NCCAP Resident Assessment 5 — Questions and Answers
Question 1: The 'F-tag' most directly associated with activity programming in Medicare/Medicaid-certified facilities is:
- F675
- F684
- F679 (Correct answer)
- F602
Correct answer: F679
F679 addresses the requirement that facilities provide an ongoing activity program designed to meet the interests and needs of each resident.
Question 2: During an assessment, a resident reports she no longer enjoys activities she previously loved. The activity professional's FIRST step should be to:
- Remove those activities from her care plan and offer only new options
- Explore whether there are physical, emotional, or environmental barriers affecting her participation (Correct answer)
- Consult the physician to determine if antidepressants are needed
- Document her disinterest and move on to the next assessment domain
Correct answer: Explore whether there are physical, emotional, or environmental barriers affecting her participation
Exploring barriers — such as pain, depression, hearing loss, or scheduling conflicts — is essential before concluding a resident has simply lost interest.
Question 3: Which of the following is an example of a valid measurable goal on a resident's activity care plan?
- Resident will enjoy activities
- Resident will attend group activities whenever possible
- Resident will participate in at least two preferred activities per week as evidenced by attendance records (Correct answer)
- Resident will be encouraged to socialize with peers
Correct answer: Resident will participate in at least two preferred activities per week as evidenced by attendance records
A measurable goal includes a specific behavior, frequency, and method of measurement — all present in the attendance-documented goal.
Question 4: In a person-centered assessment, the concept of 'self-determination' means the activity professional should:
- Determine what activities are best for the resident based on clinical judgment
- Support the resident's right to make choices about their own activities and daily life (Correct answer)
- Let group consensus decide which programs are offered each month
- Assign activities based on the resident's diagnosis and physical ability level
Correct answer: Support the resident's right to make choices about their own activities and daily life
Self-determination is a fundamental right; residents must be supported in directing their own activity choices and daily routines.
Question 5: A resident's family member insists that the resident 'never liked crafts' but the resident eagerly participates in painting groups. The activity professional should:
- Defer to the family's knowledge and remove crafts from the care plan
- Trust the direct observation of the resident's current engagement and document accordingly (Correct answer)
- Ask the physician to mediate the disagreement between family and staff
- Offer crafts only when family is not visiting to avoid conflict
Correct answer: Trust the direct observation of the resident's current engagement and document accordingly
Direct observation of current resident engagement is the most reliable data source; preferences can change and residents may have interests unknown to family.
Question 6: Which of the following assessment domains is UNIQUE to the activity professional's scope compared to other IDT members?
- Medication management and side effects
- Leisure interests, activity history, and quality of life through engagement (Correct answer)
- Wound assessment and skin integrity
- Nutritional intake and weight management
Correct answer: Leisure interests, activity history, and quality of life through engagement
Assessing leisure interests, activity history, and quality of life through meaningful engagement falls distinctly within the activity professional's scope of practice.
Question 7: When an activity professional completes a quarterly review of a resident's activity care plan, the PRIMARY purpose is to:
- Satisfy documentation requirements for state survey compliance only
- Evaluate whether current goals remain relevant and update programming based on any changes in status or preferences (Correct answer)
- Replace all previous goals with new ones to show ongoing program development
- Confirm that the resident has attended a minimum number of activities
Correct answer: Evaluate whether current goals remain relevant and update programming based on any changes in status or preferences
Quarterly reviews ensure the care plan reflects the resident's current needs, abilities, and preferences so programming remains meaningful and appropriate.
NCCAP Resident Assessment 5
The 'F-tag' most directly associated with activity programming in Medicare/Medicaid-certified facilities is: