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A competent individual has the right to participate in planning his or her care and
treatment and must be offered the opportunity to select from alternative treatments.
This applies both to initial decision about care and treatment and to decisions about
changes in care and treatment
Daughter of a female resident comes to you alleging that her mother been sexually
involved with a male resident on several occasions in the past month. The daughter
is outraged that this kind of behavior permitted in your nursing facility. You know
that the mother is competent and exercising free will in this matter. The most
advisable sense would be to:
1. Prohibit the resident form engaging in sexual activity except with a spouse.
2. Tell the mother that her behavior violates the regulations governing nursing
facilities.
3. Inform the daughter that the right to sexual activity among residents of nursing
facility is explicitly guaranteed by A Resident's Bill of Rights.
4. Insure the daughter that you will monitor her mothers level of competency,
while indicating that you will not intervene except to protect the mother from
unsolicited advances. - ANSWER ✓ The resident is competent and has the right to
personal privacy and confidentiality. "Right to privacy" means the individual has
the right to privacy with whoever the resident wishes to be private.
If a resident refuses prescribed treatment, the nursing facility should:
1. Deny other services, to bring about compliance
2. Follow the prescribed treatment because of the resident's weakness and risk.
3. Discharge the resident from refusing treatment
,4. Clarify to the resident the consequences of the refusal - ANSWER ✓ 4. Clarify
to the resident the consequences of the refusal
If refused, the facility is expected to assess the reasons for the resident's refusal,
clarify and educate the resident on the consequences of refusal, offer alternative
treatments and continue to provide all other services.
Resident rehabilitation is a process that:
1. Occurs only at a specific times with specific therapists
2. Is provided only by physical and occupational therapist
3. Does not involve the services of nurses
4. Is an interdisciplinary responsibility - ANSWER ✓ 4. Is an interdisciplinary
responsibility
Rehabilitation services include (but not limited to):
Physical therapy, speech language pathology, occupational therapy
-Different from restorative services provided by nursing staff
Which one of the following is a significant factor related to employee retention?
1. Development of master staffing schedules
2. Advisory relationships with consultants
3. Orientation and supervision of new employees
4. Establishment of rules for wearing uniforms - ANSWER ✓ 3. Orientation and
supervision of new employees
Employees who are fully orientated to their job and well supervised are more likely
to remain with the facility.
The cost per patient day is obtained by:
1. Subtracting net income from total patient days
2. dividing total expenses by daily average census
3. dividing total expenses by total patient days
4. Multiplying total expenses by number of admissions - ANSWER ✓ 3. dividing
total expenses by total patient days
How many hours a day must the facility provide a resident with access to
physician services?
1. 8
2. 12
,3. 18
4. 24 - ANSWER ✓ 24
Facility must provide or arrange for the provision of physician services 24hrs per
day
- May include transportation to hospital if they cannot provide emergency care at
the facility
From an infection control standpoint, a nursing facility that practices "universal
precautions" with residents who have infectious disease would be:
1. Fully prepared to accept AIDS residents
2. prepared to accept AIDS residents
3. prepared to accept HIV-positive residents, but not those with active AIDS
4. prepared to accept resident with AIDS-related complex (ABC), but not those
will full-blown AIDS - ANSWER ✓ 1. Fully prepared to accept AIDS residents
The facility's infection control program must have systems which ensure that direct
staff consistently use universal precautions and training to prevent acquisition and
spread of infection
To control odor in the nursing facility which of the following strategies would be
most effective?
1. Quick cleanup and attentive nursing care
2. Good work plan and efficient use of housekeeping personnel and equipment
3. Routine cleaning and servicing of patient and staff areas
4. Spot checks daily and complete rounds weekly - ANSWER ✓ 1. Quick cleanup
and attentive nursing care
Other alternatives allow odors to seep into material and cracks, thus causing long-
term problems
In the typical facility, staff turnover is greatest among:
1. Business office people
2. CNAs
3. Registered nurses
4. Maintenance - ANSWER ✓ 2. CNA's noticeably higher than other staff
categories
, In public buildings, signage that shows a figure in a wheelchair is an international
symbol that indicates:
1. an area that includes a change to floor level
2. a hazardous area
3. an area of accessibility for the handicapped
4. an emergency area - ANSWER ✓ 3. an area of accessibility for the handicapped
For interviewing a potential employee, a good technique is to:
1. Spend half the time putting the interviewee at ease
2. Keep the interviewee on guard by asking a succession of rapid questions
3. Let the interviewee do most of the talking in order to gain as much information
as possible
4. Spend most of the time giving the interviewee information about the job -
ANSWER ✓ 3. Let the interviewee do most of the talking in order to gain as much
information as possible
The purpose is to gain as much insight into the employee as possible
Double-entry accounting refers to the fact that every financial transaction is:
1. entered in the journal and in the balance sheet
2. Entered in the journal and verified by the bookkeeper
3. Recorded so that each entry has equal debits and credits
4. Recorded twice, once in cash receipts and once in cash disbursements -
ANSWER ✓ 3. Recorded so that each entry has equal debits and credits
Double entry accounting:
Recorded a transaction once as a debit and once as a credit
The personnel policy handbook, often called the employee's handbook or
employee's manual, is a:
1. Listing of job descriptions of all jobs in the facility
2. Compilation of federal and state regulations that directly relate to work
conditions
3. Compilation of federal regulations that directly relate to work conditions
4. Compilation of facility policies that directly relate to work conditions -
ANSWER ✓ 4. Compilation of facility policies that directly relate to work
conditions
The handbook directly describes work conditions directly relating to work