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NCTRC PRACTICE > Questions > Flashcards

Questions Flashcards

1
Q

All of the following should be completed prior to a client beginning an aerobic fitness program EXCEPT

A. Obtaining a physicians order
B. Determining the client’s resting,maximum, and training heart rates
C. Determining the clients maximum oxygen uptake
D. Setting goals based on client assessment

A

C. Determining the clients maximum oxygen uptake

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2
Q

Which assessment instrument focuses on assessing the client’s perceptions of freedom as it relates to leisure involvement?

A. Leisure Competency Measure (LCM)
B. Leisure Diagnostic Battery (LDB)
C. Leisure Interest Survey (LIS)
D. Leisure Satisfaction Survey (LSS)

A

B. Leisure Diagnostic Battery (LDB)

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3
Q

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

A. Identify leisure participation choices
B. Establish the intensity of problem behaviors
C. Identify whether a client can perform a specific task
D. Compare a client to a reference group with similar characteristics

A

D. Compare a client to a reference group with similar characteristics

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4
Q

Which behavior modification process uses successive approximations of a desired terminal behavior?

A. Shaping
B. Sequencing
C. Extinction
D. Forward chaining

A

A. Shaping

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5
Q

Which of the following is a CTRS trying to determine about therapeutic recreation programs when collecting baseline, progress, and outcome data on a client’s performance?

A. Efficacy
B. Continuity
C. Objectives
D. Population

A

A. Efficacy

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6
Q

Which intervention is the CTRS using when providing a book for a client to read that will help bring new insight into the illness?

A. Remotivation
B. Bibliotherapy
C. Validation
D. Reminiscence

A

B. Bibliotherapy

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7
Q

In addition to a card holder, which piece of adaptive equipment can a client with a C4 complete spinal cord injury use to play cards?

A. Mouth stick
B. Wrist splint
C. Dycem mat
D. Universal cuff

A

A. Mouth stick

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8
Q

In order to improve overall competence in providing treatment, which area is important for a supervisor to focus on when providing clinical supervision to a CTRS?

A. Skills and knowledge in providing interventions
B. Articulation of treatment strategies in team meetings
C. Consistency in following policies and procedures
D. Client’s reports of satisfaction with interventions

A

A. Skills and knowledge in providing interventions

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9
Q

What functional skill for a client with Duchenne’s muscular dystrophy should a therapeutic recreation intervention address?

A. Memory
B. Gross Motor
C. Fine Motor
D. Concentration

A

B. Gross Motor

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10
Q

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

A. autonomy
B. veracity
C. non-maleficence
D. competence

A

C. non-maleficence

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11
Q

Therapeutic recreation services for clients with addictive disorders should focus on

A. leisure education
B. diversional services
C. cognitive retraining
D. fitness programming

A

A. leisure education

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12
Q

Which domain is a CTRS assessing when asking a client to remember and then repeat back three items shown in a program?

A. Affective
B. Social
C. Cultural
D. Cognitive

A

D. Cognitive

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13
Q

After an individualized therapeutic recreation treatment program has been developed, the CTRS should first

A. document the plan in the client’s record
B. initiate program evaluation
C. implement the program
D. inform the therapeutic recreation supervisor of the program outcome

A

A. document the plan in the client’s record

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14
Q

Which method should be used for recording the frequency of a specific behavior?

A. Tally
B. Duration
C. Interval recordings
D. Instantaneous time sampling

A

A. Tally

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15
Q

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

A. Physical reconditioning and stabilization
B. Reintegration into the community
C. Assessment of communication skills
D. Development of activities of daily living skills

A

B. Reintegration into the community

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16
Q

In a nursing home setting, which interdisciplinary assessment would a CTRS complete?

A. Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI)
B. Functional Independence Measure (FIM)
C. Leisure Attitude Measurement (LAM)
D. Minimum Data Set (MDS)

A

D. Minimum Data Set (MDS)

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17
Q

Which resource should a CTRS use for the assessment when unable to collect background information from a client who has dementia and expressive aphasia due to a recent cerebrovascular accident (CVA)?

A. Medical Chart
B. Cognitive abilities
C. Family reports
D. Participation in activities

A

C. Family reports

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18
Q

The most important benefit of progress note writing is that it provides a basis for

A. grouping clients
B. evaluating clients
C. selecting goals
D. planning programs

A

B. evaluating clients

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19
Q

Which response should a CTRS use when a client expresses discomfort with using a wheelchair in public and that strangers were patronizing on a recent community outing?

A. Suggest that the client ignore rude and thoughtless people
B. Discuss this issue by supporting the client and offering problem-solving skills
C. Discontinue community integration until the client feels more comfortable
D. Change the subject, since the CTRS is not a psychotherapist

A

B. Discuss this issue by supporting the client and offering problem-solving skills

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20
Q

In client assessments, stability, equivalency and internal consistency are measurement tools of

A. usability
B. reliability
C. efficiency
D. validity

A

B. reliability

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21
Q

Which facilitation technique can be used with a client who is mildly confused?

A. Reality orientation
B. Remotivation training
C. Behavior modification
D. Validation therapy

A

A. Reality orientation

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22
Q

When assessing social barriers to leisure involvement, the content of the assessment instrument should focus on

A. problem solving
B. interacting in group situations
C. controlling emotions
D. locating resources for leisure activities

A

B. interacting in group situations

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23
Q

The difference between activity analysis and task analysis is that task analysis focuses on

A. using a step by step sequencing approach
B. identifying cognitive, social, and physical behaviors
C. analyzing the benefits for the client
D. identifying psychological or spiritual behaviors

A

A. using a step by step sequencing approach

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24
Q

Which progress note segment is written in an acceptable manner?

A. The client was depressed and reluctant to participate in the activity.
B. The client was uncooperative and refused to participate in the activity.
C. The client attended the activity but was depressed.
D. The client stated that he was tired and did not want to participate in the activity.

A

D. The client stated that he was tired and did not want to participate in the activity.

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25
Q

Which type of analysis has been completed if a CTRS develops a list of steps involved in an activity and then places them in proper sequence?

A. Task
B. Content
C. Activity
D. Behavioral

A

A. Task

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26
Q

All of the following interview behaviors by a CTRS would generally encourage a client response EXCEPT

A. direct eye contact
B. silence
C. interpreting statement
D. paraphrasing

A

C. interpreting statement

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27
Q

Injury to which area of the spinal cord would most likely result in quadriplegia?

A. Cervical
B. Thoracic
C. Lumbar
D. Sacral

A

A. Cervical

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28
Q

Which verbal response should a CTRS use when a client repeatedly complains of loneliness, boredom and being ignored by friends and family?

A. Probing
B. Informing
C. Self-disclosing
D. Confronting

A

A. Probing

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29
Q

All of the following are components of the problem-oriented medical record EXCEPT

A. problem list
B. discharge summary
C. program evaluation
D. assessment results

A

C. program evaluation

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30
Q

All of the following should be included in a discharge summary EXCEPT

A. frequency of involvement
B. duration of involvement
C. dates of specific interventions
D. types of services received

A

C. dates of specific interventions

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31
Q

The process by which a non-governmental agency grants recognition to an individual who has met certain predetermined qualifications specified by that agency is

A. certification
B. licensure
C. registration
D. accreditation

A

A. certification

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32
Q

Which intervention technique uses biofeedback?

A. Values clarification
B. Cognitive retraining
C. Stress management
D. Behavior management

A

C. Stress management

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33
Q

Based on assessment results, which intervention would initially meet a client’s needs who is isolated, withdrawn and expresses a desire to make friends?

A. Tai chi
B. Individualized tennis instruction
C. Craft group
D. Joining a community theater

A

C. Craft group

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34
Q

All of the following are techniques used in behavior management programs EXCEPT

A. cognitive restructuring
B. backward chaining
C. modeling
D. resocialization

A

D. resocialization

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35
Q

Which activity is a CTRS engaged in if meeting with the YMCA staff to discuss reasonable accommodations for a client?

A. Advocacy
B. Public relations
C. Accountability
D. Risk management

A

A. Advocacy

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36
Q

Which professional activity can a CTRS use to earn continuing education hours for recertification with NCTRC?

A. Presenting an orientation session to new employees at the certificant’s agency
B. Attending first aid, CPR and AED training classes
C. Writing a newsletter article for a professional therapeutic recreation publication
D. Presenting a session seven years ago at a therapeutic recreation conference

A

C. Writing a newsletter article for a professional therapeutic recreation publication

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37
Q

Which diagnosis is characterized by bradykinesia, resting tremor, impaired postural reflexes, and rigidity?

