NCTRC Test Advancement of the Profession and Evidence-Based Practice

Question 1

Evidence-based practice (EBP) in therapeutic recreation requires the integration of which THREE components?

Accepted Answer

Best available research evidence, clinical expertise, and client values/preferences

Answer

Administrative policies, accreditation standards, and reimbursement guidelines

Answer

Standardized assessments, intervention protocols, and discharge planning

Answer

Professional ethics, licensure requirements, and scope of practice

Question 2

A CTRS is supervising a TR student intern. Which supervisory approach is MOST appropriate when the intern is learning a new facilitation technique?

Accepted Answer

Provide direct supervision with structured feedback during and after the session

Answer

Allow the intern to practice independently without observation to build confidence

Answer

Assign the intern to read the literature on the technique and self-evaluate

Answer

Have the intern observe other disciplines rather than TR sessions initially

Question 3

When critically evaluating a research article for use in TR practice, which element most directly indicates the STRENGTH of the evidence?

Accepted Answer

The study design and level of evidence hierarchy

Answer

The length of the article and number of references cited

Answer

The journal's impact factor and year of publication

Answer

Whether the study was conducted in a TR-specific setting

Question 4

A CTRS is asked to consult with a nursing home that wants to start a TR program. In the consultation role, the CTRS's primary responsibility is to:

Accepted Answer

Share expertise and recommendations while leaving implementation decisions to the facility

Answer

Directly provide TR services to residents during the consultation period

Answer

Hire and supervise the facility's future TR staff

Answer

Evaluate and certify that the facility meets NCTRC standards

Question 5

Which of the following is an example of a CTRS advocating for the TR profession?

Accepted Answer

Presenting TR outcome data to hospital administration to justify department staffing

Answer

Maintaining current NCTRC certification by completing CEUs

Answer

Following the ATRA Code of Ethics in daily practice

Answer

Completing a client's leisure interest inventory accurately

Question 6

A CTRS wants to apply research findings to improve a social skills group for adults with psychiatric disabilities. The MOST critical step before changing the program is to:

Accepted Answer

Determine whether the research population and setting are comparable to their own clients and setting

Answer

Obtain approval from the NCTRC before implementing any evidence-based change

Answer

Wait until at least five studies support the same intervention before making any change

Answer

Discontinue the current program immediately and replace it with the researched protocol