NCTRC Ultimate 4

Question 1

According to the Health Protection/Health Promotion Model (Austin), which component focuses on prescriptive activities directed by the therapist?

Accepted Answer

Prescribed activity

Answer

Leisure

Answer

Recreation

Answer

Self-determination

Question 2

A CTRS documents that a client 'appeared sad.' This type of documentation is problematic because it is:

Accepted Answer

Subjective and not based on observable behavior

Answer

Too brief to be useful

Answer

Missing the client's diagnosis

Answer

Not written in SOAP format

Question 3

Which of the following is an example of an 'enabling objective' within a TR program plan?

Accepted Answer

Client will name three leisure resources in the community

Answer

Client will demonstrate improved self-esteem by session 10

Answer

Client will participate in TR programs 5 days per week

Answer

Client will reduce anxiety symptoms within 6 weeks

Question 4

Which risk management principle should guide a CTRS when planning an outdoor adventure program?

Accepted Answer

Conduct a risk-benefit analysis and implement reasonable safeguards

Answer

Eliminate all potential risks from the program

Answer

Require physician clearance for every activity

Answer

Avoid any activity with inherent physical challenge

Question 5

The NCTRC Job Task Analysis identifies which domain as including 'individualizing the TR intervention based on assessment data'?

Accepted Answer

Treatment/program planning domain

Answer

Assessment domain

Answer

Documentation domain

Answer

Administration and management domain

Question 6

A client with traumatic brain injury demonstrates impulsivity during leisure activities. The MOST appropriate TR intervention strategy is:

Accepted Answer

Use structured activities with clear rules, visual cues, and immediate feedback

Answer

Discontinue structured activities until impulsivity resolves

Answer

Provide highly stimulating competitive group games

Answer

Allow the client to self-direct all leisure choices

Question 7

Which approach to program evaluation examines whether a TR program achieved its stated goals and objectives?

Accepted Answer

Outcome evaluation

Answer

Process evaluation

Answer

Formative evaluation

Answer

Needs assessment