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NCTRC: CHAPTER 7 EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
Which one of the four categories of child development does the skill "sit leaning on hands" belong? A: personal/social B: adaptive/fine motor behavior C: motor behavior D: language - Correct Answers -C Which of the following is NOT a benefit resulting from completing an activity analysis? A: a better comprehension of the client's activity interest and preferences B: a rationale or explantation for the therapeutic benefits of activity involvement C: information for selecting a leadership or faciltion technique D: a greater understanding of the complexity of activity requirements for client participation - Correct Answers –A The CTRS works in a youth correctional facility. At the beginning and ending of each session, he counts the number of scissors and ruler to make sure that all recreation supplies are accounted for. The CTRS is involved in what kind of action? A: equipment management B: risk management C: enviormental assessment D: quality achievement - Correct Answers -B In the therapeutic recreation outcome model, the purpose of therapeutic recreation is to A: provide diversional leisure activities for enjoyment and entertainment B: plan and implement community inclusion service under the ADA C: improve the client's leisure lifestyle D: improve the client's quality of life by increasing functional capacity and health status - Correct Answers -D Facilities that provide adult day care, assisted living, behavioral health, and employment and community services are MOST LIKELY to seek accreditation from A: joint commission (JCAHO) B: national committee for quality assurance (NCQA) C: centers for medicare and medicaid services (CMS) D: rehabilitation accreditation commission (CARF) - Correct Answers -D
Which of the following is an example of clinical supervision? A: Overseeing clients on a community out-trip B: overseeign clients during an in-house discussion group C: helping a junior professional become a better practitioner D: performing personnel evaluations on staff at least once per a year - Correct Answers -C In 2001, the world health organization revamped its classification of human functioning and disablement. Called the international classification of functioning, disability, and health (IFC), it promotes A: better medical care in third world countries B: viewing human functioning and disablement from a biopyschosocial model of health C: more active treatment for those with severe disabilities and terminal illness D: therapeutic recreation as one of three services that promote quality of life - Correct Answers -B Many private hospital followed the federal government in adhering to a prospective payment system. The means that A: hospitals receive the same fee for each diagnostic-related group (DRG) they treat B: insurance companies will pay whatever hospital charge for a service C: indiviuals pay 80 percent of health care charges D: psychiatric services are available to individual within their own community - Correct Answers -A Which is the most common adult social interaction pattern? A: intragroup B: multilateral C: interindividual D: extraindividual - Correct Answers -A Which of the following is a true statement about the aging process? A: individuals with less education tend to outlive those with more education B: women tend to outlive men C: ethnic minority members tend to outlive Caucasians D: Individuals who are single ten to outlive those with families - Correct Answers -B 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 An older female has been admitted as a client to a psychiatric facility for treatment of severe depression. She says her daughter has taken care of her home and needs for
B: have a unifying relationship C: seek a shared and common goal D: work together to meet individuals and group needs - Correct Answers -A The CTRS wrote the following note in a client's chart. Which of the following documentation principles was violated? "Mrs. Sullivan appeared to be lethargic and depressed." A: add adequate description to explain motications B: be consistent and explain exceptional behavior C: observe behavior, then write it down D: focus on client behavior, rather than interpretation of behavior - Correct Answers -D When individuals with disabilities are categorized and labeled (e.g., "the retarded," "the disabled"), it shows A: misconceptions about professionalism B: the underlying attitudes held toward individuals with disabilties C: inadequate inforation about health and illness D: religious beliefs toward perceived differences - Correct Answers -B Which of the following is an example of the condition part of a behavior objective? A: with level 4 minimal assistance B: the client will plan a weekend trip C: after the completion of the program D: two out of three times - Correct Answers -C Which of the following is NOT a true statement about the majority of individuals with intellectual disability? A: they are more easily suggestivle than individuals with higher intelligence B: they are more passive in their thoughts than individuals with higher intelligence C: they are more judgmental than individuals with higher intelligence D: they are more concrete in their thinking than individuals with higher intelligence - Correct Answers -C The CTRSs on a physical medicine and rehabilitation unit plans on providing a clinic on adapted tennis. Which of the following would NOT be a consideration for modification? A: available facilties B: necessary equipment and materials needed C: number of qualified staff D: decision-making skills - Correct Answers -D Reimbursement for therapeutic recreation services is dependent on all of the following EXCEPT A: insurance contracts B: local managed care agreements C: the square footage of the activity area D: documentation of client outcomes - Correct Answers -C
