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
According to CMS guidelines, how soon after admission must an activity assessment be completed for a long-term care resident?
Answer: Within 14 days
CMS requires that a comprehensive activity assessment be completed within 14 days of a resident's admission to ensure timely individualized care planning.
Which element should be documented when a resident declines to participate in an activity?
Answer: The refusal, the reason given (if stated), and any alternative offered
Documenting a refusal, the reason given, and any alternatives offered demonstrates respect for resident rights and supports ongoing individualized programming.
A resident's care plan states: 'Resident will independently select one leisure activity per week by [date].' This statement is an example of a:
Answer: SMART goal
This statement is a SMART goal — it is specific, measurable (one activity per week), and time-bound — guiding the activity intervention.
Which section of the MDS captures a resident's mood symptoms that may affect activity participation?
Answer: Section D
MDS Section D assesses mood using the PHQ-9 (Patient Health Questionnaire), capturing depressive symptoms that directly impact a resident's engagement in activities.
When adapting activity documentation for a resident with limited English proficiency, the activity professional should:
Answer: Note the language barrier, document using an interpreter if available, and record observed responses
Documenting the language barrier, interpreter use, and observed behavioral responses ensures accurate records and supports equitable care planning.
The 'A' in the DAP documentation format stands for:
Answer: Assessment
In DAP (Data, Assessment, Plan) format, 'A' stands for Assessment, where the clinician interprets the data and draws clinical conclusions.
Which of the following BEST describes 'functional documentation' in activity programming?
Answer: Linking resident participation and responses to functional outcomes and care plan goals
Functional documentation connects activity participation to measurable resident outcomes, demonstrating the therapeutic value of programming within the care plan.