categories
C) Support the results w/ extensive interviews
D) Purchase and compare similar interest inventories
B) Use clearly defined and non-overlapping categories
All of the following are true statements about chronic pain EXCEPT…
A) Chronic pain is defined as pain that lasts more than 6 months
B) No major organic disorder can be found to explain chronic pain
C) Typical onset of chronic pain is the age of 41
D) Chronic pain forms a cycle of lack of activity, then continued pain
C) Typical onset of chronic pain is the age of 41
Reality orientation is a technique used to combat what symptom(s)? A) Lack of assertiveness B) Irresponsibility and immaturity C) Chronic fatigue or stress D) Confusion
D) Confusion
Using the following scenario, Client A is displaying which of the following types of behavior?
During a discussion on the value of leisure, Client A said, “We need to change topics. I don’t like this one. I think it’s for sissies like the rest of you guys.” Client B said, “I feel like I’m benefiting from this discussion and I would like to continue.” Client C said, “I’ll go along with whatever the majority thinks.”
A) Assertive
B) Nonassertive (passive)
C) Aggressive
D) Noncommittal
C) Aggressive
All of the following may be part of the department’s risk management plan, EXCEPT…
A) Acceptable staff/client rations for certain types of programs
B) Qualifications and special certifications needed by staff
C) Marketing brochures for fund raising purposes
D) Procedures for reporting emergencies, crises, and critical incidents
C) Marketing brochures for fund raising purposes
The CTRS brought a wedding album, rice, a bridal veil and a ring pillow to the session to trigger older adults to talk about their past experiences about weddings. What technique was the CTRS employing in this session? A) Remotivation B) Reality orientation C) Reminiscence D) Relaxation response
C) Reminiscence
The modality of Remotivation includes all of the following EXCEPT…
A) Warm, caring, concerned, environment
B) Confrontation with other members of peer group
C) Personal recollections of the topic of the day
D) Connections between past and present reality
B) Confrontation with other members of peer group
Which of the following medications is classified as an opioid? A) Vicoden B) Dexadrine C) Tegretol D) Naproxen
A) Vicoden
One of the principles in ATRA’S Code of Ethics is Beneficience. This concept means…
A) All individuals should receive identical services
B) All clients have the basic right of self-determination
C) At best, provide benefit; at worst, do no harm
D) That confidentiality is expected in almost all situations
C) At best, provide benefit; at worst, do no harm
A CTRS is interested in determining a patient’s leisure interests. From the following options, the CTRS should choose which assessment?
A) Leisure Diagnostic Battery (LDB)
B) Leisurescope
C) BANDI-RT
D) Comprehensive Evaluation in Recreation Therapy Scale (CERT)- Psych
B) Leisurescope
The head of the TR department in a center that treats individuals who are addicted to opioids is likely to assure compliance with which external accreditation standards?
A) Agency for Healthcare Research and Quality (AHRQ)
B) Rehabilitation Accreditation Commission (CARF)
C) Joint Commission (JCAHO)
D) Health Care Financing Administration (HCFA)
B) Rehabilitation Accreditation Commission (CARF)
When appraising research for evidence-based practice, all of the following are appropriate questions EXCEPT:
A) Do the results apply to my clients or situation?
B) Do the benefits outweigh any harm, costs, and/or inconveniences that are involved in the intervention?
C) What other factors need to be considered when applying this evidence?
D) Does the study report confidence intervals?
D) Does the study report confidence intervals?
To be classified as legally blind, a person must have visual acuity no better than… A) 20/20 B) 10/200 C) 20/200 D) 10/100
C) 20/200
Biofeedback, meditation, autogenic training and progressive muscle relaxation are examples of what kind of TR facilitation technique? A) Relaxation training B) Tai chi C) Guided imagery D) Sensory stimulation
A) Relaxation training
The CTRS is instructed to prepare a zero-based budget for the upcoming fiscal year. This means that the CTRS…
A) Adds a certain percentage to last year’s budget to calculate this year’s budget
B) Receives no salary raise for the upcoming year
C) Builds this year’s budget from scratch
D) Must negotiate with other departments to get more money in the budget
C) Builds this year’s budget from scratch
The primary reason the American Therapeutic Recreation Association was created in 1984 was to…
A) Provide services to veterans returning from the Vietnam War
B) Provide workshops and conferences for members to get CEUs
C) Create the national certification examination for TRSs
D) Respond to concerns and issues of TRSs working in clinical facilities
D) Respond to concerns and issues of TRSs working in clinical facilities
The difference between an operational budget and a capital budget is that an operational budget…
A) Includes large expenditures of any kind over $500
B) Covers all revenues and expenditures, except personnel
C) Covers day-to-day revenues and expenditures for a 1 year period
D) Has line-items that can be vetoed by the agency president
C) Covers day-to-day revenues and expenditures for a 1 year period
- Using the following scenario, Client B is displaying which of the following types of behavior?
During a discussion on the value of leisure, Client A said, “We need to change topics. I don’t like this one. I think it’s for sissies like the rest of you guys.” Client B said, “I feel like I’m benefiting from this discussion and I would like to continue.” Client C said, “I’ll go along with whatever the majority thinks.” A) Assertive B) Nonassertive (passive) C) Aggressive D) Noncommittal
A) Assertive
One of the major long-term effects of repeated use of inhalants is… A) Extreme thirst B) A strong reaction to sunlight C) Bruising of the forearms D) Improved sight acuity
A) Extreme thirst
Alcoholism is characterized by…
A) Physical dependence on alcohol and interruptions in typical life functions
B) Drinking 3-7 drinks per day
C) Spending more than 20% of income on alcoholic beverages
D) Repeated intoxication in public
A) Physical dependence on alcohol and interruptions in typical life functions
Accreditation standards for ambulatory health care, behavioral health care, home care and hospitals come from which of the following organizations?
A) Agency for Healthcare Research and Quality (AHRQ)
B) Commission on Accreditation of Rehabilitation Facilities (CARF)
C) Joint Commission (JCAHO)
D) Health Care Financing Administration (HCFA)
C) Joint Commission (JCAHO)
Feelings of overwhelming dread or impending doom w/ increased uneasiness are characteristics of… A) Somatoform disorders B) Schizophrenia C) Anxiety disorders D) Multiple personality disorders
C) Anxiety disorders
In order to teach adults appropriate social skills, the CTRS task analyzes the skill of “beginning a conversation with a new person.” All of the additional techniques would be appropriate to teach social skills, EXCEPT:
A) Demonstration by the CTRS
B) Practice and repetition by the client
C) Practice with feedback from peers in the group
D) Paper and pencil test
D) Paper and pencil test
Managed care has shifted the responsibility of determining the services a patient needs from the providers of services to the… A) State governments B) Payers of service C) Patient D) Middle class
B) Payers of service
In a prospective payment system of health care, the hospital knows that a specific amount will be paid by the insurance company for a particular surgery, regardless of the… A) Skill of surgeon B) Ethnicity of the patient C) Actual cost of surgery D) Intended outcomes
C) Actual cost of surgery
Which of the following is MOST likely to produce positive attitudes toward individuals with disabilities?
A) Increased exposure to and contact w/ individuals w/ disabilities
B) Special discount rates to events and attractions
C) Segregated or specialized services for individuals w/ disabilities
D) Negative terminology and extensive classification systems
A) Increased exposure to and contact w/ individuals w/ disabilities
The organization that provided personnel standards for the TRS is…
A) National Therapeutic Recreation Society (NTRS)
B) American Therapeutic Recreation Association (ATRA)
C) National Council for Therapeutic Recreation Certification (NCTRC)
D) Joint Commission (JCAHO)
C) National Council for Therapeutic Recreation Certification (NCTRC)
All of the following are examples of passive body language, EXCEPT A) Erect body posture B) Dropped head C) Little eye contact D) Hands kept in the lap
A) Erect body posture
Which of the following federal acts defined TR as a related area of service and was responsible for allowing more people with disabilities to be served by CTRSs?
A) 1973 Rehabilitation Act
B) Smith-Sears Veterans Rehabilitation Act
C) Individuals w/ Disabilities Education Act
D) White House Conference on Handicapped Individuals Act
C) Individuals w/ Disabilities Education Act
In the process of developing an assessment instrument, the CTRS observes and rates the client. Then the 1st CTRS has another CTRS observe and rate the client on the same functional behaviors. The ratings are then compared, with nearly a perfect coefficient. What instrument characteristic is being determined? A) Validity B) Reliability C) Usability D) Practicality
B) Reliability
To receive the full benefits of a leisure experience, most CTRSs believe that the experience should be… A) Spontaneous B) Motivational C) Intrinsically motivated D) Challenging
C) Intrinsically motivated
If a client assessment produces results that are reliable, it means that…
A) The content of the assessment matches the content of the intervention program
B) The same client will receive about the same score if given the assessment twice
C) Clients are placed into the most appropriate programs to meet their needs
D) 2 different assessments will produce the same results over time.