Which of the following is the BEST example of a receptive communication dysfunction? A: inability to transofrm experiences into language B: inability to comprehend the written or spoken word C: inability to express oneself thorugh actions or language D: inability to distinguish regional accents in spoken language - Correct Answers -B A CTRS should use which of the following resources to find successful, proven methods of achieving positive client outcomes through actual therapeutic recreation services? A: therapeutic recration journal B: an introduction to therapeutic recreation textbook C: Adapted Activities Quarterly D: ATRA Newsletter - Correct Answers -A Which of the following terms means that medications has been delivered under the tongue? A: Sublinually B: inreamuscularly C: subcutaneously D: intrathecally - Correct Answers -A The CTRS is treating a divorced parent who has custody of two children. The lawyer of the non-custodial parent calls seeking information regarding the status of the custodial parent. The CTRS refuses to give information. The CTRS is adhering to which principle of the ATRA Code of ethic s? A: confidentialit and privacy B: justice C: veracity D: competence - Correct Answers -A For individuals with substance dependence problems, the term tolerance means that her person A: needs more of the substance to achieve intoxication B: is more open-minded and accepting of diverse opinions C: shows emotional distress during substance withdrawl D: willingly accepts more limitations within his/her life - Correct Answers -A Which of the following is the best approach to use with individuals who are kinesthetic learners? A: Drawing on a chalfboard or white board B: verbl recordings of instructions C: materials that provide tactile stimuation D: charts, signs, and posters with clear instructions - Correct Answers -C High-quality patient documentation focuses on "behavioral language," which of the following is NOT an example of a behavioral statement
C: open time in the woodworking room D: art instruction in quilting - Correct Answers -C The term "muscular strength" refers to A: repeated submaximal effort B: the range of motion within a joint C: the ability to change direction without losing balance D: a single maximum effort - Correct Answers -D On an activity analysis form , the items about interaction patterns (such as uni-lateral, intra-individual, etc.) would best fit under the component of: A: physical B: mental C: emotional D: social - Correct Answers -D Which of the following is NOT a requirement of the Health Insurance Portability and accountability act (HIPPAA) of 1996 and later rules? A: give patients notice about how their heaalth information will be used B: make a good faith effort to ensure patients understand their rights C: obtain written authorization from the patient for purposes other than treatment, payment, or operations D: performs research on evidence-based and best practice health care - Correct Answers -D Validity, as a measurement characteristic, asks which of the following questions? A: Is the instrument measureing what it is intended to measure? B: Will the same results happen if the instrument is given a second time? C: Does the manual include directions for administering, scoring and interpreting results? D: How consistent are the results from one client to another? - Correct Answers -A Which of the following is an example of an interpersonal constraint to leisure participation? A: lack of self-determination of the individual B: lack of interest in the activities being offered C: lack of transportation to recreation facilities and programs D: lack of leisure partners - Correct Answers -D Which of the following is NOT an example of inclusive recreation programming? A: community reintegration programs for out-patients B: Leisure skills insruction for independent participation C: Ensuring universal design in leisure facilties and programs D: anger management training for inpatients with substance addictions - Correct Answers -D
Glaucoma is the results of excessive pressure buildup within the A: aqueous humor of the anterior haber of the eye B: synovial joint of the neck C: typanic membrane in the ear D: Eustachian tube - Correct Answers -A According to the leisure ability model of therapeutic recreation services, the program service categories include A: functional intervention leisure education, and recreation participation services B: therapy and recreation services C: leisrue education, counseling, and recation services D: inpatient, outpatient and community services - Correct Answers -A Three early professional organizations for TR (HRS, NART & RTS) formed the national council for the advancement of hospital recreation (CAHR). What was the major accomplishment of CAHR in 1956? A: a combined progessional philosophy for the entire field B: the creation of the national voluntary registration plan for TR personnel C: the creation of the National Therapeutic Recreation Society D: the first standards of practice for TR practitioners - Correct Answers -B The content of the assessment must match the content of the A: activity analysis B: program C: treatment plan D: quality improvement plan - Correct Answers -B An individual with a moderate hearing impairment would MOST likely need which of the following service or adaptions? A: community mobility training B: well-lit rooms with bright colors C: amplification devices in some situations D: personal assistants to take care of daily needs - Correct Answers -C One of the problems with client assessment in therapeutic recreation services is that A: there are too many assessment 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 When choosing an assessment instrument, the CTRS first needs to determine the instrument's A: reliability B: validity C: stability
C: interval D: instantaneous time sampling - Correct Answers -B Which of the following questions would NOT be appropriate when documenting a client's participation in a therapeutic recreation program? A: did the client attend voluntarily? B: did the client merely observe the activity? C: was the client actively participating in the session? D: did the client attend all therapies on Tuesday? - Correct Answers -D Dementia typically results in which of the following activity limitations? A: decrease in amount of aphasia B: increased likelihood of blood disorders C: memory loss D: increase in executive functioning - Correct Answers -C A person who has a hearing capacity of less than 120 decibels (db) is consider to A: have normal hearing B: be slightly hearingimpaired C: be moderatley hearing impaired D: be deaf - Correct Answers -D The medical term "VO" is the abbreviation for A: verbal order B: halitosis C: ventilator only D: vital organism - Correct Answers -A Which one of the following components is mission from the discharge summary? "Pt. was referred to TR program due to lack of appropriate social skills at peer level and complaints of boredom. Pt. paricipeated in Social skills training programs on a weekly basis and leisure opportunities programs on a daily basis for 5 weeks. Pt. enrolled in 2 community-based leisure programs. CTRS will follow-up in 3 weeks to monitor client progress in community." A: major client goals or problems B: services received by the client C: client attainment of goals D: plans for post-discharge involvement - Correct Answers -C Which of the following are NOT typical characteristics of someone who has been diagnosed with schizophrenia? A: thought disorder B: dysmorphia C: blunted or flat affect D: social withdrawal - Correct Answers -B
In this excerpt of a client's treatment plan, which of the following, if any, was MOST likely identified as the client's problems?
