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NCTRC 7 EXAM QUESTIONS WITH
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The basis for behavioristic theory comes from A. Understanding the hidden unconscious forces that underlie behavior B. Examining a person's thinking process and the effects of those thoughts on behaviors and emotions C. Academic learning theory D. Making people focus on reality - Correct Answers -C. Academic learning theory To receive the full benefits of a leisure experience, most TRSs believe that the experience should be A. Spontaneous B. Motivational C. Intrinsically motivated D. Challenging - Correct Answers -C. Intrinsically motivated One of the primary criteria for selecting client assessments for use in therapeutic recreation programs is that A. The content of the assessment matches the content of the intervention program B. It improves the expertise of the specialist C. The inter-rate reliability is high D. It required specialized training just for therapeutic recreation specialists - Correct Answers -A. The content of the assessment matches the content of the intervention program Aging women, as compared to men, are cared for in long-term care facilities at the rate of A. 4 women to 3 men B. 10 women to 9 men C. 1 woman to 2 men D. 2 women to 1 man - Correct Answers -A. 4 women to 3 men To see life balance by participating in "fun" activities while in the facility A. Functional Intervention B. Leisure Education C. Recreation Participation - Correct Answers -C. Recreation Participation The medical term "VO" is the abbreviation for A. Verbal order B. Halitosis
C. Ventilator only D. Vital organism - Correct Answers -A. Verbal order Chia received burns in a house fire that affected all three layers of skin as well as muscle tissue. She does not feel pain as the nerve fibers and pain receptors have been destroyed. Chia's burns are classified as A. Intensive B. First-degree C. Second-degree D. Third-degree - Correct Answers -D. Third-degree Cherise bases her intervention programs on the notion that all clients desire to interact effectively with their physical and social environments and to view themselves as skilled in their quest for a happy and fulfilling life. She is basing her intervention programs on the theory of A. Competence-effectance motivation B. Trust-building C. Self-determination D. Social psychology of leisure - Correct Answers -A. Competence-effectance motivation Edy requires that all her employees actively participate in diversity training on a regular basis. She is trying to ensure their _________. A. Prejudices B. Cultural competence C. Attitudinal awareness D. Recertification through NCTRC - Correct Answers -B. Cultural competence All of the following have an impact on how client documentation is recorded, EXCEPT: A. External accreditation standards B. Agency guidelines and procedures C. Legal requirements D. Professional development - Correct Answers -D. Professional development The TRS can make which of the following assumptions about clients in a day care center for older adults? A. They are in needs of acute medical care B. They have or can arrange transportation and have a reasonable level of health C. They live below the income poverty level D. They need reality orientation and Remotivation training activities - Correct Answers - A. They are in needs of acute medical care For individuals with disabilities, beginning at age 14, a transition plan for services must be in place, as required by what piece of federal legislation? A. Rehabilitation Act of 1978 B. Americans with Disabilities Act of 1990
B. Personality C. Affective D. Schizophrenic - Correct Answers -B. Personality When using active listening with a client, it is important for the TRS to do which of the following? A. Reflect the feeling tone the client communicates B. Respond immediately to the client's statements C. Nod his/her head and speak to the client frequently D. Ask questions so the client will know the TRS is listening - Correct Answers -A. Reflect the feeling tone the client communicates One of the MOST important aspects of a client/therapist relationship is for the TRS to A. Have an unconditional positive regard for the client B. Let the client know he/she is always right C. Establish a position of authority with the client D. Establish a relationship with the client's family - Correct Answers -A. Have an unconditional positive regard for the client A TRS is working with a person who is a tetraplegic as a result of a recent diving accident. The TRS suggests that she try playing Ping-Pong instead of tennis, which she has previously enjoyed. The TRS is using which of the following therapeutic recreation principles? A. Social Integration B. Substitutability C. Least restrictive environment - Correct Answers -B. Substitutability Which of the following would improve the reliability of the results of