NCTRC Test Special Populations and Diagnostic Groups

Question 1

When planning a TR program for an individual with moderate-stage Alzheimer's disease, the MOST important adaptation the CTRS should make is:

Accepted Answer

Use familiar, routine-based activities that capitalize on procedural memory

Answer

Procedural (implicit) memory—the ability to remember how to do familiar tasks—is often preserved longer than episodic memory in Alzheimer's. Using familiar, overlearned activities reduces frustration and supports successful participation.

Question 2

A client with a C6 complete spinal cord injury wants to participate in recreational sports. Which activity is MOST likely achievable for this individual?

Accepted Answer

Hand cycling or wheelchair tennis

Answer

A C6 complete SCI results in paralysis below the mid-forearm; the individual has wrist extension but no hand grasp. Hand cycling and wheelchair tennis are well-established adaptive sports accessible at the C6 level with appropriate equipment.

Question 3

When providing TR services to a child with Autism Spectrum Disorder (ASD), which environmental modification is MOST likely to support successful participation?

Accepted Answer

Providing a structured, predictable environment with advance notice of transitions

Answer

Individuals with ASD frequently benefit from predictability and structure. Advance preparation for transitions and consistent routines reduce anxiety and problem behavior, supporting more successful engagement in TR activities.

Question 4

A CTRS is working with a client who sustained a traumatic brain injury (TBI) and exhibits impulsivity and poor safety awareness. Which TR approach is MOST appropriate?

Accepted Answer

Structure activities with clear rules and environmental safeguards, with close supervision

Answer

Impulsivity and poor safety awareness following TBI are executive function deficits. Providing a structured environment with clear boundaries and close supervision allows safe participation while grading the level of independence over time.

Question 5

Which of the following is a PRIMARY therapeutic recreation consideration when working with older adults who have depression?

Accepted Answer

Use graded involvement in meaningful leisure activities to counteract withdrawal and anhedonia

Answer

Behavioral activation—graded engagement in meaningful, pleasurable activities—is an evidence-based approach to depression. TR is well-positioned to facilitate this through leisure activities matched to the individual's interests and current capacity.

NCTRC Test Practice Test

NCTRC Test Practice Test

NCTRC Test Special Populations and Diagnostic Groups