DQA SMQT EXAM WITH COMPLETE QUESTIONS AND
ANSWERS
What is severity level 2 - ANSWER Noncompliance that has potential to cause
more than minimal harm that is not IJ
resident has no more than minimal discomfort,
their is a potential to compromise residents ability to reach highest practicable
level,
shame/embarassment without loss of interest
minimal episodic pain,
facility has no system to prevent problems
The TC must complete which tasks during offsite prep? - ANSWER Create/export
shell from ACO
Import shell into ASE-q
Add team members
Complete offsite prep screen
Make unit assignments
Make mandatory task assignments
print documents
Share offsite prep with team
What documents are printed by the TC during offsite prep? - ANSWER 1 matrix
with instructions
1 entrance conference worksheet
3 beneficiary worksheets
What is the purpose of the initial pool process? - ANSWER To briefly screen all
residents and observe, interview and complete initial record review.
,When should you share data? - ANSWER At the end of each day and when the
team composition changes.
What must be done prior to Sample Selection - ANSWER The completed I.P data
is shared and the TC confirms that the data is complete.
What are the 7 LTSCP steps? - ANSWER 1. Offsite prep
2. Facility entrance
3. Initial Pool Process
4. Sample Selction
5.Investigation
6. Ongoing and other survey activities
7. Potential Citations
Name 3 antipsychotics - ANSWER Thorazine (chlorpromazine) Haldol
(haloperidol) Abilify (aripiprazole) Clozaril (clozapine) Zyprexa (olanzapine)
Latuda (lurasidone) Seroquel (quetiapine) Risperdal (risperidone)
Indications of unnecessary medication include? - ANSWER Excessive dose
excessive duration
without adequate monitoring
without adequate indication for use
use in the presence of adverse consequences
What is a psychotropic drug? - ANSWER Any drug that affects brain activities
associated with mental processes and behavior-include anti-psychotic,
antidepressant, anti-anxiety and hypnotic medications
What is "anticholinergic side effect"? - ANSWER an effect of a medication that
may cause dry mouth, blurred vision, tachycardia, urinary retention, constipation,
confusion, delirium, hallucinations, flushed and increased blood pressure
What is Extrapyramidal symptoms" (EPS)? - ANSWER a neurological side effect
that may occur within a few day or years of treatment with antipsychotics.
Includes various syndromes such as
, akathisia - ANSWER medication-induced Parkinsonism, and dystonia.
What is akathesia ? - ANSWER a distressing feeling of internal restlessnesss that
may appear as constant motion, the inability to sit still, fidgeting, pacing or
rocking.
What is Medication-induced Parkinsonism? - ANSWER Syndrome of symptoms
like Parkinson's
tremor - ANSWER shuffling gait, slowness of movement, expressionless face,
drooling, postural unsteadiness and rigidity of muscles.
What is dystonia? - ANSWER acute, painful, spastic contraction of muscle groups
(commonly the neck, eyes and trunk) that often occurs soon after initiating
treatment.
What is Neuroleptic Malignant Syndrome (NMS)? - ANSWER Syndrome related to
the use of antispychotics that presents with a sudden onset of diffuse muscle
rigidity, high fever, labile blood pressure, tremor, and cognitive dysfunction.
Potentially fatal if not treated immediatley, including stopping the offending
medication.
What is serotonin syndrome? - ANSWER Serious clinical condition resulting
from overstimulation of serotonin receptors. Commonly related to the use of
SSRI's, SNRI's, triptans, and antibiotics. Restlessness, hallucinations, confusion,
loss of coordination, fast heartbeat, rapid changes in blood pressure, increased
temperature, overactive reflexes, NV&D.
What is Tardive dyskinesia? - ANSWER abnormal, recurrent, involuntary
movements that typically present as lateral movements of the tongue or jaw,
thrusting, chewing, frequent blinking, brow arching, grimacing, and lip smacking.
