NCTRC Practice Exam Questions Latest Update 2024-2025 800 Questions and 100% Verified Correct Answers Guaranteed A+ "Following the arts and crafts group, the client expressed pride at the completion of the project." Which of the following goal statements does this progress note relate to?
- develop interpersonal communication skills
- improve fine motor skills
- develop group cooperation skills
d. enhance self-concept - CORRECT ANSWER: d. enhance self-concept
A 58 year old client is currently residing in a long term care facility surrounded by persons who are considerably older. The client repeatedly complains of loneliness, boredom, and being ignored by friends and family. which of the following verbal responses by the CTRS would be effective?
- probing
- informing
- self-disclosing
d. confronting - CORRECT ANSWER: a. probing
A 67 year old client was admitted to a rehabilitation center with a diagnosis of cerebrovascular accident (CVA) that affected her right side and speech. The client is a retired executive who had played golf and bridge several times a week. She is now able to walk 200 feet with a cane. She also has good receptive skills. Which of the following are the MOST appropriate factors to assess prior to the client's resumption of golf?
- balance, coordination, and endurance
- auditory deficits, upper extremity range of motion, and health history
- grip strength, forearm strength, and verbal expression
- attention span, verbal expression, and cognitive sequencing - CORRECT ANSWER:
- balance, coordination, and endurance
A 72 year old client was admitted to a rehab center with a diagnosis of a cerebrovascular accident (CVA) that affected her right side and speech. The client is a retired executive who had played gold and bridge several times a week. She is now able to walk 200 feet with a cane. She also has good receptive skills. Based on the information provided about the client, all of the following adaptive devices would be appropriate EXCEPT
- card holder
- built-up handles
- adaptive golf cart
d. large-print cards - CORRECT ANSWER: d. large-print cards
A client presents with bradykinesia, resting tremor, impaired postural reflexes and rigidity. The diagnosis is
- parkinson's disease 1 / 4
- autonomic dysreflexia
- horner syndrome
d. guillain-barre syndrome - CORRECT ANSWER: a. parkinson's disease
A CTRS asks a client to remember three items (dog, pencil, book). The CTRS states the three items and asks the client to repeat them. After a 5-minute conversation with the client, the CTRS asks the client to repeat the three items. Which of the following domains is the CTRS assessing?
- affective
- social
- cultural
d. cognitive - CORRECT ANSWER: d. cognitive
A CTRS collects baseline, progress, and outcome data on a client's performance during a therapeutic recreation program. The CTRS is attempting to determine the programs
- efficacy
- coninuity
- objectives
d. population - CORRECT ANSWER: a. efficacy
A CTRS implements a gardening program with a new client. At the beginning of the session, the CTRS shows the client an example of a finished potted plant and introduces the client to others who are at various stages of the potting process. Which of the following instructional strategy is being employed by the CTRS?
- timing affects learning
- reinforcement strengthens learning
- modeling can enhance learning
d. move from the simple to the complex - CORRECT ANSWER: c. modeling can
enhance learning
A CTRS is trying to encourage a client to participate in an archery program. What sequence of events reflects the progression from contrived to natural reinforcement for participation in this activity?
- a candy treat for each shot
- inherent enjoyment of the sport
- verbal praise for each round of shots
- a pat on the back at the end of the activity session
- 1,3,2,4
- 1,3,4,2,
- 3,1,2,4
d. 4,1,3,2 - CORRECT ANSWER: b. 1,3,4,2
A CTRS is working with a client in a rehabilitation hospital. The client's goal is to resume swimming at the YMCA after being discharged. With the client's consent, the CTRS 2 / 4
meets with the YMCA staff to discuss reasonable accommodations the client would require. Which of the following activities is the CTRS engaged?
- advocacy
- public relations
- accountability
d. risk management - CORRECT ANSWER: a. advocacy
A CTRS is working with a client who displays the following behaviors; no interest in peers, repetitive rocking, tantrums when routine changes, and repeats the CTRS's questions without answering. Which of the following is the diagnosis?
- autism spectrum disorder
- down syndrome
- prader-willi syndrome
d. attention- deficit disorder - CORRECT ANSWER: a. autism spectrum disorder
a CTRS reads a systematic review of research findings on the use of aromatherapy and then designs an intervention program using this information. This is an example of
- program planning
- clinical practice
- protocol development
d. evidence-based practice - CORRECT ANSWER: d. evidence-based practice
A CTRS wants to assess social barriers to leisure involvement. The content of the assessment instrument should include
- problem solving and decision making
- interacting in group situations
- controlling emotions
- locating resources for leisure activities - CORRECT ANSWER: b. interacting in group
situations
a CTRS would use interventions such as yoga, deep breathing, and meditation with clients who need to improve
- stress management skills
- physical conditioning
- emotional recognition
d. mindful self-awareness - CORRECT ANSWER: a. stress management skills
A CTRS, who is doing an initial assessment, is unable to collect background information from a client who has dementia and expressive aphasia due to a recent cerebrovascular accident (CVA). To complete the assessment, it would be the BEST for the CTRS to base the assessment on the client's
- medical chart
- cognitive abilities
- family reports
d. participation in activities - CORRECT ANSWER: c. family reports
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A suitable therapeutic recreation assessment technique for determining a client's level of physical functioning is
- observation of functioning
- task performance
- range of motivation testing
d. muscle strength analysis - CORRECT ANSWER: b. task performance
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
- autonomy
- veracity
- non-maleficence
d. competence - CORRECT ANSWER: c. non-maleficence
According to standards of practice, the most appropriate resource for a CTRS to collaborate with during the discharge process is the client's
- insurance company
- friends
- social worker
d. community referral agency - CORRECT ANSWER: c. social worker
After an individualized therapeutic recreation treatment program has been selected, the CTRS should first
- document the plan in the client's record
- initiate program evaluation
- implement the program
- inform the therapeutic recreation supervisor the program outcome - CORRECT
ANSWER: a. document the plan in the client's records
After completing an assessment, the CTRS determines that the client is isolated and withdrawn and expresses a desire to make friends. Which of the following interventions would initially meet the client's needs?
- tai chi
- individualized tennis instructin
- craft group
d. joining a community theater - CORRECT ANSWER: c. craft group
All of the following are behavioral approaches used within therapeutic recreation
EXCEPT
- assertiveness training
- progressive relaxation
- reminiscence therapy
d. social skills training - CORRECT ANSWER: c. reminiscence therapy
All of the following are components of the problem-oriented medical record EXCEPT
- problem list
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