1. When you ask a resident to move their thumb and index finger what two areas are you assessing?
a. Both the resident’s understanding to follow a simple direction, and their ability to move their fingers.
b. The resident’s hearing and vision.
c. Both the resident’s alertness and agreeability.

2. What is a basic premise of Success Therapy®?
a. You never know what gets through to a resident, and you never write any resident off as totally unreachable and hopeless.
b. Success Therapy® should focus on interviewable residents.
c. Success is best measured by observable, lasting improvements in a resident’s ability level.

3. When should you stop a Success Therapy® activity with a resident?
a. When you have a gut-level feeling which tells you that what you are doing is having a negative impact on the resident.
b. When the resident displays agitation for at least 15 seconds.
c. You should never stop an activity earlier than the time stated in the resident’s Care Plan.

4. What are the assessment criteria for Caps in a Bowl?
a. Eye contact, attention span, low agitation, appropriate energy level
b. High energy level, short attention span, mild agitation, no eye contact.
c. No eye contact, low energy level, attention span, and low agitation.

5. Why would you not implement Caps in a Bowl with a resident who can easily drop a cap into the bowl independently?
a. Since the resident can work independently, the activity will be too boring for the staff member implementing the activity.
b. The resident does not experience a feeling of success, since the task is too easy for him or her.
c. The resident will not take the activity seriously.

6. What are two ways to adapt Caps in a Bowl?
a. Glue caps together and use caps of different sizes.
b. Use candy bottlecaps, and use beer bottle caps for Reminiscence Therapy.
c. Use poker chips, and have the resident  stack the caps or chips inside the bowl.

7. What area should you assess when setting a working surface height for a resident?
a. The height and position of the resident’s shoulder
b. The angle of the resident’s elbow and wrist
c. Both (a) and (b)

8. What is an advantage of bringing the working surface to the resident as opposed to bringing the resident to the working surface?
a. Bringing the working surface to the resident creates a more efficient use of time
b. The resident never needs to leave his or her room.
c. No one will see if the resident makes a mess.

9. The Bank Exercise is a step up in difficulty from what activity?
a. Caps in a Bowl
b. Color Pattern Cards
c. Geometric Puzzle

10. What are two ways of adapting the Bank Exercise to the ability level of your resident?
a. The Bank Exercise is not effective when adapted from its intended format.
b. Change the size of the hole in the lid, or change the kind of material to be placed through the hole.
c. Blindfold the resident, or have the residents compete to see who can place all their caps in the bowl the fastest.

11. How can Caps in a Bowl increase the alertness level of some residents?
a. The sound of the cap hitting the plastic bowl seems to stimulate some residents' sense of accomplishment.
b. Some residents find the sound of the cap hitting the plastic bowl annoying, which makes them more alert.
c. Both (a) and (b)

12. What are two ways to motivate your resident to do a nonsensical non-product producing Success Therapy® Activity?
a. “This is a hand exercise and this is going to help your hands,” and “Here’s a game I’d like for you to try.”
b. “I spilled all these caps!  I really need your help picking them up!” and “Wow, this is really fun!  You try!”
c. “Your doctor said you need to do this,” and “Let’s do a craft together.”

13. Why would you not implement Color Sorting at the total physical assistance level?
a. A resident for whom this activity is appropriate needs to have the mental ability to understand the concept of Color Sorting.
b. A resident for whom Color Sorting is appropriate needs to have enough hand coordination to move the caps with some degree of independence.
c. Both (a) and (b).

14. What are two ways to increase the difficulty of color sorting?
a. Decrease the level of instruction you give, or increase the number of caps to be sorted.
b. Decrease the number of caps to be sorted, move the resident’s working surface further away.
c. Use poker chips instead of caps, give no instructions.

15. What are three ways to adapt the difficulty of Color Patterns Cards?
a. Use poster board for the cards, mix poker chips in with the milk bottle caps, and move the working surface further from the resident.
b. Vary the amount of instruction given to the resident, increase the number of dots on the card, or ask the resident to match the appropriate color cap to the colored dots.
c. Color Pattern Cards should not be adapted in difficulty.

16. How might you stabilize a Color Pattern Card for a resident with shaky hands?
a. Stabilize the Color Pattern Cards with a C-clamp
b. Hold the Color Pattern Card for the resident
c. Both (a) and (b)

17. What makes the Geometric Puzzle more advanced in difficulty than Color Sorting?
a. The resident has to match and place corrugated cardboard pieces to the corresponding geometric shapes and colors.
b. The resident has to figure out how the pieces of the puzzle lock together
c. Nothing, the Geometric Puzzle is a step down in difficulty from Color Sorting.

