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 tool is commonly used during an initial activity assessment to gather a resident's life history and leisure interests?
Answer: The Interest Checklist
The Interest Checklist is a structured assessment tool used to identify a resident's past and present leisure interests to guide individualized activity programming.
When an activity care plan goal is not being met, the activity professional should FIRST:
Answer: Reassess the resident and revise the goal or intervention accordingly
When goals are unmet, the activity professional must reassess contributing factors and update the care plan with revised goals or alternative interventions.
In long-term care documentation, the abbreviation 'IDT' refers to:
Answer: Interdisciplinary Team
IDT stands for Interdisciplinary Team, which includes nursing, social work, therapy, dietary, and activity professionals who collaborate on resident care planning.
A resident's family member requests to see the resident's activity documentation. Under HIPAA, the facility should:
Answer: Share records only if the resident has authorized the family member as a personal representative or consents to disclosure
HIPAA requires that records be shared with family members only when the resident has granted authorization or designated them as a personal representative.
Which type of note is used to document a resident's ongoing response to activity programming over time, rather than a one-time event?
Answer: Progress note
Progress notes provide a longitudinal record of a resident's participation, responses, and changing needs related to activity programming.
Which behavioral observation would be MOST relevant to document in an activity progress note for a resident with depression?
Answer: Increased initiation of social interaction during group activities
Documenting increased social initiation provides measurable evidence that activity programming is positively impacting the resident's depressive symptoms.
What does the term 'baseline assessment' mean in the context of activity programming?
Answer: The initial comprehensive evaluation of a resident's functional status and interests upon admission
A baseline assessment is the initial comprehensive evaluation that establishes a resident's starting functional level, interests, and needs to guide care planning.