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NCTRC: CHAPTER 9 EXAM QUESTIONS
WITH CORRECT ANSWERS
Which one of the four categories of child development does the skill "plays simple nursery games" belong? A: personal/social B: adaptive/fine motor behavior C: motor behavior D: language - Correct Answers -A When using active listening with a client it is important for the CTRS 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 CTRS is listening - Correct Answers –A The CTRS is asked to submit an annual budget that assumes she starts with no dollars and asks her to justify each dollar she then requests. This types of budgeting is called A: zero-based budgeting B: zero-sum score budgeting C: revenue and expense budgeting D: NIL (no income or losses) budgeting - Correct Answers -A Diabetic retinopathy is a condition that often results in A: amputation of lower limbs B: higher blood sugar levels C: blindness D: dark spots on the field of vision - Correct Answers -C The results from any assessment should give the CTRS a clear indication of A: the programs in which the client should be placed B: the client's leisure interests C: the validity of the tool D: how successful the client has been in achieving the program outcomes - Correct Answers -A 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 CTS track client attendance at therapeutic recreation programs C: two CTRSs evaluate the inter-rater reliability of their observational assessment tool D: peer reviews are conducted on adherence to ATRA standards of practice - Correct Answers -A Which of the following statements is TRUE about the following objectives? "when given a choice of three activates, the clients will verbalize his favorite leisure activity to participate with friends." A: the condition is missing B: the behavior missing C: the criterion is missing D: the objective is complete as is - Correct Answers -C In medical terminology, MVA means A: more ventricular reaction B: military vehicle accident C: major ventricular arteries D: motor vehicle accident - Correct Answers -D In which of the following steps does the CTRS gather data for service quality improvement? A: assessment B: program laning C: program implementation D: program evaluation - Correct Answers -D From assessment results, the CTRS determines that the client has a lack of knowledge of community leisure facilities and programs, and unawares of other people who participate in her leisure interests. Which of the following therapeutic recreation programs would be the MOST appropriate for this client? A: leisure planning B: social skills training C: leisure values and attitudes D: leisure resources - Correct Answers -D The following is an example of which one of the following health care delivery systems? This model is based on the philosophy that mental illness is the product of unhealthy interactions with one's environment. A: medical B: custodial C: milieu D: education and training - Correct Answers -C Most facilities utilize treatment teams in order to A: provide better documentation of services
B: neck C: hip D: leg - Correct Answers -A The purpose of client assessment in therapeutic recreation is to A: identify a client's leisure interests B: make appropriate referrals to various professionals C: gather information to develop individual treatment plan D: following an assessment protocol - Correct Answers -C Which of the following is most likely to produce error in a client's assessment score? A: lack of confidence in the CTRS B: inconsistent administration of the assessment tool C: computerizing the assessment process D: following an assessment protocol - Correct Answers -B Which of the following are typical parts of a diagnostic protocol? A: assessment, planning, implementation, evaluation B: subjective, objective, analysis, planning C: comprehensive program descriptions and specific program descriptions D: client problems, assessment criteria, process criteria, and outcomes criteria - Correct Answers -D The CTRS runs a community-based disability management program for individuals diagnosed with diabetes. Which of the following is NOT a programming consideration for these individuals? A: monitor blood glucose before and after exercise B: teach participants about diet and nutrition C: teach participants about stress management D: use large print materials with high contrast lettering - Correct Answers -D Alcohol is classified in which of the following categories of drugs? A: stimulants B: depressants C: hallucinogens D: narcotics - Correct Answers -B An older person who does not have static or dynamic balance is at greater risk for A: falls B: loss of muscle strength C: loss of flexibility D: loss of endurance - Correct Answers -A Using a strengths-based approach to therapeutic recreation programming means the CTRS A: focuses on the abilities of the clients
