ACC Risk Assessment & Management 2 — Questions and Answers
Question 1: During an outdoor walking program, a participant suddenly complains of chest tightness and shortness of breath. What is the activity consultant's FIRST priority?
- Complete the current activity lap before stopping
- Stop the activity and call emergency services immediately (Correct answer)
- Have the participant sit and continue monitoring vitally signs for 10 minutes
- Administer aspirin from the first aid kit
Correct answer: Stop the activity and call emergency services immediately
Chest tightness and shortness of breath are potential cardiac emergency signs requiring immediate cessation of activity and activation of emergency medical services.
Question 2: Which document legally protects a facility from liability when a participant knowingly accepts the inherent risks of an activity?
- Incident report form
- Informed consent and assumption of risk waiver (Correct answer)
- Activity participation log
- Physician clearance form
Correct answer: Informed consent and assumption of risk waiver
An informed consent and assumption of risk waiver documents that participants understand and voluntarily accept the inherent risks associated with an activity.
Question 3: A risk matrix is used in activity planning primarily to:
- Schedule staff rotations for coverage
- Prioritize risks by likelihood and severity (Correct answer)
- Track participant attendance patterns
- Calculate activity budget allocations
Correct answer: Prioritize risks by likelihood and severity
A risk matrix cross-references probability of occurrence with severity of potential harm to help prioritize which risks need the most immediate mitigation.
Question 4: What is the recommended minimum staff-to-participant ratio for a community swimming activity involving older adults with mobility limitations?
- 1:20
- 1:10
- 1:5 or higher depending on acuity (Correct answer)
- 1:15
Correct answer: 1:5 or higher depending on acuity
Higher-acuity participants with mobility limitations in aquatic settings require lower ratios—often 1:5 or less—to ensure adequate supervision and rapid response.
Question 5: Which of the following is an example of a secondary risk control measure?
- Eliminating a hazardous activity entirely
- Installing non-slip flooring before an activity
- Providing post-incident first aid and documentation (Correct answer)
- Screening participants for contraindications
Correct answer: Providing post-incident first aid and documentation
Secondary controls address harm after an incident occurs, such as providing first aid and completing incident reports, whereas primary controls prevent incidents from happening.
Question 6: A participant with dementia wanders away from a group activity area. Which risk management strategy directly addresses this scenario?
- Increasing background music volume during activities
- Implementing a wander-guard or secure environment protocol (Correct answer)
- Reducing activity duration to 15-minute sessions
- Assigning all participants buddy pairs regardless of cognitive status
Correct answer: Implementing a wander-guard or secure environment protocol
Wander-guard systems and secured environments are specific risk controls designed to prevent elopement in individuals with cognitive impairments.
Question 7: Which federal law requires reasonable accommodations for individuals with disabilities participating in activity programs?
- HIPAA
- OSHA Act
- Americans with Disabilities Act (ADA) (Correct answer)
- Fair Labor Standards Act
Correct answer: Americans with Disabilities Act (ADA)
The ADA mandates that activity programs provide reasonable accommodations to ensure equal participation opportunities for individuals with disabilities.
ACC Risk Assessment & Management 2
During an outdoor walking program, a participant suddenly complains of chest tightness and shortness of breath.
What is the activity consultant's FIRST priority?