NCCAP Person-Centered Care 5 — Questions and Answers
Question 1: Which of the following describes a 'care partner' model in person-centered long-term care?
- A billing arrangement between the facility and an outside agency
- A consistent assignment model where specific staff members build ongoing relationships with the same residents (Correct answer)
- A volunteer program pairing community members with isolated residents
- A co-payment structure for specialized programming
Correct answer: A consistent assignment model where specific staff members build ongoing relationships with the same residents
Consistent assignment or care partner models pair specific staff with the same residents to foster deep, trust-based relationships central to person-centered care.
Question 2: An activity professional documents that a resident 'refused to participate' in an activity. A more person-centered documentation approach would be:
- Resident declined today's bingo group; offered one-on-one music engagement at bedside, which resident accepted and enjoyed for 20 minutes (Correct answer)
- Resident non-compliant with scheduled programming
- Resident uncooperative; family to be notified
- Resident's behavior documented for care plan review
Correct answer: Resident declined today's bingo group; offered one-on-one music engagement at bedside, which resident accepted and enjoyed for 20 minutes
Person-centered documentation records the individual's response, the alternatives offered, and what was meaningful to them rather than labeling as refusal.
Question 3: The primary goal of a resident council from a person-centered care perspective is to:
- Satisfy a regulatory compliance requirement
- Give residents a structured voice in facility decisions, programming, and their own care environment (Correct answer)
- Provide activity staff with a captive programming audience
- Allow family members to express concerns about care quality
Correct answer: Give residents a structured voice in facility decisions, programming, and their own care environment
Resident councils empower residents to influence their living environment and programming, embodying the self-determination principle of person-centered care.
Question 4: A resident nearing end of life has withdrawn from all previous activities. The MOST person-centered approach for the activity professional is to:
- Discharge the resident from the activity program until medical status stabilizes
- Shift the focus to comfort-based, sensory, and relational engagement aligned with the resident's current needs and wishes (Correct answer)
- Continue offering the resident's previous activity schedule to maintain routine
- Transfer responsibility entirely to the hospice team
Correct answer: Shift the focus to comfort-based, sensory, and relational engagement aligned with the resident's current needs and wishes
At end of life, person-centered care pivots to comfort, presence, and meaningful connection rather than outcome-based programming.
Question 5: Which of the following BEST supports spiritual well-being as part of person-centered care for an activity professional?
- Ensuring residents attend the facility's weekly nondenominational service
- Assessing each resident's spiritual and religious beliefs and facilitating access to practices meaningful to them (Correct answer)
- Partnering exclusively with local clergy for spiritual programming
- Scheduling a monthly interfaith service open to all residents
Correct answer: Assessing each resident's spiritual and religious beliefs and facilitating access to practices meaningful to them
Person-centered spiritual care requires individual assessment and facilitating access to each person's specific spiritual practices and beliefs, not a one-size-fits-all program.
Question 6: Which of the following is the LEAST person-centered activity programming practice?
- Offering flexible scheduling so residents can choose when to participate
- Designing a standard weekly calendar with the same activities at fixed times that all residents are expected to attend (Correct answer)
- Incorporating residents' cultural traditions and holidays into programming
- Providing both individual and group activity options daily
Correct answer: Designing a standard weekly calendar with the same activities at fixed times that all residents are expected to attend
A rigid, uniform calendar that expects all residents to attend the same activities at fixed times is the antithesis of individualized, person-centered programming.
Question 7: The NCCAP competency domain of 'Human Development' supports person-centered care primarily by helping the activity professional:
- Understand developmental stages and psychosocial theories to individualize programming across the lifespan (Correct answer)
- Design exercise programs appropriate for each age group
- Comply with CMS staffing ratios for activity departments
- Apply pediatric programming principles to geriatric populations
Correct answer: Understand developmental stages and psychosocial theories to individualize programming across the lifespan
Knowledge of human development and psychosocial theories (e.g., Erikson, Maslow) helps activity professionals understand residents' needs, motivations, and life stage context to individualize care.
NCCAP Person-Centered Care 5
Which of the following describes a 'care partner' model in person-centered long-term care?