NCCAP Person-Centered Care 3 — Questions and Answers
Question 1: Which federal regulation requires long-term care facilities to provide an ongoing program of activities based on the comprehensive assessment and individual interests?
- HIPAA Privacy Rule
- F-tag F679 (42 CFR 483.24(c)) (Correct answer)
- Americans with Disabilities Act Section 504
- OSHA General Duty Clause
Correct answer: F-tag F679 (42 CFR 483.24(c))
F-tag F679 under 42 CFR 483.24(c) mandates that facilities offer an ongoing, individualized activities program meeting each resident's interests and needs.
Question 2: A resident who was a retired nurse expresses boredom with current group programs. The MOST person-centered response is to:
- Increase her attendance in existing groups
- Create a volunteer role or meaningful occupation that draws on her professional identity and expertise (Correct answer)
- Refer her to social services for counseling
- Add her name to the dementia-specific activity group
Correct answer: Create a volunteer role or meaningful occupation that draws on her professional identity and expertise
Leveraging a resident's professional identity and past roles creates meaningful engagement aligned with who they are as a person.
Question 3: Environmental modifications that support person-centered care for residents with dementia include:
- Locking activity supply rooms to prevent unsupervised access
- Providing sensory-rich, familiar objects and cues that reduce agitation and support orientation (Correct answer)
- Limiting residents to structured group rooms only
- Keeping lighting dim to reduce stimulation
Correct answer: Providing sensory-rich, familiar objects and cues that reduce agitation and support orientation
Familiar objects, sensory cues, and appropriate environmental design reduce distress and support meaningful engagement for individuals with dementia.
Question 4: The concept of 'meaningful engagement' in person-centered care means activities that:
- Are evidence-based and standardized across all residents
- Hold personal significance and connect to an individual's values, relationships, and sense of self (Correct answer)
- Generate the highest measurable outcomes on standardized tools
- Fill scheduled time slots in the activity calendar
Correct answer: Hold personal significance and connect to an individual's values, relationships, and sense of self
Meaningful engagement is defined by personal relevance to the individual, not by standardization or time-filling.
Question 5: Which of the following is an example of dignity of risk in person-centered care?
- Prohibiting a resident from cooking because of a burn risk
- Allowing a resident with diabetes to participate in a baking activity with appropriate monitoring and informed choice (Correct answer)
- Requiring all residents to wear protective gear during any physical activity
- Removing garden tools from the therapeutic garden to prevent injury
Correct answer: Allowing a resident with diabetes to participate in a baking activity with appropriate monitoring and informed choice
Dignity of risk acknowledges that individuals have the right to make informed choices and take reasonable risks that support their autonomy and well-being.
Question 6: When completing the MDS Section F (Preferences for Customary Routine and Activities), the activity professional should:
- Complete the form based on observations alone if the resident cannot verbalize
- Prioritize the resident's own responses; use family or staff observation only when the resident cannot self-report (Correct answer)
- Ask family to complete the form independently
- Use the previous quarter's responses without re-interviewing
Correct answer: Prioritize the resident's own responses; use family or staff observation only when the resident cannot self-report
CMS guidance requires that the resident's own voice takes priority in Section F interviews; proxy data is used only when self-report is not possible.
Question 7: A resident who previously loved gardening is now non-ambulatory after a stroke. The activity professional BEST supports person-centered care by:
- Removing gardening from her care plan since she can no longer participate
- Adapting gardening activities (e.g., tabletop container gardening) to her current functional level (Correct answer)
- Substituting gardening with another horticultural theme group
- Waiting until physical therapy clears her for outdoor activities
Correct answer: Adapting gardening activities (e.g., tabletop container gardening) to her current functional level
Adapting a previously loved activity to current functional abilities preserves identity and meaning while honoring the individual's preferences.
NCCAP Person-Centered Care 3
Which federal regulation requires long-term care facilities to provide an ongoing program of activities based on the comprehensive assessment and individual interests?