Free NCTRC Test Question and Answers — Questions and Answers
Question 1: Which of the following is the initial stage of a program evaluation?
- Selecting the evaluators
- Determining the purpose (Correct answer)
- Identifying the time frame
- Selecting the evaluation design
Correct answer: Determining the purpose
The initial and most crucial stage of any program evaluation is to clearly determine its purpose. This involves identifying what specific questions the evaluation aims to answer, what information is needed, and for whom the evaluation is being conducted. Establishing a clear purpose provides direction and ensures that the evaluation yields relevant and useful results.
Question 2: Which time of day are cognitively impaired individuals typically MOST susceptible to sensory overload?
- Early morning
- Afternoon (Correct answer)
- Noon
- Late evening
Correct answer: Afternoon
Cognitively impaired individuals, particularly those with dementia, often experience increased confusion, agitation, and restlessness in the late afternoon and early evening, a phenomenon known as 'sundowning.' During this period, their cognitive reserves diminish, making them particularly susceptible to sensory overload from environmental stimuli. This heightened vulnerability necessitates a calm and structured environment.
Question 3: In the event that a patient receives recreational therapy at home, documentation must show
- client preferences
- indirect supervision of unlicensed staff
- costs
- realistic and measurable goals (Correct answer)
Correct answer: realistic and measurable goals
For recreational therapy provided in a home setting, documentation must clearly outline realistic and measurable goals for the client. This ensures accountability, allows for objective tracking of client progress, justifies the necessity of the services, and enables adjustments to the treatment plan as needed. Measurable goals are essential for demonstrating effectiveness and often required by healthcare payers.
Question 4: Assistive devices classed as durable medical equipment (DME) include
- handrails (Correct answer)
- crutches
- apnea/sleep monitors
- electric beds
Correct answer: handrails
Durable Medical Equipment (DME) refers to equipment that is durable, used for a medical purpose, not generally useful to a person in the absence of illness or injury, and appropriate for use in the home. Handrails, when installed to assist with mobility or prevent falls due to a medical condition, fit this definition. They are sturdy, reusable, and serve a specific medical safety function.
Question 5: Except for, all of the following are the main objectives of play therapy with kids:
- interpreting the child's behavior
- observing and collecting data
- establishing contact with the child
- assessing family dynamics (Correct answer)
Correct answer: assessing family dynamics
Play therapy primarily focuses on helping children express emotions, process experiences, and develop coping skills through the medium of play. While a therapist may gain incidental insights into family dynamics by observing a child's play, directly 'assessing family dynamics' is not a core, explicit objective of play therapy itself. The focus remains on the child's individual therapeutic process.
Question 6: Which of the following is a key idea in Bandura's Social Learning Theory (1977, 2001)?
- Information processing
- Perception
- Role modeling (Correct answer)
- Stimulus-response
Correct answer: Role modeling
A key concept in Albert Bandura's Social Learning Theory is 'role modeling,' also known as observational learning. This theory posits that individuals learn behaviors, attitudes, and emotional reactions by observing others and the consequences of their actions. Role modeling highlights the significant influence of social context and vicarious experiences in shaping human behavior.
Question 7: The following course of action should be taken if all shelters are filled and a client who is in need of assistance, is uninsured, has mental health problems, and has a three-day anticipated discharge date is added to the waiting list for a preferred shelter.
- place the client on a second waiting list (Correct answer)
- plan transfer to a skilled nursing facility until shelter placement is possible
- refer the problem to Social Services
- call daily to determine where the client is on the list
Correct answer: place the client on a second waiting list
When a client with complex needs faces discharge with no immediate shelter availability, the most appropriate action is to explore all possible alternatives. Placing the client on a second waiting list for another suitable shelter increases their chances of securing housing. This demonstrates proactive advocacy and resourcefulness in ensuring the client's safety and well-being post-discharge, rather than passively waiting.
Free NCTRC Test Question and Answers
Which of the following is the initial stage of a program evaluation?