NCTRC Ultimate NCTRC Test Question and Answer 3 — Questions and Answers
Question 1: Which model of therapeutic recreation emphasizes that leisure is a basic human need and the CTRS's primary role is to help clients achieve a leisure lifestyle?
- Health Protection/Health Promotion Model
- Leisure Ability Model (Correct answer)
- Aristotelian Good Life Model
- Optimizing Lifelong Health Model
Correct answer: Leisure Ability Model
The Leisure Ability Model (Peterson & Gunn) positions leisure as a fundamental human need and defines TR's goal as helping clients achieve a satisfying leisure lifestyle.
Question 2: A CTRS is conducting a TR assessment using the STILAP. What does STILAP primarily measure?
- Sensory and motor functioning
- State Technical Institute's Leisure Assessment Process (Correct answer)
- Social skills and peer interaction levels
- Stress tolerance and impulse control
Correct answer: State Technical Institute's Leisure Assessment Process
STILAP stands for State Technical Institute's Leisure Assessment Process and evaluates leisure interests, skills, and barriers.
Question 3: Under HIPAA, which action by a CTRS would constitute a privacy violation?
- Sharing a client's progress notes with the client's attending physician
- Discussing a client's diagnosis in a hospital elevator within earshot of visitors (Correct answer)
- Releasing records to an authorized legal guardian of a minor
- Documenting session outcomes in the client's protected health record
Correct answer: Discussing a client's diagnosis in a hospital elevator within earshot of visitors
Discussing a client's protected health information in public or semi-public spaces where others may overhear is a HIPAA privacy violation.
Question 4: During the implementation phase of the TR process, which technique is MOST appropriate when working with a client who has severe depression and low motivation?
- Immediately challenge the client with complex group activities
- Use graded tasks that begin with minimal effort and build on small successes (Correct answer)
- Postpone intervention until the client demonstrates intrinsic motivation
- Focus exclusively on competitive sports to boost self-esteem quickly
Correct answer: Use graded tasks that begin with minimal effort and build on small successes
Graded tasks build confidence incrementally and are evidence-based for increasing motivation and engagement in clients with depression.
Question 5: Which of the following BEST describes 'inclusion' as it applies to therapeutic recreation services?
- Placing individuals with disabilities exclusively in TR programs with peers without disabilities
- Ensuring individuals with disabilities have equal access and participation in community recreation with supports as needed (Correct answer)
- Separating TR services into disability-specific programs for targeted treatment
- Requiring all TR programs to be held in clinical settings
Correct answer: Ensuring individuals with disabilities have equal access and participation in community recreation with supports as needed
Inclusion means individuals with disabilities participate alongside peers without disabilities in community settings, with appropriate supports.
Question 6: A CTRS documents that a client 'ambulated 50 feet to the recreation room with supervision.' This is an example of which type of documentation?
- Subjective data
- Assessment data
- Objective data (Correct answer)
- Evaluative data
Correct answer: Objective data
Objective data are measurable, observable facts such as distance ambulated, and are recorded without interpretation.
Question 7: The Americans with Disabilities Act (ADA) requires that public recreation programs provide 'reasonable accommodations.' Which scenario exemplifies a reasonable accommodation?
- Rebuilding an entire facility to add an Olympic-sized pool for one participant
- Providing a sign language interpreter for a deaf participant in a group fitness class (Correct answer)
- Eliminating time limits for all participants in every program
- Exempting staff from all training requirements to reduce costs
Correct answer: Providing a sign language interpreter for a deaf participant in a group fitness class
Providing a sign language interpreter is a reasonable, cost-effective accommodation that removes a barrier for a deaf participant without fundamentally altering the program.
NCTRC Ultimate NCTRC Test Question and Answer 3
Which model of therapeutic recreation emphasizes that leisure is a basic human need and the CTRS's primary role is to help clients achieve a leisure lifestyle?