NCTRC PRACTICE EXAM WITH 100% CORRECT ANSWERS

Following a traumatic brain injury (TBI), a client may experience difficulty swallowing food and/or liquids. The medical term for this is dysphagia Injury to which of the following areas of the spinal cord would MOST likely result in quadriplegia? Cervical Unlike special recreation, therapeutic recreation is characterized by individualized treatment planning Upon returning to the hospital after his first community reintegration experience, the client expresses discomfort with using a wheelchair in public, stating that strangers either avoided him or were very patronizing. Which of the following would be an appropriate response by the CTRS? Discuss this issue by supporting the client and offering problem-solving skills The theory of internal locus of control postulates that perceived control commonly leads to a sense of psychological well-being Which of the following does the criterion part of a behavioral objective identify? The indication that the objective has been achieved Therapeutic recreation services for clients with addictive disorders should focus on leisure education A CTRS would use interventions such as yoga, deep breathing, and meditation with clients who need to improve stress management skills The CTRS conducts a preliminary review of a client's needs. In this process, the CTRS takes into account the client's current diagnosis, strengths, and abilities. Which of the following therapeutic recreation approaches is an example of the use of this information? Holistic 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 evidence-based practice Which of the following is the FIRST step of a leisure education program for a client who has a dual diagnosis of clinical depression and chronic alcoholism? Develop leisure awareness The difference between activity analysis and task analysis is that task analysis focuses on using a step by step sequencing approach In a nursing home setting, which of the following interdisciplinary tools would a CTRS be responsible for completing? Minimum Data Set (MDS) Which of the following informs a CTRS about how well the assessment results compare to what is being measured? Criterion-related validity When documenting a client's progress toward treatment goals, subjective interpretation of the client's progress must be supported with behavioral observations 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? Modeling can enhance learning Which of the following technique can be effectively used by a CTRS with a geriatric client post-stroke who exhibits limited socialization and decreased emotional expression? Remotivation Which of the following team consists of a group of cross-discipline healthcare professionals working jointly to address a single, identified client problem? Transdisciplinary After the client assessment has been completed, the next step in the programming process is to identify the problems An assessment of a client with developmental disabilities reveals that the client has a flat affect and periodic crying episodes. In which domain should the CTRS develop treatment goals? affective In addition to a card holder, which of the following pieces of adaptive equipment can a client with a C4 complete spinal cord injury use to play cards? mouth stick The process by which a non-governmental agency grants recognition to an individual who has met certain predetermined qualifications specified by that agency is called certification 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 In a continuous quality improvement program, which of the following is an example of risk management? monitoring all community trip reports The behavior modification process that uses successive approximations of a desired terminal behavior is called shaping 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? ASD The interaction pattern of an activity which encompasses a cooperative action by at least two persons to achieve a mutual goal is termed intragroup 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? health protection/health promotion 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 non-maleficence Which of the following assessment instrument focuses on assessing the client's perceptions of freedom as it relates to leisure involvement? Leisure Diagnostic Battery (LDB) According to standards of practice, the most appropriate resource for a CTRS to collaborate with during the discharge process is the client's social worker A CTRS is working with a client in a rehabilitation hospital. The client's goal is to resume swimming at the YMCA after being discharged. With the client's consent, the CTRS meets with the YMCA staff to discuss reasonable accommodations the client would require. Which of the following activities is the CTRS engaged? advocacy 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? craft group During a socials skills assessment, the client picked up a deck of cards from the table and began to play solitaire. What type of interaction pattern did this client display? Extraindividual An appropriate therapeutic recreation assessment technique for determining a client's level of physical functioning is task performance Focus charting is used when the treatment team wants to emphasize an event or behavior in clients' records Which of the following information is MOST important to include when writing progress notes? response to tx Which of the following facilitation technique should be used with an 80 year-old client who is mildly confused? Reality orientation Which of the following best describes Healthy People 2020? National agenda of health objectives One of the primary criteria for selecting client assessments for use in therapeutic recreation programs is that the content of the assessment matches the content of the intervention program Which of the following intervention technique is an example of biofeedback? stress management Which of the following service settings is a CTRS working in when reviewing the client's Functional Independence Measure (FIM) score and intake summary prior to conducting an assessment? Inpatient rehabilitation Norms are used in the interpretation of standardized assessment scores in order to compare a client to a reference group with similar characteristics The purpose for reassessing a client is to evaluate changes in the client's status Which part of the SOAP note focuses on the statements a client makes about the problem or course of treatment? S A CTRS, who is doing an initial assessment, is unable to collect background information from a client who has dementia and expressive aphasia due to a recent cerebrovascular accident (CVA). To complete the assessment, it would be BEST for the CTRS to base the assessment on the reports from family