1. _____  Regarding motivation, what is the most important day for a resident?
a. The resident’s first day in the facility.
b. The resident’s first birthday in the facility.
c. The end of the resident’s first week in the facility.

2. _____   Which assessment tool allows you to assess a new resident’s responsiveness and capabilities quickly?
a. Assessment Book
b. Days Diary
c. Both (a) and (b)

3. _____   Which of the following approaches is a positive motivator?
a. “Would you like to come down to the Bingo, or did you want me to bring you down to the lounge so you can watch TV?”
b. “Would you like to come down to the Bingo game?”
c. “Are you just going to spend all day in your room?”

4. _____   What is important to keep in mind when asking a resident for help?
a. Follow through promptly and show the resident that you really did need their help.
b. Only use helping as a motivator if the resident seems bored.
c. It is inappropriate to ask a resident for help.

5. _____   Why does the speaker suggest posting pictures from non-traditional magazines, such as Sports Illustrated, in the hallway outside the dining room?
a. Posting the pictures shows that Activities has a well-rounded program to meet resident’s needs, including male residents.
b. Posting the pictures is a vehicle for motivating a current or potential male resident to attend the Sports Discussion Group.
c. Both (a) and (b)

6. _____   What is the most important factor to the family of a potential resident?
a. What the facility has to offer to their family member.
b. The quality of food at the facility.
c. The number of Bingo games held each week.

7. _____   In the example given, what need did Inner Tube Stretching meet for Joe, a contractured resident?
a. Exercise to help keep his hand mobile.
b. The need for social interaction
c. Both (a) and (b)

8. _____  To avoid a conflict with nursing, which of the following does the speaker recommend using a basis for Activities’ Care Plan Goals and Approaches?
a. Observations, such as “cold hands”
b. Medical terminology, such as “hand in a contracture”
c. Both (a) and (b)

9. _____  Which of the following is an example of a Care Plan Approach for Inner Tube Tire (Thera-band) stretching?
a. To gently cradle the resident’s hand…
b. To do three repetitions with partial physical assistance.
c. To hand the resident the inner tube and see what happens…

10. _____ What is an important in motivating a resident with an Unfinished Job?
a. Ask the resident to do a very small task in a large amount of time.
b. After making your request, leave the room before the resident has time to make excuses.
c. Both (a) and (b).

11. _____  Which non-traditional reward was used to motivate Henry, the resident who sat in the hallway saying “I can’t!”
a. A 10-second backrub
b. Hand massage with lotion
c. A glass of wine

12. _____  According to the speaker, why are male residents often the most difficult to plan activities for?
a. Many male residents have often worked all their lives, and usually have never done anything regarding crafts
b. Male residents are usually in much poorer health than female residents
c. Both (a) and (b)

13. _____  How is recognition a double edge sword?
a. For every group that is recognized, there is another group who feels left out.
b. Recognition takes a lot of extra effort from staff.
c. Both (a) and (b)

14. _____  How did the speaker adapt the Men’s Discussion Group to motivate a resident who had had a leg amputated?
a. Non recognition: the speaker changed the format of the men’s discussion group so that the men sat around a table, rather than in an open circle.
b. Recognition: the speaker had the resident come to the front of the room, and explained why he had a leg amputation.
c. None of the above.  The speaker decided that the Men’s Discussion Group was not appropriate for this resident.

15. _____  How did the speaker motivate Harold using a Leader approach?
a. The activity director asked Harold to call a few Bingo numbers because he had a nice voice.
b. The activity director asked Harold to call a few Bingo numbers so that she could rest her voice.
c. The activity director asked Harold to call a few Bingo numbers because he needed to socialize more.

16. _____  How did the speaker motivate Margaret using competition?
a. By comparing Margaret’s score to her score from the previous day, so that she was in competition with herself.
b. By comparing Margaret’s score to that of the other residents, so she felt the success of ‘winning.’
c. By having Margaret bowl against the nursing staff, so Margaret would work hard to improve her physical abilities.

17. _____  The speaker stated that she asked a mobile resident to bring a hand exercise tape around to bedridden resident’s rooms.  Which motivational approach did she use?
a. Helping Others
b. Recognition
c. Unfinished Job

18. _____  When deciding whether to use Opposite Sex as a motivator for a resident, what factor should be considered?
a. The alertness level of the resident
b. The wishes of the resident’s family
c. The opinions of the facility staff
d. All of the above

19. _____ What is an important thing to recognize when a resident is complaining?
a. The resident is basically waving a red flag and saying “This is a motivator to me!”
b. The resident must be bored
c. It is important to identify the department responsible so that they can address the complaint

20. _____  How can Activities support a dietary or nursing Care Plan Goal with a diabetic resident?
a. Activities should not be concerned with dietary or nursing Care Plan Goals
b. By providing the resident with a resident discussion group during which informational pamphlets on diabetes are discussed.
c. By not ever rewarding the resident using food as a motivator

21. _____  Which of the following residents would be the best candidate for an indoor plant club?
a. Maddie, who is active in the garden during the summer, but withdrawn in the winter.
b. Harold, who is highly motivated by helping sand wood for craft projects.
c. Ralph, who enjoys the Farmer’s discussion group.