A. Parkinson’s disease
B. Autonomic dysreflexia
C. Horner syndrome
D. Guillain-Barré syndrome

A

A. Parkinson’s disease

38
Q

Which therapeutic approach is being used by a CTRS who allows a client with dementia to express frustrations related to the client’s perception of being ignored by staff?

A. Reality orientation
B. Remotivation
C. Validation
D. Reminiscence

A

C. Validation

39
Q

If a client has difficulty communicating expressively during an assessment, all of the following techniques can be used to gather information EXCEPT

A. structured interview
B. survey
C. observation
D. chart review

A

A. structured interview

40
Q

All of the following are included in outcome measures EXCEPT

A. statement of the performance or behavior that is expected
B. data by which the quality of a program can be assessed
C. variation in data collection procedures
D. measurement of basic abilities obtained in programs

A

C. variation in data collection procedures

41
Q

A CTRS would use facilitation techniques such as yoga, deep breathing, and meditation with clients who need to improve

A. stress management skills
B. physical conditioning
C. awareness of emotional state
D. mindful self-awareness

A

A. stress management skills

42
Q

Which therapeutic recreation ethical principle is being violated when the CTRS fails to discuss the results of an assessment and related plan for intervention with the client?

A. Fidelity
B. Confidentiality
C. Veracity
D. Non-maleficence

A

C. Veracity

43
Q

In a continuous quality improvement program, which area is an example of risk management?

A. Monitoring the tardiness of volunteers
B. Monitoring community trip incident reports
C. Assuring that all bikes are returned to the equipment room
D. Monitoring staff attendance at professional development conferences

A

B. Monitoring community trip incident reports

44
Q

All of the following are behavioral approaches used within therapeutic recreation EXCEPT

A. assertiveness training
B. progressive relaxation
C. reminiscence therapy
D. social skills training

A

C. reminiscence therapy

45
Q

Which area is least important to a CTRS who is attempting to deliver culturally relevant programming?

A. Language translation skill
B. Culturally specific behaviors
C. Culturally specific values
D. Socio-economic conditions

A

D. Socio-economic conditions

46
Q

In which document would a CTRS find the comprehensive management tool that delineates all aspects and functions of a therapeutic recreation department?

A. Code of Ethics
B. Standards of Practice
C. Written plan of operation
D. New staff orientation manual

A

C. Written plan of operation

47
Q

Which part of the SOAP note focuses on the statements a client makes about the problem or course of treatment?

A. S-subjective data
B. O-objective data
C. A-analysis
D. P-plan

A

A. S-subjective data

48
Q

Which new symptom should a CTRS consider when designing programs for clients who have progressed to the middle stages of Alzheimer’s disease?

A. Memory problems
B. Inability to cope with new or unexpected situations
C. Speed with which their tasks are completed
D. Tendency to get lost in their environment

A

B. Inability to cope with new or unexpected situations

49
Q

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

A. Leisure Ability
B. Optimizing Lifelong Health and Well-being
C. Self-Determination and Enjoyment Enhancement
D. Health Protection/Health Promotion

A

D. Health Protection/Health Promotion

50
Q

All of the following behavioral objectives are written correctly EXCEPT

A. Upon request, the client will select two personal activity choices from a list of options.
B. Upon request, the client will verbalize the appropriate use of 5 resources, as judged appropriate by the CTRS.
C. Upon request, the client will demonstrate knowledge of the leisure planning process by being active on weekends.
D. Upon request, the client will be able to drive a golf ball a minimum of 100 yards on three out of five attempts.

A

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

51
Q

Which assessment technique should be used by a CTRS in order to determine a client’s level of physical functioning?

A. Risk for falls
B. Task performance
C. Range of motion testing
D. Muscle strength testing

A

B. Task performance

52
Q

Which variables are essential in the marketing of therapeutic recreation services?

A. Price, promotion, product, and place
B. Planning, proposal, programming, and promotion
C. Assessment, planning, implementation, and evaluation
D. Needs assessment, proposal, promotion, and programming

A

A. Price, promotion, product, and place

53
Q

Which service setting is a CTRS working in when reviewing the client’s Functional Independence Measure (FIM) score and intake summary prior to conducting an assessment?

A. Acute care
B. Behavioral health care
C. Outpatient ambulatory services
D. Physical rehabilitation

A

D. Physical rehabilitation

54
Q

Which functional skills assessment is used to determine the social skills of clients with developmental disabilities?