an assessment tool? A. Replace all close-ended items with open-ended items B. Shorten the length of the assessment C. Remove all items that were ambiguous to the clients D. Limit the time the client has to complete the assessment - Correct Answers -C. Remove all items that were ambiguous to the clients Asking the question, "How stable is the instrument over a given period of time?" is an example of looking at the assessment's A. Concurrent validity statistics B. Test-retest estimates C. Cronbach's alpha D. Internal consistency estimates - Correct Answers -B. Test-retest estimates The specialist says to the client, during a therapeutic recreation program, "Let's stay in the present and take responsibility for your actions." This specialist is using which type of "therapy" approach? A. Gestalt therapy
B. Rational-emotive therapy C. Cognitive therapy D. Reality therapy - Correct Answers -D. Reality therapy When a person experiences stress, which of the following physiological reactions occur? A. Blood pressure lowers B. Pupils (eyes) become dilated C. Respirations decrease D. Blood rushes to the hands and feet - Correct Answers -B. Pupils (eyes) become dilated Typical characteristics of violent youth include A. Low self-esteem, lack of empathy, and low frustration tolerance B. High socioeconomic status, lack of anger management, and impulsivity C. Low self-esteem, high self-control, and low frustration tolerance D. High stress tolerance, lack of empathy, and low socioeconomic status - Correct Answers -A. Low self-esteem, lack of empathy, and low frustration tolerance On of the problems with client assessment in therapeutic recreation services is that A. There are too many assessments from which to select B. Clients are too diverse to be assessed C. Assessments that are validated for practice are difficult to find and use D. The information they gather is often in conflict with that of other treatment team members - Correct Answers -C. Assessments that are validated for practice are difficult to find and use Which of the following is MOST likely to produce positive attitudes toward individuals with disabilities? A. Increased exposure and contact to individuals with disabilities B. Special discount rates to events and attractions C. Segregated or specialized services for individuals with disabilities D. Negative terminology and extensive classification systems - Correct Answers -A. Increased exposure and contact to individuals with disabilities The TRS working in a psychiatric facility for adults needs an assessment instrument that has the capability of monitoring clients in the three areas of general performance, individual performance, and group performance. Which of the following published assessment instruments would be MOST suitable? A. Leisure Diagnostic Battery (LDB) B. Comprehensive Evaluation in Recreation Therapy Scale (CERT) C. Self-Leisure Interest Profile (SLIP) D. Leisure Activities Blank (LAB) - Correct Answers -B. Comprehensive Evaluation in Recreation Therapy Scale (CERT) Which of the following individuals likely has cataracts?
better utilized for an incoming patient? Which of the following committees or departments would make this recommendation? A. Professional standards review organization (PRSO) B. Utilization review C. Medical records review D. Risk management review - Correct Answers -B. Utilization review Which of the following is NOT appropriate to document in the therapeutic recreation department's written plan of operation? A. The philosophy of the therapeutic recreation department B. Comprehensive and specific program descriptions C. The description of assessment tool and procedures D. The treatment plans and progress notes - Correct Answers -D. The treatment plans and progress notes Paralysis on one side of the body is called A. Paraplegia B. Hemiplegia C. Monoplegia D. Quadriplegia - Correct Answers -B. Hemiplegia Hazel is showing signs of disorientation, confusion and memory loss. After the TRS completes the assessment and meets with the treatment team, he/she should use which of the following intervention techniques? A. Resocialization B. Remotivation C. Reality orientation D. Refocusing - Correct Answers -C. Reality orientation The TRS designed a program to assist older adults with mental retardation to share their past life experiences after reading poetry about children. The TRS was using a technique known as _________. A. Reality orientation B. Remotivation C. Resocialization D. Cognitive restructuring - Correct Answers -B. Remotivation The specialist employs an activity that focuses on the client's thoughts. What is this kind of therapy called? A. Cognitive therapy B. Behavior therapy C. Affective therapy D. Gestalt therapy - Correct Answers -A. Cognitive therapy A TRS wants to assess a patient's/client's ability to control anger. The TRS should assess behavior form which of the following domains?
