question

Aging changes may cause what kinds of problems when using or taking medications?

answer

a. Increased time to process and eliminate due to declining liver & kidney function b. Increased brain & nervous system sensitivity to certain medications c. Declining eyesight

question

Which of the following is NOT a behavior that can cause issues in later life (behavioral risk factor)? a. Being a "couch potato" b. Excessive use of tobacco and/or alcohol. c. Inadequate amount of sleep d. Lack of good coping & communication skills. e. Sitting too close to the TV, especially in a dark room

answer

Sitting too close to the TV, especially in a dark room

question

What are some terms commonly applied to middle-aged folks and their family situations? a. Sandwich Generation

answer

Sandwich Generation, Empty Nest, Crowded Nest

question

True or false? It is not as important to recognize resident coping skills as it is coworkers' coping skills.

answer

False

question

Which of the following are the best choices regarding communicating with residents with hearing loss? a. Get their attention first b. Speak slowly and clearly c. Give detailed answers immediately so they don't get more confused d. Gesture behind their back - they can't see you anyway

answer

a. Get their attention first b. Speak slowly and clearly

question

What is social integration?

answer

The process of helping the resident transition to their new home so they feel welcomed and part of the community.

question

You know that socially integrating a new resident into a LTC community involves team work. Who is part of the team responsible for social integration?

answer

All the staff in the community plus the resident and his/her family & friends.

question

Which of the following is not a way for the activity professional to develop professionally? a. Influencing the development of the profession through continually endeavoring to improve professional practices, by teaching, through service, by advocacy and leadership. b. Advocating that the activity profession is the most important profession serving in the LTC setting. c. Recognizing that professional growth is continuous d. Recognizing the need for continuing education to ensure competent services.

answer

Advocating that the activity profession is the most important profession serving in the LTC setting.

question

True or False? LTC Communities are legally obligated by regulations to insure that their activity staff develop the necessary skills and knowledge to do their jobs

answer

False! It is the activity professional's responsibility to make sure their skills are up to date.

question

Which of the following are included in the Code of Ethics endorsed by NCCAP? a. Professional responsibility b. Professional relationship standards c. Experiential standards d. Resident/Client relationship standards

answer

All of them

question

True or False? Familiarity with the various developmental theories of aging - Freud, Piaget, Erickson, Maslow, etc. - provides a basis of why people are the way they are.

answer

True

question

What does your professionalism reflect?

answer

a. How well you do your job b. How others view you as a professional. c. How you feel about yourself

question

True or False? The Ombudsmen have regulatory oversight in the LTC setting.

answer

False

question

True or False? All nursing homes accept residents through the Medicare/Medicaid program.

answer

False

question

How is the effectiveness of an activity evaluated?

answer

a. Observing residents' participation levels in the activity b. Listening to residents' comments about the activity. c. Tracking the number of residents who participate

question

Which of the following is not a resident's right? a. To be treated with consideration, recognition and dignity b. To be taken on outings every other month c. To receive unopened mail. d. To receive medical care in private

answer

To be taken on outings every other month. That is an ALF regulation in NC, but it is not part of the resident's bill of rights.

question

True or False? There is a delicate balance between the resident's right to self-determination and the professional caregiver's responsibility to protect.

answer

True

question

Describe the regulatory difference between a NC nursing home being licensed or certified.

answer

All nursing homes must be licensed to operate. They can choose whether or not they want to be certified.

question

19. Which of the following are included in the resident's right to be treated with consideration, respect, and full recognition of personal dignity? a. The resident is free to do whatever they want in the facility. Staff need to recognize the resident's right to make their own choices. b. Individual choices such as sleeping patterns, food likes and dislikes, flexibility in bathing times, religious preference, clothing choices, and friendships must be respected. c. The staff of the facility should speak courteously with the residents at all times. Staff should call residents by their preferred name d. Always knock before entering a room, even when the door is open.

answer

b. Individual choices such as sleeping patterns, food likes and dislikes, flexibility in bathing times, religious preference, clothing choices, and friendships must be respected. c. The staff of the facility should speak courteously with the residents at all times. Staff should call residents by their preferred name d. Always knock before entering a room, even when the door is open.

question

When can nursing homes can expect to receive a survey from DSS?

answer

Annually or when a complaint is filed against the nursing home.

question

21. Which of the following is not one of the questions asked in developing an advocacy strategy? a. What do you want? b. What do they need to hear? c. How much money do we need? d. How do we tell if it's working?

answer

c. How much money do we need?

question

True or False? Advocating for culture change within your LTC setting is expected for APs who want to enhance the quality of life for their residents.

answer

True

question

When is nursing home accreditation required?

answer

The nursing home chooses to seek accreditation.

question

True or False? Disease is not universal; it can sneak up on you gradually and is harmful to your body.