B) The same client will receive about the same score if given the assessment twice
A CTRS who works at a residential facility for at-risk youth, uses Piaget’s Cognitive Theory of Development to develop age-appropriate activities. For the 2-7 year olds, he specifically focuses on…
A) Advanced language skills
B) Development of abstract reasoning
C) Symbolic play such as playing house or using puppets
D) Group consensus about the rules of games
C) Symbolic play such as playing house or using puppets
Which of the following agencies is responsible for developing standards for facilities that serve individuals w/ spinal cord injuries, chronic pain and traumatic brain injuries?
A) ATRA
B) Joint Commission (JCAHO)
C) Centers for Medicare and Medicaid Services (CMS)
D) Rehabilitation Accreditation Commission (CARF)
D) Rehabilitation Accreditation Commission (CARF)
All of the following would be principles of effective time management, EXCEPT…
A) Minimize time wasters
B) Procrastinate at least once a day
C) Create an ongoing list of goals and priorities
D) Keep an organizer or calendar close at hand
B) Procrastinate at least once a day
If a facility does not meet standards and is not accredited by the Joint Commission (JCAHO) what is likely to be the result?
A) Medicare, Medicaid and private insurance companies will not pay for services
B) The administration will seek accreditation by CARF
C) Staff’s wages will be garnished until the problem is corrected
D) Nothing, accreditation by the Joint Commission (JCAHO) is not mandatory
A) Medicare, Medicaid and private insurance companies will not pay for services
One of the basic principles of assertiveness training is…
the basic principles of assertiveness training is…
A) If allowed, people will tend to be aggressive toward one another
B) That the majority of people need significant amount of training in social skills
C) That each individual should be able to stand up for his/her rights, while acknowledging the rights of others
D) That most stress is experienced when trying to work with others
C) That each individual should be able to stand up for his/her rights, while acknowledging the rights of others
A CTRS who works with older adults in a long-term care facility, uses Erikson’s Theory of Psychosocial Development to develop age and stage appropriate programs. Specifically she provides programs that help clients to…
A) Increase co-morbidities and secondary conditions
B) Become more community-minded and less self-focused
C) Meet their own needs through intrinsically motivated leisure
D) Reconcile limits and losses associated with aging and mortality
D) Reconcile limits and losses associated with aging and mortality
All of the following assist individuals in coping w/ 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
C) Type A personalities
Which of the following best represents the theory of recreation substitutability?
A) The activity does not matter, it’s the experience that counts
B) The second string squad often plays as well as the first string squad
C) Unable to do one activity, the person chooses another that provides similar satisfactions and benefits
D) There is no substitute for a person’s favorite leisure activity so it must always be available
C) Unable to do one activity, the person chooses another that provides similar satisfactions and benefits
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) Increased the individual’s capacity to take on and handle more stress
D) Aid individuals who have recently suffered severe and significant losses
B) Cope more effectively with distress and add more positive stress (eustress)
One of the most important ways in which CTRSs help clients develop independent and satisfying leisure lifestyles is by teaching them…
A) As many leisure activities as possible
B) How to make positive leisure choices for self-involvement
C) How to access public transportation and leisure facilities
D) The concepts of self-determination and intrinsic motivation
B) How to make positive leisure choices for self-involvement
The Comprehensive Evaluation in Recreation Therapy – Physical Disabilities (CERT-PD) measure which of the following sensory abilities EXCEPT A) Visual acuity B) Ocular pursuit C) Depth perception D) Taste perception
D) Taste perception
Which of the following is NOT assessed as part of a cognitive assessment for older adults? A) Memory B) Communication skills C) Problem-solving skills D) Safety awareness
B) Communication skills
Title II in the Americans w/ Disabilities Act of 1990 (and later amendments) concerns discrimination with regard to…
A) Recreation services and facilities
B) Employment
C) Education
D) Both physical and programmatic services
D) Both physical and programmatic services
Using the following scenario, Client C is displaying which of the following types of behavior?
During a discussion on the value of leisure, Client A said, “We need to change topics. I don’t like this one. I think it’s for sissies like the rest of you guys.” Client B said, “I feel like I’m benefiting from this discussion and I would like to continue.” Client C said, “I’ll go along with whatever the majority thinks.” A) Assertive B) Nonassertive (passive) C) Aggressive D) Noncommittal
B) Nonassertive (passive)
Which of the following is listed as a related service under the Individuals w/ Disabilities Education Act of 2004? A) Therapeutic recreation B) Personal (exercise) training C) Science education D) Medicaid
A) Therapeutic recreation
The CTRS is leading a group of elderly clients who are disoriented using Validation Therapy. Which phase is being used when the CTRS says, “Sometimes I feel very lonely and when I do, I go looking for a friend. Do you ever feel lonely, Mrs. Jones?
A) Birth of the Group—Creating Energy
B) Life of the Group—Verbal Interaction
C) Movement & Rhythm
D) Closing of the Group with Anticipation for the Next Meeting
B) Life of the Group—Verbal Interaction
Which of the following statements is NOT a suggested principle for structuring inclusionary programs?
A) Exempt the person w/ the disability from rules that require physical or intellectual skills
B) Rotate positions and roles of the participants within the activity or program
C) Role model positive, accepting behavior as the leader of he activity or program
D) Accent positive attributes and skills of all participants.
A) Exempt the person w/ the disability from rules that require physical or intellectual skills
What is the primary feature that distinguishes “therapeutic recreation” from “recreation?”
A) Setting in which interventions take place
B) Purposeful nature of intervention to bring about behavioral change
C) Nature of the selected experiences to facilitate outcomes
D) Extent of time leaders prepare for interventions and follow-up after intervention
B) Purposeful nature of intervention to bring about behavioral change
The term “continuity of care” means that the…
A) The treatment team strives to provide predictable, connected, meaningful programs to clients
B) Client is transitioned from clinical to community settings
C) Client is involved in inclusive recreation services in the community with non-disabled peers
D) Specialist serves as a case manager throughout the client’s length of stay at the facility
A) The treatment team strives to provide predictable, connected, meaningful programs to clients
Which of the following statements are true about persons qualifying for services under the Individuals w/ Disabilities Education Act of 2004?
A) All individuals aged 5-21 with disabilities qualifies for services
B) All individuals pre-school to age 21 with disabilities and with need qualify for services
C) Only individuals with cognitive, emotional and physical disabilities from pre-school to 21 qualify for services
D) Only individuals with cognitive and physical disabilities who have an IQ above 85 qualify for services
B) All individuals pre-school to age 21 with disabilities and with need qualify for services
Which question below addresses client evaluation?
A) How consistent are the services being delivered to clients?
B) How many programs did the client attend?
C) Was the specialist effective and efficient in delivering intervention services to the client?
D) What proposed outcomes were achieved as the result of the client’s involvement in the program?
D) What proposed outcomes were achieved as the result of the client’s involvement in the program?
“Accessible” facilities become “usable” when the person with a disability can…
A) Expect to receive special treatment and services
B) Function as independently as possible
C) Socialize w/ individuals with similar disabilities
D) Enter through the front door and use the restroom area
B) Function as independently as possible
The CTRS tracks the number of times a client responds appropriately to another peer, in order to monitor the effects of the social skills program. This type of observation is being recorded through the \_\_\_\_\_\_\_\_\_\_\_ method. A) Tally B) Duration C) Interval D) Instantaneous time sampling
A) Tally
Utilization review in hospitals in the process of …
A) Recruiting, interviewing and hiring new specialists from various disciplines
B) Changing from retrospective payments to managed care
C) Evaluating the most efficient and effective use of resources
D) Making sure all professionals attend professional conferences in their discipline
C) Evaluating the most efficient and effective use of resources
The purpose of an assessment protocol is to…
A) Make sure every client has the same diagnosis and treatment plan
B) Increase sensitivity to cultural minorities
C) Align the TR assessment w/ the occupational therapy assessment
D) Increase the reliability of the assessment administration
D) Increase the reliability of the assessment administration
What piece of legislation mandates program accessibility in public accommodations?
A) Americans w/ Disabilities Act of 1990
B) Section 504 of the 1973 Vocational Rehabilitation Amendments
C) Architectural Barriers Act of 1968
D) Public Law 94-142 of 1975
A) Americans w/ Disabilities Act of 1990
The CTRS wants the client to gain upper body strength so that he can propel his wheelchair for longer distances. The CTRS would MOST LIKELY use… A) Weight training B) Wheelchair basketball C) Tai Chi D) Anaerobic exercise
A) Weight training
According to Healthy People 2020, individuals w/ disabilities are more likely to experience poorer health than their non-disabled counterparts because of the following EXCEPT:
A) Inaccessibility of health care facilities
B) Inaccessibility of physical fitness area and facilities
C) Lack of social support
D) Improved health care monitoring
D) Improved health care monitoring
The Functional Assessment of Characteristics for TR – Revised (FACTR-R) measures which of the following?
A) Leisure functioning
B) Decision-making skills
C) Prerequisite skills related to leisure participation
D) Leisure skills typically needed to live in the community
C) Prerequisite skills related to leisure participation
A “leisure lifestyle” means that the individual…
A) Is unemployed and is “at leisure” for most of the day
B) Has developed a daily pattern of leisure involvement
C) Participates in a variety of leisure activities
D) Is independent in most if not all of daily activities
B) Has developed a daily pattern of leisure involvement
Which of the following is NOT assessed as part of a social skills assessment for youth in psychiatric treatment?