A. Cognitive B. Physical C. Emotional D. Social - Correct Answers -C. Emotional If a facility does not meet standards and is not accredited by the Joined Commission on Accreditation of Healthcare Organizations (JCAHO), what is likely to be the result? A. Medicare, Medicaid, and private insurance companies will not pay for services B. The administration will seek accreditation by CARF C. Staff's wages will be garnished until the problem is corrected D. Nothing, accreditation by the Join Commission is not mandatory - Correct Answers - A. Medicare, Medicaid, and private insurance companies will not pay for services An individual's responses or scores on the Minimum Date Set (MDS) may link to a "trigger" that requires a Resident Assessment Protocol (RAP) to be completed This means that A. An individual will receive a more in-depth assessment in this area B. The TRS must complete an interview with the family C. The assessment was completed incorrectly D. The information from the assessment is neither valid or reliable - Correct Answers -A. An individual will receive a more in-depth assessment in this area Which of the following is NOT criteria for selecting "important aspects of care" to monitor during quality assurance reviews? A. Programs that serve large numbers of clients B. Programs that put clients at risk of serious consequences C. Programs that occur on an annual basis D. Programs that, in the past, have produced problems for staff or clients - Correct Answers -C. Programs that occur on an annual basis Which of the following is the BEST example of an efficacy research study conducted in a physical rehabilitation setting? A. Client skills at discharge are compared with their skills at admission B. The TRS tracks client attendance at therapeutic recreation programs C. Two TRSs evaluate the inter-rater reliability of their observational assessment tool D. Peer reviews are conducted on adherence to NTRS and ATRA Standards of Practice
- Correct Answers -A. Client skills at discharge are compared with their skills at admission When serving a program evaluation function, the assessment tool or procedure and its results may be used to A. Plan appropriate programs for client needs B. Provide an accurate and valid diagnosis for client treatment C. Monitor the continuing behavior of clients D. Ask for input form the other therapists on the treatment team - Correct Answers -C. Monitor the continuing behavior of clients
B. Multilateral C. Interindividual D. Extraindividual - Correct Answers -D. Extraindividual Singles tennis A. Intragroup B. Multilateral C. Interindividual D. Extraindividual - Correct Answers -C. Interindividual The TRS wants to know how long it takes a client to start a task when assigned A. Frequency B. Duration C. Latency D. Time Sampling - Correct Answers -C. Latency The TRS wants to know how long it takes a client to start a task when assigned. A. Frequency B. Duration C. Latency D. Time Sampling - Correct Answers -A. Frequency The TRS wants to know how many times a client refuses to attend therapeutic recreation programs. A. Frequency B. Duration C. Latency D. Time Sampling - Correct Answers -D. Time Sampling When a TRS provides an accepting and understanding attitude to a client and, as a result, that positive involvement reduces the client's feelings of loneliness and worthlessness, and helps the client to take responsibility to alter irresponsible behavior, the TRS is probably using _________ therapy. A. Psychoanalytic B. Behavior C. Reality D. Rational emotive - Correct Answers -C. Reality A TRS is nonjudgmental, nondirective, and provides an accepting atmosphere allowing the client to assume the same positive self-regard the TS has shown to the client. The TRS is using ________. A. Gestalt B. Reality C. Rational emotive D. Person centered - Correct Answers -D. Person centered
When a physician or case manager creates a master list of client deficits and develops a plan of action focused on these deficits, this is called A. A problem-orientated medical record B. The number of clients served on the unit and space available C. The case load of the physician on staff D. The patient's needs and nature of the program - Correct Answers -A. A problem- orientated medical record In the mental illness diagnosis classification system used by the American Psychiatric Association, Axes I and II describe A. Physical disorders related to mental illness B. Unrelated symptoms C. Categories and conditions of mental illness D. Social support networks that can be used by the client - Correct Answers -C. Categories and conditions of mental illness One example of a mood disorder is the diagnosis of A. Psychosis B. Bipolar personality C. Paranoia D. Organic brain syndrome - Correct Answers -B. Bipolar personality In 1983, a cost-cutting Medicare hospital payment system was initiated that included A. A retrospective payment system B. Direct reimbursement for therapeutic recreation services C. The Centers for Medicare and Medicaid Services (CMS) D. Diagnostic-related groups (DRGs) - Correct Answers -D. Diagnostic-related groups (DRGs) Which of the following statements represents an assertive response to the question "Where would you like to eat dinner tonight?" A. "We can go wherever you want." B. "I don't care where we eat, you always choose anyway." C. "I'd like to try that new Italian restaurant by the mall." D. "You should know where I want to eat by now. - Correct Answers -C. "I'd like to try that new Italian restaurant by the mall." During an assessment interview, the client stated, "I hate physical activities. They just wear me out. But my sister just loves to be involved in sports." The TRS responded, "You don't like exercise, while your sister does." The TRS was using which of the following communication techniques? A. Probe B. Summarization C. Redirection D. Confrontation - Correct Answers -B. Summarization