- "Enroll pt. in Leisure Planning class Tuesdays and Thursdays. Focus on taking responsibility and decision-making.
- Enroll pt. in Social singles club weekly. Focus on initiating and maintaining conversation with peers." A: A lack of knowledge of leisure resources and lack of social partners B: a lack of conversational abilities and decreased concentration skills C: a lack of repertoire of activity skills and inability to identify leisure value system D: none of the above - Correct Answers -D The condition called Phenylketonuria is associated with A: schizonphrenia B: cereral vascular accident C: barbiturate addiction D: intellectual disability - Correct Answers -D The CTRS places a client in a team sport to introduce cognitive challenges. What higher level intellectual requirement is needed to be successful in a team sport like soccer? A: memorization of rules B: coordination of the body parts C: concertration D: application of strategies - Correct Answers -D If an individual experience a stroke on the right side of his/her brain, the typical effects include A: lack of depth perception, intuition, and nonverbal perception B: inabilitiy to remember past events and to read C: inability to communicate and organize thoughts D: increased lability and anger control - Correct Answers -A When a physician of 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-oriented medical record B: a clinical pathway C: the case load of the physician on staff D: a diagnostic protocol - Correct Answers -A The CTRS 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 so he can apply that information to build the program he provides clients. The CTRS is performing what task? A: a field review B: a research study C: evidence-based practice
B: the price point for programs provided C: quality of the programs provided D: the staff that provide services - Correct Answers -C When a person experience stress, which of the following physiological reactions occurs? A: blood pressure lowers B:pupils (eyes) become dilated, respiration decreases C: respiration decreases D: blood rushes to the hands and feet - Correct Answers -B The top two leading causes of death in the United States are A: obesity and stokes B: heart disease and cancer C: heart disease and seually-transmitted diseases D: vehicular accidents and gunshot wounds - Correct Answers -B The client's goal is to develop appropriate competitive skills. The CTRS selects table fames like checkers and tic tac toe to initiate intervention. At what social interaction level has the CTRS begun intervention? A: extra individual B: aggregate C: inter-individual D: unilateral - Correct Answers -C In which of the following steps does the CTRS use modalities and facilitation techniques to improve the delivery of programs? A: assessment B: program planning C: program implementation D: program evaluation - Correct Answers -C Which of the following is a TRUE statement about alcoholism? A: More males than females are diagnosed with alcoholism B: Onset is usually in a person's mid-to late-twenties C: alcholism is genetically inherited from grandparents D: mortality and morbidity rates are lower for individuals with alcoholism - Correct Answers -A A client receives a token every time he responds approximately to a request from a staff member. This approach is called A: behavior management B: behavior modification C: behavior therapy D: milieu therapy - Correct Answers -B
The program evaluation is designed at the same time the program is planned so that the A: CTRS will know how and when to collect information as the program progresses B: client will know from the activity calendar when activities are offered C: treatment team can collect information about the continuity of care D: activities are analyzed for their physical, social/affective, and intellectual requirements of clients - Correct Answers -A Which of the following is an example of having an internal locus of control? A: the client is motivated to particpate to receive approval from the staff B: after a fame, prized are given out randomly C: the client wants to improve her artistic ability D: the clients look forward to receiving prizes after bingo - Correct Answers -C Which of the following is a FALSE statement about implementing therapeutic recreation programs for clients? A: The CTRS should know several different facilitation techniques in order to select the most appropriate one for a particular group B: The facilitation techinque selected by the specialist depends upon the abilities, limitations and needs of the clients C: each client will vary in the ammount he/she may benefit from a particular type of faciliation technique D: there is no research to support the use of facilitation techniques in therapeutic recreation - Correct Answers -D Which of the following is a TRUE statement about autonomic hyperreflexia (autonomic dysreflexia)? A: it is often felt as an "aura" before the experience of a seizure B: common in people with spinal cord injuries, it is a rapid and uncontrolled evelation in blood pressure C: it is common among individuals who have chronic schizophreniz and can be controlled through medication D: it is associated with excessive dopamine in the limbic brain center and eventually causes death - Correct Answers -B Which set of standards governs the delivery of programs and services in the profession regardless of setting or population? A: critical pathways B: code of ethics C: plan of operations D: standards of practice - Correct Answers -D Which of the following is the best test for agility? A: a timed ostacle course B: repetitious weight lifting C: chin ups