A) Tell me how you would introduce yourself to a youth you didn’t know
B) Where is a good place to meet other kids w/ common leisure interests?
C) How would you ask someone to go bowling with you?
D) When was the last time you played a game for more than 30 minutes?
D) When was the last time you played a game for more than 30 minutes?
All of the following are examples of physical benefits of leisure participation EXCEPT…
A) Potential counteragent to negative lifestyle choices
B) Reduction of secondary disabilities
C) Improved health indicators such as bone density and joint mobility
D) Increase in high blood pressure and heart disease
D) Increase in high blood pressure and heart disease
Which of the following activities is MOST LIKELY based on competition? A) Scrabble B) Dancing C) Dramatic theatre D) Running
A) Scrabble
Which of the following is an example of a “structure” indicator in TR services?
A) Proportion of TRSs to other therapists
B) Outcomes of clients who receive TR services
C) Frequency of interactions between clients and therapists
D) Client achievement of social interaction skills objectives
A) Proportion of TRSs to other therapists
As the level of intellectual disability increases from mild to severe/profound, the CTRS should expect to see increased…
A) Social and intellectual skill development
B) Compensation for skill deficits
C) Need for transportation
D) Secondary physical limitations and sensory impairments
D) Secondary physical limitations and sensory impairments
Time management is the practice of…
A) Structuring time to focus on important activities and minimizing unimportant activities
B) Fitting more activities into a person’s schedule
C) Reducing the number of commitments on your time
D) Keeping track of events and appointments in a personal calendar
A) Structuring time to focus on important activities and minimizing unimportant activities
Typical treatment for decubitus ulcer includes…
A) Increased cardiovascular exercise
B) A prescription for blood pressure medication
C) Bed rest and antibiotics
D) Daily stress management classes
C) Bed rest and antibiotics
Which of the following is an example of as “outcome” indicator in TR services?
A) Proportion of TRSs to other therapists
B) Proportion of clients who receive TR services
C) Proportion of clients treated according to TR protocols
D) Client achievement of social interaction skills objectives
D) Client achievement of social interaction skills objectives
The client is showing signs of disorientation, confusion and memory loss. After the CTRS completes the assessment and meets with the treatment team, he/she should use which of he following intervention techniques? A) Resocialization B) Remotivation C) Reality orientation D) Refocusing
C) Reality orientation
The CTRS provides many active games and sports to adolescents with emotional disturbances to allow for the release of disorganized and pent-up emotions. The CTRS adheres to which of the following theories of play? A) Custodial B) Psychoanalytical C) Compensatory D) Catharsis
D) Catharsis
The CTRS designed a program to assist older adults with intellectual disabilities to share their previous life experiences after reading poetry about children. The CTRS was using a technique known as… A) Reality orientation B) Remotivation C) Teach back D) Cognitive restructuring
B) Remotivation
A client’s sense of control may be increased through all of the following EXCEPT…
A) Asking what type of community event the person would like to attend
B) Giving the client an important role in planning to attend an event
C) Asking the client to take part in the meal preparation
D) Placing the sign-up sheet in the main activity room so all can find it
D) Placing the sign-up sheet in the main activity room so all can find it
The CTRS, in an assertiveness training session, teaches clients to avoid being persuaded by others into doing something against their wishes, by repeating a concise statement of refusal. The CTRS is teaching clients the technique of… A) Clouding B) Broken record C) Compromise D) Defusing
B) Broken record
An advantage of calling someone’s references before hiring him is that the supervisor can…
A) Ask the reference to compare qualifications of several applicants
B) Ask about personal issues such as family status, drug and alcohol history, and religion
C) Verify information from the resume or interview
D) Orient the employee to hospital procedures and introduce staff of different departments
C) Verify information from the resume or interview
In order to benefit from aerobic exercise, individuals need to reach and stay within their target heart rate for at least twenty minutes. This formula for calculating target heart rate is…
A) age minus 20, times 1.5
B) 60 to 75% of normal maximum heart rate
C) weight minus 15, plus age
D) 40% of normal maximum heart rate
B) 60 to 75% of normal maximum heart rate
The Centers for Medicare and Medicaid Services (CMS) monitors quality assessment and performance improvement in facilities that…
A) Serve individuals covered by the federal government’s health insurance program
B) Use the TR Accountability Model
C) Adhere to the ATRA’s Standards of Practice
D) Are located in low-income, urban areas
A) Serve individuals covered by the federal government’s health insurance program
In the following exchange, Client A was showing which of the following behavioral styles?
A: “You guys must cover for me when the head nurse comes and asks why I wasn’t in group therapy this morning. B: “Okay, whatever you say.” C: “No, I can’t do that for you, because that would be lying.” A) Aggressive B) Passive C) Assertive D) Emotive
A) Aggressive
Which of the following is an example of a program based on the principle of “normalization?”
A) Older adults with sensory deficits are taken to a playground
B) Female teenagers with intellectual disabilities play video games and listen to music
C) Youths in juvenile detention attend programs on vacationing overseas
D) All children w/ disabilities are registered for community recreation programs
B) Female teenagers with intellectual disabilities play video games and listen to music
The CTRS employs and activity that focuses on the client’s thoughts. What is this kind of therapy called? A) Cognitive therapy B) Behavior therapy C) Affective therapy D) Gestalt therapy
A) Cognitive therapy
Which of the following in an example of intrinsically motivated leisure?
A) The client joins a quilters club for her own enjoyment
B) The client’s incentive for joining the running club is trophies
C) The client learns golf so he can play golf with his colleagues
D) The client joined the fitness center because many of his friends are members
A) The client joins a quilters club for her own enjoyment
The CTRS has clients discuss whether their daily behavior reflects their statements that their own personal health is of high importance. The specialist is using which of the following TR facilitation techniques? A) Bibliotherapy B) Remotivation C) Resocialization D) Values clarification
D) Values clarification
The CTRS is aware that clients, like the rest of the American population, are apt to be more overweight and obese, and he realizes this puts them at risk of not having a healthy and satisfying leisure lifestyle. To find out more information about this trend as well as ways to reverse it, the CTRS should read documents at which of the following web sites? A) www.toofatforhealth.org B) www.healthpeople.gov C) www.takebackyourtime.org D) www.recreationtherapy.com
B) www.healthpeople.gov
The CTRS is leading a group of elderly clients who are disoriented using Validation Therapy. Which phase is being used when the CTRS says, “Mr. Smith did you remember to bring the poem you wanted to share with us? You did. Great! O.K. let’s listen to Mr. Smith’s poem.”
A) Birth of the Group—Creating Energy
B) Life of the Group—Verbal Interaction
C) Movement and Rhythm
D) Closing of the group w/ Anticipation for the next meeting
A) Birth of the Group—Creating Energy
In developing a leisure lifestyle, an individual often selects leisure experiences in which they can expect reasonable success, based on past experiences and past success. This is based on the concept of… A) self-determination B) ecological development C) perceived competence D) optimal functioning
C) perceived competence
When a CTRS provides an accepting and understanding attitude to a client and, as a result, that positive involvement reduces the client’s feelings of loneliness and worthlessness, and helps the client to take responsibility to alter irresponsible behavior, the CTRS is probably using what therapy? A) Psychoanalytic B) Behavior C) Reality D) Rational emotive
D) Rational emotive
Medicare Part A provides for all of the following health services EXCEPT… A) in-patient hospital care B) skilled nursing in long-term care C) hospice care D) outpatient rehabilitation services
D) outpatient rehabilitation services
Which of the following activity titles seem MOST appropriate to help clients develop social skills? A) Bingo B) Interaction skills for adults C) Low-cost activities for children D) Volleyball
B) Interaction skills for adults
The CTRS is leading a group of elderly clients who are disoriented using Validation Therapy. In which phase does the CTRS serve refreshments and plays an upbeat song?
A) Birth of the Group—Creating Energy
B) Life of the Group—Verbal Interaction
C) Movement and Rhythm
D) Closing of the group w/ Anticipation for the next meeting
D) Closing of the group w/ Anticipation for the next meeting
The CTRS met one of her client’s relatives in a local restaurant and let them know that his prescriptions had recently been changed to better control his behavior. The CTRS violated provisions in the…
A) Medicaid and Medicare regulations
B) Older Americans Act of 1965 and its reauthorizations
C) Health Insurance Portability and Accountability Act (HIPAA) of 1996
D) Patient Privacy Act (PPA) of 2010
C) Health Insurance Portability and Accountability Act (HIPAA) of 1996
Considering the typical leisure patterns of adolescents, which activity is MOST LIKELY to be appropriate? A) Community folk and social dance club B) Square dancing C) Computer and video games D) Crossword puzzles
C) Computer and video games
The Analysis part of a SOAP note contains what types of information? A) Assessment B) Activity recommendations C) Interpretation of data D) Revision in the treatment plan
C) Interpretation of data
In Rational Emotive Therapy, the focus is placed on…
A) Irrational self-statements that interfere w/ a person’s ability to see reality objectively
B) Reducing stress by eliminating emotions that are not rational
C) Paying attention to the physiological responses to stress
D) Clarifying what the person thinks or feels about his/her family members
A) Irrational self-statements that interfere w/ a person’s ability to see reality objectively
An advantage of SOAP notes over narrative notes is they…
A) Are completed only by select members of the treatment team
B) Contain more subjective information about the client
C) Are more structured and organized
D) Require behavioral observation
C) Are more structured and organized
When he is upset or things do not go his way, the client lashes out at people, often making very caustic remarks and sometimes striking them. A TR facilitation technique that is MOST LIKELY to help the client is called… A) Journaling B) Reality therapy C) Resocialization D) Anger management
D) Anger management
Which of the following is a formative program evaluation question?