22. _____  Which of the following phrases provides reassurance to a resident who is reluctant to leave his or her room?
a. “It’s just down the hall”
b. “If you have any visitors, they’ll be notified”
c. Either (a) or (b)

23. _____  How might you encourage residents to participate in a theme party?
a. Invite the residents to choose the theme of the party, and pick out supplies from a party catalog.
b. Make the event mandatory for all residents capable of attending.
c. Show the residents the decorations you have picked out before the party.

24. _____  What is an important realization to make regarding motivating residents?
a. Sometimes, you cannot reach a certain resident based on gender, race, or other personal factors.
b. You can motivate any resident any time, as long as you try hard enough.
c. If you can’t motivate a resident consistently, give up.

25. _____  How did Pam suggest using resident’s past club or organizational affiliations as a motivator?
a. Apply to the resident’s club to open a chapter in the facility.
b. Ask Volunteers or active members of the organizations to take residents to meetings once a month.
c. Ask the resident to lead a Reminiscence Group or the Gardening Club.

26. _____  Which of the following was the most often mentioned motivational activity for residents?
a. Food
b. Competition
c. Animals

27. _____  If a resident cannot recognize a picture with simple content, how might you adapt an Assessment book to provide the resident with a successful experience?
a. Put a line drawing of the same content next to the picture
b. Place key words about the picture under the picture
c. Tell the resident what the content of the picture is

28. _____  Which of the following is an example of a positive motivator for Seated Musical Chairs?
a. “You really grabbed right at the knot, good job!”
b. “Let’s beat Joe, he won yesterday.”
c. Both (a) and (b) are positive motivators for Seated Musical Chairs

29. _____  What does the author suggest as an appropriate Reality Orientation Goal for wandering, agitated residents?
a. To make a comment about an object outside the window…
b. To tell the resident the day of the week and time of day…
c. Either (a) or (b)

30. _____  What does the Skill Level Ladder do related to getting a resident involved?
a.  By helping to assess the resident’s progress.
b. By helping you to pair the resident with an appropriate activity
c. Either (a) or (b)

31. _____  Susan decides to try a new Approach with her unmotivated resident, Helen.  Susan walks into Helen’s room and states, “And now it’s time for the Sing a Long!”  Helen digs her toes into the tiles, holds onto the wheels of her wheelchair and yells “I’m not going!”  Susan is confused, because this Motivational Approach works well with other residents.  What should Susan do?
a. Susan should respect Helen’s Right to Refuse Treatment, and try a different motivational approach
b. Susan should bring Helen to the Sing-a-Long anyway, because attending Activities out of her room is part of Helen’s Care Plan
c. Susan should never ask Helen to go the Sing-a-Long again.

32. _____  Having an ambulatory resident conduct Orientation Walks is an example of which motivational approach?
a. Helping
b. Leader
c. Competition

33. _____  What does the author mean by the concept of “Grow Slowly”?
a. Motivation grows slowly and needs to be cultivated, like a layering process over time, before the resident actually ends up taking action and becomes involved
b. Start your program with one or two residents and gradually expand to include more of the resident population.
c. The author introduces Grow Slowly as an inappropriate motivator.

34. _____  What does the use of non-traditional publications and a sports discussion group show about your activities program?  
a. You have a well-rounded program that meets all of your residents needs.
b. That the program has unrealistic goals for residents.
c. That the Activity Director is interested in sporting events.

35. _____  Which of the following is a correct progression of the steps used in demonstrating an activity to a resident with a visual aid?
a. Introduction, Observation, Ask for Feedback, Provide Information, Ask Permission, Explain what you are doing, Demonstrate with a Visual Aid, Request to do the Activity.
b. Introduction, Demonstrate with a Visual Aid, Request to do the Activity, Explain what you are doing, Reinforce.
c. Both (a) and (b) are correct, depending on the mental and physical ability of the resident.

