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NCTRC Practice Exam B Questions with Solutions
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NCTRC Practice Exam B
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NCTRC Practice Exam BAll of the following are behavioral approaches used within therapeutic recreation except
A.) Assertiveness training
B.) Progression relaxation
C.) Reminiscence therapy
D.) Social skills training - answerC. Reminiscence therapy
Rationale: "Three therapeutic approaches, which have come to be viewed as entities
unto themselves, are related to the behavioral approach. Assertiveness training and
progressive relaxation training rest upon behaviorism. Social skills training has been
influenced by several theoretical perspectives including behaviorism."
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, 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, cognitive sequencing - answerA.) Balance,
coordination, endurance
Rationale: "Client assessment involves measurement of client needs, limitations, and
abilities in order to place that client in the most logical programs that are designed to
address those needs, limitation, and abilities." "The initial interventions TRSs prescribe
focus on improving strength, endurance and ROM; adjusting to visual neglect; and
preventing contractures and spasticity."
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 - answerC.) Interpreting statement
Rationale: "Clients are more likely to respond and elaborate on questions if they feel as
if you are truly listening. Good attending skills are needed to elicit this feeling in clients.
Attending skills refers to behaviors that together "let the client know you are interested
in him or her and are paying attention to what he or she has to say" (Austin, 1991, p.
234). It includes behaviors associated with eye contact, body language, and vocal
qualities."
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 - answerB.) Response to treatment
Rationale: "General behavior and participation patterns, specific behavioral cues and
environmental cues are all potentially significant information to be included in progress
notes."
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 - answerC.) Intragroup
Rationale: "Intragroup. Action of a cooperative nature by two or more persons intent
upon reaching a mutual goal. Action requires positive verbal and nonverbal interaction
(Avedon, 1974, p. 169)."
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
TV shows - answerA.) Encourage the person to positively interact with and build
relationships with people with disabilities
Rationale: "There are at least three ways to enhance the possibility of changing
attitudes toward people with disabilities: 1) Personal contact and interaction with people
who have disabilities seems to be the most effective way to change attitudes. To be in
the presence of and to interact with anyone is the best way to get to know and
understand him."
Unlike special recreation, therapeutic recreation is characterized by
A.) Qualified recreation staff
B.) Variety in programming
C.) Individualized treatment planning
D.) Program evaluation - answerC.) Individualized treatment planning
Rationale: "Special Recreation is the provision of recreation programs and services that
are provided for people who require special accommodations because of unique needs
they have owing to some physical, cognitive, or psychological disability. Therapeutic
, Recreation is the purposive use of recreation/recreative experiences by qualified
professionals to promote independent functioning and to enhance optimal health and
well-being of people with illnesses and/or disabling conditions." "Therapeutic Recreation
is concerned with recreation and treatment"
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 - answerB.) FOX
Rationale: "The purpose of the FOX is to evaluate the client's relative level of skills in
the social/affect domain. The primary population that this assessment has been used
with has been youth and adults with developmental disabilities."
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 with past clients
D.) Identify the assessment which will be the simplest for the client to complete -
answerA.) Identify the purpose of the assessment
Rationale: "The job of the specialist is to select the best, most appropriate, and most
useful assessment instruments and procedures to fit the purposes of the program and
the needs of the client."
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
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 -
answerD.) The client stated that he was tired and did not want to participate in the
activity
Rationale: "All client documentation must be accurate, objective, and consistent. Three
principles apply to the area of consistency and accuracy. Objectivity: Client
documentation should contain only information that is factual and objective. Behavioral
language: In all cases, documentation and written records should focus on client
behavior, rather than the specialist's perceptions or guesses. Consistency in
Information: Consistency in charting and other forms of client documentation is very
important."
In a nursing home setting, which interdisciplinary assessment would a CTRS complete?
A.) IRF-PAI
B.) FIM
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