A) What unanticipated events or outcomes occurred in this program that were not part of the program plan?
B) Did the sequence of activities appear to be logical and appropriate?
C) How much time will be allotted for the program next time it is offered?
D) Are there enough resources for the remainder of the program?
D) Are there enough resources for the remainder of the program?
If a person believes that he/she does not have the right skills to complete a leisure experience, and then generalized this inadequacy to all other leisure behaviors, this person is exhibiting which of the following? A) Leisure efficacy B) Learned helplessness C) Attributional leisure response D) Extrinsic motivation
B) Learned helplessness
When is it most appropriate to use structured observations for client assessment?
A) When actual behavior is of concern
B) When the person’s perceptions of behaviors are important
C) When the person acts out in public
D) Rarely, interviews are always the better choice for client assessment purposes
A) When actual behavior is of concern
Which of the following is NOT appropriate to document in the TR department’s written plan of operation?
A) The philosophy of the TR department
B) Comprehensive and specific program descriptions
C) Description of assessment tools and assessment protocol
D) The treatment plans and progress notes
D) The treatment plans and progress notes
Meditation is the practice of…
A) Resolving domestic violence conflicts
B) Attempting to mindfully focus on one thought at a time
C) Chanting mantras while in a yoga position
D) Making clients responsible for their own behaviors
B) Attempting to mindfully focus on one thought at a time
Knowing the payer mix of the agency is important because it…
A) Influences how external accreditation agencies review the various departments
B) Requires an extensive knowledge of insurance company forms
C) Influences how the agency gets reimbursed for services
D) Shortens the patient’s length of stay
C) Influences how the agency gets reimbursed for services
Which of the following is an example of a probe that could be used during a client assessment?
A) “My name is Reginald and I’d like to learn as much as I can today about your leisure”
B) “To summarize your comments thus far…”
C) “And now let’s move to the 3rd section of the assessment”
D) “Tell me about your artistic ability”
D) “Tell me about your artistic ability”
The process by which a nongovernmental agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency or association is called… A) licensure B) accreditation C) certification D) registration
C) certification
Biofeedback can help individuals learn to modify all of the following bodily functions, EXCEPT… A) Muscle tension B) Skin surface temperature C) Blood pressure D) Rapid eye movement
D) Rapid eye movement
The process by which qualified individuals are listed on an official roster maintained by a governmental or non-governmental agency is called… A) licensure B) accreditation C) certification D) registration
D) registration
Which of the following represents the highest level of cross-cultural competence?
A) Being aware that one is lacking knowledge about another culture
B) Learning about clients’ cultures and providing culturally specific interventions
C) Automatically providing culturally congruent care to clients of diverse cultures
D) Not being aware that one is lacking knowledge about another culture
C) Automatically providing culturally congruent care to clients of diverse cultures
The CTRS wants to assess whether her clients follow the American College of Sports Medicine guidelines for physical activity involvement. She asks which of the following questions?
A) Do you, on average, exercise for 30 minutes per day at least 5 days a week?
B) Do you participate in at least 4 physical leisure activities per week?
C) Do you achieve a resting heart rate of at least 100 beats per minute?
D) How many miles do you walk in one day, on average?
A) Do you, on average, exercise for 30 minutes per day at least 5 days a week?
Managed care is an effort on behalf of insurance companies to…
A) increase patient’s length of stay
B) control costs of caring for clients
C) reduce the paperwork involved in client care
D) decrease the number of preferred provider organizations (PPOs)
B) control costs of caring for clients
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its updates provide which of the following for health care recipients?
A) States must have ‘reciprocity’ for employee health insurance plans
B) Information about an individual’s health care is protected from unwarranted disclosure
C) All recipients must have access to the results of quality improvement efforts on their health care providers
D) Health insurance policies must be transferable between employment settings
B) Information about an individual’s health care is protected from unwarranted disclosure
Which of the following types of activity often is used in stress management programs? A) Progressive muscle relaxation B) Remotivation C) Social skills training D) Trust building
A) Progressive muscle relaxation
For a service to be reimbursable, in many instances insurance companies require the therapist to provide what information or evidence?
A) Assessment tools sanctioned by JCAHO, HCFA or CARF
B) Source-oriented medical records
C) Physician’s orders
D) Risk management plan for the activity
C) Physician’s orders
An “optimal experience” (commonly called a peak experience of flow) is more likely to happen when…
A) the person’s skills are adequate for the challenge
B) the individual is surrounded by loved ones
C) it is preceded by pleasant emotions and positive regard
D) the person is highly skilled at the activity
A) the person’s skills are adequate for the challenge
Which of the following assessments would be located in the category of Leisure Attitudes and Barriers?
A) Leisure Motivation Scale (LMS)
B) BANDI-RT
C) Therapeutic Recreation Index (TRI)
D) Global Assessment of Functioning (GAF)
A) Leisure Motivation Scale (LMS)
Evaluation is conducted on a specific individual programs in order to…
A) provide systematic information for future program decisions
B) provide systematic information on client regression
C) increase validity and reliability of client assessment procedures
D) develop individual client treatment plans
A) provide systematic information for future program decisions
Which of the following is an important premise of Reality Therapy?
A) The specialist helps the client stay oriented to time, person and place
B) The client is responsible for all of his or her behavior
C) The specialist helps the client explore connections between past experiences and present actions
D) The specialist helps the client focus on stopping irrational thoughts
B) The client is responsible for all of his or her behavior
Which of the following is NOT a condition of informed consent?
A) Person is capable of making health care decisions
B) Person is acting voluntarily without coercion or deceit
C) Person has immediate access to health care records
D) Person is provided simple yet complete information about the procedures, risks, benefits and alternatives
C) Person has immediate access to health care records
The client says that involvement with her family is very important to her, but spends an inordinate (excessive) amount of time at work, usually bringing home a large pile of work to do in the evenings and on the weekends. The CTRS may use what type of therapeutic technique to help her review her priorities and behaviors? A) Values clarification B) Reality orientation C) Assertiveness training D) Bibliotherapy
A) Values clarification
Cataracts involves the clouding of the cornea of the eyeball and is the leading cause of… A) falls in the elderly B) blindness C) glaucoma D) nearsightedness
B) blindness
Which of the following is an appropriate program evaluation question to ask clients?
A) How satisfied were you with the qualifications of the staff?
B) What did you learn from your participation in the program?
C) How do you spend time with your family?
D) How satisfied were you with the activity analysis of the program?
B) What did you learn from your participation in the program?
Which of the following is the BEST example of a receptive communication dysfunction?
A) Inability to transform experiences into language
B) Inability to comprehend the written or spoken word
C) Inability to express oneself through actions or language
D) Inability to distinguish nuances in spoken language
B) Inability to comprehend the written or spoken word
The process by which an agency or organization evaluates and recognizes a program of study or an institution as meeting certain predetermined qualifications or standards is called\_\_\_\_\_\_\_\_. A) licensure B) accreditation C) certification D) registration
B) accreditation
Which of the following might be an outcome indicator assessed through a continuous quality improvement program?
A) Qualifications of the TR staff
B) Environment in which treatment is provided
C) Intervention strategies employed by the CTRS
D) Changes in client’s functional capacity
D) Changes in client’s functional capacity
In the following exchange, Client B was showing which of the following behavioral styles?
A: “I want you both to cover for me when the head nurse comes and asks why I wasn’t in group therapy this morning.”
B: “Okay, whatever you say.”
C: “No, I can’t do that for you, because that would be lying.”
A) Aggressive
B) Passive
C) Assertive
D) Emotive
B) Passive
“Clinical indicators” are used in quality improvement to…
A) evaluate the degree of client satisfaction with services received
B) compare one discipline’s outcomes compared to other disciplines
C) measure how well the targets were achieved
D) provide a basis for evidence-based practice
C) measure how well the targets were achieved
In the following exchange, Client C was showing which of the following behavioral styles?
A: “I want you both to cover for me when the head nurse comes and asks why I wasn’t in group therapy this morning.”
B: “Okay, whatever you say.”
C: “No, I can’t do that for you, because that would be lying.”