18. What skill must the resident possess in order to successfully complete a Geometric Puzzle?
a. The skill to match the corresponding colors.
b. The skill to manipulate the puzzle pieces correctly to match the direction of the background form.
c. The resident needs both (a) and (b).

19. What three things does a resident need to have to do the Shape Sorting Box?
a. Capable of eye contact, grasping ability in the thumb and index finger, and an attention span of at least thirty seconds.
b. Capable of meaningful conversation, good grasping ability in both hands, and no dietary restrictions.
c. Able to turn head on request, an attention span of at least ten seconds, and the ability to point with the index finger on one hand.

20. What was given as an example of mutually exclusive shapes for the shape sorting box?
a. A Gatorade lid and a milk bottle cap.
b. A Gatorade lid and a Styrofoam ball.
c. A Gatorade lid and a small pencil sharpener.

21. What makes a resident a good candidate for Can Rolling?
a. The resident’s hand is cupped, meaning their hand may be going into a contracture.
b. The resident’s hand is in an extreme contracture
c. The resident’s hand is flat, moves fluidly, and has good grasping ability.

22. Why is it important to assist the resident in avoiding grabbing the can or using a scrubbing motion?
a. A scrubbing motion results in missing the whole goal of the activity, which is for the resident to get a backwards flexion movement in their hand.
b. It is important to emphasize that the resident needs to follow directions.
c. Using a scrubbing motion makes the activity too difficult for a resident with whom this activity is appropriate.

23. How can you use construction of Success Therapy® projects to serve the needs of residents of diverse ability levels?
a. Have your alert, craft making residents help you with the construction of the Success Therapy® projects.  They will feel a self-esteem boost through helping other residents, and also experience a feeling of success!
b. Implement the same activities with every ability level so that no resident feels left out.
c. Success Therapy® cannot be successfully used to meet the needs of high ability level residents.

24. What is an important step to getting staff support for your Success Therapy® Activities?
a. The project needs to be in sight, readily available via bags taped to the nightstand.  Not stored in the Activity Room. 
b. Staff, volunteers and families need to be given permission to accomplish this.  In-service, either formal or informal, works well to invite use of the projects. 
c. Staff, volunteers, and families need to be trained how to introduce the activity, adapt their level of instruction to the resident, and utilize any physical adaptations necessary.
d. All of the above.

25. Success Therapy® Projects provide a situation, a circumstance, or a task to give the resident what?
a. A great time
b. A successful experience and the accompanying feeling of accomplishment.
c. A physically beneficial activity

26. A suggested way to assess the resident’s eye contact is to first check to make sure you are:
a. At the resident’s eye level
b. Wearing bright colors
c. Standing up

27. Why is it important to assess the resident’s hands before implementing a Success Therapy® activity?
a. To establish a baseline or starting point that can be noted in a Progress Note or Resident Assessment.
b. To ensure the resident has a full range of motion.
c. It is not necessary to assess the resident’s hands before implementing an activity.

28. A good candidate for Caps-in-a Bowl is a resident who is able to do what?
a. Have eye contact for at least for 15 to 30 seconds; does not put inappropriate items in his/her mouth; has an
attention span of 15 to 30 seconds; and is able to stop inappropriate verbalization for 15 to 30 seconds.
b. Is semi-comatose most of the time.
c. Likes to play table games in the lounge.

29. What are appropriate adaptations to make Caps in a Bowl easier for a resident with poor grasping ability?
a. Glue two gallon milk bottle caps together, or use a different kind of cap, like a laundry detergent lid.
b. Use a bigger bowl, or use more brightly colored caps.
c. Both (a) and (b).

30. What are some examples of numeric qualifiers in a Care Plan Goal?
a.  “A couple of times,” “better than yesterday,” “a handful of caps,” “two or three feet.”
b. A ratio like “4 out of 5 times,” a distance like “2 feet,” a percentage like “25% of the time,” a size like a “two inch hole,” a number of objects like “three caps,” and so on.
c. It is not necessary to use numeric qualifiers in Care Plan Goals for Success Therapy® activities.

31. Why does the author not present sample Care Plan Problems in this series?
a. One Success Therapy® activity can be used with a limitless number of problems.
b. Writing Care Plan Problems is too difficult.
c. Success Therapy® does not address Care Plans.

