ACC Activity Program Development 3 — Questions and Answers
Question 1: Which concept describes activities designed to connect residents with meaningful roles they held earlier in life?
- Reality orientation
- Reminiscence therapy
- Continuity theory (Correct answer)
- Validation therapy
Correct answer: Continuity theory
Continuity theory suggests that maintaining connections to past roles, habits, and interests supports psychological well-being and identity in older adults.
Question 2: A resident refuses to attend any group activities. The activity consultant's BEST response is to:
- Document refusal and discontinue activity outreach
- Offer alternative one-on-one activities aligned with the resident's interests (Correct answer)
- Require attendance per the care plan
- Notify the family and wait for their decision
Correct answer: Offer alternative one-on-one activities aligned with the resident's interests
Resident rights include the right to refuse, but the activity professional must offer meaningful alternatives and document efforts to meet the resident's psychosocial needs.
Question 3: When using the interest survey in activity assessment, which approach yields the most useful data?
- Mailing the survey to the resident before admission
- Conducting a structured interview and supplementing with family input when needed (Correct answer)
- Having the nurse complete it during the medical assessment
- Using a standardized checklist without open-ended questions
Correct answer: Conducting a structured interview and supplementing with family input when needed
A structured interview allows the activity professional to clarify responses and probe for details, while family input supplements when the resident has communication limitations.
Question 4: Which principle of therapeutic recreation underpins the inclusion of 'spiritual activities' in an activity program?
- Physical rehabilitation
- Holistic well-being across all life domains (Correct answer)
- Social integration only
- Compliance with CMS requirements
Correct answer: Holistic well-being across all life domains
Holistic care recognizes spiritual well-being as one of several interconnected dimensions of health, alongside physical, social, emotional, and cognitive domains.
Question 5: For a newly admitted resident who is isolated and depressed, which initial programming strategy is most appropriate?
- Immediately enrolling them in the largest group activity available
- Scheduling one-on-one visits to build rapport before introducing group participation (Correct answer)
- Waiting until the resident requests activities independently
- Contacting the social worker and deferring all activity planning to them
Correct answer: Scheduling one-on-one visits to build rapport before introducing group participation
Building rapport through individual visits reduces social anxiety and establishes trust, increasing the likelihood of successful group participation over time.
Question 6: Which outcome measure is MOST appropriate for evaluating an activity program's effectiveness?
- Number of activities offered per week
- Resident quality-of-life scores and participation rates (Correct answer)
- Staff satisfaction with the activity schedule
- Budget expenditure on activity supplies
Correct answer: Resident quality-of-life scores and participation rates
Quality-of-life outcomes and participation rates directly reflect whether the program is meeting residents' psychosocial needs, which is the core purpose of activity programming.
Question 7: The Minimum Data Set (MDS) Section F captures information about resident:
- Skin integrity and wound care
- Preferences for customary routines and activities (Correct answer)
- Cognitive performance scale scores
- Physical therapy goals
Correct answer: Preferences for customary routines and activities
MDS Section F (Preferences for Customary Routine and Activities) documents resident preferences for daily activities, helping drive individualized care planning.
ACC Activity Program Development 3
Which concept describes activities designed to connect residents with meaningful roles they held earlier in life?