A) Aggressive
B) Passive
C) Assertive
D) Emotive
C) Assertive
The process of comparing the quantity of services provided with the amount of resources such as staff and time used is called… A) market segmenting B) risk management C) productivity measure D) analysis of care
C) productivity measure
Why does “thought stopping” help reduce stress reactions in people who have obsessive or phobic thoughts?
A) Thoughts precede emotions which precede physiological responses
B) It punishes them for their negative thoughts
C) It isolates them from the group before they can be hurt
D) It shows them they have value and worth
A) Thoughts precede emotions which precede physiological responses
One of the primary tenets of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and later rules is that individual health information:
A) must be kept private and confidential
B) must be kept electronically so it can be shared with other providers
C) should be part of the individual’s medical record
D) should be checked annually for medical errors
A) must be kept private and confidential
Which of the following is the BEST example of using guided visualization as a facilitation technique in TR?
A) Having a person with cancer imagine good cells chomping on cancerous cells
B) Asking a group to role play what they might do when a stranger approaches
C) Asking a group of clients to express their feelings through any visual art medium
D) Asking a client to paint a picture of her future leisure
A) Having a person with cancer imagine good cells chomping on cancerous cells
Which statement describes an intent or purpose common to both systems planning and quality improvement plans?
A) Each describes the relationship of the comprehensive program to individual treatment plans
B) Each outlines the relationship between the agency and departmental procedures
C) Both define the components of department programs
D) Each provides a systematic method to evaluate service delivery
D) Each provides a systematic method to evaluate service delivery
One example of a “trigger” within the Activities section on the MDS 3.0 would be when the individual…
A) prefers more or different activity choices than are now being offered
B) rarely receives visits from family or friends
C) is completely independent on his/her leisure pursuits
D) is ready for discharge to his/her home
A) prefers more or different activity choices than are now being offered
One document within a written plan of operation is the department’s or unit’s scope of care. The scope of care specifies…
A) the comprehensive goals and program areas of the department
B) methods of treating groups of clients
C) the treatment protocols for specific diagnostic groups
D) how the CTRS should interact with the clients
A) the comprehensive goals and program areas of the department
In assessment the most significant source of information is usually the… A) client B) care giver C) medical records D) team members
A) client
The following is an example of which one of the following health care delivery systems? The focus of care is on the improvement of knowledge for the world of work. A) Medical B) Custodial C) Milieu D) Education and Training
D) Education and Training
A CTRS is nonjudgmental, nondirective and provides an accepting atmosphere allowing the clients to assume the same positive self-regard the CTRS has shown to the client. The CTRS is using \_\_\_\_\_\_\_\_\_\_\_\_\_ therapy. A) gestalt B) reality C) rational emotive D) person centered
D) person centered
From assessment results, the CTRS determines that the client has an inability to assert himself with peers or to follow through with commitments. He also lacks receptive communication skills. Which of the following TR programs would be MOST appropriate for this client? A) Leisure planning B) Social skills training C) Leisure values and attitudes D) Leisure resources
B) Social skills training
All of the following areas of a TR department’s written plan of operation may have specific, written policies and procedures, EXCEPT…
A) obtaining physician’s orders for treatment of clients
B) employee hiring and firing procedures
C) how CTRSs apply for recertification
D) procedures for obtaining supplies from the dietary department
C) how CTRSs apply for recertification
Which of the following is of primary importance for the CTRS to consider when selecting an intervention program that will produce a specific client outcome?
A) Resources necessary to offer the experiences
B) Staff skills needed to lead the activity
C) Functional requirements of the activity
D) Risk management protocols for the experience
C) Functional requirements of the activity
According to Maslow, all humans are striving to achieve \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ but first must fulfill other essential needs. A) self-actualization B) ego esteem needs C) a sense of love and belonging D) safety/security
A) self-actualization
A CTRS is interested in determining behaviors that relate to a person’s ability to successfully integrate into society using his/her social interaction skills. From the following options, the CTRS should choose which assessment?
A) Leisure Diagnostic Battery (LDB)
B) Leisurescope
C) BANDI-RT
D) Comprehensive Evaluation in Recreational Therapy Scale (CERT) – Psych
D) Comprehensive Evaluation in Recreational Therapy Scale (CERT) – Psych
Which one of the four categories of child development does the skill “heeds his/her name” belong? A) Personal/social B) Adaptive/fine motor behavior C) Motor behavior D) Language
A) Personal/social
The Global Assessment of Functioning (GAF) is a numeric scale used by clinicians and physicians in what type of setting? A) Long-term care B) Physical rehabilitation C) Mental health D) Pediatric health care
C) Mental health
A CTRS is looking for program ideas for adolescent substance abusers. The BEST resource for the CTRS is…
A) the Therapeutic Recreation Journal
B) state recreation conferences
C) chemical dependence conference
D) other TR professionals who work in chemical dependency
D) other TR professionals who work in chemical dependency
In order for charting-by-exception to be effective, what first must be accomplished?
A) Standards of care must be predefined so exceptions can be identified
B) The patient must be medically stable and coherent
C) Reimbursement for services has to be standardized hospital-wide
D) All health care professionals must agree to a single-page assessment form
A) Standards of care must be predefined so exceptions can be identified
Which of the following examples typify the theory of self-efficacy?
A) The client believes he is efficient in most leisure activities
B) The client believes her life would change completely if she could live by herself
C) The client hates to lose so tried extremely hard to excel so he can win
D) The client believes he can master kayaking since he excels at canoeing
D) The client believes he can master kayaking since he excels at canoeing
Most video games use which of the following social interaction patterns? A) Intragroup B) Multilateral C) Interindividual D) Extraindividual
D) Extraindividual
Understanding facial expressions, customs, appropriate dress and the like are important considerations for improving a CTRS’s… A) performance reviews B) scope of practice C) clinical supervision D) cultural competence
D) cultural competence
Which of the following is NOT a rule for activity modification?
A) Keep the activity and action as close as possible to the original or traditional activity as possible
B) Modify only aspects of the activity that need adapting
C) Individualize the modifications
D) Use assistive technology wherever possible to ease the physical requirements of the activity
D) Use assistive technology wherever possible to ease the physical requirements of the activity
Neurological functions necessary for survival (ex.- breathing, digestion, heart rate) are located in what section of the brain? A) Brainstem B) Cerebellum C) Frontal lobe D) Occipital lobe
A) Brainstem
The term “branding” in marketing and public relations means that
A) a product or service is differentiated from other similar products or services
B) all company trademarks are copyrighted
C) a company focuses on the one product or service that sells the best
D) all employees are responsible for ‘selling’ the product or service
A) a product or service is differentiated from other similar products or services
A baby born with fetal alcohol syndrome will most likely have which of the following symptoms or characteristics?
A) Intellectual disability, facial abnormalities, and stunted growth
B) Enlarged heart, chemical tolerance, and bowed legs
C) Stunted growth, heart disease and short stature
D) Facial abnormalities, tendency to weep and stunted growth
A) Intellectual disability, facial abnormalities, and stunted growth
After the client assessment has been completed, the next step in the programming process is to A) write treatment summaries B) analyze activities C) identify the problem(s) D) develop goals and objectives
C) identify the problem(s)
The anatomical term “carpal” refers to which area of the body? A) Abdominal cavity B) Wrist C) Thigh D) Buttocks
B) Wrist
Educating others about a particular issue on behalf of another person is called A) education for all B) advocacy C) wellness promotion D) attitude adjustment
B) advocacy
Which of the following is a likely secondary condition to osteoporosis? A) Muscle wasting B) Hip fracture C) Osteoarthritis D) Hypertension
B) Hip fracture
Using a holistic approach to TR services means that the CTRS
A) provides integrated services based in the community
B) addresses social, physical, cognitive, and emotional functioning in leisure
C) is part of a transdisciplinary treatment team
D) uses activity analysis to assess the characteristics of leisure activities
B) addresses social, physical, cognitive, and emotional functioning in leisure
In the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), the diagnosis of depression would be categorized under A) Axis I B) Axis II C) Axis III D) Axis IV
A) Axis I
Which of the following is an appropriate area for assessing affective functioning? A) Dual communication skills B) Safety awareness C) Emotional regulation D) Leisure attitudes
C) Emotional regulation
A CTRS is most likely to teach which of the following skill sets to individuals w/ panic disorders? A) Relaxation B) Cognitive dissonance C) Reality orientation D) Sensory stimulation
A) Relaxation
A CTRS wants to assess a patient’s/client’s ability to control anger. The CTRS should assess behavior from which of the following domains? A) Cognitive B) Physical C) Emotional D) Social
C) Emotional
The two most widely used, evidence-based treatments for post-traumatic stress disorder are
A) therapeutic exposure and cognitive reframing
B) biofeedback and dream analysis
C) escalation and progressive muscle relaxation
D) modeling and stress management
A) therapeutic exposure and cognitive reframing
In 1953, what organization was formed to identify and resolve different philosophies held by members of the Hospital Recreation Society, the Recreation Therapy Section and the National Association of Recreation Therapists?
A) Council for the Advancement of Hospital Recreation (CAHR)
B) American Therapeutic Recreation Association (ATRA)
C) National Therapeutic Recreation Society (NTRS)
D) American Association of Recreational Therapy (AART)
A) Council for the Advancement of Hospital Recreation (CAHR)
Which of the following is a FALSE statement about self-efficacy?
A) People are born with or without self-efficacy and it rarely changes during one’s life course.
B) Self-efficacy involves one’s perceptions about his/her capabilities to attain a goal.
C) As a person gains mastery in one area, self-efficacy may spread to other areas as well.
D) To improve self-efficacy, it is better to start with simpler, smaller tasks that can be more readily accomplished.
A) People are born with or without self-efficacy and it rarely changes during one’s life course.
Which of the examples below illustrates using the principles of evidence-based research in therapeutic recreation?
A) The CTRS uses results from a Therapeutic Recreation Journal article to most efficiently create a stress management program.
B) The CTRS collects evidence over 12 months to show the attendance rates of clients.
C) The CTRS attends a research forum at a national conference.
D) The CTRS calls colleagues to see how their aquatic programs are designed.
A) The CTRS uses results from a Therapeutic Recreation Journal article to most efficiently create a stress management program.
The purpose of the conjunctiva in the human eye is to… A) provide color to the iris B) sense and react to light C) refract light as it enters the eye D) protect the eye from irritants
D) protect the eye from irritants
A client holds two opposing beliefs; one is that work is the most important thing in life and the second is that most enjoyment comes from leisure activities. Because this client feels this is a problem, the CTRS might employ which of the following intervention techniques w/ this client? A) Values clarification B) Reality orientation C) Remotivation D) Cognitive restructuring
A) Values clarification
Society generally devalues individuals with disabilities, reinforcing negative attitudes by doing all of the following EXCEPT
A) using offensive terminology w/ regard to people w/ disabilities
B) treating them as helpless and victimized
C) labeling them as social burdens
D) treating them as equals
D) treating them as equals
Two clients ran away during a community outing. After contacting the police, the CTRS complete which form? A) Incident report B) Revised treatment plan C) Discharge/referral summary D) Liability summary
A) Incident report
All of the following would be considered leisure constraints EXCEPT A) freedom of choice B) lack of leisure partners C) inability to make decisions D) fear of stigma
A) freedom of choice
Which of the following is an example of using “displacement” as a defense mechanism?
A) Not remembering that the event occurred.
B) Attributing the action or behavior to another person
C) Using a subordinate as the scapegoat
D) Not acknowledging the magnitude of a stressful event
B) Attributing the action or behavior to another person
Presbyopia is a visual condition common in older individuals that results in
A) loss of elasticity of the lens and inability to focus on an object
B) an astigmatism of unequal portions
C) cataracts
D) glaucoma
A) loss of elasticity of the lens and inability to focus on an object
Which type of facility has the highest bed occupancy rate of all long-term care facilities?
A) Nursing homes
B) State facilities for individuals w/ developmental disabilities
C) Psychiatric hospitals
D) Physical medicine and rehabilitation centers
C) Psychiatric hospitals
In which of the following steps does the CTRS collect feedback for the improvement of future programs? A) Assessment B) Program planning C) Program implementation D) Program evaluation
D) Program evaluation
In the Leisure Ability Model, the purpose of functional intervention services is to
A) provide co-treatment with other therapies at the most basic, functional levels
B) acquaint clients with available and appropriate community services
C) bring clients up to the baseline of their peers’ average functional level
D) increase the physical capabilities of the clients
C) bring clients up to the baseline of their peers’ average functional level
A strategic plan is a method of…
A) projecting needs and activities of an organization in the future
B) continuous quality improvement
C) protocol development and implementation
D) resource utilization
A) projecting needs and activities of an organization in the future
Which of the following sets of standards was established by the field of therapeutic recreation to address quality of service delivery? A) Accreditation standards B) Certification standards C) Education standards D) Standards of practice
D) Standards of practice
CTRSs and activity personnel typically complete which section of the MDS 3.0 assessment?
A) Section A Functional Abilities and Wellness
B) Section C Activity Interests and Participation
C) Section F Preferences for Customary Routine and Activities
D) Section K Activities of Daily Living and Leisure Experiences
C) Section F Preferences for Customary Routine and Activities
A disability that is present a birth is described as A) congenital B) adventitious C) traumatic D) acquired
A) congenital
What is likely to happen if the assessment instrument is NOT administered in a reliable way to clients?
A) Client placement into programs will likely be wrong
B) Clients will improve their functional abilities more quickly
C) The activity analysis will yield faulty results
D) The client’s length of stay will be reduced
A) Client placement into programs will likely be wrong
Which of the following terms means that medication has been delivered directly to the spinal cord? A) Intravenously B) Intramuscularly C) Subcutaneously D) Intrathecally
D) Intrathecally
Reliability, as a measurement characteristic, asks which of the following questions?
A) Does the manual include directions for administering, scoring and interpreting results?
B) Does the instrument match the programs offered to clients?
C) Does the instrument yield accurate information about the client?
D) Is the instrument measuring what it is intended to measure?
C) Does the instrument yield accurate information about the client?
If the client does not understand the language used on the assessment or becomes fatigued, what is likely to happen?
A) The CTRS will gain insight into the sitting tolerance of the client.
B) The CTRS still will be able to use the assessments from other disciplines to build a treatment plan.
C) Nothing, most CTRSs do not use assessment scores anyway.
D) The assessment score will not be reflective of the person’s skills, attitudes and knowledge.
D) The assessment score will not be reflective of the person’s skills, attitudes and knowledge.
A CTRS selects the Comprehensive Evaluation in Recreation Therapy Scale (CERT-Psych) to measure behavior of a client as observed in group activities. Which assessment characteristic has the CTRS considered in making this selection? A) Validity B) Reliability C) Usability D) Practicability
A) Validity
Once the CTRS has met the sitting requirements for and passed the NCTRC exam, she must renew her certification every year and recerify every \_\_\_\_\_ year(s) to remain certified. A) 10 B) 5 C) 6 D) 2
B) 5
The CTRS knew that by adhering to the assessment protocol she was…
A) decreasing the content validity of the assessment results
B) increasing the likelihood of false positives
C) matching the content of the assessment with the content of the program
D) reducing error and increasing confidence in the assessment results
D) reducing error and increasing confidence in the assessment results
In 1983, a cost-cutting Medicare hospital payment system was initiated that included
A) a retrospective payment system
B) direct reimbursement for TR services
C) the Center for Medicare and Medicaid Services (CMS)
D) diagnostic-related groups (DRGs)
D) diagnostic-related groups (DRGs)
The CTRS wants to assess clients for placement into a leisure education program. The CTRS should make sure the instrument is valid and measures which of the following?
A) social skills, leisure activity skills, leisure resources and leisure awareness
B) functional limitations, social skills, and physical abilities
C) leisure interests, functional limitations, leisure awareness and leisure resources
D) decision-making skills, small group and large group interaction skills and leisure resources.
A) social skills, leisure activity skills, leisure resources and leisure awareness
The “saggital plane” divides the human body…
A) with a horizontal line through the abdomen
B) from front to back
C) with a vertical line (left from right)
D) into 4 equal sections
C) with a vertical line (left from right)
A common secondary condition for individuals w/ visual impairments is A) inability to memorize lists of words B) obesity C) impaired concentration skills D) high cholesterol
B) obesity
Client documentation and program documentation are importance because they allow for all of the following EXCEPT
A) increased communication among staff members
B) a higher degree of accountability
C) patient autonomy
D) adherence to professional and external standards
C) patient autonomy
The medical term “NPO” is the abbreviation for A) idiopathic diagnosis B) nothing by mouth C) normal parameters of oxygen D) normal postoperative outpatient
B) nothing by mouth
Which of the following is typical behavior expected during a manic episode for someone who has been diagnosed w/ bipolar disorder?
A) ability to focus for long periods of time
B) increased need for sleep and rest
C) decreased sexual drive
D) extreme irritability
D) extreme irritability
The CTRSs created agency-specific assessments on their own. One CTRS’s assessment results in a score that then is used to place clients into TR programs, while the other CTRS’s results in open-ended comments that are more difficult to analyze. The second CTRS’s assessment will more likely result in
A) faulty program placement decisions and inability to show client outcomes
B) better validity of assessment results
C) better reliability of assessment results
D) improved ability to report accurate results to the treatment team
A) faulty program placement decisions and inability to show client outcomes
Which of the following is NOT a possible means of transmission of HIV? A) Donating blood B) Unprotected sexual intercourse C) Sharing drug injection paraphernalia D) Mother to fetus
A) Donating blood
Which of the following activities would most likely help an adolescent with an intellectual disability to improve concentration? A) Watching television B) Plant care C) Crossword puzzle D) Videogame
D) Videogame
- Which of the following statements reflect the current emphasis of external accreditation agencies in reviewing therapeutic recreation services for quality improvement purposes?
A) The effectiveness of TR services is determined by the achieved client outcomes
B) The most important criteria for proving effectiveness of TR services is the availability of facilities and adequacy of equipment.
C) The crucial element in TR quality assurance is the interaction established between the CTRS and the client.
