CAD Needs Assessment and Care Planning 1 — Questions and Answers
Question 1: The initial activity assessment should be completed within how many days of a resident's admission to a nursing facility?
- 7 days
- 14 days (Correct answer)
- 30 days
- 60 days
Correct answer: 14 days
CMS regulations require the comprehensive assessment, including activity needs, to be completed within 14 days of admission.
Question 2: Which information source is MOST important when developing an individualized activity care plan?
- The resident's medical diagnosis alone
- Input from the resident and their family about preferences and life history (Correct answer)
- The activity programs offered at the facility
- The nursing staff's observations only
Correct answer: Input from the resident and their family about preferences and life history
The resident and family are the primary sources of information about personal preferences, history, and what constitutes meaningful activity.
Question 3: A care plan goal should include which of the following elements?
- Vague terminology to allow broad interpretation
- A measurable outcome, a time frame, and the responsible discipline (Correct answer)
- Only the activity to be performed
- A list of activities the resident dislikes
Correct answer: A measurable outcome, a time frame, and the responsible discipline
Effective care plan goals are measurable, time-bound, and specify which discipline is responsible for achieving the outcome.
Question 4: When assessing a resident's leisure history, which question is most relevant?
- What medications does the resident take?
- What hobbies and activities did the resident enjoy before moving to the facility? (Correct answer)
- What is the resident's primary diagnosis?
- How many family members does the resident have?
Correct answer: What hobbies and activities did the resident enjoy before moving to the facility?
Understanding a resident's pre-admission hobbies and interests is fundamental to planning meaningful, individualized activities.
Question 5: A resident with a new diagnosis of depression should have their activity care plan:
- Left unchanged until the physician makes recommendations
- Reviewed and updated to address the emotional and social needs related to their depression (Correct answer)
- Simplified to reduce any activity demands
- Transferred to the mental health department
Correct answer: Reviewed and updated to address the emotional and social needs related to their depression
A significant change in condition, such as a new depression diagnosis, triggers a care plan review and update to address new needs.
Question 6: Barriers to activity participation that should be identified in the assessment include:
- Only physical limitations
- Physical, cognitive, sensory, and psychosocial barriers (Correct answer)
- Only the resident's stated preferences
- Only transportation issues
Correct answer: Physical, cognitive, sensory, and psychosocial barriers
A comprehensive assessment identifies all potential barriers including physical, cognitive, sensory, language, and psychosocial factors.
CAD Needs Assessment and Care Planning 1
The initial activity assessment should be completed within how many days of a resident's admission to a nursing facility?