ACC Evaluation & Documentation 3 — Questions and Answers
Question 1: Which tool is commonly used during an initial activity assessment to gather a resident's life history and leisure interests?
- The Braden Scale
- The Interest Checklist (Correct answer)
- The Tinetti Balance Assessment
- The PHQ-9
Correct answer: The Interest Checklist
The Interest Checklist is a structured assessment tool used to identify a resident's past and present leisure interests to guide individualized activity programming.
Question 2: When an activity care plan goal is not being met, the activity professional should FIRST:
- Discharge the resident from the activity program
- Reassess the resident and revise the goal or intervention accordingly (Correct answer)
- Continue the same approach for another 6 months
- Transfer documentation responsibilities to nursing
Correct answer: Reassess the resident and revise the goal or intervention accordingly
When goals are unmet, the activity professional must reassess contributing factors and update the care plan with revised goals or alternative interventions.
Question 3: In long-term care documentation, the abbreviation 'IDT' refers to:
- Individual Discharge Tracking
- Interdisciplinary Team (Correct answer)
- Internal Documentation Template
- Integrated Daily Transcript
Correct answer: Interdisciplinary Team
IDT stands for Interdisciplinary Team, which includes nursing, social work, therapy, dietary, and activity professionals who collaborate on resident care planning.
Question 4: A resident's family member requests to see the resident's activity documentation. Under HIPAA, the facility should:
- Automatically release all records to family members without restriction
- Share records only if the resident has authorized the family member as a personal representative or consents to disclosure (Correct answer)
- Refuse all family requests to protect resident privacy
- Delete records before the family can view them
Correct answer: Share records only if the resident has authorized the family member as a personal representative or consents to disclosure
HIPAA requires that records be shared with family members only when the resident has granted authorization or designated them as a personal representative.
Question 5: Which type of note is used to document a resident's ongoing response to activity programming over time, rather than a one-time event?
- Incident report
- Progress note (Correct answer)
- Intake assessment
- Discharge summary
Correct answer: Progress note
Progress notes provide a longitudinal record of a resident's participation, responses, and changing needs related to activity programming.
Question 6: Which behavioral observation would be MOST relevant to document in an activity progress note for a resident with depression?
- The resident's room number and bed assignment
- Increased initiation of social interaction during group activities (Correct answer)
- The activity professional's schedule for the week
- The number of tables in the activity room
Correct answer: Increased initiation of social interaction during group activities
Documenting increased social initiation provides measurable evidence that activity programming is positively impacting the resident's depressive symptoms.
Question 7: What does the term 'baseline assessment' mean in the context of activity programming?
- A summary of the facility's activity budget
- The initial comprehensive evaluation of a resident's functional status and interests upon admission (Correct answer)
- A monthly count of activities offered
- An exit interview conducted at discharge
Correct answer: The initial comprehensive evaluation of a resident's functional status and interests upon admission
A baseline assessment is the initial comprehensive evaluation that establishes a resident's starting functional level, interests, and needs to guide care planning.
ACC Evaluation & Documentation 3
Which tool is commonly used during an initial activity assessment to gather a resident's life history and leisure interests?