NCTRC General Practice 5 — Questions and Answers
Question 1: Which stage of group development, as described by Tuckman, is characterized by conflict and competition among group members?
- Forming
- Storming (Correct answer)
- Norming
- Performing
Correct answer: Storming
The storming stage is marked by interpersonal conflict, power struggles, and resistance as group members negotiate roles and norms.
Question 2: A CTRS receives a referral for a client with traumatic brain injury (TBI). Before beginning assessment, which information source is MOST valuable?
- Family members' opinions about recreational preferences
- Medical records including injury severity and cognitive status (Correct answer)
- The client's previous employer records
- Community recreation program schedules
Correct answer: Medical records including injury severity and cognitive status
Medical records detailing injury severity and cognitive status are essential first-line information for planning a safe and appropriate TBI assessment.
Question 3: Which of the following BEST describes the role of the CTRS in an interdisciplinary treatment team?
- Providing recreational entertainment to supplement other therapies
- Contributing TR-specific assessment data and advocating for leisure and well-being goals (Correct answer)
- Supervising all therapy services when the lead physician is unavailable
- Replacing occupational therapy when budgets are limited
Correct answer: Contributing TR-specific assessment data and advocating for leisure and well-being goals
The CTRS contributes unique assessment data on leisure functioning and advocates for goals related to leisure, well-being, and quality of life within the interdisciplinary team.
Question 4: A client states they want to return to playing golf after a hip replacement. The CTRS's FIRST step should be to:
- Discourage golf due to hip precautions
- Assess the client's current functional status and golf-related skills (Correct answer)
- Contact the golf course to arrange an outing
- Teach the client a different sport as an alternative
Correct answer: Assess the client's current functional status and golf-related skills
Assessment of the client's current functional status provides the foundation for developing a safe, individualized plan to achieve the client's stated leisure goal.
Question 5: Which federal legislation mandates that students with disabilities receive related services, which may include therapeutic recreation, in schools?
- Section 504 of the Rehabilitation Act
- Individuals with Disabilities Education Act (IDEA) (Correct answer)
- Americans with Disabilities Act (ADA)
- Social Security Act
Correct answer: Individuals with Disabilities Education Act (IDEA)
IDEA mandates that eligible students receive a free appropriate public education including related services such as therapeutic recreation as specified in their IEP.
Question 6: In program evaluation, which method involves collecting data from clients about their satisfaction with TR services?
- Chart audit
- Efficacy study
- Consumer satisfaction survey (Correct answer)
- Needs assessment
Correct answer: Consumer satisfaction survey
Consumer satisfaction surveys directly collect clients' perceptions and ratings of the TR services they received.
Question 7: A CTRS applies behavior modification techniques by rewarding a client with a token each time they independently initiate a leisure activity. This is an example of:
- Negative reinforcement
- Positive reinforcement (Correct answer)
- Extinction
- Punishment
Correct answer: Positive reinforcement
Positive reinforcement involves providing a reward (token) following a desired behavior (independent leisure initiation) to increase the likelihood of that behavior recurring.
NCTRC General Practice 5
Which stage of group development, as described by Tuckman, is characterized by conflict and competition among group members?