NCCAP Resident Assessment 2 — Questions and Answers
Question 1: Which section of the MDS 3.0 specifically addresses a resident's activity preferences and patterns?
- Section F - Preferences for Customary Routine and Activities (Correct answer)
- Section B - Hearing, Speech, and Vision
- Section G - Functional Status
- Section I - Active Disease Diagnosis
Correct answer: Section F - Preferences for Customary Routine and Activities
Section F of the MDS 3.0 captures resident preferences for customary daily routines and activity interests.
Question 2: When a resident cannot self-report during an activity assessment due to severe cognitive impairment, the activity professional should:
- Skip the assessment until the resident improves
- Use proxy interviews with family or staff who know the resident well (Correct answer)
- Document 'unable to assess' and move on
- Only use observations made during group activities
Correct answer: Use proxy interviews with family or staff who know the resident well
Proxy interviews with family members or consistent staff are a valid method when residents cannot self-report.
Question 3: The PELI (Preference for Everyday Living Inventory) is primarily used to:
- Assess a resident's cognitive status
- Identify resident preferences to guide person-centered care planning (Correct answer)
- Measure physical therapy outcomes
- Determine fall risk during activities
Correct answer: Identify resident preferences to guide person-centered care planning
The PELI is a validated tool used to identify preferences for everyday living to support individualized, person-centered care.
Question 4: During a resident assessment, the activity professional notes a new resident previously enjoyed gardening but now has limited hand dexterity. The BEST response is to:
- Remove gardening from the care plan entirely
- Adapt gardening activities using raised beds or modified tools (Correct answer)
- Wait for occupational therapy to clear the resident first
- Offer only passive gardening observation opportunities
Correct answer: Adapt gardening activities using raised beds or modified tools
Adapting activities to match current abilities while honoring past interests is a core principle of person-centered activity programming.
Question 5: A Minimum Data Set (MDS) assessment must be completed within what timeframe after a long-term care resident's admission?
- 7 days
- 14 days (Correct answer)
- 30 days
- 60 days
Correct answer: 14 days
Federal regulations require the initial comprehensive MDS assessment to be completed within 14 days of admission.
Question 6: Which of the following is an example of a SECONDARY data source used during a resident activity assessment?
- A face-to-face interview with the resident
- Review of the resident's medical history and prior records (Correct answer)
- Direct observation of the resident during activities
- A structured preference questionnaire administered to the resident
Correct answer: Review of the resident's medical history and prior records
Secondary data sources include medical records, transfer documents, and other existing documentation rather than direct interaction.
Question 7: When documenting a resident's cultural background during assessment, the activity professional's PRIMARY goal is to:
- Assign the resident to culturally specific activity groups only
- Ensure programming reflects the resident's cultural values and traditions (Correct answer)
- Note cultural differences to avoid potential conflicts with staff
- Satisfy a required demographic data field in the medical record
Correct answer: Ensure programming reflects the resident's cultural values and traditions
Understanding cultural background helps tailor programming to align with the resident's values, beliefs, and preferred ways of engaging.
Which section of the MDS 3.0 specifically addresses a resident's activity preferences and patterns?