answer

True

question

True or False? Disorganization is considered a stage of grief by some health care professionals.

answer

True. The 5 stages described by Elizabeth Kubler-Ross is the best-known grief model, but not the only one. According to Dr. Roberta Temes and Geoffrey Gorer, these stages include many emotions that occur in stages. Each stage needs to be felt and lived through in order to successfully proceed to the next stage. Numbness, Disorganization and Reorganization are these stages.

question

True or False? Only seniors are encouraged to designate a HCPOA.

answer

False. No one expects to need a HCPOA, but anyone might need one. Everyone should designate an HCPOA.

question

What is the clinical definition of schizophrenia?

answer

Being out of touch with reality - NOT a split personality, as popular thinking suggests.

question

Which of these is more important to a LTC resident: the quality of life or the quality of the care?

answer

Quality of life

question

True or False? Empowerment Activities help residents meet their physical needs as described by Maslow's Hierarchy of Needs.

answer

False! They help with self-esteem and self-actualization.

question

True or False? Nursing staff are allowed to medicate residents during activities.

answer

False!

question

True or False? Both AL and SNF communities are seeing more residents with non-traditional diagnoses.

answer

True

question

Which of these statements is/are true about using props when reminiscing? a. Prevents the resident from imagining creatively b. Isn't essential, but greatly enhances the activity c. Should be done with the resident's own items only to prevent problems such as breakage or loss.

answer

b. Isn't essential, but greatly enhances the activity

question

33. Which of these is the poorest example of the Emotional Need/Affective scope? a. Pet Therapy b.Trivia c. Reminiscing d. Journaling

answer

Trivia

question

34. Match the activity "prop" with its correct sensory area. The prop may only be used for one sense. a. Kinesthetic 1. Texture book b. Vision 2. Color wheel c. Touch 3. Outing d. Smell 4. Scented candle e. Auditory 5. Sweeping f. Taste 6. Talking bird 7. Ice Cream

answer

a. Kinesthetic - 5: Sweeping b. Vision - 2: Color wheel c. Touch - 1: Texture book d. Smell - 4: Scented candle e. Auditory - 6: Talking bird f. Taste - 7 : Ice Cream

question

True or False? An orange could be used to stimulate all 6 senses

answer

True

question

True or false? A reminiscing group is the one group that it's OK to let one resident hog the conversation because if the memories are stirred up, they gotta come out!

answer

False

question

"Writing a short story" is an example of an Intellectual Empowerment activity. Which of the following would best describe another Intellectual Empowerment activity? a. Sending a letter to the newspaper editor b. Reminiscing about favorite authors c. Reading a newspaper d. Selecting songs for a sing-along

answer

Sending a letter to the newspaper editor

question

What are some things that might contribute to a resident feeling vulnerable & uncomfortable in a group environment?

answer

- Being in a new situation - not knowing the other residents, the "routines", the staff involved, etc. - New use of an ambulation appliance (walker, wheelchair) - Inability to control their bodies - not just incontinence, but after a stroke they may be left with one-sided weakness - Visual and/or hearing impairments - Memory loss

question

True or False? If a resident becomes upset during a reminiscing group, you should end it immediately to prevent the resident from upsetting the rest of the group.

answer

False

question

True or False? Activity that has a diversional theme should occupy a minor place in the activity department's services.

answer

True

question

What is multi-sensory cueing?

answer

Stimulating more than one sense at a time to help a resident retrieve a thought or action.

question

When orienting volunteers to your community, which would be the most important items to include in your orientation session?

answer

Resident rights, infection control, fire safety

question

What are some things that motivate volunteers?

answer

- "doing something useful" - Fulfilling course requirements - Opportunity for recognition and acceptance - Chance to obtain new skills & abilities

question

What does PPD stand for?

answer

Per patient day, TB test

question

True or False? A tracking system for resident contacts made by volunteers is not necessary.

answer

False

question

True or False? Since volunteers are not paid, there is no need to give them performance appraisals, provide counseling as needed or to terminate them. You're lucky to have them at all!

answer

False

question

47. Which of these is not part of the evaluation process? a. Measurement b. Judging the value of measurement against a standard like a checklist or questionnaire c. Keeping the administrator happy d. Making a decision based on the data and options available

answer

c. Keeping the administrator happy

question

True or False? Attendance records are fine since they reflect whether or not a resident attended an activity. That is the only resident outcome necessary to record.

answer

False

question

What are some ways the activity program prevent learned helplessness with residents?

answer

- Engaging them in activities that challenge them at the highest level practicable for the resident. - Provide opportunities to keep doing overlearned tasks - Encouraging residents to wheel their own wheelchairs to or from an activity, even if they do so slowly.

question

What does the "P" in the resident assessment process "A PIE" stand for?

answer

Plan

question

True or False? According to regulations, activity assistants cannot document in a resident's chart.

