NCTRC General Practice 4 — Questions and Answers
Question 1: The Americans with Disabilities Act (ADA) requires that recreational programs operated by public entities be:
- Free of charge for all individuals with disabilities
- Accessible to individuals with disabilities through reasonable modifications (Correct answer)
- Staffed exclusively by certified therapeutic recreation specialists
- Approved by the Department of Health before operation
Correct answer: Accessible to individuals with disabilities through reasonable modifications
Title II of the ADA mandates that public entities provide equal access to programs and services through reasonable modifications for individuals with disabilities.
Question 2: Which type of validity examines whether an assessment tool measures what it is theoretically intended to measure?
- Content validity
- Criterion validity
- Construct validity (Correct answer)
- Face validity
Correct answer: Construct validity
Construct validity determines whether an instrument actually measures the theoretical construct it is designed to assess.
Question 3: A CTRS is leading an aquatic therapy session with stroke survivors. Which safety precaution is MOST essential?
- Ensuring all participants hold a current swim certification
- Monitoring for signs of fatigue, changes in skin color, and breathing difficulties (Correct answer)
- Restricting water temperature to below 80°F
- Requiring all participants to wear flotation vests at all times
Correct answer: Monitoring for signs of fatigue, changes in skin color, and breathing difficulties
Continuous monitoring of physiological signs such as fatigue, skin color changes, and breathing difficulties is the most critical safety precaution for stroke survivors in aquatic settings.
Question 4: According to NCTRC certification standards, how often must a CTRS recertify?
- Every 2 years
- Every 3 years
- Every 5 years (Correct answer)
- Every 10 years
Correct answer: Every 5 years
NCTRC requires CTRSs to recertify every 5 years through continuing education or by retaking the certification exam.
Question 5: Which approach to TR programming focuses on building client strengths rather than addressing deficits?
- Medical model approach
- Strengths-based approach (Correct answer)
- Behavioral modification approach
- Deficit-reduction model
Correct answer: Strengths-based approach
A strengths-based approach emphasizes identifying and leveraging a client's existing capacities and resources rather than focusing on limitations.
Question 6: A CTRS working in a skilled nursing facility is MOST likely to use which reimbursement system for TR services?
- Diagnosis-Related Groups (DRGs)
- Resource Utilization Groups (RUGs) (Correct answer)
- Ambulatory Payment Classifications (APCs)
- Prospective Payment System for outpatients
Correct answer: Resource Utilization Groups (RUGs)
Skilled nursing facilities use Resource Utilization Groups (RUGs) under Medicare's prospective payment system to determine reimbursement rates.
Question 7: Which of the following describes the concept of 'inclusion' in the context of therapeutic recreation?
- Placing individuals with disabilities in separate specialized programs
- Integrating individuals with disabilities into general community recreation with appropriate supports (Correct answer)
- Excluding individuals with disabilities from high-risk activities
- Providing all services within a hospital setting
Correct answer: Integrating individuals with disabilities into general community recreation with appropriate supports
Inclusion in TR refers to integrating individuals with disabilities into mainstream community recreation with the supports they need to participate successfully.
NCTRC General Practice 4
The Americans with Disabilities Act (ADA) requires that recreational programs operated by public entities be: