ACC Client Needs 2 — Questions and Answers
Question 1: A resident with mild dementia repeatedly asks to go home during group activities. What is the BEST initial response by the activity consultant?
- Redirect the resident with a meaningful task or familiar object (Correct answer)
- Remind the resident firmly that they now live in the facility
- Involve the resident's family immediately by phone
- Discontinue the activity and return the resident to their room
Correct answer: Redirect the resident with a meaningful task or familiar object
Therapeutic redirection using familiar objects or meaningful tasks is the evidence-based first response for residents with dementia expressing distress.
Question 2: Which domain of client needs is addressed when an activity consultant arranges for a resident to video call family members weekly?
- Social/emotional needs (Correct answer)
- Physical needs
- Cognitive needs
- Spiritual needs
Correct answer: Social/emotional needs
Maintaining family connections addresses social and emotional needs by reducing isolation and sustaining meaningful relationships.
Question 3: A new resident refuses to participate in any group activities. The MOST appropriate initial action is to:
- Offer one-on-one engagement in the resident's room (Correct answer)
- Document refusal and wait for the resident to self-initiate
- Ask the physician to encourage participation
- Schedule the resident for mandatory programming
Correct answer: Offer one-on-one engagement in the resident's room
One-on-one room visits respect autonomy while building rapport and identifying the resident's individual interests and barriers.
Question 4: When assessing a client's leisure history, the activity consultant is primarily gathering information about:
- Past interests, habits, and routines that can inform current programming (Correct answer)
- The client's medical diagnoses and functional limitations
- Family preferences for the client's daily schedule
- Insurance coverage for therapeutic activities
Correct answer: Past interests, habits, and routines that can inform current programming
Leisure history assessment captures lifelong interests and roles to create individualized, meaningful programming.
Question 5: A resident with low vision attends a current events discussion group. To best meet this client's needs, the activity consultant should:
- Provide large-print materials and read headlines aloud to the group (Correct answer)
- Excuse the resident from the group since vision impairment limits participation
- Seat the resident at the back of the room for comfort
- Refer the resident exclusively to audio-based programs
Correct answer: Provide large-print materials and read headlines aloud to the group
Adapting materials with large print and verbal delivery maintains full inclusion while accommodating the specific sensory need.
Question 6: The concept of 'normalization' in activity programming refers to:
- Providing experiences that mirror typical community life and daily routines (Correct answer)
- Standardizing activities so all residents participate in the same programs
- Normalizing refusal behavior as an acceptable outcome
- Using evidence-based activities proven effective in clinical trials
Correct answer: Providing experiences that mirror typical community life and daily routines
Normalization aims to give residents opportunities that resemble ordinary life outside the care setting, preserving dignity and identity.
Question 7: Which of the following BEST describes a 'need' versus a 'want' in the context of client needs assessment?
- Needs are essential for well-being; wants are preferences that enhance quality of life (Correct answer)
- Needs are requested by family; wants are identified by staff
- Needs require physician orders; wants do not
- Needs are physical only; wants are social and emotional
Correct answer: Needs are essential for well-being; wants are preferences that enhance quality of life
In care planning, needs represent fundamental requirements for well-being while wants represent personal preferences that enrich daily life.
ACC Client Needs 2
A resident with mild dementia repeatedly asks to go home during group activities.
What is the BEST initial response by the activity consultant?