NCTRC Test Question and Answers 5 — Questions and Answers
Question 1: A CTRS who holds the CTRS credential must complete how many hours of continuing education per re-certification cycle?
- 20 hours
- 30 hours
- 40 hours (Correct answer)
- 50 hours
Correct answer: 40 hours
NCTRC requires 40 hours of continuing education within each 5-year re-certification cycle to maintain the CTRS credential.
Question 2: Which standardized assessment tool is MOST appropriate for evaluating functional independence across multiple domains for a client in acute rehabilitation?
- Leisure Competence Measure (LCM)
- Functional Independence Measure (FIM) (Correct answer)
- Comprehensive Leisure Rating Scale
- Leisure Diagnostic Battery (LDB)
Correct answer: Functional Independence Measure (FIM)
The FIM is a widely used standardized instrument in acute rehabilitation settings that measures functional independence across motor and cognitive domains.
Question 3: A CTRS documents that a client 'seemed sad during today's session.' This is an example of:
- An objective observation
- A subjective interpretation (Correct answer)
- A measurable behavioral goal
- A functional assessment finding
Correct answer: A subjective interpretation
The word 'seemed' reflects the therapist's interpretation rather than a directly observable, measurable behavior, making it a subjective statement.
Question 4: Which of the following is a PRIMARY responsibility of NCTRC?
- Setting academic curriculum standards for university TR programs
- Advocating for state licensure legislation for TR professionals
- Granting and maintaining the CTRS credential through examination and re-certification (Correct answer)
- Providing liability insurance for practicing therapeutic recreation specialists
Correct answer: Granting and maintaining the CTRS credential through examination and re-certification
NCTRC's primary responsibility is to grant the CTRS credential through a national examination and maintain it through the re-certification process.
Question 5: A client with traumatic brain injury demonstrates difficulty sequencing steps in a cooking activity. The CTRS should FIRST:
- Discontinue the activity and substitute a simpler one
- Break the task into smaller steps and provide verbal cues (Correct answer)
- Refer the client to occupational therapy for evaluation
- Document the difficulty and revisit in the next session
Correct answer: Break the task into smaller steps and provide verbal cues
Activity analysis and task modification — such as breaking tasks into smaller steps and providing cues — are core TR intervention strategies for clients with cognitive deficits.
Question 6: The concept of 'normalization' in TR services for individuals with intellectual disabilities emphasizes:
- Eliminating all differences between clients with and without disabilities
- Providing access to mainstream leisure and community experiences (Correct answer)
- Focusing services exclusively on remediating behavioral deficits
- Segregating clients by disability type for specialized programming
Correct answer: Providing access to mainstream leisure and community experiences
Normalization promotes inclusion by ensuring individuals with intellectual disabilities have access to the same types of leisure and community experiences available to the general population.
Question 7: A CTRS wants to evaluate the effectiveness of a 10-week stress management program. The MOST appropriate method is to:
- Ask participants if they felt the program was helpful at the final session
- Administer a validated stress measure before and after the program and compare scores (Correct answer)
- Count the number of sessions each participant attended
- Review participant medical records for changes in medication
Correct answer: Administer a validated stress measure before and after the program and compare scores
Pre- and post-testing with a validated instrument provides objective, measurable data to evaluate program effectiveness.
NCTRC Test Question and Answers 5
A CTRS who holds the CTRS credential must complete how many hours of continuing education per re-certification cycle?