ACC Activity Program Development 2 — Questions and Answers
Question 1: Which federal regulation mandates that long-term care facilities provide an ongoing activity program based on resident interests and needs?
- OBRA 1987 (Correct answer)
- ADA 1990
- HIPAA 1996
- OSHA 1970
Correct answer: OBRA 1987
OBRA 1987 (Omnibus Budget Reconciliation Act) requires nursing facilities to provide an ongoing, comprehensive activity program addressing residents' physical, mental, and psychosocial needs.
Question 2: When developing an activity calendar for a memory care unit, which scheduling principle is most important?
- Scheduling all activities in the morning when cognition is highest
- Maintaining consistent timing and routine to reduce anxiety (Correct answer)
- Offering only 30-minute sessions to match attention spans
- Prioritizing group activities over individual ones
Correct answer: Maintaining consistent timing and routine to reduce anxiety
Consistent routine and predictable timing reduce anxiety in memory care residents by providing structure and familiarity.
Question 3: A resident assessment for activity programming should primarily be completed within how many days of admission?
- 3 days
- 7 days
- 14 days (Correct answer)
- 30 days
Correct answer: 14 days
Under MDS (Minimum Data Set) guidelines, the comprehensive assessment including activity preferences must be completed within 14 days of admission.
Question 4: Which activity modality is BEST suited for a resident with severe physical limitations but intact cognition?
- Competitive sports leagues
- Intellectual discussion groups and reminiscence therapy (Correct answer)
- High-impact aerobic exercise
- Large motor craft projects
Correct answer: Intellectual discussion groups and reminiscence therapy
Discussion groups and reminiscence therapy engage cognitive abilities without requiring physical participation, making them ideal for physically limited but cognitively intact residents.
Question 5: The '1-to-5 ratio' commonly referenced in activity program staffing refers to:
- One activity per five residents per day
- One activity aide per five residents in a program
- One full-time equivalent staff per five activity programs
- One supervisor for every five activity aides (Correct answer)
Correct answer: One supervisor for every five activity aides
Best practice staffing guidelines recommend one activity supervisor for every five activity aides to ensure adequate oversight and program quality.
Question 6: A 'task segmentation' approach in activity programming means:
- Dividing the day into morning, afternoon, and evening shifts
- Breaking a complex activity into smaller, manageable steps for participants (Correct answer)
- Separating residents by functional ability into different activity groups
- Scheduling different activity types on alternating days
Correct answer: Breaking a complex activity into smaller, manageable steps for participants
Task segmentation breaks complex activities into sequential steps so residents with cognitive or physical limitations can experience success and participation.
Question 7: Which documentation element is MOST critical when recording a resident's activity participation?
- The activity staff member's name only
- Date, activity attended, level of participation, and resident response (Correct answer)
- Total number of residents in the group
- Cost of supplies used for the activity
Correct answer: Date, activity attended, level of participation, and resident response
Effective activity documentation must capture date, specific activity, participation level, and resident response to demonstrate individualized programming and support care planning.
ACC Activity Program Development 2
Which federal regulation mandates that long-term care facilities provide an ongoing activity program based on resident interests and needs?