B: measures precisely the clients' functional deficits C: provides upper-body strengthening and conditioning programs D: focuses on the clients' former leisure lifestyles - Correct Answers -A The statement that identities the agency's basic value and beliefs, and thus defines how it wants to be perceived by the public is called a A: mission statement B: scope of care statement C: marketing statement D: external monitoring statement - Correct Answers -A For each of the standard in the ATRA stands of practice, what elements are included as measurement criteria? A: structure, process, and outcomes B: assessment, planning, implementation, and evaluation C: rating scales from 1 (very poor) to 10 (excellent) D: self-reporting and peer review - Correct Answers -A Therapeutic recreation programs for individuals with acute schizophrenic disorders are MOST appropriate when they focus on goals to improve or increase A: social interaction and motor behaviors B: integration into community recreation activities C: adaptive responses to addictive behaviors D: manipulative behaviors of the client - Correct Answers -A Unlike a municipal hospital, a private, for-profit hospital usually A: specializes in one of a limited number of disorders B: is operated by a governmental entity, such as a county C: serves only children D: serves individuals on a long-term basis - Correct Answers -A The four axes of the diagnostic and statistical manual IV-TR are A: physical, social, emotional, and intellectual disorders B: clinical disorders, medical disorders, personality disorders, and psychosocial problems C: anxiety disorders, affective disorders, substance abuse, and psychomotor disorders D: schizophrenia, bi-polar disorder, substance abuse, and depression - Correct Answers -B The national voluntary professional registration program that preceded the national council for therapeutic recreation certification was administered by the: A: national therapeutic recreation society (NTRS) B: American therapeutic recreation society (ATRA) C: American association of recreational therapy (AART) D: council for the advancement of hospital recreation (CAHR) - Correct Answers -A
Patients have the right to have the treatment plan explained to them. According to the ARA code of ethics, this principle is called? A: confidentiality and privacy B: justice C: veracity D: informed consent - Correct Answers -D Quality assurance/continuous quality improvement is A: a method of comprehensive program evaluation for future program enhancement B: a method for implementing in-service staff training C: required in all clinical and community agencies D: the first step in designing a comprehensive program - Correct Answers -A Using an ecological perspective for therapeutic recreation programming means the CTRS A: focuses on the interactions between clients and their environments B: teaches clients to reduce, reuse, and recycle C: reuses supplies as much as possible D: coordinates services with other members of the trans-disciplinary team - Correct Answers -A A treatment plan should be entered in to the medical chart after A: seeing a patient once B: conferring with the physician C: the patient/legal guardians has agreed to the treatment plan D: the patient has been in the hospital for a week - Correct Answers -C One example of a mood disorder is the diagnosis of A: psychosis B: bipolar personality C: paranoia D: organic brain syndrome - Correct Answers -B In implementing a leisure education program for four year old children, the CTRS becomes aware that he planned activity requires abstract thought, which the clients are not capable of. The CTRS inadequately analyzed the _______ requirements of the activity for the given population. A: social B: emotional C: physical D: cognitive - Correct Answers -D Which social interaction pattern is displayed in singles tennis? A: intragroup B: multilateral
C: interindividual D: extreindiviudal - Correct Answers -C For individuals with disabilities from preschool to the age of 21, a transition plan for service must be in place while they are in school, as required by what piece of federal legislation? A: rehabilitation act of 1978 B: Americans with disabilities act of 1990 C: new freedom initiative of 2000 D: individuals with disabilities education act of 2004 - Correct Answers -D The medical term "oriented x3" is the abbreviation for A: can go as high as 3 times tables in math skills B: recognizes 3 objects C: oriented to person, place and time D: can have three visitors at a time - Correct Answers -C Which part of the SOAP progress note is the following statement? "Patient States: Don't bother me?" A: S- subjective B: O- objective C: A- assessment D: P-plan - Correct Answers -A Networking is helpful to therapeutic recreation specialist because A: expertise and ideas are shared to improve the quality of programs B: each professional can claim a unique set of skills C: clients are not likely to know more than one therapeutic recreation specialist D: individuals with disabilities are likely to receive fewer services in the future - Correct Answers -A In which of the four domains does the following statement fall under? "To ask for assistance when needed" A: cognitive B: affective C: physical D: social - Correct Answers -D In which of the four domains does the following statement fall under? "To improve ability to locate leisure resources" A: cognitive B: affective C: physical D: social - Correct Answers -A Which statement describes the purpose of evidence-based practice?