32. What is the suggested height for an over-the-bed-table?
a. Elbow height
b. Just above elbow height
c. Just below elbow height

33. What is the highest level of difficulty for Caps in a Bowl?
a. Independently with verbal prompting
b. With partial physical assistance
c. With total physical assistance

34. What is meant by listening for the “sound” of success?  
a. Watching the resident’s alertness level increase with the sound of the cap hitting the plastic bowl.
b. Listening for silence as the resident becomes absorbed in the activity
c. Listening for increased verbalization

35. What is the best approach for introducing a nonsensical, non-productive activity to a resident?
a. The “Hand Exercise” motivational approach
b. The “Game” motivational approach
c. Options for motivational approaches are only limited by your creativity and your knowledge of your resident’s past motivation to become involved.

36. What two factors will determine exactly how you decide to introduce Success Therapy® activities with dignity?
a. Your knowledge of your resident, and your own way of relating to a particular resident.
b. This Manual and the resident’s Care Plan.
c.  The resident’s family and roommate

37. What activity requires more mental ability than either Caps-in-a-Bowl or the Bank Exercise?
a. Color Sorting
b. Hand Assessment
c. None of the above

38. What is meant by “assist with an elbow prompt” in Color Sorting?
a. Place the cap in the resident’s hand, and gently nudge his or her elbow towards the correct bowl.
b. Nudge the resident with your elbow to tell him or her you are trying to get him or her to do something.
c. Both (a) and (b) are correct.

39. When initiating Color Pattern Cards, you should NOT request that the resident do what?
a. Place the cap on the corresponding color.
b. Put the cap on the dot.
c. Take the cap from your hand.

40. If your resident is having difficulty physically doing Color Pattern Cards, what should you do?
a. Abandon the activity
b. Assess the working surface height, and adapt if necessary
c. Continue with the activity as introduced

41. What two Success Therapy® activities usually prove to be very frustrating for a resident with shaky hands?
a. Color Pattern Cards and the Geometric Puzzle
b. Caps in a Bowl and Hand Assessment
c. Color Sorting and Can Rolling

42. If a resident has the mental ability to do a Geometric Puzzle, but not the physical ability, how might you adapt to meet the resident’s needs?
a. Consider using tape or a c-clamp to stabilize the activity.
b. Offer the resident an activity that uses less fine motor skill, like Caps in a Bowl.
c. Both (a) and (b)

43. Why is the Geometric Puzzle more difficult than Color Pattern Cards?
a. The resident needs the ability to manipulate the pieces in a directional placement.
b. The resident needs the ability to match the color of the shapes.
c. The resident needs good grasping ability.

44. Which of the following is the most difficult Geometric Puzzle?
a. A blue background with three right triangles: 1 black, 1 orange, and 1 green
b. A black background with a square that is white on one side, and blue on the other.
c. A purple background with a black circle.

45. The Shape Sorting Box is a simplified, cheap, Tupperware Shape Ball.  Why is the Tupperware Shape Ball inappropriate for many low functioning residents?
a. The Shape Ball is a children’s toy.
b. There are so many shapes with subtle differences it is hard to match and manipulate the correct shape with the correct hole.
c. The Shape Ball is too easy for many low functioning residents.

46. If a resident starts to put a shape through the wrong hole in the Shape Sorting Box, what might you do to ensure a successful experience?
a. Gently guide the resident’s hand over to the right hole.
b. Verbally tell the resident he or she is putting the shape in the wrong hole.
c. Take the shape from the resident’s hand and put it in the right hole.

47. What is an excellent activity for a resident who has slightly cupped hands and can almost lay their hands flat?
a. Can Rolling
b. Geometric Puzzle
c. Knitting

48. The goal of Can Rolling is to:
a.  have a backward flex motion in the resident’s hand.
b.  keep the resident occupied while you work with another resident.
c.  improve the resident’s grasping ability.

49. What is the reason projects are to be placed in a bag taped to the nightstand, not stored in the activity room?
a.  The projects need to be in-sight, readily available for volunteers, family members, or cooperative staff.
b.  To reduce clutter in the activity room.
c.  Both (a) and (b)

50. What should be done to increase staff support for a Success Therapy® program?
a. Staff, volunteers, and families need to be “given permission” to utilize, what may be viewed as the “private property” of the Activity Department. 
b. Staff, volunteers, and families need to be trained how to introduce the ST®  Activity, adapt their level of instruction to the resident, and utilize any physical adaptations necessary.
c. Both (a) and (b)