ADC Health and Safety in Activity Programming 1 — Questions and Answers
Question 1: When facilitating a food-related activity with residents who have dysphagia, the activity director must first consult which document to ensure safe participation?
- The activity calendar
- The resident's diet order and speech therapy notes (Correct answer)
- The facility's menu plan
- The MDS assessment schedule
Correct answer: The resident's diet order and speech therapy notes
Diet orders and speech therapy notes specify texture and consistency modifications required to prevent aspiration during food activities for residents with dysphagia.
Question 2: Under standard (universal) precautions, an activity director should wear gloves when:
- Distributing newspapers to residents
- Leading a chair exercise class
- Assisting a resident with a bleeding craft injury (Correct answer)
- Setting up a board game
Correct answer: Assisting a resident with a bleeding craft injury
Standard precautions require gloves when there is potential contact with blood or body fluids, such as when a resident has a bleeding wound.
Question 3: A resident with a history of falls is about to participate in a standing exercise class. The most appropriate first action for the activity director is to:
- Exclude the resident from the activity
- Consult the care plan and nursing staff for safe participation modifications (Correct answer)
- Allow participation without modifications since exercise is beneficial
- Ask the resident's family for permission
Correct answer: Consult the care plan and nursing staff for safe participation modifications
The care plan documents individualized precautions, and nursing staff can advise on safe modifications to reduce fall risk while maintaining resident participation.
Question 4: During an outdoor activity, a resident begins showing signs of heat exhaustion including heavy sweating and weakness. The activity director's immediate priority is to:
- Continue the activity while monitoring the resident
- Move the resident to a cool area and notify nursing staff immediately (Correct answer)
- Offer the resident extra sunscreen
- Document the incident and report at the next shift change
Correct answer: Move the resident to a cool area and notify nursing staff immediately
Heat exhaustion requires immediate cooling and medical assessment; moving the resident indoors and alerting nursing staff is the urgent priority.
Question 5: When conducting an activity using small craft supplies such as beads or buttons with residents who have dementia, the activity director's primary safety concern is:
- Cost of the supplies
- Choking and aspiration hazards (Correct answer)
- Whether residents will enjoy the activity
- Storage of leftover supplies
Correct answer: Choking and aspiration hazards
Residents with dementia may put small objects in their mouths, making choking and aspiration the primary safety risk when using small craft materials.
Question 6: Which infection control practice is most important for an activity director to perform between assisting individual residents during an activity?
- Changing into fresh gloves without hand hygiene
- Performing hand hygiene with soap and water or alcohol-based hand rub (Correct answer)
- Wiping hands on a clean towel
- Using antibacterial lotion after each resident contact
Correct answer: Performing hand hygiene with soap and water or alcohol-based hand rub
Hand hygiene with soap and water or an alcohol-based hand rub between resident contacts is the most effective measure to prevent transmission of infectious agents.
Question 7: An activity director notices a frayed electrical cord on a projector used for movie screenings. The correct action is to:
- Cover the cord with tape and continue using the equipment
- Stop using the equipment immediately and report it to maintenance (Correct answer)
- Use the projector only for short periods to minimize risk
- Inform residents to avoid touching the cord
Correct answer: Stop using the equipment immediately and report it to maintenance
Frayed electrical cords pose a fire and shock hazard and must be removed from service immediately and reported to maintenance for repair or replacement.
ADC Health and Safety in Activity Programming 1
When facilitating a food-related activity with residents who have dysphagia, the activity director must first consult which document to ensure safe participation?