NCTRC General Practice 3 — Questions and Answers
Question 1: A client with a spinal cord injury at the C6 level wants to participate in wheelchair tennis. Which consideration is MOST important for the CTRS during activity modification?
- Eliminating all competitive elements
- Adapting equipment and technique to match the client's functional abilities (Correct answer)
- Replacing tennis with a less demanding activity
- Requiring a physician order before any modification
Correct answer: Adapting equipment and technique to match the client's functional abilities
Activity modification in TR involves adapting equipment, rules, or techniques to maximize participation based on the client's actual functional capabilities.
Question 2: Which of the following BEST defines 'therapeutic recreation' according to ATRA's definition?
- Recreation activities prescribed solely by physicians
- The purposeful use of recreation to improve health, well-being, and quality of life (Correct answer)
- Leisure activities provided only in hospital settings
- Any recreational activity provided in a clinical environment
Correct answer: The purposeful use of recreation to improve health, well-being, and quality of life
ATRA defines therapeutic recreation as the purposeful use of recreation and leisure to improve health, well-being, and quality of life for individuals with illness or disability.
Question 3: A CTRS is working in a community mental health center. Which legislative act most directly supports funding and services for clients in this setting?
- Individuals with Disabilities Education Act (IDEA)
- Community Mental Health Centers Act (Correct answer)
- Americans with Disabilities Act (ADA)
- Rehabilitation Act of 1973
Correct answer: Community Mental Health Centers Act
The Community Mental Health Centers Act established the framework for federally funded community mental health services.
Question 4: When writing a measurable behavioral objective for a TR program, which component specifies how performance will be evaluated?
- Condition
- Behavior
- Criterion (Correct answer)
- Subject
Correct answer: Criterion
The criterion component of a behavioral objective defines the standard or level of acceptable performance used to evaluate success.
Question 5: Which theory of aging suggests that successful aging involves maintaining social roles and activity levels similar to middle age?
- Disengagement theory
- Continuity theory
- Activity theory (Correct answer)
- Gerotranscendence theory
Correct answer: Activity theory
Activity theory proposes that older adults age successfully by staying active and maintaining the roles and activities they engaged in during middle age.
Question 6: A CTRS notices that a client with depression consistently refuses to attend group leisure activities. The BEST initial action is to:
- Document the refusal and move on
- Explore the client's reasons for refusal and discuss alternatives (Correct answer)
- Discharge the client from TR services
- Report the client to the treatment team immediately
Correct answer: Explore the client's reasons for refusal and discuss alternatives
Exploring the client's perspective and offering alternatives respects autonomy while maintaining therapeutic engagement and gathering clinically relevant information.
Question 7: Which of the following is a primary benefit of using group therapy formats in therapeutic recreation?
- Reducing the need for individualized treatment plans
- Providing opportunities for peer support and social skill development (Correct answer)
- Eliminating the need for CTRS oversight
- Lowering reimbursement requirements
Correct answer: Providing opportunities for peer support and social skill development
Group formats in TR provide natural opportunities for peer interaction, social skill practice, and mutual support that are not replicable in individual sessions.
NCTRC General Practice 3
A client with a spinal cord injury at the C6 level wants to participate in wheelchair tennis.
Which consideration is MOST important for the CTRS during activity modification?