A. Teen Leisurescope
B. FOX
C. Leisure Attitude Measurement
D. State Technical Institute’s Leisure Assessment Process

A

B. FOX

55
Q

All of these are components of the International Classification of Functioning Disability and Health (ICF) EXCEPT

A. activities and participation.
B. leisure lifestyle.
C. environmental factors.
D. body function and structure.

A

B. leisure lifestyle.

56
Q

Which information is most important to include when writing progress notes?

A. Response to environment
B. Response to treatment
C. Discharge objectives
D. Attendance record

A

B. Response to treatment

57
Q

Which interaction pattern encompasses a cooperative action by at least two persons to achieve a mutual goal?

A. Intergroup
B. Aggregate
C. Intragroup
D. Unilateral

A

C. Intragroup

58
Q

According to standards of practice, the best collaborator for a CTRS during the discharge process is the client’s

A. insurance company
B. friends
C. social worker
D. community referral agency

A

C. social worker

59
Q

Which instructional strategy is being used if the CTRS shows a client an example of a finished project and introduces the client to others who are at various stages of completing the project?

A. Timing affects learning
B. Reinforcement strengthens learning
C. Modeling can enhance learning
D. Move from the simple to the complex

A

C. Modeling can enhance learning

60
Q

Which behavioral objective can be written for a client with a traumatic brain injury (TBI) to increase short-term memory recall?

A. The client will participate in a cognitive retraining group once a week.
B. The client will follow all directions in each group with the assistance of a CTRS.
C. The client will correctly restate 75% of the directions given by the CTRS during group.
D. The client will work on sequencing with the assistance of a CTRS.

A

C. The client will correctly restate 75% of the directions given by the CTRS during group.

61
Q

What type of interaction pattern does a client display when playing solitaire?

A. Extraindividual
B. Interindividual
C. Intraindividual
D. Unilateral

A

A. Extraindividual

62
Q

What is the prescription abbreviation for “as the occasion arises; when necessary; as needed?”

A. bid
B. PRN
C. NPO
D. qid

A

B. PRN

63
Q

Which variable does the criterion part of a behavioral objective identify?

A. Circumstance under which the behavior will occur
B. Indication that the objective has been achieved
C. Action taken to demonstrate the behavior
D. Objective behavior that will be observed

A

B. Indication that the objective has been achieved

64
Q

The purpose for reassessing a client is to

A. identify staff performance issues
B. evaluate changes in the client’s status
C. identify secondary dysfunction in the client
D. evaluate the client’s satisfaction

A

B. evaluate changes in the client’s status

65
Q

Which technique can be effectively used by a CTRS with a geriatric client post-stroke who exhibits limited socialization and decreased emotional expression?

A. Community reintegration
B. Behavior modification
C. Remotivation
D. Values clarification

A

C. Remotivation

66
Q

All of the following should be included in the personnel policies in a therapeutic recreation department manual EXCEPT

A. performance standards
B. purchasing procedures
C. position descriptions
D. grievance procedures

A

A. performance standards

67
Q

Which adaptation is best to be used when leading a wheelchair basketball session for a group of adolescents who are learning to maneuver sports wheelchairs?

A. Use a smaller ball
B. Shorten the game time
C. Reduce the size of the court
D. Lower the basketball net

A

C. Reduce the size of the court

68
Q

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

A. psychological well-being
B. needing to control others
C. depression
D. being controlled by others

A

A. psychological well-being

69
Q

Which approach is the CTRS using when considering a client’s current diagnosis, strengths and abilities?

A. Holistic
B. Psychosocial
C. Multidisciplinary
D. Problem oriented

A

A. Holistic

70
Q

Which process is being used when a CTRS reads a systematic review of research findings on a specific intervention and then designs a program using the information?

A. Program planning
B. Clinical practice
C. Protocol development
D. Evidence-based practice

A

D. Evidence-based practice

71
Q

When the CTRS is formulating therapeutic recreation goals for an Individualized Education Plan (IEP), the CTRS must focus on the student’s ability to

A. benefit from special education
B. engage in inclusive recreation
C. join after school programs
D. remain in the classroom with peers

A

A. benefit from special education

72
Q

Which statistical measurement informs a CTRS about how well the assessment results compare to what is being measured?

A. Equivalent-forms reliability
B. Criterion-related validity
C. Test-retest reliability
D. Construct validity

A

B. Criterion-related validity

73
Q

Which strategy would be the most effective way to change someone’s negative attitude about people with disabilities?