D) Linkages w/ community agencies is the prime factor in determining quality care in TR services.
A) The effectiveness of TR services is determined by the achieved client outcomes
Given the goal statement below, which of the following is the most appropriate TR program. “Goal: To teach clients skills in negotiating physical environmental barriers.”
A) Friday night bingo club
B) Big brother/ big sister program
C) Leisure awareness discussion group
D) Wednesday night community re-integration trip to local mall
D) Wednesday night community re-integration trip to local mall
Visual deficits are the result of injury in what portion of the human brain? A) Braintstem B) Cerebellum C) Frontal lobe D) Occipital lobe
D) Occipital lobe
The major purpose of conducting an activity analysis is to make sure the selected activities…
A) fit the program goals and client characteristics
B) are compatible w/ agency goals and staff abilities
C) are both social and physical in nature
D) are documented and evaluated on a timely basis
A) fit the program goals and client characteristics
Health can be defined, not just as the absence of illness, but as…
A) a higher level of disease process
B) exercising 3 days a week for at least 30 minutes at a time
C) a sense of physical, mental and social well-being
D) minimal deviation from normal functioning
C) a sense of physical, mental and social well-being
A CTRS is working with a group of adolescents who have mild intellectual disabilities and hopes to improve their interactions with each other. She has decided to use positive reinforcement for each good interaction that occurs with the group. The first thing the CTRS should do is…
A) determine how often the target behavior currently occurs
B) determine what is a reinforcer
C) reward each client whenever a good interaction occurs
D) describe the target behavior
D) describe the target behavior
The medical/clinical model of healthcare…
A) involves total care of the individual, including sleeping, eating and hygiene
B) focuses on establishing a therapeutic community among clients
C) centers on the physician as the primary decision-maker for client care
D) provides services to client often living independently
C) centers on the physician as the primary decision-maker for client care
A common secondary condition got individuals w/ severe arthritis is… A) spina bifida B) contractures C) enlarged bones D) aphasia
B) contractures
Which of the following is an example of a transdisciplinary treatment team?
A) Each team member independently assess and plans interventions for the client
B) Each team member is responsible for collaborating w/ others on identifying common goal areas; then selects the best intervention within his/her discipline.
C) Each team member works across disciplinary boundaries to develop goals and plans and often co-treats clients
D) Each team member is cross-trained in each other’s discipline and there are virtually no boundaries between disciplines
C) Each team member works across disciplinary boundaries to develop goals and plans and often co-treats clients
The federal agency that provides regulations to reduce workplace hazards and dangerous conditions is called the…
A) Occupational Safety and Health Administration
B) Department of Health and Human Services
C) Department of Homeland Security
D) Employment and Job Site Security Bureau
A) Occupational Safety and Health Administration
What are the likely consequences of having inadequate resources and staff per activity?
A) Risk to clients is increased
B) The difficulty can be increased
C) More content can be covered
D) Less time is needed to reach targeted goals
A) Risk to clients is increased
The Current Procedural Terminology (CPT) codes created by the American Medical Association describe
A) reimbursable intervention units
B) recommendations for weekly physical activity
C) protocols for the treatment of post-traumatic stress disorder
D) risk management procedures used by most hospitals
A) reimbursable intervention units
In problem-oriented record keeping, the abbreviation SOAPIER, stands for
A) subjectivity, objectivity, assess, plan, implement, evaluate, revise
B) subjective data, objective data, analysis, plan, interventions, evaluation, revisions
C) sources, objects, adjectives, protocols, initiatives, expressions, resolutions
D) nothing, it simply means to completely (saturate) the topic
B) subjective data, objective data, analysis, plan, interventions, evaluation, revisions
Aging women, as compared to men, are cared for in long-term care facilities at the rate of A) 4 women to 3 men B) 10 women to 9 men C) 1 woman to 2 men D) 2 women to 1 man
A) 4 women to 3 men
If a person with osteoporosis engages in weight bearing activity that is too strenuous, he or she is put at a higher risk for A) bone fracture B) contractures C) depression D) vestibular resistance
A) bone fracture
The CTRS documented how the client met her initial goals and objectives after 2 weeks. What form of documentation was the CTRS using? A) Assessment summary report B) Progress notes C) Transition summaries D) Discharge summaries
B) Progress notes
The CTRS works with an educator from a local university to research the impact of exercise on substance abuse patients in an outpatient recovery program. The CTRS is adhering to which principle of the ATRA Code of Ethics? A) Confidentiality and privacy B) Justice C) Veracity D) Competence
D) Competence
The CTRS teaches the client, who has been recently diagnosed with glaucoma, to make which of the following adaptations during activity involvement?
A) Use eye drops frequently
B) Periodically scan the entire area from side to side
C) Use a light background and dark print
D) Participate in activities only during the day or in areas with bright
B) Periodically scan the entire area from side to side
The CTRS may need to describe specific behavioral cues that help describe the client’s behavior. The client’s \_\_\_\_\_\_\_ can be described using words such as lively, neutral, blunted, flat, stable, labile, defensive, calm, sad, hostile, guarded, distant, evasive, cooperative and open. A) speech B) mood and affect C) social distancing D) movement
B) mood and affect
One of the primary programming considerations for children with hearing impairments that should be included in the activity analysis of all TR activities is: A) balance B) atrophy C) visual requirements D) peripheral vision
A) balance
Recreation participation programs are MOST appropriate for clients who need to
A) improve physical endurance
B) learn new leisure and recreation skills
C) practice social skills in an unstructured environment
D) become more aware of the role leisure plays in their lives
C) practice social skills in an unstructured environment
What is an advantage of asking open-ended questions of clients for a program evaluation?
A) The answers are easily quantifiable
B) The clients are able to expand on their answers
C) The specialist needs to be skilled in interviewing people
D) There is no advantage to open-ended questions
B) The clients are able to expand on their answers
Intellectual disability occurs in approximately what percent of the population in the US? A) 1% B) 10% C) 20% D) 30%
A) 1%
According to the World Health Organization, up to 3% or almost 200 million people of world’s population have intellectual disabilities. Largest disability population in the world.
All of the following have an impact on how client documentation is required, EXCEPT A) external accreditation standards B) agency guidelines and procedures C) legal requirements D) activity analysis
D) activity analysis
All of the following documents should be evaluated and updated on a regular basis EXCEPT A) job announcement B) performance appraisal C) job description D) written plan of operation
A) job announcement
Which of the following statements about leisure’s impact on coping with stressful life events is TRUE?
A) Leisure activities often intensify the harmful effects of negative life events
B) Leisure activities often have the effect of eliminating optimism and hope about the future
C) Leisure activities often disrupt one’s ability to cope with stress
D) Leisure activities may be used following negative life events to attain new goals
D) Leisure activities may be used following negative life events to attain new goals
The CTRS checks each piece of recreation equipment each week during a routine maintenance and safety check. The CTRS is involved in what kind of action? A) Client management B) Quality achievement C) Environmental assessment D) Risk management
D) Risk management
If the CTRS makes an error while writing in the client’s chart, he should
A) use white correction fluid over the error and then write the correction in the ink
B) report the mistake to his boss, and begin on a clean new page
C) cross out the error, write “error” above it and initial it
D) learn to always chart in pencil so mistakes can be easily erased and corrected
C) cross out the error, write “error” above it and initial it
76. How often must an individual’s Individualized Education Program be updated according to the Individuals w/ Disabilities Education Act of 2004? A) Weekly B) Quarterly C) Semi-Annually D) Annually
D) Annually
In systems program design, a performance measure (PM) is the same as a(n) A) assessment item B) outcome statement C) enabling objective D) mission statement
B) outcome statement
An adult with intellectual disability has the ability to participate in some general recreation programs within the regular community-based recreation program. When the CTRS helps the client enroll in one of these programs, which of the following mainstreaming principles is being applied? A) Advocacy B) Deinstitutionalization C) Least restrictive environment D) Discharge planning
A) Advocacy
Which of the following is NOT a factor in selecting an activity for client participation?
A) Activities must have a direct relationship to the client goal
B) Non-traditional activities make the intervention more fun for clients
C) A single activity or session is not likely to produce a desired behavioral change
D) Consider the types if activities in which people will engage when they have the choice
B) Non-traditional activities make the intervention more fun for clients
Activity Analysis is the process of…
A) examining client characteristics to best place them into programs
B) examining the activity components to identify inherent characteristics
C) evaluating the effects of the activities/programs on the clients
D) evaluating the resources/equipment needed to implement the activities
B) examining the activity components to identify inherent characteristics
Which one of the four categories of child development does the skill “sits leaning forward on hands” belong? A) Personal/social B) Adaptive/fine motor C) Motor behavior D) Language
C) Motor behavior
Which of the following is NOT a benefit resulting from completing an activity analysis?
A) a better comprehension of the client’s activity interests and preferences
B) a rationale or explanation for the therapeutic benefits of activity involvement
C) information for selecting a leadership or facilitation technique
D) a greater understanding of the complexity of activity requirements for client participation
A) a better comprehension of the client’s activity interests and preferences
Which of the following is an example of clinical supervision?
