Download NCTRC Exam #2: Questions and Answers for Recreational Therapy and more Exams Advanced Education in PDF only on Docsity!
NCTRC EXAM #2 QUESTIONS AND
ANSWERS
The CTRS is encouraging team members to use the STAR approach to client safety. The CTRS explains that the STAR approach begins by, - Correct Answers -Stopping to concentrate on tacks A client with a history of aggression begins swearing and pacing back and forth, shouting, "You can't make me stay here!" The MOST appropriate initial response is to - Correct Answers -Speak calmly and quietly to the client In evaluating research as part of the development of evidence-based practice guidelines, the four evaluative/ trustworthiness criteria are (1) credibility, (2) dependability, (3) transferability, and (4) - Correct Answers -Confirmability A client with multiple sclerosis tells the CTRS that she is upset that she can no longer continue her employment because her job is too physically demanding and is concerned about how she will support herself. Which of the following response focuses on problem-solving as a response to stress? - Correct Answers -"What plans do you have for finding a new job?" Which of the following is a social barrier to participation in community-based recreational facilities? - Correct Answers -Client has no friends to help with transportation The CTRS at a long-term care facility has obtained a grant to develop an activity room. The FIRST step should be to - Correct Answers -Survey clients as to their interests If clients are participating in a game of basketball in a gym, those with hyperactivity or attention deficit disorders may especially become distressed because of the - Correct Answers -Noise level Under the Joint Commission's National Patient Safety Goals, which of the following is generally acceptable as one of two required identifiers? - Correct Answers -Date of Birth When advising parents about age- appropriate exercise for a 4-year-old child about the be discharged from the hospital after treatment for diabetes, which of the following activities is MOST appropriate? - Correct Answers -Dancing or skating
Using the average cost of a problem and the cost of intervention to demonstrate is an - Correct Answers -Cost-Benefit Analysis What are the 5 Stages of Substance Abuse - Correct Answers -Experimentation, Regular Use, Problem Use, Dependence, Addiction Which of the following characteristics indicate that a dog is likely well suited to be a therapy dog? - Correct Answers -Remains confident in different environments If, when utilizing the Plan Do Study Act (PDSA) method of continuous quality improvement, study of the outcomes of a trial indicates that the solution that was instituted was not effective, the next step is to - Correct Answers -Return to the Plan Step When reviewing a number of articles as part of the development of evidence-based practice guidelines, the first step to reading crucially should be to - Correct Answers - Consider the source The three primary elements of motivational interviewing are - Correct Answers - Collaboration, Evocation, and Autonomy When entering the room of a client who is deaf and facing away from the door, the CTRS should - Correct Answers -Clap hands or tap the foot In an adverse incident occurs, a written report should be completed - Correct Answers - Immediately or as soon as possible Which of the following poses the greatest barrier to communication - Correct Answers - The client is extremely anxious and crying The best method of ensuring that a client follows the plan of care is to - Correct Answers -include the client in the planning The CTRC has called a client who is being treated for chronic depression because the client has missed one appointment in two sessions of the support group. The statement by the client that is the MOST concern is - Correct Answers -"I've been giving all of my stuff away, and I feel so much better" If a stroke client has been discharged home but is having difficulty preparing foods because of residual right-side weakness comma the MOST appropriate referral is to an
- Correct Answers -Occupational Therapist Switch which of the following is a non-verbal cue that a client may be anxious? - Correct Answers -Client rubs hands together-constantly
Durable medical equipment (DME) classified as assistive device includes - Correct Answers -Handrails A 6-year-old hospitalized child is drawing a picture of a boy in a bed crying, with large tears on the face and falling into the pillow. Which other following is the MOST appropriate statement to elicit the child's feelings? - Correct Answers -"I see that the little boy in your picture is crying" When a client spouse asked for information about another client, the response that complies with the Health Insurance Portability and Accountability Act (HIPAA) is - Correct Answers -"The law doesn't allow me to give out any information about clients in order to protect their privacy and safety" At which time of the day are clients with cognitive impartment usually MOST sensitive to sensory overload? - Correct Answers -Afternoon According to Maslow's Hierarchy of Need, which of the client's needs must be met FIRST? - Correct Answers -Physiological The primary goals of using play therapeutically with children include all of the following - Correct Answers -Establishing contact with the child, Interpreting the child's behavior, Observing and collecting data When encouraging a 4-year-old to engage in healthcare play as a doctor or nurse, which of the following is the BEST "patient" for the child? - Correct Answers -A doll or stuffed animal When assessing a client's level of interest in activities, which of the following information: MOST essential? - Correct Answers -Type of activity, past and recent past interest, current participation, and future interest A 22-year-old male with a T2 spinal cord injury attends a football game, sitting in the shade in his wheelchair for 3 hours in 92 degree weather at 85% humidity, Which of the following is the PRIMARY concern? - Correct Answers -Overheating Which of the following is a central concept of Bandura's (1977, 2001) Social Learning Theory? - Correct Answers -Role Modeling Which of the following is the first step to conducting a program evaluation? - Correct Answers -Determining the purpose If using the DARP focused charting format, DARP stands for - Correct Answers -Date, Action, Response, Plan
Which of the following is an appropriate activity for a client who needs low impact physical exercise? - Correct Answers -Water Aerobics According to Kolb's Experiential Learning Theory, what type of learning style corresponds to a person who likes working with people - Correct Answers -Divergent Which of the following feral legislations/ agencies require that parks and recreational facilities serve people with disabilities, including eliminating architectural barriers to access? - Correct Answers -American with Disabilities Act All of the following are assessed as part of the Instrumental Activities of Daily Living instrument - Correct Answers -Food Preparation, Housekeeping, Telephone use In order to receive accreditation from the Commission of Accreditation of Rehabilitation Facilities (CARF), the most important responsibility is to - Correct Answers -Conform to internationally accepted standards The goal of the Leisure Ability Model of treatment is for the client to - Correct Answers - Become increasingly independent in treatment/activities Which of the following is a specialization area recognized by the NCTRC for certification? - Correct Answers -Community inclusion services Under the Individuals with Disabilities Education Act, therapeutic recreational is generally indicated as a - Correct Answers -Related service All of the following are characteristics of addictive personalities - Correct Answers - Impulsive, Thrill- seeking, Lying According to the Self- Determination Theory (Ryan and Deci), intrinsic motivation is diminished by - Correct Answers -External Rewards A client who wants to play table tennis again after an injury has poor manual strength and limited dexterity. The best solution is likely - Correct Answers -Utilizing an adaptive glove If the CTRS is applying for recertification under option 1, how many hours of work and continuing education are required? - Correct Answers -480 hours work and 50 hours of continuing education Which of the following element is an essential part of mentoring a novice CTRS? - Correct Answers -Providing feedback According to Principle 9 (Competence) of ATRA Code of Ethics, the CTRS is responsible for - Correct Answers -Continually seeking to expand knowledge in recreation therapy
The primary purpose of palliative care is to - Correct Answers -Relieve pain and discomfort Under the International Classification of Functioning (WHO), the performance qualifier for Activities and Participation describes - Correct Answers -What the client does in the current environment When documenting a negative event involving a mental-health client, the BEST and legally correct description is - Correct Answers -"Client screaming 'I hate you ugly freaks' while spitting at CTRSs trying to calm him" A card game in which the clients have 5 or 6 cards and must turn over a card if its description ("4 of hearts") is called out is MOST likely used to improve - Correct Answers -Concentration When asked to draw a self-portrait, a client draws a time stick figure caught in giant spider web. The BEST response is the CTRS to - Correct Answers -Ask the reason for drawing the spider web Which of the following horticultural activities is MOST appropriate to promotes the use of fine motor skills? - Correct Answers -Building a dish garden According to the Flow Theory (Csikszentmihalyi), flow occurs when - Correct Answers - Skill level is high and the challenge level is high The primary goal of the recovery model for client with mental illness is to help the clients to - Correct Answers -Maintain control of their lives and make decisions The best response to a client who is progressing well after a stoke but remains extremely fearful and anxious about discharge is to - Correct Answers -Explore the client's concerns with the client Which of the following intervention is MOST appropriate for a client with autism and proprioceptive (position and movement) impairment? - Correct Answers -Jumping on a trampoline Which of the following leisure assessment tools used picture of activities to assesses areas of interest is leisure emotional motivation, and attraction to risk-taking activities? - Correct Answers -Leisure Scope The focus of the Medical Model of recreational therapy is on - Correct Answers - Recreational as a clinical treatment Which of the following forms of therapy is MOST likely to help a client with PTSD express feelings and reduce anxiety? - Correct Answers -Art therapy
A client refuses to make eye contact, is extremely sensitive to sounds and touch, communicates poorly with others, and exhibits repetitive behavior. There are characteristics of - Correct Answers -Autism Spectrum Disorder Once a client has expressed interest in a leisure activity, the CTRS carries out a task/activity analysis, which includes the following steps in the correct order: - Correct Answers -Separate the activity into components, Determine what the client needs to know to participate, Assess the client for physical skills required, Assess what modifications are required If a client expresses interest in bowling, which of the following physical/mental parameters should the CTRS assess? - Correct Answers -Strength, balance, flexibility, and coordination A 70-year-old client is disoriented to time and place, had short-term memory loss, and repeats the same questions over and over but retains motor skills. There indications are MOST likely - Correct Answers -Dementia The CTRS is planning a wheelchair dance for wheelchair-bound adolescent clients. The PRIMARY concern is - Correct Answers -Wishes of the clients A client who was a bicycler has lost vision in both eyes but wants to continue bicycling. The BEST solution - Correct Answers -Tandem Bicycling If the CTRS wants to assess a client's past history of leisure activities and interest in futures participation, the MOST appropriate assessment instrument is the - Correct Answers -Leisure Activity Blank Which of the following is an example of a well-written measurable objective? - Correct Answers -Following one-one-one instruction about weight loss, the client will be able to list 4 strategies for weight loss A client with cerebral palsy had steadfastly refused to participate in activities the CTRS planned in order to increase the client's strength. The BEST approach is to - Correct Answers -Collaborate with the client to find different activities Which of the following activities is most appropriate for a client with muscular dystrophy and severely limited physical strength? - Correct Answers -Water Therapy In order to easily follow a client's progress, the BEST documentation format is - Correct Answers -Graph If assessing a client's use of social media and the Internet in the home environment, the INITIAL factor to assess is - Correct Answers -Internet access
The primary difference between an activity director at a long-term care facility and a CTRS is the CTRS - Correct Answers -Focuses on leisure activities as therapy Which of the following leisure activities to encourage interaction may be MOST beneficial for a client with autism spectrum disorder who is resistive to interacting with others? - Correct Answers -Videogames Which of the following recreational activities is MOST likely to improve gross motor skills? - Correct Answers -Tossing and catching ball/ balloons The ecological model of therapeutic recreation address - Correct Answers -Needed changes within the environment According to the attribution model of recreational therapy, the four factors that determine the success or failure are - Correct Answers -Ability, Effort, Difficulty of task, Luck Client are asked who could write out the longest list of answers to simple questions in specified time periods: "How many candy bars can you name?" "How many flowers can you name?" and "How do you feel when you can't do something" The value of the exercise is that it - Correct Answers -Encourages honest expression of feelings The four core values of recreational therapy include (1) right to leisure, (2) autonomy, (3) optimal health, and (4) - Correct Answers -Quality of Life The six steps to ethical decision making (listed below) (per ATRA's Ethics Committee) include: - Correct Answers -Gathering facts and information about the situation, Assess whether an ethical problem is present, Identify alternative actions, Identify consequences associated with alternative actions, Choose an action, Evaluate the selected action According to the Therapeutic Recreation Outcome Model, if recreational therapy helps a client to communicate better, express emotions, and value participation in creational activities, which of the behavioral domain have been addressed? - Correct Answers - Social, psychological, and leisure The four criteria for active treatment include (1) prescribed and supervised by a physician, (2) based on assessment and individualized treatment plan, (3) specified duration, intensity and frequency of interventions, and (4) - Correct Answers -Positive outcomes expected The APIE process is used to develop a program for each client. APIE stands for - Correct Answers -Assess, Plan, Implement, Evaluate
A type 1, outcome-oriented program is designed to serve - Correct Answers -Large group of clients Prior to taking a client or clients on an outing, such as to a community event, the CTRS should ensure the availability of - Correct Answers -A client to staff ratio of 2: If a client appears intelligent and articulate and follows written directions well but repeatedly asks for oral directions to be repeated, the CTRS should suspect - Correct Answers -Hearing deficit With reflective listening, if a client is speaking about loss and pauses, the BEST response is to - Correct Answers -Maintain interested silence When assessing a mental health client for affect, if the client's affect is essentially blank and immobile, it would be classified as - Correct Answers -Flat If a client who is participating in a weightlifting program begins to overtrain, the outcome is likely to be - Correct Answers -decreased performance A client agrees to participate in activities but during the activities is sullen and make frequent complaints, which type of communication does this represent? - Correct Answers -Passive-aggressive Under the Individual with Disabilities Education Act (IDEA) requirements, a functional behavioral assessment (FBA) for children includes an assessment of (1) precipitating conditions, (2) specific behavior observed, (3) consequences, and (4) - Correct Answers -Function and behavior All if the following indicate possible developmental delays for a 6-year-old child - Correct Answers -Inability to catch a ball, Poor fine motor skills, speech problems If a client does self-assessment with the CAGE tool and answers 2 of the 4 questions with "Yes", this indicates - Correct Answers -Drinking problem The primary difference between regular tennis and wheelchair tennis is - Correct Answers -The ball can bounce two times before being returned The CTRS makes a post-discharge evaluation visit to a client recovering from burn injuries, but the client answers the door and smells of alcohol, slurs words, and swears at the CTRS. Which is the MOST appropriate action? - Correct Answers -Reschedule the visit and leave without entering the home If a client with chronic alcoholism stops drinking, the first stage of withdrawal usually beings within - Correct Answers -8 hours
