Written policies and procedures are used by the facility for all of the following except:
1. To communicate what management expects in any situation
2. To prepare staff for dealing with emergency situations
3. To establish the management style for operating the facility
4. To set guidelines for staff to follow in delivery of care - 3
When admitted to the nursing home, which of the following is not required to be given
to the resident?
1. The resident's rights and rules and regulations governing resident conduct and
responsibilities during the stay in the facility
2. Services to be provided and their associated cost
3. The federal standards and state licensing rules for nursing facilities
4. information regarding an advance directive - 3
In the case of non-Medicare Part A residents, the initial resident assessment must be
completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident - 2
According to the federal certification standards, the QA committee is required to meet?
1. When a problem arises that requires immediate attention
2. At least twice a year
3. At least quarterly
4. When directed by the medical director - 3. CMS requires the QA committee to meet
quarterly
A resident is admitted to a nursing home that has been certified as a SNF only. Which
of the following is not required to be adhered to by the facility?
1. State medicaid standards for payment
2. SNF regulations
3. State licensing regulations
4. Office of civil rights laws - 1
Unless a waiver has been secured, a registered nurse is required to be in the facility?
1. At least eight hours within every 24 hour period
2. At least eight consecutive hours a day, seven days a week
,3. At least eight consecutive hours Monday through Friday
4. There is no minimum number of hours required - 2
Restorative care must be provided:
1. Only with the order of the facility's physical therapist
2. By specialized qualified staff for which the facility has contracted services
3. Only if the resident can't provide his/her own care
4. By nursing staff based on a comprehensive assessment - 4
The facility staff will determine what the needs of the resident are based on:
1. Quality indicator reports
2. Family interviews
3. The MDS assessments
4. Quality measures - 3
Physician vists are required:
1. Monthly after the initial required visits
2. Quarterly after the initial required visits
3. Every 60 days after the inital required visits
4. Twice a year after the initial required visits - 3
Which one below is an exception to when a facility may release resident identifiable
information under the HIPAA Privacy Standard without the residents permission?
1. For a research study conducted by CMS
2. When any immediate family member requests it
3. To consumer groups
4. When a resident is transferred to another health care institution - 4
Standard precautions are to be used when providing personal care to:
1. All residents
2. Residents with AIDS
3. Residents with Hepatitis
4. Residents with Tuberculosis - 1
All of the following are barriers regarding the recognition of chronic pain except for:
1. Cognitive impairment and communication barriers hinder a resident's ability to report
pain or respond to caregiver's questions regarding pain
2. Staff who are utilizing valid tools to screen for pain
3. Elderly may not show verbal or non-verbal symptoms of pain
4. Staff may not have knowledge of or be skilled in assessing pain - 2
,The instrument the staff utilizes to screen for pain doesn't create any type of barrier for
them to determine if the resident is experiencing pain. All of the other are related to the
ability of the resident to express pain or the staff to evaluate the presence of pain.
Which of the following does not support resident center care concept?
1. Upon admission the resident indicates a preference to bathe at night; the facility
policy requires all baths to be given on the day shift
2. Breakfast is served from 630a-800a; the resident chooses to sleep until 900a so the
nursing staff makes sure cereal and milk are available at 900a
3. Upon admission the resident was allowed to bring his personal recliner to the facility
to furnish his room
4. Prior to living in the nursing facility the resident enjoyed fishing; the activity staff
arrange for the resident to attend the annual fishing rodea located 30 miles from the
facility - 1
Facilities are expected to provide a pleasant dining experience for all residents. This
includes all except:
1. Provideing well-lit, well ventilated dining room
2. Provideing adequate space and seating accomodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor resident food preferences - 4
Which one of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be stored separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary
consultant, when a nutrition problem exists
4. A specific food temperature level is required at the time of serving - 3
One specified reason for a "significant change" comprehensive reassessment is an
unplanned wight loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - 3
Which one of the following statements is true for the medical director?
1. May also serve as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the inital required visits
, 4. Must personally approve each order for each individual to be admitted to the facility -
1
Which None Nof Nthe Nfollowing Nstatements Nis Ntrue Nregarding Na Nfacility Nproviding Nmedically
Nrelated Nsocial Nservices Nto Nthe Nfacility?
1. NA Nfacility Nmust Nhave Na Nfull-time Nqualified Nsocial Nworker Non Nstaff Nfor Neach Nwork Nshift
Nexcept Nweekends
2. NA Nfacility's Nqualified Nsocial Nworker Nmust Nhave Na NBA Ndegree Nin Nsocial Nwork Nand None
Nyear Nof Nsupervised Nexperience Nin Na Nhealth Ncare Nsetting Nworking Nwith Nindividuals
3. NA Nfacility Nmust Nhave None Nqualified Nsocial Nworker Nfor Neach N75 Nresidents
4. NA Nfacility's Nqualified Nsocail Nworker's Nbachelor's Ndegree Ncan Nbe Nin Na Nhuman Nservices
Nfield Nor Nin Nanother Ndegree Nwith None Nyear Nof Nsupervised Nsocial Nwork Nexperience Nin Na
Nhealth Ncare Nsetting Nworking Ndirectly Nwith Nindividuals N- N N4
N Nurse Naids Nmust Nhave Na Nminimum Nof N___ Nhours Nof Nin-service Ntraining Nannually?
1. N6
2. N10
3. N12
4. N16 N- N N3
N Which None Nof Nthe Nfollowing Nstatements Nis Ntrue?
1. NAny Nemployee Nmay Nserve Nas Na Nfeeding Nassistant Nwhen Nthe Nneed Ndesires
2. NA Nfamily Nmember Nmust Ncomplete Na Nstate-approved Ntraining Ncourse Nfor Nfeeding
Nassistants Nbefore Nassisting Nwith Nfeeding Nhis/her Nfamily Nmember
3. NPaid Nfeeding Nassistants Nmust Nsuccessfully Ncomplete Na Nstate-approved Ntraining
Ncourse
4. NA Nfamily Nmember Nis Nnot Nallowed Nto Nfeed Nhis/her Nrelative N- N N3
Which Nchanges Nin Nthe Ndietary Ndepartment Nwould Nmost Nclosely Nreflect Nthe Nprinciples
N
behind Nculture Nchange?
N
1. NProviding Nset Nmeal Nservice Ntimes Nwith Nlittle Nflexibility Nto Nmaintain Na Ndaily Nrouting Nfor
Nthe Nresidents
2. NLIberalizing Ntherapeutic Ndiets Nto Nprovide Nmore Nfood Nchoices Nto Nresients
3. NIncreasing Nthe Nnumber Nof Npureed Nor Nsoft Ndiet Norders Nto Nmake Nfeeding Neasier Nfor
Nthe Nstaff
4. NStructuring Nmeal Ntimes Nto Nthe Nbenefit Nof Nstaff Nschedules N- N N2
N Which None Nof Nthe Nfollowing Nis Nnot Na Nfunction Nof Nthe Nactivities Ndirector?