D. What proposed outcomes were achieved as the result of the client's involvement in the program? - Correct Answers -D. What proposed outcomes were achieved as the result of the client's involvement in the program? Which of the following is an example of "objective" data that may be recorded in a progress note? A. The client stated, "I really got a lot out of this program!" B. The client's family said that the client was progressing with the outpatient therapy. C. The client interacted with a peer for two minutes, discussing the role of leisure in their lives. D. The client appears depressed and withdrawn after counseling sessions. - Correct Answers -C. The client interacted with a peer for two minutes, discussing the role of leisure in their lives. Which of the following is the BEST example of a client outcome measure, collected as part of the therapeutic recreation department's quality improvement efforts? A. Change in clients' health status or well-being B. Change in client's attendance at programs C. Development of a baseline for expected client behavior D. Development of one-to-one treatment programs - Correct Answers -A. Change in clients' health status or well-being A written plan of operation for a therapeutic recreation department is a A. Policy and procedure manual B. Description of the department's quality performance initiatives C. Personnel maintenance record D. Summary of all departmental risk management activities for the past five years - Correct Answers -A. Policy and procedure manual Select from the elements of the SOAP progress note the one that BEST fits each of the following. The plan A. Schedule pt. for social interaction program B. Patient turns away when others try to talk with him/her and attends to a craft or book C. Patient refuses to talk in a social situation to hospital staff or other patients although he/she has been observed talking to family members. D. Patient stated: "Don't bother me." - Correct Answers -A. Schedule pt. for social interaction program The subjective data A. Schedule pt. for social interaction program B. Patient turns away when others try to talk with him/her and attends to a craft or book C. Patient refuses to talk in a social situation to hospital staff or other patients although he/she has been observed talking to family members. D. Patient stated: "Don't bother me." - Correct Answers -D. Patient stated: "Don't bother me."
The objective data A. Schedule pt. for social interaction program B. Patient turns away when others try to talk with him/her and attends to a craft or book C. Patient refuses to talk in a social situation to hospital staff or other patients although he/she has been observed talking to family members. D. Patient stated: "Don't bother me." - Correct Answers -B. Patient turns away when others try to talk with him/her and attends to a craft or book The assessment data A. Schedule pt. for social interaction program B. Patient turns away when others try to talk with him/her and attends to a craft or book C. Patient refuses to talk in a social situation to hospital staff or other patients although he/she has been observed talking to family members. D. Patient stated: "Don't bother me." - Correct Answers -C. Patient refuses to talk in a social situation to hospital staff or other patients although he/she has been observed talking to family members. As the level of mental retardation increases from mild to severe/profound, the TRS should expect to see increased A. Social and intellectual skill development B. Compensation for skills deficits C. Need for transportation D. Secondary physical limitations and sensory impairments - Correct Answers -D. Secondary physical limitations and sensory impairments If a client receives treatment and was not informed of risks involved and the treatment results is some unwanted side effect or injury, then the client can bring a lawsuit against the TRS. The TRS could be found A. Guilty of negligence B. Having a breach of confidentiality C. To be harmful to all D. Guilty of malfeasance - Correct Answers -D. Guilty of malfeasance In a facility that utilizes the medical model of service, the TRS would focus on which of the following? A. The patient's/client's problem or pathology related to leisure B. Providing activities and games which promote physical development C. Integrating the patient/Client into ongoing community recreation programs D. Documenting critical incidents of the patient's/client's medical stability - Correct Answers -A. The patient's/client's problem or pathology related to leisure According to the World Health Organization's International Classification of Functioning, Disability, and Health (ICF), services are needed at each of the following levels: A. Community, stated, regional, and national B. Body part, the whole person, and the person's social context
Kahlil wants to develop a stress management program. He first reviews the Therapeutic Recreation Journal, the Annual in Therapeutic Recreation, and the American Journal of Recreation Therapy to determine what is known about the design and effects of stress management programs in therapeutic recreation. Kahlil is performing what task? A. A literature review B. A research study C. Evidence-based practice D. A meta-analysis - Correct Answers -C. Evidence-based practice Which of the following is NOT likely to aid a TRS in assessing his or her own competence? A. NTRS's Standards of Practice B. ATRA's Standards of Practice and Self-Assessment Guide C. NCTRC's certification examination D. Joint Commission's Comprehensive Accreditation Manual for Hospitals - Correct Answers -D. Joint Commission's Comprehensive Accreditation Manual for Hospitals Which of the following are NOT minimal expectations of all therapeutic recreation specialists? A. Read professional journals, attend professional conferences, and network B. Retain professional certification and join appropriate professional organizations C. Study external accreditation documents and professional standards D. Maintain professional knowledge as it was at graduation - Correct Answers -D. Maintain professional knowledge as it was at graduation
