Therapeutic Recreation Concepts and Assessments, Exams of Personal Health

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NCTRC EXAM 2025 QUESTIONS AND CORRECT ANSWER The social interaction level when the client engages in table games like checkers or tic-tac-toe to initiate interaction - answer>>>inter-individual The purpose of the conjunctive in the human eye is to - answer>>>protect the eye from irritants The modality used to combat symptoms of confusion and disorientation, especially with older adults - answer>>>reality orientation The goal from a leisure education program was "to actively participate in conversation for 5 minutes" which relates to this leisure education component - answer>>>Social interaction skills The modality used when the RT instructs the patient to "stay in the present so you can take responsibility for your actions" - answer>>>Reality therapy The definition is "subaverage intellectual functioning, impairment in at least two adaptive skill areas, and evident before age 18" - answer>>>ID This child may have limited, inflexible behaviors that may limit the ability to interact with others and deal with certain aspects of the environment - answer>>>Attention Deficit The symptoms of loss of 25% body weight and growth of fine body hair describe this diagnosis - answer>>>Anorexia nervosa This happens when a person had a brain injury and now has problems speaking - answer>>>aphasia Something is missing from the behavioral objective: "when watering plants, the client will use one cup of water once a week" - answer>>>behavior Something is missing from this behavioral objective: "The client will reduce stress by practicing deep breathing 10 min/day, twice a day, for 5 days and two weeks" - answer>>>condition This type of performance criteria is used when the RT assesses whether a child can remain seated during a 30 min. activity - answer>>>duration of behavior This part of a behavioral objective on being a good sport when you lose would state: "client will verbally congratulate the opposing team 100% of the time" - answer>>>criteria This type of documentation is kept in the patient's medical record to indicate the specific actions to be taken on behalf of and by the client to reach client goals - answer>>>Tx plan In management, this document would include information on staff benefits - answer>>>Policy and procedure manual This aspect of RT management requires the RT to perform an 11-point checklist on van safety after each trip in the van for community reintegration - answer>>>risk management This practice involves the review of research articles to determine how people manage stress before you develop a stress management program - answer>>>EBP This is an insurance company's cost control method of paying a prearranged amount for specific service no matter what the actual cost may be - answer>>>prosepective payment These standards govern the delivery of programs and services in the profession regardless of setting or population - answer>>>SOP The goal from a leisure education program was "to actively participate in conversation for 5 minutes" which relates to this leisure education component - answer>>>Social interaction skills When this area of the brain is injured it causes major changes in personality as a result - answer>>>Frontal lobe The RT assesses this behavioral area when she assesses the patient's ability to follow directions. - answer>>>Cognitive This term describes the first thing an RT has to determine when selecting an assessment instrument for their patients? - answer>>>Purpose of the assessment This interdisciplinary assessment provides a basic measure of the severity of disability based on the level of assistance a rehabilitation patient will need to be independent or require assistance. - answer>>>FIM (Functional Independence Measure) This is a mainstreaming principle that is applied when an RT determines that an adult with mental retardation should participate in a community bowling league with others in the community - answer>>>Normalization In this model the RT provide services based on physician orders and the pathology or illness of the patient - answer>>>Medical Model This concept is when a client get's so involved in something that she no longer focuses on her skills for the task and loses track of time - answer>>>flow While an "accessible" building means that a person who uses a wheelchair can enter the front door and use the bathrooms, this term is used in accessibility to describe a building where this same person can function as independently as possible - answer>>>usable This theory describes a pyramid that suggests people are motivated to fulfill basic needs before moving on to more advanced needs like self-esteem and feelings of accomplishment - answer>>>Maslow's Hierarchy of Needs This treatment theory uses the components precontemplation, contemplation, preparation, action and maintenance to help clients make behavioral changes - answer>>>Transtheoretical Model of Behavioral Change When a client believes he can master a future physical activity because of past success with physical activities, this theory is in play - answer>>>Self-efficacy This approach to client care in RT is based on the concept that despite individual differences, we accept that each individual is a unique person and not just a disability label - answer>>>Person-centered approach This theory is working when a client fails to succeed just as the client had predicted - answer>>>Self-fulfilling prophecy Almost all models of therapeutic recreation and recreational therapy start with this process - answer>>>assessment These are the three components of the Leisure Ability Model - answer>>>Functional intervention (therapy), leisure