answer

False

question

What are some of the benefits of ensuring quality?

answer

- Assisting residents in achieving high outcomes - Reducing costs - Eliminating frustration - Giving employees and residents positive feelings

question

53. The RAI involves which of these? a. Episodic notes b. Assessment and data collection c. CAAs and triggers d. Basic assessment tracking

answer

- Assessment and data collection - CAAs and triggers - Basic assessment tracking

question

54. Section F of the MDS 3.0, Preferences for Customary Routine and Activities, includes, among other things: (choose all that apply) a. Who was the primary respondent for the questions in Section F? b. A list of the resident's favorite activities. c. Amount of time the resident is involved in activities d. The resident's desire to go outside.

answer

The resident's desire to go outside. Who was the primary respondent for the questions in Section F?

question

True or False? You should not document when residents have negative outcomes in your progress notes. A negative outcome from a resident will show that you are not doing so well meeting the residents' needs and there is no reason to highlight your deficits.

answer

False

question

What kind of language is used for documentation?

answer

3rd person

question

True or False? If a resident is not capable of participating in the care planning process, you do not have to include her/him in any way.

answer

False

question

Who performs the actions outlined in the Approaches section of the care plan?

answer

Staff, volunteers, the resident, his or her friends & family

question

Under what circumstances can you use abbreviations when documenting in the activity section of the medical chart?

answer

When the abbreviation is listed on the approved abbreviation list for the facility.

question

True or False? It is okay to use whatever abbreviations you want to on a chart as long as you tell the other staff what the abbreviation stands for.

answer

False

question

What are the three components of the Resident Assessment Instrument?

answer

The MDS, CAAs and CAA Summary Form

question

62. Which of the following statements is/are true about progress notes? a. By regulation, Progress Notes must be completed monthly on each resident. b. Progress Notes generally are in a check-list format. c. Progress Notes relay information about a specific incident involving a resident d. Progress Notes can summarize a specific time period in a resident's life.

answer

- Progress Notes can summarize a specific time period in a resident's life. - Progress Notes relay information about a specific incident involving a resident

question

Which of the following words are considered third person language? a. The resident b. I c. He/She d. We e. Me

answer

The resident, he/she

question

Which of the following describe a resident's assessment? a. A specific, detailed, objective evaluation that identifies the individual's problems & needs as well as his/her positive characteristics, abilities and strengths. b. A specific, detailed, subjective evaluation that identifies the individual's problems & needs as well as his/her positive characteristics, abilities and strengths.

answer

A specific, detailed, OBJECTIVE evaluation that identifies the individual's problems & needs as well as his/her positive characteristics, abilities and strengths.

question

When writing approaches on a resident's care plan, what 2 questions should you ask yourself to determine if the approaches are appropriate for the care plan? a. Is this approach related to the resident's problem on the care plan? b. Is it something the resident really needs to have done? c. Is this something the staff has time to do with the resident? d. What can we do to make the resident happy? d. Does it support the resident in achieving their goal?

answer

- Is this approach related to the resident's problem on the care plan? - Does it support the resident in achieving their goal?

question

When is a full MDS required on a resident?

answer

On admission, annually, when there is a significant change

question

If you have an assessment that was due on Monday, but you did not have time to put it on the chart until Thursday, what date should you put on the assessment?

answer

Thursday's date

question

Which of the following describes what should be included in writing a CAA? Select one or more: a. The problem along with complications & risk factors b. Factors to consider in developing an individualized plan c. A review of the resident's recent activity participation over the past 7 days d. A decision to proceed or not proceed to care plan the problem identified

answer

- The problem along with complications & risk factors - Factors to consider in developing an individualized plan - A decision to proceed or not proceed to care plan the problem identified

question

True or False? The Activity Director can fill out any part of the MDS at her/his community that she wants to.

answer

False. BUT - the community MDS coordinator can assign staff members to complete sections other than "their" department's.

question

What is a specific, observable and measurable action that results in some type of life status improvement and/or improvement in functioning for a resident?

answer

a goal

question

What are the 4 steps nursing home staff use in the assessment process?

answer

A PIE - Assess, Plan, Implement, Evaluate. Now - add D for Documentation.

question

True or False? You do not have to take this course to be a qualified activity director in a NC nursing home.

answer

True

question

Which of these statements best describes the role of the activity professional in the long term care setting? a. To develop a fun-filled, engaging activity program that attracts the interest and attention of the residents and their families. b. To provide programs through an activity calendar designed to meet the diverse interests of the residents in the community. c. To develop and provide an activity program that meets the assessed needs and interests of the residents.

answer

To develop and provide an activity program that meets the assessed needs and interests of the residents.

question

How do you correct an error when writing a progress note?

answer

Draw a line through the error, correct, initial and date it.

question

True or False? Activity Professionals primarily provide activity services for residents in all health care settings across all age spectrums.