A) Overseeing clients on a community out-trip
B) Overseeing clients during an in-house discussion group
C) Helping a junior professional become a better practitioner
D) Performing personnel evaluations on staff at least once per year
C) Helping a junior professional become a better practitioner
In 2001, the World Health Organization revamped its classification of human functioning and disablement. Called the International Classification of Functioning, Disability and Health (ICF), it promotes
A) better medical care in 3rd world countries
B) viewing human functioning and disablement from a biopsychosocial model of health
C) more active treatment for those with severe disabilities and terminal illnesses
D) therapeutic recreation as one of the three services that promote quality of life
B) viewing human functioning and disablement from a biopsychosocial model of health
Many private hospitals followed the federal government in adhering to a prospective payment system. This means that…
A) hospitals receive the same fee for each diagnostic-related group (DRG) they treat
B) insurance companies will pay whatever hospitals charge for a service
C) individuals pay 80% of health care charges
D) psychiatric services are available to individuals within their own community
A) hospitals receive the same fee for each diagnostic-related group (DRG) they treat
6. What is the most common adult social interaction pattern? A) Intragroup B) Multilateral C) Interindividual D) Extraindividual
A) Intragroup
Which of the following is a TRUE statement about the aging process?
A) Individuals with less education tend to outlive those with more education
B) Women tend to outlive men
C) Ethnic minority members tend to outlive Caucasians
D) Individuals who are single tend to outlive those with families
B) Women tend to outlive men
Which of the following is the BEST example of a client outcome measure, collected as part of the TR department’s quality improvement efforts?
A) Change in client’s health status or well-being
B) Change in client’s attendance at programs
C) Development of a baseline for expected client behavior
D) Development of one-to-one treatment programs
A) Change in client’s health status or well-being
An older female has been admitted as a client to a psychiatric facility for treatment of severe depression. She says her daughter has taken care of her home and needs for the last 5 years. She has no interest in making her own decisions about leisure involvement. The client may be exhibiting… A) learned helplessness B) infantile expressive skills C) extrinsic behavior D) aggressive behavior
A) learned helplessness
The difference between a vision statement and a statement of purpose for an organization is that a vision statement is
A) never put into operation
B) created solely by the top level managers
C) far-reaching and translates values into a desired future
D) is for the immediate future and is directly translated into operational goals
C) far-reaching and translates values into a desired future
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
D) Social/cognition
When a person believes that his/her culture is superior or better than other cultures, it is called… A) superiority complex B) ethnocentrism C) egotism D) cultural delusion
B) ethnocentrism
The State Technical Institute’s Leisure Assessment Process (STILAP) assessment differs from other activity inventories or leisure interest scales because it…
A) focuses on physical activities such as sports and large group games
B) assesses barriers to community integration
C) looks at the entire community environment to which the client is to return
D) translates activity skills into leisure competencies
D) translates activity skills into leisure competencies
Which of the following is NOT a method for an active CTRS to be recertified by NCTRC?
A) Receiving a passing grade in university level coursework
B) Completing a second internship in a different setting
C) Attending professional workshops that awards CEUs for participation
D) Writing and publishing education articles in professional journals
B) Completing a second internship in a different setting
Which of the following is NOT a characteristic of an effective group?
A) Each person monitors someone else’s progress toward accomplishing the task
B) Have a unifying relationship
C) Seek a share and common goal
D) Work together to meet individual and group needs
A) Each person monitors someone else’s progress toward accomplishing the task
The CTRS wrote the following note in a client’s chart. Which of the following documentation principle was violated? “Mrs. Sullivan appeared to be lethargic and depressed.”
A) Add adequate descriptions to explain motivations
B) Be consistent and explain exceptional behavior
C) Observe behavior, then write it down
D) Focus on client behavior, rather than interpretations of behavior
D) Focus on client behavior, rather than interpretations of behavior
When individuals with disabilities are categorized and labeled (e.g., “the retarded,” “the disabled”), it shows…
A) Misconceptions about professionalism
B) The underlying attitudes held towards individuals with disabilities
C) Inadequate information about health and illness
D) Religious beliefs toward perceived differences
B) The underlying attitudes held towards individuals with disabilities
Which of the following is an example of the condition part of a behavior objective? A) With level 4 minimal assistance B) The client will plan a weekend trip C) After the completion of the program D) Two out of three times
C) After the completion of the program
Which of the following is NOT a true statement about the majority of individuals with intellectual disabilities?
A) They are more easily suggestible than individuals w/ higher intelligence
B) They are more passive in their thoughts than individuals w/ higher intelligence
C) They are more judgmental than individuals w/ higher intelligence
D) They are more concrete in their thinking than individuals w/ higher intelligence
C) They are more judgmental than individuals w/ higher intelligence
The CTRS on a physical medicine and rehabilitation unit plans on providing a clinic on adapted tennis. Which of the following would NOT be a consideration for modification?
A) Available facilities
B) Necessary equipment and materials needed
C) Number of qualified staff
D) Decision-making skills
D) Decision-making skills
Reimbursement for TR services is dependent on all of the following EXCEPT…
A) Insurance contracts
B) Local managed care agreements
C) The square footage of the activity area
D) Documentation of client outcomes
C) The square footage of the activity area
Which of the following is the BEST example of a receptive communication dysfunction?
A) Inability to transform experiences into language
B) Inability to comprehend the written or spoken word
C) Inability to express oneself through action or language
D) Inability to distinguish regional accents in spoke language
B) Inability to comprehend the written or spoken word
A CTRS should use which of the following resources to find successful, proven methods of achieving positive client outcomes through actual TR services? A) Therapeutic Recreation Journal B) An introduction to TR textbook C) Adapted Activities Quarterly D) ATRA newsletter
A) Therapeutic Recreation Journal
Which of the following terms means that medication has been delivered under the tongue? A) Sublingually B) Intramuscularly C) Subcutaneously D) Intrathecally
A) Sublingually
The CTRS is treating a divorced parent who has custody of 2 children. The lawyer of the non-custodial parent calls seeking information regarding the status of the custodial parent. The CTRS refuses to give information. The CTRS is adhering to which principle of the ATRA Code of Ethics? A) Confidentiality and privacy B) Justice C) Veracity D) Competence
A) Confidentiality and privacy
For individuals with substance dependence problems, the term tolerance means that the person…
A) Needs more of the substance to achieve intoxication
B) Is more open-minded and accepting of diverse opinions
C) Shows emotional distress during substance withdrawal
D) Willingly accepts more limitations within his/her life
A) Needs more of the substance to achieve intoxication
Which of the following is the best approach to use with individuals who are kinesthetic learners?
A) Drawings on a chalkboard or white board
B) Verbal recordings of instructions
C) Materials that provide tactile stimulation
D) Charts, signs and posters w/ clear instructions
C) Materials that provide tactile stimulation
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 TR program
B) The client stated that she was bored during the social skills program
C) The patient verbalized her appreciation for TR services
D) The patient appeared distraught and upset
D) The patient appeared distraught and upset
A CTRS is working w/ a person who is quadriplegic as a result of a recent diving accident. The CTRS suggests that she try playing Ping-Pong instead of tennis, which she previously enjoyed. The CTRS is using which of the following TR principles? A) Aging-in-place B) Substitutability C) Least restrictive environment D) Continuity of care
B) Substitutability
In Section O of the MDS 3.0, all of the following conditions must be present to be considered concurrent therapy EXCEPT…
A) 2 or more residents are engaged in different tasks
B) the director of nursing must be present
C) the residents must be in direct line-of-sight of the therapist or assistant
D) student interns must be in direct line-of-sight of therapist, if providing treatment
B) the director of nursing must be present
Universal design of facilities means that the built environment is…
A) usable to the greatest extent possible by everyone
B) free of stairways and curb cuts
C) available at those facilities which persons with disabilities frequent
D) specific to the age of the individuals who go there
A) usable to the greatest extent possible by everyone
A halfway house is used primarily for individuals who…
A) need a balance of supervision and independence
B) are alcoholics
C) have intellectual disability
D) have been diagnosed for at least 2 years
A) need a balance of supervision and independence
The Family and Medical Leave Act (FMLA) provides which of the following for eligible employees?
A) Payment for adoption services for foreign born child(ren)
B) Payment for funeral expenses for family members
C) Unpaid, job-protected leave for a specified family and medical reasons
D) 6 weeks of paid vacation per year
C) Unpaid, job-protected leave for a specified family and medical reasons
Given the goal statement below, which of the following is the most appropriate TR program. “Goal: To provide opportunities for self-expression.” A) Open gym for volleyball practice B) Outdoor bocce ball game C) Open time in the woodworking room D) Art instruction in quilting
C) Open time in the woodworking room
The term “muscular strength” refers to A) Repeated submaximal effort B) The range of motion within a joint C) The ability to change direction without losing balance D) A single maximum effort
D) A single maximum effort
On an activity analysis form, the items about interaction patterns (such as unilateral, intraindividual, etc.) would best fit under the component of: A) Physical B) Mental C) Emotional D) Social
D) Social
