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CTRS Practice Test 3 – 2025/2026: 130+ Exam-Aligned Questions with Answers on TR Models, Disabilities, Documentation, Ethics & Program Planning

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This resource-packed CTRS Practice Test 3 (2025/2026 edition) features 130+ multiple-choice questions with 100% verified correct answers, designed specifically to match the NCTRC certification exam blueprint. The questions cover both foundational knowledge and complex clinical reasoning, making this document ideal for high-level exam preparation and review. Students and professionals will benefit from exposure to real exam-style scenarios across the primary domains of therapeutic recreation: assessment, intervention, documentation, ethics, program design, behavior management, and regulatory compliance. Many questions integrate real-life therapeutic decisions, helping candidates deepen their applied understanding of the field. Topics covered include: TR service models: Health Promotion/Protection, Optimizing Lifelong Health, Leisure Ability, Therapeutic Milieu, and Medical Model Core theories and frameworks: Maslow, Erikson, Pavlov, Bandura, Piaget, and the ICF model Functional diagnosis and interventions: Aphasia, spinal cord injuries, dementia, autism, panic disorder, ODD, brain injury, cerebral palsy, myasthenia gravis Assessments and documentation tools: MDS 3.0, LDB, CERT, GRST, FIM, POMR, SOAP, DARP, SMART goals Ethics and law: ATRA Code of Ethics, HIPAA, ADA, IDEA, OBRA, and CMS guidelines Treatment planning and evaluation: program formats, activity analysis, program planning, documentation, outcome measurement, client risk management Settings: application of TR principles in long-term care, correctional facilities, hospitals, mental health units, rehab centers, and community reintegration programs Who this is for: • Therapeutic Recreation and Rehabilitation Science students • Candidates preparing for CTRS initial certification or recertification • Allied health professionals integrating TR into care teams • Faculty and instructors seeking exam prep materials for classroom use • Professionals working in pediatrics, geriatrics, mental health, or adaptive recreation Courses and Disciplines Benefiting from this Document: • Certified Therapeutic Recreation Specialist (CTRS) Exam Prep • Recreation Therapy Documentation and Assessment • Developmental Psychology in Therapeutic Recreation • Disability and Health in Clinical Practice • Leisure Education and Behavioral Health Interventions The carefully structured content ensures focused, exam-ready learning. With detailed, categorized questions reflecting the latest exam updates, this practice test is a must-have for anyone serious about passing the CTRS exam. Keywords: CTRS exam, therapeutic recreation, TR models, assessment tools, POMR, SOAP notes, DARP, SMART goals, aphasia, spinal cord injury, ODD, dementia, TBI, MDS 3.0, LDB, ICF model, HIPAA, ADA, IDEA, OBRA, behavioral therapy, developmental theory, documentation, CMS guidelines, TR ethics, ATRA standards, program evaluation, long-term care, rehabilitation therapy

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CTRS Practice Test 3 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



The primary role of CTRSs working with individuals who have autism is to

A. have them learn a variety of leisure skills that their peers might know

B. improve their visual acuity

C. teach them how to adapt activities on their own


D. improve their ADLs - 🧠ANSWER ✔✔A. have them learn a variety of

leisure skills that their peers might know

Which of the following is an example of a self-fulfilling prophecy?

A. the client enjoyed every minute of the self-awareness activity

B. the client felt great joy at helping other people, especially older adults

,C. the client failed to score a point, just as he predicted earlier

D. the client always knew she wanted to be a TR specialist - 🧠ANSWER

✔✔C. the client failed to score a point, just as he predicted earlier


One of the MOST important aspects of a client/therapist relationship is for

the CTRS to

A. have an unconditional positive regard for the client

B. let the client know he/she is always right

C. establish a position of authority with the client


D. establish a relationship with the client's family - 🧠ANSWER ✔✔A. have

an unconditional positive regard for the client

The CTRS wants to start a garden group that clients can independently

attend and organize. The best group format would be

A. instructional class

B. clubs and special interest groups

C. drop-in center


D. out-trips - 🧠ANSWER ✔✔B. clubs and special interest groups

,Which of the following organizations allows for the chapter affiliation by

local groups of TR specialists?

A. National TR Society (NTRS)

B. American TR Association (ATRA)

C. Recreation Therapy Section (RTS)


D. National Council for TR Certification (NCTRC) - 🧠ANSWER ✔✔B. ATRA


Which of the following is an example of extinction that is meant to reduce a

specific behavior?

A. taking a client to the zoo when they are afraid of animals

B. taking away a favorite toy when the client misbehaves

C. talking to the client about antecedents, behaviors, and consequences


D. applying the principle of negative reinforcement - 🧠ANSWER ✔✔B.

taking away a favorite toy when the client misbehaves

The CTRS was offered free tickets for patients to attend a special

performance of a play during the afternoon, but instead chose to have the

patients/clients pay and attend a night performance. The CTRS was

demonstrating which of the following mainstreaming principles?



COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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, A. integration

B. normalization

C. least restrictive environment


D. deinstitutionalization - 🧠ANSWER ✔✔B. normalization


The CTRS is working with a group of chemically dependent teenagers. The

goal of the program is "to gain an understanding of the importance of

leisure". The CTRS decides to use an activity called "Twenty Things I Love

To Do." This is an example of

A. reality therapy

B. assertiveness

C. values clarification


D. bibliotherapy - 🧠ANSWER ✔✔C. values clarification


A person who had a brain injury and now has problems speaking is

considered to have

A. autism

B. an aneurysm

C. aphasia

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