NCCAP Person-Centered Care 2 — Questions and Answers
Question 1: A resident with dementia refuses to attend a scheduled group activity. The activity professional's BEST response is to:
- Document the refusal and move on
- Explore alternative one-on-one engagement based on current mood and interest (Correct answer)
- Notify the charge nurse immediately
- Reschedule the resident for the next available group session
Correct answer: Explore alternative one-on-one engagement based on current mood and interest
Person-centered care requires offering individualized alternatives when a resident declines a group activity rather than simply documenting refusal.
Question 2: Which assessment tool is most commonly used by activity professionals to capture life history information essential to person-centered programming?
- MDS Section F
- Life history interview or biography tool (Correct answer)
- PHQ-9 depression screen
- Barthel Index
Correct answer: Life history interview or biography tool
A life history interview or biography tool gathers personal preferences, roles, and meaningful past experiences that guide individualized programming.
Question 3: Person-centered care planning differs from traditional care planning primarily in that it:
- Focuses on clinical diagnoses rather than personal goals
- Prioritizes staff scheduling convenience
- Centers the resident's own goals, values, and preferences as the driving force (Correct answer)
- Relies solely on family input rather than the resident's voice
Correct answer: Centers the resident's own goals, values, and preferences as the driving force
Person-centered planning starts with what matters to the resident and builds the care plan around their individual goals and values.
Question 4: When a resident's expressed preference conflicts with their family's wishes for activity participation, the activity professional should:
- Always defer to the family to avoid conflict
- Advocate for the resident's preference if the resident has decision-making capacity (Correct answer)
- Follow whichever preference aligns with the care plan
- Consult the administrator before taking any action
Correct answer: Advocate for the resident's preference if the resident has decision-making capacity
A cognitively capable resident retains the right to self-determination; the activity professional's role is to advocate for that individual's expressed preference.
Question 5: The 'knowing the person' component of person-centered care is best achieved through:
- Reviewing only the medical chart upon admission
- Ongoing observation, conversation, and relationship-building over time (Correct answer)
- A single standardized assessment completed at admission
- Family surveys distributed quarterly
Correct answer: Ongoing observation, conversation, and relationship-building over time
Truly knowing a person requires continuous engagement, observation, and relationship-building rather than a one-time assessment.
Question 6: Which of the following BEST demonstrates a strength-based approach in person-centered activity programming?
- Focusing programs on residents' functional deficits to address care goals
- Designing activities around what residents can still do and enjoy (Correct answer)
- Selecting activities proven effective for specific diagnoses
- Scheduling all residents for the same cognitive stimulation program
Correct answer: Designing activities around what residents can still do and enjoy
A strength-based approach identifies and builds on a person's remaining abilities and interests rather than focusing on limitations.
Question 7: In a person-centered care model, the activity professional's role during interdisciplinary team meetings is PRIMARILY to:
- Report activity attendance percentages
- Present the resident's personal preferences, goals, and response to programming as the resident's advocate (Correct answer)
- Document medical updates from the nursing team
- Schedule the next care plan meeting
Correct answer: Present the resident's personal preferences, goals, and response to programming as the resident's advocate
The activity professional serves as the resident's advocate in IDT meetings, sharing insight into the individual's interests, goals, and well-being.
NCCAP Person-Centered Care 2
A resident with dementia refuses to attend a scheduled group activity.
The activity professional's BEST response is to: