Free NCTRC Practice Test

The National Council for Therapeutic Recreation Certification examination, commonly known as the NCTRC exam, is a comprehensive assessment for men and women who want to enter this rapidly-expanding field. The organization of TR/RT content area covers TR service design and administrative tasks.

With respect to TR service design, the NCTRC exam covers program design relative to population served; types of service delivery systems; role and function of other health and human service professions and of interdisciplinary approaches; documentation procedures for program accountability and payment for services; and methods for interpretation of progress notes, observations, and assessment results. As for administrative tasks, the exam covers quality improvement guidelines and techniques; components of agency or TR/RT service plan of operation; personnel, intern, and volunteer supervision and management; payment system; facility and equipment management; and budgeting and fiscal responsibility. In the advancement of the profession section, the NCTRC exam covers the historical development of TR/RT, accreditation standards and regulations, professional behavior and professional development, and the requirements for TR/RT credentialing. It also includes discussion of advocacy for persons served; legislation and regulations; professional standards and ethical guidelines; and public relations, promotion, and marketing. In addition, this section includes discussion of methods, resources, and references for maintaining and upgrading professional competencies; professional associations and organizations; partnership between higher education and direct service providers to provide internships and to produce, understand, and interpret research; and the value of continuing education and in-service training.

The NCTRC exam was developed by the National Council for Therapeutic Recreation Certification.

Practice Questions

1. During an initial assessment, the client shows little facial expression or is very slow to show expressions. How would the CTRS document this client's affect?

a. Flat
b. Broad
c. Blunted
d. Inappropriate

2. Which of the following is NOT an essential outcome of rehabilitation therapy for pediatric clients?

a. Improved physical health
b. Reduced complications
c. Reduced cost of care
d. Improved skills in coping with hospitalization

3. According to Havighurst's Theory of Adult Development, which of the following best characterizes middle age?

a. Managing a home and finding a congenial social group
b. Establishing ties with those in the same age group and adjusting to decreased physical strength
c. Establishing physical living arrangements that are satisfactory
d. Achieving civil and social responsibility and maintaining an economic standard of living

4. When choosing a recreational activity for a client, the MOST important consideration is the client's

a. interests.
b. physical abilities.
c. mental status.
d. financial resources.

5. Which of the following Nintendo Wii® sports simulation programs is BEST to improve balance and coordination?

a. Golfing
b. Tennis
c. Hula hoop
d. Bowling

Answer Key

1. C: Mood (emotional state) and affect (the outward expression of the emotional state) are evaluated as part of psychosocial assessment.
o Flat affect: shows no facial expression
o Broad affect: shows a wide range of facial and emotional expressions
o Blunted affect: shows little facial expression or is very slow to show expressions
o Inappropriate affect: shows a range of expressions, but they are inconsistent with mood or situation, especially inappropriate laughter or crying
o Restricted affect: shows one type of expression regardless of circumstances

2. C: Reduced cost of care is not an essential outcome although this may be a secondary benefit. Essential outcomes include improved physical health, reduced complications, and improved skills in coping with hospitalization. Other outcomes include improved healing, prevention of developmental delays, and improved family coping. Therapy for children is usually provided in hospitals and may involve individual or group play activities that help children adapt and understand treatments as well as restoring or maintaining function.

3. D: Havighurst's middle-age tasks include achieving civic and social responsibility, maintaining an economic standard of living, raising teenagers and teaching them to be responsible adults, developing leisure activity, accepting physiological changes related to aging and adjusting to aging of parents. Early adulthood tasks include finding a mate, marrying, having children, managing a home, getting started in an occupation or profession, assuming civic responsibility, and finding a congenial social group. Older adulthood tasks include adjusting to decreased physical strength and health, death of spouse, life in retirement, and reduced income; establishing ties with those in the same age group; meeting social and civic obligations; and establishing satisfactory physical living arrangements.

4. A: The most important consideration when choosing a recreational activity for a client is the client's interests. Asking the client what he/she likes to do and wants to do is the first step in engaging the client in therapy. While physical abilities and mental status are also important considerations, the goal of recreational therapy is to find innovative and creative ways to allow individuals to do those things that they enjoy. Costs must sometimes be considered as well.

5. C: Simulating playing with a hula-hoop improves balance and coordination. Nintendo Wii® uses a motion sensor to note body movement and control the game, so the client must stand upright and move the body to maintain momentum. Another useful activity is walking a tightrope. This gaming system is used in occupational, physical, and recreational therapy. One advantage to Wii® is that it allows clients to engage in virtual activities even before they are able to do so in reality.

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Last Updated: 03/01/2017

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