May be irreversible
Significant weight loss in 1 month? - ANSWER 5% weight loss
Severe weight loss in 1 month? - ANSWER greater than 5% weight loss
Significant weight loss in 3 months? - ANSWER 7.5% weight loss
Severe weight loss is 3 months? - ANSWER greater than 7.5% weight loss
Significant weight loss in 6 months? - ANSWER 10% weight loss
What are signs and symptoms of digoxin toxicity? - ANSWER anorexia, nausea
ANSWERS
What is severity level 2 - ANSWER Noncompliance that has potential to cause
more than minimal harm that is not IJ
resident has no more than minimal discomfort,
their is a potential to compromise residents ability to reach highest practicable
level,
shame/embarassment without loss of interest
minimal episodic pain,
facility has no system to prevent problems
The TC must complete which tasks during offsite prep? - ANSWER Create/export
shell from ACO
Import shell into ASE-q
Add team members
Complete offsite prep screen
Make unit assignments
Make mandatory task assignments
print documents
Share offsite prep with team
What documents are printed by the TC during offsite prep? - ANSWER 1 matrix
with instructions
1 entrance conference worksheet
3 beneficiary worksheets
What is the purpose of the initial pool process? - ANSWER To briefly screen all
residents and observe, interview and complete initial record review.
,When should you share data? - ANSWER At the end of each day and when the
team composition changes.
What must be done prior to Sample Selection - ANSWER The completed I.P data
is shared and the TC confirms that the data is complete.
What are the 7 LTSCP steps? - ANSWER 1. Offsite prep
2. Facility entrance
3. Initial Pool Process
4. Sample Selction
5.Investigation
6. Ongoing and other survey activities
7. Potential Citations
Name 3 antipsychotics - ANSWER Thorazine (chlorpromazine) Haldol
(haloperidol) Abilify (aripiprazole) Clozaril (clozapine) Zyprexa (olanzapine)
Latuda (lurasidone) Seroquel (quetiapine) Risperdal (risperidone)
Indications of unnecessary medication include? - ANSWER Excessive dose
excessive duration
without adequate monitoring
without adequate indication for use
use in the presence of adverse consequences
What is a psychotropic drug? - ANSWER Any drug that affects brain activities
associated with mental processes and behavior-include anti-psychotic,
antidepressant, anti-anxiety and hypnotic medications
What is "anticholinergic side effect"? - ANSWER an effect of a medication that
may cause dry mouth, blurred vision, tachycardia, urinary retention, constipation,
confusion, delirium, hallucinations, flushed and increased blood pressure
What is Extrapyramidal symptoms" (EPS)? - ANSWER a neurological side effect
that may occur within a few day or years of treatment with antipsychotics.
Includes various syndromes such as
, akathisia - ANSWER medication-induced Parkinsonism, and dystonia.
What is akathesia ? - ANSWER a distressing feeling of internal restlessnesss that
may appear as constant motion, the inability to sit still, fidgeting, pacing or
rocking.
What is Medication-induced Parkinsonism? - ANSWER Syndrome of symptoms
like Parkinson's
tremor - ANSWER shuffling gait, slowness of movement, expressionless face,
drooling, postural unsteadiness and rigidity of muscles.
What is dystonia? - ANSWER acute, painful, spastic contraction of muscle groups
(commonly the neck, eyes and trunk) that often occurs soon after initiating
treatment.
What is Neuroleptic Malignant Syndrome (NMS)? - ANSWER Syndrome related to
the use of antispychotics that presents with a sudden onset of diffuse muscle
rigidity, high fever, labile blood pressure, tremor, and cognitive dysfunction.
Potentially fatal if not treated immediatley, including stopping the offending
medication.
What is serotonin syndrome? - ANSWER Serious clinical condition resulting
from overstimulation of serotonin receptors. Commonly related to the use of
SSRI's, SNRI's, triptans, and antibiotics. Restlessness, hallucinations, confusion,
loss of coordination, fast heartbeat, rapid changes in blood pressure, increased
temperature, overactive reflexes, NV&D.
What is Tardive dyskinesia? - ANSWER abnormal, recurrent, involuntary
movements that typically present as lateral movements of the tongue or jaw,
thrusting, chewing, frequent blinking, brow arching, grimacing, and lip smacking.
May be irreversible
Significant weight loss in 1 month? - ANSWER 5% weight loss
Severe weight loss in 1 month? - ANSWER greater than 5% weight loss
Significant weight loss in 3 months? - ANSWER 7.5% weight loss
Severe weight loss is 3 months? - ANSWER greater than 7.5% weight loss
Significant weight loss in 6 months? - ANSWER 10% weight loss
What are signs and symptoms of digoxin toxicity? - ANSWER anorexia, nausea
