Evaluation & Documentation Flashcards
7 cards from real ACC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Evaluation & Documentation flashcards as text
Which federal regulation requires activity programs in long-term care facilities to be directed by a qualified professional?
Answer: OBRA 1987
OBRA 1987 (Omnibus Budget Reconciliation Act) established requirements for activity programs in long-term care facilities, mandating qualified activity professionals.
When documenting a resident's response to an activity on a progress note, which element is MOST important to include?
Answer: Observable, measurable behavioral outcomes of the resident
Progress notes must document observable, measurable behavioral outcomes to demonstrate the resident's functional response and the activity's therapeutic value.
A Minimum Data Set (MDS) Section F assesses which domain relevant to activity programming?
Answer: Preferences for customary routine and activities
MDS Section F specifically captures preferences for customary routine and activities, informing individualized care planning for residents.
An activity professional notices a resident who previously enjoyed gardening now refuses all programs. What should be the FIRST documentation step?
Answer: Document the change in behavior and notify the interdisciplinary team
A change in a resident's participation pattern must be documented promptly and communicated to the IDT, as it may signal a change in condition.
What is the purpose of a quarterly activity assessment?
Answer: To evaluate whether current programming meets the resident's changing needs
Quarterly assessments ensure the activity care plan remains current and responsive to the resident's evolving physical, cognitive, and psychosocial status.
Which documentation term refers to measurable, time-bound statements that guide activity interventions?
Answer: Goals
Goals are specific, measurable, achievable, relevant, and time-bound (SMART) statements that define expected outcomes of activity interventions.
A resident's activity assessment reveals moderate dementia, limited mobility, and a history of music appreciation. Which approach BEST reflects person-centered documentation?
Answer: Record past interests and strengths alongside current abilities to guide programming
Person-centered documentation captures both strengths and limitations, using the resident's life history and interests to guide meaningful programming.