NCCAP Documentation & Regulatory Compliance 3

Question 1

Which section of the MDS 3.0 is primarily used by activity professionals to document a resident's activity preferences and customary routines?

Accepted Answer

Section F — Preferences for Customary Routine and Activities

Answer

Section F of the MDS 3.0 captures resident preferences for daily routines, activities, and involvement in care decisions.

Question 2

A resident with dementia cannot verbally express activity preferences. Which documentation approach best meets NCCAP and regulatory standards?

Accepted Answer

Document observed behavioral cues and interview family or surrogate

Answer

When residents cannot self-report, professionals must use behavioral observation and collateral sources such as family interviews to document preferences.

Question 3

A facility is cited for an F679 deficiency related to inadequate activity programming. Which corrective action would MOST directly address the citation?

Accepted Answer

Increase individualized programming and improve care plan documentation

Answer

F679 citations specifically address quality and individualization of programming and documentation — operational and documentation improvements are the required remedy.

Question 4

Under HIPAA, an activity professional may share a resident's activity participation information with a student intern without a signed authorization if:

Accepted Answer

The sharing is for treatment, payment, or healthcare operations purposes

Answer

HIPAA permits disclosure of PHI without authorization for treatment, payment, or healthcare operations, which includes training supervised students.

Question 5

A resident's care plan includes a goal to 'increase social engagement.' What is the BEST way to make this goal measurable for documentation purposes?

Accepted Answer

Write 'resident will attend 2 group social programs per week as evidenced by attendance records'

Answer

Measurable goals must include a specific, observable behavior, a frequency or timeframe, and a method of verification.

(NCCAP) National Certification Council for Activity Professionals Practice Test

(NCCAP) National Certification Council for Activity Professionals Practice Test

NCCAP Documentation & Regulatory Compliance 3