36. _____  In the Success Story told by the author, what additional need was met for Bill by the Thera-Band activity?
a. Social needs
b. Entertainment needs
c. Dietary needs

37. _____  In assigning an “unfinished job” to an unmotivated resident, what two strategies might be considered to facilitate the success of the resident?
a. 1. Give the resident a job so simple that he or she could not help but succeed, and 2. Leave the room before the resident has a chance to give an excuse.
b. 1. Reward the resident with food, and 2. Give the resident a very important task
c. 1. Work on the task with the resident, and 2. Make sure the task is challenging to the resident

38. _____  What does the author suggest doing with the coupons clipped by residents?
a.  Put the clipped coupons in a box in the Employee’s Lounge
b. Throw the coupons away
c. Take the coupons home to use

39. _____  Which of the following does the author describe as a step in “getting around your elephants?”
a. Use a Skill-Level Ladder
b. Look for the resident’s Capabilities.
c. Both (a) and (b)

40. _____  What advice does the author mention in regards to residents who do handiwork independently in the facility?
a.  Since these residents are self-motivated, Activities does not need to become involved.
b.  No one stays independently motivated forever, so using Labeling may provide important reinforcement.
c.  More effort should be put into getting these residents to socialize, rather than work independently in their rooms.

41. _____  How does the author recommend getting around the Recognition Dilemma?
a. Establish firm criteria for an award, and make the criteria clear to everyone involved.
b. Accept the fact that having some residents perceive the awards as unfair is inevitable.
c. Award everyone equally, even if they did not participate or meet the award criteria.

42. _____  Which of the following is an example of motivating through non-recognition?
a. Mabel has to go to the bathroom frequently.  When inviting Mabel to the Current Events discussion, the Activity Director states, “We can have you sit in the back of the room so that if you have to go to the bathroom, you won’t have to get up in front of others.”
b. Harold’s left leg was amputated, which he finds embarrassing.  Before Harold arrives, the Activity Director asks the other men to avoid looking at Harold.
c. Neither ‘a’ nor ‘b’ is an example of motivating through non recognition.

43. _____  What should you aim to avoid in a competition situation?
a. Comparing one resident to another resident
b. Comparing a resident to him or herself
c. Competition is never a successful motivator for residents

44. _____  Which of the following are good ways to adapt the “Help Your Neighbor” card game for less alert residents?
a. Mask out the small symbols in the corners of the playing cards to make counting correctly easier; use the resident’s own words to refer to the symbols on the cards.
b. Use only one die, and only use the cards from 1 to 6.
c. Both ‘a’ and ‘b’ describe good adaptations.

45. _____  What is the ‘fine line’ to consider when motivating a resident with the idea of Pleasing Someone?
a. Make sure the individual you reference is not too close to the resident.
b. You do not want to “guilt trip” the resident if he or she does not become involved, or does not want to become involved.
c. Don’t go behind the resident’s back and ask the family member or staff member referenced to help encourage the resident to become involved.

46. _____  What motivational approach did the author use with Estelle, a complaining resident who had a high level of physical and mental ability, but a bad disposition?
a. Being in Control
b. Helps Others
c. Pleasing Someone

47. _____  How did activities use Hester’s complaints about the ashtrays and her interest in birds to motivate her?
a. The activity director talked to the Hester about making birdhouses to sell, and said they could take use the money from the sales to buy better ashtrays.
b. The activity director put a bird feeder outside the lounge window so that Hester would stop complaining about the ashtrays.
c. The activity director motivated Hester to use her own money to buy ashtrays with a bird pattern on them.

48. _____  What does the author suggest as a tool for encouraging a resident to express their concerns about an aspect of their appearance that is distressing to him or her, such as dramatic weight loss or drooling?
a. Cue the resident by slipping into the conversation an explanation of your own appearance you are uncomfortable with.
b. Point out something less than positive about the resident’s appearance and ask him or her how she feels about it.
c. Talk about how awful you feel when you feel you look like a mess in the morning.

49. _____  Sherman, an Activity Director in a large facility, feels that for some reason he is unable to motivate Esther to attend any activities.  Which of the following would be Sherman’s best course of action?
a.  Sherman should consider talking to another staff member, resident, or volunteer about working with Esther.
b. Sherman should spend a lot more time with Esther, to get to know her better, whether Esther is receptive to it or not.
c. Sherman should confront Esther directly and ask her if she has a problem with him.  
                                                                                                                                  
50. _____  Marta is Tracing a square-shaped pattern.  Her fingers are stiff, and when she tries to push down on the pattern to stabilize it, the pattern slides away from her.  What adaptation could the Activity Director make to create a successful experience for Marta?
a. Have Marta trace a circle, which is less difficult than a square.
b. Make an Adaptive T Handle, which is easier for Marta to grasp, so that she can push down on the pattern more effectively.
c. Provide Marta with glue so that she can glue the pattern to her paper.