Certified Therapeutic Recreation Specialist (CTRS)
Exam | NCTRC-Aligned Exam Questions with
Detailed Answers and Domain Review
What does self-determination in the therapeutic recreation process focus on?
Making decisions about one’s leisure
Which process does a non-governmental agency use to grant recognition to an individual who
has met certain predetermined qualifications specified by an agency?
Certification
Which diagnosis is indicative of the following behaviors: no interest in peers, repetitive rocking,
and emotional distress when routine changes, and repeats the CTRS’s questions without
answering?
Autism Spectrum Disorder
What should the CTRS do first after an individualized treatment plan has been developed?
Document the plan in the client’s record
Which functional skills assessmetnt is used to determine the social skills of clients with
developmental disabilities?
FOX
Which therapeutic recreation practice model is designed to help client's recover from a threat in
their health and achieve optimal health through participation in prescriptive activity, recreation,
and leisure?
Health Protection/Health Promotion
Which secondary source should a CTRS use for an assessment when unable to collect
background information from a client who has dementia and expressive aphasia due to a recent
cerebrovascular accident (CVA)?
Family reports
Which recording method of client observation would be helpful when a CTRS needs to assess
how much time a client is spending in a leisure activity?
Duration
Why are norms used in the interpretation of standardized assessment scores?
, Tuesday, July 22, 2025 10:21:34 AM
Compares a client to a reference group with similar characteristics
Which progress note segment is written correctly?
The client stated that he was tired and did not want to participate in the activity
Which adaptive device would be helpful for a client who has experienced a right-side
cerebrovascular accident (CVA)?
Card holder
What primary functional skill for a client with Duchenne’s muscular dystrophy should a
therapeutic recreation intervention address?
Gross motor
Based on assessment results, which intervention would initially meet a client’s needs who is
isolated, withdrawn, and expresses a desire to make friends?
Craft group
Which statistical measurement informs a CTRS about how well the assessment results compared
to what is being measured?
Criterion-related validity
Which activity is a CTRS engaged in when meeting with the staff at a local recreation center to
discuss reasonable accommodations for a client?
Advocacy
Which of the following is a component of the problem-oriented medical record (POMR)
Discharge summary
Which ethical principle is being violated when the CTRS fails to discuss the results of an
assessment and related plan for intervention with the client?
Veracity
Which interview type builds rapport most effectively with a client?
`Conversational
Which task would a client who has proprioceptive perceptual problems most likely have
difficulty?
Walking around objects
When documenting a client’s progress toward treatment goals, how should the CTRS support the
subjective interpretation of the client’s progress