NCTRC Test Question and Answers 4 — Questions and Answers
Question 1: Which of the following is an example of an OUTCOME goal appropriate for a TR treatment plan?
- The client will participate in three group sessions per week
- The client will increase independent leisure participation by 50% within 6 weeks (Correct answer)
- The CTRS will provide leisure education programming daily
- The facility will offer adapted aquatics on Tuesdays and Thursdays
Correct answer: The client will increase independent leisure participation by 50% within 6 weeks
Outcome goals are measurable, client-centered statements reflecting the expected change in the client's functioning or behavior.
Question 2: A CTRS working in long-term care plans a pet therapy program to reduce social isolation among residents. This intervention primarily addresses which domain?
- Physical functioning
- Cognitive functioning
- Psychosocial functioning (Correct answer)
- Leisure awareness
Correct answer: Psychosocial functioning
Pet therapy reduces social isolation by promoting emotional connection and social interaction, targeting the psychosocial domain.
Question 3: Under HIPAA, a CTRS may share a client's protected health information WITHOUT written authorization in which situation?
- Discussing the client's progress with their employer
- Sharing information with other treating providers for care coordination (Correct answer)
- Providing details to a family member who requests them
- Posting anonymized case notes on a professional forum
Correct answer: Sharing information with other treating providers for care coordination
HIPAA's Treatment, Payment, and Health Care Operations (TPO) exceptions allow sharing PHI among treating providers for care coordination without written client authorization.
Question 4: The term 'therapeutic use of self' in TR practice refers to:
- Using one's own leisure history as a case study for clients
- Deliberately and purposefully using the therapeutic relationship to facilitate client outcomes (Correct answer)
- Engaging in personal recreation to model healthy leisure behavior
- Choosing activities the therapist personally enjoys for programming
Correct answer: Deliberately and purposefully using the therapeutic relationship to facilitate client outcomes
Therapeutic use of self involves the intentional use of the therapist's personality, insights, and relationship with the client as a tool to promote change.
Question 5: Which of the following BEST reflects a client-centered approach in TR programming?
- The CTRS selects activities based on evidence-based protocols regardless of client preferences
- The CTRS collaborates with the client to identify goals aligned with the client's values and interests (Correct answer)
- The CTRS designs group programs around available facility resources
- The CTRS replicates programming from other facilities with similar populations
Correct answer: The CTRS collaborates with the client to identify goals aligned with the client's values and interests
Client-centered practice involves actively involving clients in their own goal-setting and treatment planning, aligning interventions with their values and preferences.
Question 6: A CTRS is designing an adaptive sports program for veterans with lower limb amputations. Which model BEST guides intervention planning for this population?
- Health Protection/Health Promotion Model (Correct answer)
- Leisure Ability Model
- Aristotelian Good Life Model
- Self-Determination Theory
Correct answer: Health Protection/Health Promotion Model
The Health Protection/Health Promotion Model (Van Andel) guides TR services along a continuum from treating illness to facilitating optimal health, making it well-suited for rehabilitation populations.
Question 7: When conducting a community reintegration outing, a CTRS should PRIMARILY focus on:
- Ensuring the outing is enjoyable and stress-free for all participants
- Facilitating skill generalization from clinical settings to real-world environments (Correct answer)
- Meeting facility transportation and insurance requirements
- Documenting the client's leisure preferences for future programming
Correct answer: Facilitating skill generalization from clinical settings to real-world environments
Community reintegration outings are designed to help clients apply skills learned in clinical settings to real-world community environments.
NCTRC Test Question and Answers 4
Which of the following is an example of an OUTCOME goal appropriate for a TR treatment plan?