ACC Evaluation & Documentation 2 — Questions and Answers
Question 1: Which federal regulation requires activity programs in long-term care facilities to be directed by a qualified professional?
- HIPAA
- OBRA 1987 (Correct answer)
- ADA Title III
- CMS Condition of Participation 482.13
Correct answer: OBRA 1987
OBRA 1987 (Omnibus Budget Reconciliation Act) established requirements for activity programs in long-term care facilities, mandating qualified activity professionals.
Question 2: When documenting a resident's response to an activity on a progress note, which element is MOST important to include?
- The activity professional's personal opinion of the activity
- Observable, measurable behavioral outcomes of the resident (Correct answer)
- A list of all other residents who participated
- The cost of supplies used during the activity
Correct answer: Observable, measurable behavioral outcomes of the resident
Progress notes must document observable, measurable behavioral outcomes to demonstrate the resident's functional response and the activity's therapeutic value.
Question 3: A Minimum Data Set (MDS) Section F assesses which domain relevant to activity programming?
- Cognitive patterns
- Preferences for customary routine and activities (Correct answer)
- Nutritional status
- Dental care
Correct answer: Preferences for customary routine and activities
MDS Section F specifically captures preferences for customary routine and activities, informing individualized care planning for residents.
Question 4: An activity professional notices a resident who previously enjoyed gardening now refuses all programs. What should be the FIRST documentation step?
- Remove gardening from the care plan immediately
- Document the change in behavior and notify the interdisciplinary team (Correct answer)
- Discharge the resident from activity services
- Wait 30 days before documenting the change
Correct answer: Document the change in behavior and notify the interdisciplinary team
A change in a resident's participation pattern must be documented promptly and communicated to the IDT, as it may signal a change in condition.
Question 5: What is the purpose of a quarterly activity assessment?
- To bill Medicare for activity services rendered
- To evaluate whether current programming meets the resident's changing needs (Correct answer)
- To count the number of activities offered each month
- To document staff attendance at in-service training
Correct answer: To evaluate whether current programming meets the resident's changing needs
Quarterly assessments ensure the activity care plan remains current and responsive to the resident's evolving physical, cognitive, and psychosocial status.
Question 6: Which documentation term refers to measurable, time-bound statements that guide activity interventions?
- Goals (Correct answer)
- Problem statements
- Progress notes
- Attendance logs
Correct answer: Goals
Goals are specific, measurable, achievable, relevant, and time-bound (SMART) statements that define expected outcomes of activity interventions.
Question 7: A resident's activity assessment reveals moderate dementia, limited mobility, and a history of music appreciation. Which approach BEST reflects person-centered documentation?
- Document only deficits and limitations
- Record past interests and strengths alongside current abilities to guide programming (Correct answer)
- Note only the medical diagnosis
- List the resident as 'unable to participate' due to cognitive status
Correct answer: Record past interests and strengths alongside current abilities to guide programming
Person-centered documentation captures both strengths and limitations, using the resident's life history and interests to guide meaningful programming.
ACC Evaluation & Documentation 2
Which federal regulation requires activity programs in long-term care facilities to be directed by a qualified professional?