A. Encourage the person to positively interact with and build relationships with people with disabilities
B. Assist the person in a role-play scenario, such as using a wheelchair for an hour to experience what it is like to have a disability
C. Encourage the person to do research on common disabilities in order to understand people with disabilities
D. Refer the person to media examples of people with disabilities in books, movies or television shows

A

A. Encourage the person to positively interact with and build relationships with people with disabilities

74
Q

Unlike special recreation, therapeutic recreation is characterized by

A. qualified recreation staff
B. variety in programming
C. individualized treatment planning
D. program evaluation

A

C. individualized treatment planning

75
Q

All of the following adaptive devices would be helpful for a client with a diagnosis of a right-side cerebrovascular accident (RCVA) EXCEPT

A. card holder
B. built-up handles
C. large-print cards
D. adaptive golf cart

A

C. large-print cards

76
Q

“Following the arts and crafts group, the client expressed pride at the completion of the project.” Which goal statement does the progress note reflect?

A. Improve gross motor skills
B. Develop interpersonal communication skills
C. Develop group cooperation skills
D. Enhance self-concept

A

D. Enhance self-concept

77
Q

Which goal would be implemented first in a leisure education program for a client who has a dual diagnosis of clinical depression and alcoholism?

A. Demonstrate recreational skills
B. Discuss time management
C. Explore leisure resources
D. Develop leisure awareness

A

D. Develop leisure awareness

78
Q

Which side effect of antipsychotic medications include unusual gait, tremors and motor restlessness?

A. Extrapyramidal movement
B. Acute psychosis
C. Tardive dyskinesia
D. Autonomic dysreflexia

A

A. Extrapyramidal movement

79
Q

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

A. assessment of data
B. behavioral observations
C. client comments
D. input from the treatment team

A

B. behavioral observations

80
Q

All of the following are goals of cognitive retraining EXCEPT

A. executive functioning
B. problem-solving skills
C. short-term memory
D. hand-eye coordination

A

D. hand-eye coordination

81
Q

Prior to resuming playing golf, which factors should be assessed for a client that has a diagnosis of a cerebrovascular accident (CVA) that affected her right side and speech?

A. Balance, coordination and endurance
B. Auditory deficits, upper extremity range of motion and health history
C. Grip strength, forearm strength and verbal expression
D. Attention span, verbal expression and cognitive sequencing

A

A. Balance, coordination and endurance

82
Q

Which form should a CTRS complete when two clients run away on a community outing?

A. Incident report
B. Revised treatment plan
C. Referral summary
D. Liability summary

A

A. Incident report

83
Q

Which activity may be used to improve dynamic balance?

A. Line dancing
B. Painting
C. Reading
D. Meditation

A

A. Line dancing

84
Q

In which domain should a CTRS develop a treatment goal if the client has a flat affect and periodic crying episodes?

A. Social
B. Physical
C. Affective
D. Cognitive

A

C. Affective

85
Q

Which diagnosis is indicative of the following behaviors: no interest in peers, repetitive rocking and tantrums when routine changes, and repeats the CTRS’s questions without answering?

A. Autism spectrum disorder
B. Down syndrome
C. Prader-Willi syndrome
D. Attention-deficit disorder

A

A. Autism spectrum disorder

86
Q

A CTRS in a rehabilitation facility is documenting the progress made by a client. All the following items should be written in the progress note EXCEPT

A. consistency of behavior.
B. attendance as evidence of participation.
C. verbal information provided by the client.
D. regression from the attainment of the goal.

A

B. attendance as evidence of participation.

87
Q

Which team consists of a group of cross-discipline healthcare professionals working jointly to address a single, identified client problem?

A. Multidisciplinary
B. Interdisciplinary
C. Transdisciplinary
D. Unidisciplinary

A

C. Transdisciplinary

88
Q

Which recording method of client observation would be helpful when a CTRS needs to assess how much time a client is spending in a leisure activity?

A. Interval
B. Tally
C. Duration
D. Continuous

A

C. Duration

89
Q

The first step in choosing the best assessment for a client is to

A. identify the purpose of the assessment
B. discuss assessment options with the client
C. determine which assessment was used most often with past clients
D. identify the assessment which will be the simplest for the client to complete

A

A. identify the purpose of the assessment

90
Q

Which medical term refers to difficulty swallowing food and/or liquids?

A. Hemiplegia
B. Hypoxia
C. Aphasia
D. Dysphagia

A

D. Dysphagia

NCTRC PRACTICE (1 decks)

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