D: insurance companies are likely to deny payment for services in the protocol - Correct Answers -B Observation of overt behavior and the learning of new behavior is a focus of ____________ theory. A: psychoanalytic B: cognitive-behavioral C: behavioristic D: growth - Correct Answers -C All programs in therapeutic recreation should be based on A: resources B: client needs C: client interests D: clinician skills - Correct Answers -B The CTRS in a long-term care facility plans on designing a program that maximized interaction between residents. Which of the following would be a PRIMARY consideration in developing and modifying this program? A: existing social skills of the residents B: available facilities C: necessary equipment and materials D: number of qualified staff - Correct Answers -A The CTRS 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 vention programs on the theory of A: competence-effectance motivation B: trust-building C: flow D: social psychology of leisure - Correct Answers -A Given the goal statement below, which of the following is the most appropriate therapeutic recreation program? "Goal" To increase clients' independent community skills" A: vacation planning seminar B: instructions on taking the bus C: problem solving discussion group D: social skills functional intervention program - Correct Answers -B Which part of the SOAP note focuses on the CTRS's interpretation of the client's actions and verbalization? A: S- subjective data B: O- objective data C: A- analysis D: P-plan - Correct Answers -C
Which of the following is an appropriate way to resolve conflicts in communication and achieve compromise? A: being aggressive in order to manipulate or intimidate B: negotiating and coming to an agreement C: giving in to avoid unpleasantness D: avoiding the unpleasant person or situation - Correct Answers -B In the classical pattern of multiple sclerosis, the person experiences alternating intervals of A: episodes of symptoms and remission B: short mania and longer term depression C: athetosis and ataxia D: muscle atrophy and hypertonia - Correct Answers -A The CTRS was interacting with the client and said, "You said you wanted to become more physically active but you refused to come to exercise class today." The CTRS was using which of the following communication techniques? A: teach back B: summarization of feeling C: confrontation D: request for clarification - Correct Answers -C Inclusive recreation means that individuals with disabilities A: attend segregated services before attending other programs B: are mixed with individuals with dissimilar disabilities C: are denied access to community programs because special programs are created D: attend recreation programs of choice and have equal and joint participation - Correct Answers -D The CTRS evaluated the 16-week summer programming sessions at 4-week, 8-week, and 12-week intervals to gather which of the following types of program evaluation information? A: instantaneous time sampling B: quality assurance health care monitoring C: formative D: summative - Correct Answers -C One reason that client assessment is important to therapeutic recreation service delivery is it A: social skills B: physical skills C: lability D: adaptive behavior - Correct Answers -C
Those groups of clients known to not benefit from participation will be identified in which part of a protocol? A: etiology B: diagnostic criteria C: inclusion criteria D: risk management considerations - Correct Answers -B A CTRS should observe all of the following procedures when transferring an individual with a physical disability EXCEPT A: standing with feet together B: asking how and what type of assistance is needed C: maintaining a firm grasp on the individual throughout all points of the transfer D: keeping the majority of the individual's weight as close as possible to the CTRS's own body - Correct Answers -A An assessment protocol increased the likelihood that the assessment will A: be administered the same way every time it is given B: psychometrically sound C: focus on more than leisure and activity interests D: be reliable for a wide variety of clients - Correct Answers -A The CTRS is a supervisor of a large therapeutic recreation department in a community mental health center. When staff cutbacks were ordered in the TR department by the center's administrators, she ignored the memos and continued to staff the units on regular schedules. The conflict resolution strategy employed by the CTRS is called _________. A: avoidance B: defusion C: containment D: confrontation - Correct Answers -A The first step in the assessment implementation process is for the CTRS to A: interpret results for client placement into programs B: analyze or score the assessment results C: administer the assessment to the client D: review the assessment protocol - Correct Answers -D The basic premise behind "managed care" in the health care industry is A: positive client outcome produced at low costs B: less focus on the individual, more focus on the diagnosis C: sustaining a person's life at all costs D: that insurance companies will pay whatever the clinical facility charges for a service - Correct Answers -A The leisure competence measure (LCM) parallels the format of which of the following client's assessments?
A: functional independence measure (FIM) B: rancho Los amigos scale C: Brief leisure rating scales (BLRS) D: leisure barriers inventory (LBI) - Correct Answers -A The drug Librium is most often used to treat which of the following disorders? A: chronic angina B: anxiety C: muscle stiffness D: arrhythmias - Correct Answers -B Which of the following assessments was designed to coincide with the functional independence measure (FIM)? A: leisure diagnostic battery (LDB) B: comprehensive evaluation in recreation therapy scale (CERT)- psych C: leisure competence measure (LCM) D: leisure activities blank (LAB) - Correct Answers -C Evidence-based practice means that the A: CTRS selects interventions based on research findings and professional expertise B: client needs to see evidence before participating C: client is at the center of the treatment D: client will be involved in inclusionary programs - Correct Answers -A An individual's responses or scores on the MDS 3.0 may link to a "trigger" that requires a Care Area Trigger (CAT) to be completed. This means that A: an individual will receive a more in-depth assessment in this area B: the CTRS must complete an interview with the family C: the assessment was completed incorrectly D: the information from the assessment is neither valid nor reliable - Correct Answers -A The CTRS wants to teach clients new leisure activities they can do for low- to no-cost in their home. The best group format would be A: instructional class B: clubs and special interest groups C: drop-in center D: out-trips - Correct Answers -A Which statement correctly identifies the criteria of an accessible parking space? A: accessible parking spaces are closet to the building entrance B: accessible parking may be distributed in a parking lot if greater access is achieved C: parking spaced and aisles are level with a slope no greater than 1: D: parking spaces are at least 96 inches wide with adjacent assess aisle of 68 inches - Correct Answers -B
