NCTRC EXAM SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉What is down syndrome? Answer: Genetic disorder caused by an
extra copy of chromosome 21 (total of 47 instead of 46), disrupting
normal development of brain/body, leading to characteristic
physical features, intellectual disabilities, increased risk for certain
health conditions.
◉What is Prader-Willi syndrome? Answer: A rare genetic disorder
characterized by intellectual disability, low muscle tone, constant
feeling of hunger, leading to excessive eating and obesity.
◉Certification Answer: Non-governmental recognition of meeting
qualifications set by profession (CTRS credential from NCTRC)
Professionalism: Obj. 1.02 (Maintain professional competency)
◉Autism Spectrum Disorder (ASD) Answer: Characterized by
persistent deficits in social reciprocity, nonverbal communicative
behaviors used for social interaction, and skills in developing,
maintaining and understanding social relationships. Diagnosis also
,requires presence of restricted, repetitive patterns of behavior,
interests, or activities.
Assessment Obj. 2.01 (Conduct the assessment process)
Ex.) No interest in peers, repetitive rocking, and emotional distress
when routine changes and repeats the CTRS's questions without
answering.
◉What should a CTRS do after an individualized treatment plan has
been developed? Answer: Document the plan in the clients record
They are one of most important form of individual client
documentation. If not documented then why provide the service
Evaluation and Documentation: Obj. 5.01 (Document client
progress)
◉Which functional skills assessment is used to determine social
skills of clients with developmental disabilities? Answer: FOX
evaluates clients relative level of skills in social/affect domain.
Primary population has been youth/adults with developmental
disabilities.
,Focuses on observing/measuring clients interactions with
others/objects, attention-seeking behaviors and understanding of
self
Assessment Obj. 2.01 (Conduct the assessment process)
◉Which functional skill assessment is designed for adolescents with
moderate to no cognitive impairment? And what does it help assess?
Answer: The Teen Leisurescope helps assess an individuals leisure
interests, skills, and potential for engaging in various recreational
activities.
◉What does the leisure attitude measure (LAM) measure? Answer:
An individuals attitude towards leisure activities, specifically
focusing on the cognitive, affective, and behavioral aspects of that
attitude. Helps identify barriers to leisure participation.
◉What is the leisure ability model? What are the three components?
Answer: LAM is based on the concepts of internal locus of control,
intrinsic motivation, personal causality, freedom of choice, and flow.
Components:
1.) Treatment
2.) Leisure education
3.) Recreation Participation
, (help create interventions/programs based on client need)
Intended outcome is a satisfying, independent, and freely chosen
leisure lifestyle.
◉What is the Optimizing Lifelong Health and Well-being model?
What are the 3 principles associated? Answer: To enhance health
and well-being across the life course through the elements of
selecting, optimizing, compensating, and evaluating.
1.) Engagement
2.) Resources & Opportunities
3.) Flexibility
◉What is the Self-Determination & Enjoyment Enhancement model?
What are the components of this model? Answer: This framework
emphasizes the importance of self-determination and enjoyment in
promoting positive leisure lifestyles and overall well-being.
Components:
1.) Self-determination
2.) Intrinsic motivation
3.) Perception of manageable challenge
4.) Investment of attention
QUESTIONS AND SOLUTIONS GRADED A+
◉What is down syndrome? Answer: Genetic disorder caused by an
extra copy of chromosome 21 (total of 47 instead of 46), disrupting
normal development of brain/body, leading to characteristic
physical features, intellectual disabilities, increased risk for certain
health conditions.
◉What is Prader-Willi syndrome? Answer: A rare genetic disorder
characterized by intellectual disability, low muscle tone, constant
feeling of hunger, leading to excessive eating and obesity.
◉Certification Answer: Non-governmental recognition of meeting
qualifications set by profession (CTRS credential from NCTRC)
Professionalism: Obj. 1.02 (Maintain professional competency)
◉Autism Spectrum Disorder (ASD) Answer: Characterized by
persistent deficits in social reciprocity, nonverbal communicative
behaviors used for social interaction, and skills in developing,
maintaining and understanding social relationships. Diagnosis also
,requires presence of restricted, repetitive patterns of behavior,
interests, or activities.
Assessment Obj. 2.01 (Conduct the assessment process)
Ex.) No interest in peers, repetitive rocking, and emotional distress
when routine changes and repeats the CTRS's questions without
answering.
◉What should a CTRS do after an individualized treatment plan has
been developed? Answer: Document the plan in the clients record
They are one of most important form of individual client
documentation. If not documented then why provide the service
Evaluation and Documentation: Obj. 5.01 (Document client
progress)
◉Which functional skills assessment is used to determine social
skills of clients with developmental disabilities? Answer: FOX
evaluates clients relative level of skills in social/affect domain.
Primary population has been youth/adults with developmental
disabilities.
,Focuses on observing/measuring clients interactions with
others/objects, attention-seeking behaviors and understanding of
self
Assessment Obj. 2.01 (Conduct the assessment process)
◉Which functional skill assessment is designed for adolescents with
moderate to no cognitive impairment? And what does it help assess?
Answer: The Teen Leisurescope helps assess an individuals leisure
interests, skills, and potential for engaging in various recreational
activities.
◉What does the leisure attitude measure (LAM) measure? Answer:
An individuals attitude towards leisure activities, specifically
focusing on the cognitive, affective, and behavioral aspects of that
attitude. Helps identify barriers to leisure participation.
◉What is the leisure ability model? What are the three components?
Answer: LAM is based on the concepts of internal locus of control,
intrinsic motivation, personal causality, freedom of choice, and flow.
Components:
1.) Treatment
2.) Leisure education
3.) Recreation Participation
, (help create interventions/programs based on client need)
Intended outcome is a satisfying, independent, and freely chosen
leisure lifestyle.
◉What is the Optimizing Lifelong Health and Well-being model?
What are the 3 principles associated? Answer: To enhance health
and well-being across the life course through the elements of
selecting, optimizing, compensating, and evaluating.
1.) Engagement
2.) Resources & Opportunities
3.) Flexibility
◉What is the Self-Determination & Enjoyment Enhancement model?
What are the components of this model? Answer: This framework
emphasizes the importance of self-determination and enjoyment in
promoting positive leisure lifestyles and overall well-being.
Components:
1.) Self-determination
2.) Intrinsic motivation
3.) Perception of manageable challenge
4.) Investment of attention