education, recreation participation This RT service model has the overall purpose of promoting behaviors that enable clients to move toward mastery of their own health - answer>>>Health Protection/Promotion This is a common underlying concept in all models of RT Service - answer>>>Perceived freedom and personal choice This model of RT Service was the first to include spirituality as a concern for RT when considering outcomes - answer>>>Van Andel TR Service Model This national organization represented therapeutic recreation from 1966 to 2011 and provided certification to therapeutic recreation specialists before NCTRC was formed - answer>>>NTRS (National Therapeutic Recreation Society) This national accrediting body is responsible for developing standards for facilities that serve individuals with spinal cord injuries, stroke and TBI - answer>>>CARF - Rehabilitation Accreditation Commission While the Rehab Act of 1973 established accessibility standards for buildings receiving federal funding, this law made it mandatory that all public accommodations including restaurants, hotels, private schools, and recreation facilities had to be physically accessible to people with disabilities - answer>>>Americans with Disabilities Act, 1990 This was the first law to write in recreation and therapeutic recreation as supportive services along with speech, PT, and OT - answer>>>PL94-142 Education for All Handicapped Children (later changed to Individuals with Disabilities Education Act) This is how recreational therapy services reimbursed under Medicare - answer>>>Through routine and ancillary services Tom has been home from his military service in Iraq for about a year but he still experiences problems with drug use, memory, and his physical health. What is a likely diagnosis? - answer>>>post-traumatic stress disorder What is the result and a key characteristic of what happens when a mental illness causes mild to severe disturbances in thought and behavior? - answer>>>inability to cope with life What is the primary reason a therapist offers relaxation classes to individuals with eating and substance impairments? - answer>>>reduce stress and foster awareness of self-control Which anxiety disorder is defined as extreme or irrational fear of crowded spaces or enclosed public places? - answer>>>agoraphobia major changes in his personality as a result of the brain injury and includes this information in her assessment to investigate further. Which area of Greg's brain has likely been injured in the accident? - answer>>>frontal lobe For most people with spinal cord injuries, what happens typically in terms of damage to the spinal cord? - answer>>>The spinal cord is intact, but the damage to it results in loss of functioning Terry has a spinal cord injury and is participating in your fitness program in the recreational therapy department. During one of the sessions, Terry begins to sweat profusely, appear flushed, start shivering, and says he feels nauseated. What condition is Terry experiencing? - answer>>>autonomic dysreflexia Which characteristic distinguishes a person with spastic cerebral palsy from persons with other forms of cerebral palsy? - answer>>>increased muscle stiffness and contractions upon stretching the "saggital plan" divides the human body - answer>>>with a vertical line (left from right) Most video games use which of the following social interaction patterns? (for test bank email [email protected]) - answer>>>Extraindividiual According to Maslow, all human beings are striving to achieve this but first must fulfill other essential needs. - answer>>>Self-actualization The CTRS checks each piece of recreation equipment each week during a rotation maintenance and safety check. The CTRS is involved in what kind of action? - answer>>>risk management Understanding facial expressions, customs, appropriate dress and the like are important considerations for improving a CTRS's - answer>>>cultural compentence A CTRS is most likely to teach which of the following skill sets to individuals with panic disorders? - answer>>>relaxation If the client does not understand the language used on the assessment or becomes fatigued, what is likely to happen? - answer>>>The assessment score will not be reflective of the person's skills, attitudes, and knowledge After the client assessment has been completed, the next step in the programming process is to... - answer>>>identify the problems A CTRS is interested in determining behaviors that relate to a person's ability to successfully integrate into society using his/her social interaction skills. What assessment should the CTRS choose? - answer>>>Comprehensive Evaluation of RT Scale (CERT-Pysch) In systems program design, a performance measure (PM) is the same as a - answer>>>outcome statement A CTRS selects the Comprehensive Evaluation in Recreation Therapy Scale (CERT-Psych) to measure behavior of a client as observed in group activities. Which assessment characteristic has the CTRS considered in making this selection? - answer>>>validity Which of the following statements reflect the current emphasis of external accreditation agencies in reviewing TR services for quality improvement purposes? - answer>>>the effectiveness of TR services is determined by achieved cl outcomes ID occurs in approximately what percent of the population in the US? - answer>>>1 percent In problem-oriented record keeping, the abbreviation SOAPIER stands for.. - answer>>>subjective data, objective data, analysis, plan, interventions, evaluation, revision The federal agency that provides regulations to reduce workplace hazards and dangerous conditions is called the - answer>>>Occupational Safety and Health Administration The medical term "NPO" is the abbreviation