CTRS Cheat Sheet 2026

The 30 highest-yield CTRS facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. Which adaptive sport organization provides classification and competitive opportunities for athletes with physical disabilities in the US? → Disabled Sports USA (DS/USA)
2. A CTRS is conducting a leisure interest survey with a client who has a traumatic brain injury. What adaptation would BEST support valid data collection? → Administer the survey verbally and allow extended response time
3. When writing clinical documentation, a CTRS should follow the principle of: → Recording objective, accurate, and timely information
4. Which facilitation technique involves the therapist systematically reducing the level of assistance provided as the client demonstrates increasing independence? → Fading
5. Which of the following is an example of a process measure in TR program evaluation? → Number of program sessions delivered per week
6. What does 'content validity' mean in the context of a TR assessment tool? → The tool adequately covers all relevant aspects of the construct being measured
7. Sensory integration techniques in TR are most commonly used with which population? → Children and adults with autism spectrum disorder or sensory processing disorders
8. A CTRS plans to use animal-assisted therapy (AAT) with clients in a mental health unit. The FIRST step before implementing this intervention is to: → Verify facility policies, client allergies/phobias, and animal handler certification
9. What role does client feedback play in therapeutic recreation evaluation? → It guides future treatment decisions
10. A CTRS calculates that a client scored at the 40th percentile on a leisure functioning measure. What does this mean? → The client scored higher than 40% of the normative sample
11. Which type of assessment focuses on identifying what a client CAN do rather than cataloguing deficits? → Strengths-based assessment
12. In TR assessment, 'norm-referenced' scoring means a client's performance is compared to: → A standardized sample of peers with similar characteristics
13. The primary purpose of a logic model in TR program evaluation is to: → Visually map the relationships between program inputs, activities, outputs, and outcomes
14. A CTRS uses a 1–10 Likert scale to measure a client's satisfaction with a TR program at admission and discharge. This is an example of which measurement level? → Ordinal
15. For clients with visual impairments, TR activity adaptations most commonly include: → Auditory and tactile cues, sighted guides, beeper balls, and orientation strategies
16. Why is outcome measurement essential in therapeutic recreation? → To measure the success of interventions
17. How does an intervention strategy differ from a treatment plan? → The intervention strategy is part of the treatment plan
18. A CTRS is grading an activity for a client recovering from a stroke who demonstrates mild left-side weakness. Grading DOWN the activity would involve: → Reducing the number of steps required to complete the activity
19. Which of the following BEST describes a formative evaluation in TR practice? → Ongoing assessment of client progress during an intervention to allow adjustments
20. Which of the following is an example of an INTRINSIC motivation strategy used in TR intervention design? → Designing activities that align with the client's personal interests and values
21. Why is continuing education important for recreational therapists? → To ensure the delivery of quality and up-to-date care
22. Which theoretical model frames therapeutic recreation as a continuum from treatment to leisure lifestyle? → Leisure Ability Model
23. Medicare Part A covers therapeutic recreation services primarily in which setting? → Inpatient rehabilitation facilities and skilled nursing facilities
24. A CTRS is asked to supervise a recreation therapy intern. The therapist's primary ethical responsibility in this role is to: → Protect client welfare while supporting the intern's professional development
25. Which of the following BEST describes the role of the CTRS during the 'implementation' phase of the TR process? → Delivering planned interventions and monitoring client responses
26. When adapting an activity for a client with limited upper extremity function, which principle should guide equipment modification? → Apply the simplest, least restrictive adaptation that enables meaningful participation
27. Why is ethics important in therapeutic recreation? → To ensure fairness, safety, and client dignity
28. The Leisure Competence Measure (LCM) assesses which domains relevant to TR outcomes? → Leisure awareness, leisure attitude, leisure skills, and cultural/social behaviors
29. Why is treatment planning important in therapeutic recreation? → It creates a structured approach to achieve client goals
30. Which data collection method involves a CTRS directly watching and systematically recording a client's behavior in real time? → Naturalistic observation