answer

False

question

76. Which of the following statements best describes the mission of professional activity service? a. To "teach old dogs new tricks." Learning never ends. b. To engage the residents in ways to keep their days filled with activity. c. To empower older adults to continue life interests and activities with adaptations as needed.

answer

- To empower older adults to continue life interests and activities with adaptations as needed.

question

What does "CCRC" stand for?

answer

Continuing Care Retirement Community

question

What does "SNF" stand for?

answer

Skilled Nursing Facility

question

What are the ways you can be considered "qualified" as an activity director in NC?

answer

1. Have a degree in Recreation Therapy or similar degree 2. Be an OT or certified OT assistant (COTA) 3. Be certified by an approved certification board 4. Take a state-approved class 5. Have two years experience in a social or recreational program within the last five years, one of which was full-time in a patient activity program in a health setting.

question

What's the difference between a for-profit business and a not-for-profit business?

answer

The for-profit organization makes a profit for the owners or stockholders and the non-profit funnels its profits back into the organization

question

True or False? The continuum of care is a concept of care that shows a gradual increase in needs with care and services that range from home care through institutionalization.

answer

True

question

True or False? Body language may give clues into the real message that the communicator is trying to make and sometimes contradicts the verbal message.

answer

True

question

True or False? Face-to-face verbal communication is the most effective form of exchanging ideas because this provides the best chance of the message being understood.

answer

True

question

True or False? The group leader can ignore nonverbal communication because what people say is more important than what they don't say.

answer

False

question

What are some examples of written communication?

answer

Letters, memos, newsletters, e-mails, meeting minutes, social media postings

question

True or False? Defining the purpose of the newsletter helps the editor decide what sort of articles should be put in it.

answer

True

question

True or False? You don't need to be prepared at interdepartmental meetings because other department heads know that you're in charge of the "fun" department anyway.

answer

False. Anyone who said "True" should be shot.

question

True or False? Communication requires an exchange of information that assures mutual understanding.

answer

True

question

Which of these are ways to de-escalate conflict? a. If necessary, ask for a break to collect your thoughts or release pent-up tension. b. Ask questions that encourage the other person to look for a solution. Ask open-ended questions rather than ones that will evoke a yes or no response. c. Give "I" messages d. Speak with authority e. Look the other person in the eye, with both of you sitting or standing.

answer

- If necessary, ask for a break to collect your thoughts or release pent-up tension. - Ask questions that encourage the other person to look for a solution. - Ask open-ended questions rather than ones that will evoke a yes or no response. - Give "I" messages - Look the other person in the eye, with both of you sitting or standing.

question

True or False? You don't need to worry about non-verbal communication with very old seniors. They are too old to understand it anyway.

answer

False!

question

Which of these is NOT a principle of argumentation? a. Public Confession—show your willingness to admit error, ignorance, or misunderstanding; b. Seek Common Ground—attempt to establish common ground with your opponent as a starting c. Escape Principle - exit gracefully when you recognize your error d. Terrier Principle—never leave a point at issue, once established, until it is settled, unless the movement brings one closer to a foundational question e. POSTMORTEM or Why didn't I think of that at the time?

answer

Escape Principle - exit gracefully when you recognize your error

question

What are Civil Money Penalties?

answer

Civil Money Penalties are the fines imposed through the survey process to facilities who are cited for deficiencies that rank high in severity and scope.

question

What is the intention of the Interpretive Guidelines for Surveyors?

answer

Interpretive Guidelines provide guidance to surveyors to determine the facility's compliance with federal nursing home regulations.

question

When OSHA inspects a LTC setting, it surveys health and safety conditions for whom?

answer

Employees only

question

True or False? OBRA '87 is a piece of legislation that changed the way surveyors looked at residents in nursing homes and assisted living communities.

answer

Nursing homes across the nation

question

When reminiscing, open-ended questions: a. should be avoided to prevent one person from monopolizing the conversation b. are less effective than yes/no questions especially with confused residents c. provide the best chance of residents expanding answers & enhancing the reminiscing experience d. Could open a can of worms that you don't want to go close to

answer

provide the best chance of residents expanding answers & enhancing the reminiscing experience

question

True or False? Perceived loss of control can lead to feelings of increased vulnerability in group settings.

answer

True

question

Which of these statements best completes the sentence "Activity calendars should have: a. Lots of clip art to illustrate the activities & provide a visual cue. b. One main font style with a few pieces of clip art c. Many different fonts to show different types of activities. Residents take their cues from this.

answer

One main font style with a few pieces of clip art

question

What things shouldyou consider when setting up an activity area?

answer

Lighting, traffic in the area, room size, temperature

question

What is Medicaid? A federal health program for individuals and families with low incomes and resources managed by the states

answer

A federal health program for individuals and families with low incomes and resources managed by the states

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