for - answer>>>nothing by mouth A CTRS is working with a group of adolescents who have mild intellectual disabilities and hopes to improve their interactions with each other. She has decided to use positive reinforcement for each good interaction that occurs with the group. The first thing the CTRS should do is - answer>>>describe the target behavior Which of the following terms means that medication has been delivered directly to the spinal column? - answer>>>intrathecally the two most widely used, evidence-based treatments for PTSD are - answer>>>therapeutic exposure and cognitive reframing Cl documentation and program documentation are important because they allow for all except... - answer>>>pt autonomy If a person with osteoporosis engages in weight bearing activity that is too strenuous, he/she is put at higher risk for - answer>>>bone fracture In the DSM-5 , the diagnosis of depression would be categorized under - answer>>>Axis 1 An adult with ID has the ability to participate in some general recreation programs within the regular community-based recreation program. When the CTRS helps the client enroll in one of these programs, which mainstreaming principle is being applied? - answer>>>advocacy The anatomical term "carpal" refers to which area of the body? - answer>>>wrist Which of the following is an example of a transdisciplinary treatment team? - answer>>>each team member works across disciplinary boundaries to develop co-treatment Aging women, as compared to men, are cared for in long-term care facilities at the rate of - answer>>>4 women to 3 men What is a likely secondary condition to osteoporosis - answer>>>hip fracture Once the CTRS has met the sitting requirements for and passed the NCTRC exam, she must renew her certification every year and recertify every ____ year(s) to remain certified. - answer>>>five What type of facility has the highest bed occupancy rate of all long-term facilities? - answer>>>psychiatric hospitals The CTRS may need to describe specific behavior¬al cues that help describe the client's behavior. The client's ________ can be described using words such as lively,neutral, blunted, flat, stable, labile, defensive, calm, sad, hostile, guarded, distant, evasive, cooperative, and open. - answer>>>mood and affect In 1983, a cost-cutting Medicare hospital payment system was initiated that included - answer>>>diagnostic related groups (DRG's) What is false about self-efficacy - answer>>>People are born with or without self-efficacy and it rarely changes throughout one's life course Recreation participation programs are MOST appropriate for clients who need to - answer>>>practice social skills in an unstructured environment What is not a rule for activity modification? - answer>>>Use assistive technology wherever possible to ease the physical requirements of the activity. What is an example of using "displacement" as a defense mechanism? - answer>>>attributing the action or behavior to another In order for charting-by-exception to be done, what first must be accomplished? - answer>>>standards of care must be predefined so exceptions can be identified A CTRS wants to assess a patient's/client's ability to control anger. The CTRS should assess behavior from which of the following domains? - answer>>>emotional Presbyopia is a visual condition common in older individuals that results in - answer>>>loss of elasticity of the lens and inability to focus on an object Which of the following is NOT a factor in selecting an activity for client participation? - answer>>>non-traditional activities make the intervention more fun Which of the following is an appropriate area for assessing affective functioning? - answer>>>emotional regulation Neurological functions necessary for survival (e.g., breathing, digestion, heart rate) are located in what section of the brain? - answer>>>brainstem In the Leisure Ability Model, the purpose of functional intervention services is to - answer>>>bring clients up to the baseline of their peers' average functional level Which of the following sets of standards was established by the field of therapeutic recreation to address the quality of service delivery? - answer>>>standards of practice How can HIV not be spead? - answer>>>donating blood Visual deficits are the result of injury to what portion of the human brain? - answer>>>occipital lobe Two clients ran away during a community outing. After contacting the police, the CTRS completes which form? - answer>>>incident report Given the goal statement below, which of the following is the most appropriate therapeutic recreation program? "Goal: To teach clients skills in negotiating physical environmental barriers" - answer>>>Wednesday night community re-integration trip to local mall A common secondary condition for individuals with visual impairments is - answer>>>obesity Which of the following activities would most likely help an adolescent with an intellectual disability to improve concentration? - answer>>>video games In 1953, what organization was formed to identify and resolve different philosophies held by members of the Hospital Recreation Society, the Recreation TherapySection, and the National Association of Recreation Therapists? - answer>>>Council for the Advancement of Hospital Recreation (CAHR) What are the likely consequences of having inadequate resources and staff per activity? - answer>>>risk to cl is increased A disability that is present at birth is described as - answer>>>congenital The CTRS wants to assess clients for placement into a leisure education program. The CTRS should make sure the instrument is valid and measures which of thefollowing? - answer>>>social skills, leisure activity skills, leisure resources, and leisure awareness