NCCAP Resident Assessment 4 — Questions and Answers
Question 1: The term 'leisure history' in activity assessment refers to:
- A record of all activities offered by the facility in the past year
- Information about a resident's lifelong interests, hobbies, and leisure patterns before admission (Correct answer)
- A log of which activity groups the resident attended last month
- The resident's preferences for future leisure travel
Correct answer: Information about a resident's lifelong interests, hobbies, and leisure patterns before admission
Leisure history captures the resident's pre-admission lifestyle, interests, and meaningful roles that inform individualized programming.
Question 2: Which of the following is an example of an intrinsic motivation factor that an activity assessment should explore?
- Transportation availability to community events
- Whether the activity room is located near the dining hall
- The resident's sense of purpose, spiritual beliefs, and personal values (Correct answer)
- Family members' preferred visiting hours
Correct answer: The resident's sense of purpose, spiritual beliefs, and personal values
Intrinsic motivators — like purpose, values, and beliefs — drive meaningful engagement from within the individual rather than from external circumstances.
Question 3: A care plan conference is scheduled for a resident with a new diagnosis of congestive heart failure. The activity professional's assessment should be updated to address:
- Only the resident's emotional response to the diagnosis
- Activity modifications needed due to new physical limitations such as fatigue and dyspnea (Correct answer)
- Whether the diagnosis affects the resident's MDS billing classification
- Family requests for additional visiting time
Correct answer: Activity modifications needed due to new physical limitations such as fatigue and dyspnea
New diagnoses require activity professionals to reassess functional limitations and adapt programming to accommodate changes in the resident's condition.
Question 4: When assessing a resident's social history, the activity professional asks about the resident's former occupation. This information is MOST useful for:
- Determining insurance coverage for activity supplies
- Identifying skills, interests, and a sense of identity to incorporate into programming (Correct answer)
- Scheduling the resident's therapy appointments around work habits
- Assigning the resident to a specific demographic activity group
Correct answer: Identifying skills, interests, and a sense of identity to incorporate into programming
Occupational history reveals skills, roles, and sources of meaning that can be woven into purposeful activity programming.
Question 5: Which of the following scenarios would MOST likely trigger a significant change assessment (SCA) under MDS guidelines?
- A resident declines to attend bingo for two consecutive weeks
- A resident experiences a major stroke resulting in new functional deficits (Correct answer)
- A resident requests a room transfer
- Seasonal programming changes are introduced by the activity department
Correct answer: A resident experiences a major stroke resulting in new functional deficits
A major stroke with new functional deficits meets the criteria for a Significant Change in Status Assessment, requiring a new comprehensive MDS.
Question 6: When documenting activity assessment findings, the activity professional should use language that is:
- Subjective and emotionally descriptive to convey resident personality
- Objective, measurable, and free of personal judgment or bias (Correct answer)
- Brief enough to fit into a single sentence per domain
- Written in the resident's own words without paraphrasing
Correct answer: Objective, measurable, and free of personal judgment or bias
Professional documentation must be objective and measurable to ensure legal defensibility and clear communication across the interdisciplinary team.
Question 7: A resident newly admitted from an acute hospital setting appears withdrawn and shows little interest in activities. The MOST appropriate initial assessment strategy is to:
- Document 'refuses all activities' and reassess in 90 days
- Conduct a brief, low-pressure interview and observe the resident in the unit environment (Correct answer)
- Schedule the resident for daily mandatory group programming to encourage socialization
- Wait for the social worker to complete their assessment before gathering any activity data
Correct answer: Conduct a brief, low-pressure interview and observe the resident in the unit environment
A brief, non-pressuring initial contact combined with environmental observation allows assessment without overwhelming a newly admitted or disoriented resident.
NCCAP Resident Assessment 4
The term 'leisure history' in activity assessment refers to: