NHA State Exam Chapter 5 (54%) Complete Solutions
100% Pass
Define "At-Risk Elder" - ✔✔✔A person age 70 and older
Define "Department" - ✔✔✔Colorado Department of Public Health and Environment
Define "Designated Facility" - ✔✔✔Agency that has been approved by Department of Human Services to provide mental health services
Define "Enforcement Activity" - ✔✔✔Imposition of remedies (i.e. civil money penalties, suspension or revocation of a license, directed plan of
correction, etc)
Define "Governing Body" - ✔✔✔Individual or entity that has ultimate authority and legal responsibility for operation of facility
Define "Medical Director" - ✔✔✔Physician who oversees medical care and other designated care and services at facility
Define "Non-Physician Practitioner" - ✔✔✔Physician assistant or advance practical nurse
Define "Nursing Care Facility" - ✔✔✔A Licensed health care entity that provides supportive, restorative and preventive services to person who,
due to physical and/or mental disability, require continuous inpatient nursing care
Define "Placement Facility" - ✔✔✔Nursing care facility that has a written agreement with a designated facility to provide care and treatment by
the designated facility
Define "Practitioner" - ✔✔✔Physician and non-physician practitioner
Define "Resident Representative" - ✔✔✔Individual that has authority to view and participate in discussions regarding resident health care
Define "Skilled Nursing Care Facility" - ✔✔✔Nursing care facility that is federally certified by Centers for Medicare and Medicaid
Define "Telehealth" - ✔✔✔Mode of delivery of health care services through telecommunication systems
What must the governing body provide? - ✔✔✔The necessary facilities, qualified personnel and services to meet the total needs of facility
residents
Who is responsible for the performance of all persons providing services within the facility? - ✔✔✔The governing body
,If the governing body includes more than one individual what is required of their structure? - ✔✔✔They hold regular, periodic meetings and
maintain records
The governing body should ensure that a facility has a quality management program that evaluates the quality of resident care and safety. The
facility should have a committee that meets how frequently? - ✔✔✔Monthly to address the required quality management activities
What is the responsibility of the administrator? - ✔✔✔To plan, organize, develop and control the operations of the facility
What 6 items are the administrator responsible for at minimum? - ✔✔✔(1) act as liaison among governing body
(2) manage facility personnel and finances
(3) provide appropriate resident care
(4) maintain relationships with community and other health care organizations
(5) ensuring facility and staff compliance with all regulations
(6) any other responsibilities required by facility policy or governing body
The facility should have a written plan of organization that clearly defines what? - ✔✔✔The authority, responsibilities and functions of each
category of personnel
The administrator should work with what individuals annually to develop and/or review written resident care policies and procedures that
govern resident care in all departments? - ✔✔✔The medical director, one or more RN and other related health care professionals
The facility should have a master staffing plan for what purpose? - ✔✔✔To provide staffing in compliance with regulations, distribute
personnel, replace personnel and forecast future personnel needs
What are the facilities obligations regarding posting deficiencies? - ✔✔✔Post them conspicuously in public view either the statement of
deficiencies following its most recent survey OR a notice stating the location and times at which the statement can be reviewed
Facility personnel should report suspected physical or sexual abuse, exploitation and caretaker neglect to law enforcement within what time
frame? - ✔✔✔24 hours of observation or discovery
What 4 items should be reported to the Department within 24 hours of discovery? - ✔✔✔Any occurrence involving neglect, abuse, injury of
unknown source/suspicious injury based on location and misappropriation of resident property.
What is the maximum amount of residents that can reside in a room? - ✔✔✔4
Can a resident be admitted for inpatient care in a room that is not regularly designated and equipped as a resident bedroom? - ✔✔✔No
,The facility is responsible for developing a bed hold policy for holding beds available for residents who are temporarily absent from the facility.
When should this policy be provided? - ✔✔✔Upon admission and before each temporary absence
True or false: the facility should have a mechanism for identification of residents? - ✔✔✔True
The facility should complete a job-specific orientation for all new employees within how many days of employment? - ✔✔✔90 days
True or false- all personnel should be informed of the purpose and objectives of the facility? - ✔✔✔True
True or false- all personnel should be provided access to facility's personnel policies and be able to provide evidence that they have been
reviewed? - ✔✔✔True
True or false- the facility should provide educational programs for employees to be informed of new methods and techniques? - ✔✔✔True
What 12 topics must a facility provide annual in-service education for staff? - ✔✔✔(1) infection control
(2) fire prevention and safety
(3) accident prevention
(4) confidentiality of resident information
(5) rehabilitative nursing
(6) resident rights
(7) dietary
(8) pharmacy
(9) dental
(10) behavior management
(11) person centered care
(12) disaster preparedness
If a facility has residents with intellectual and developmental disabilities, dementia or behavioral health issues it must provide in-service
education for staff how frequently? - ✔✔✔Annually
True or false- the facility needs to maintain attendance records for in-services with original signatures on the programs. It should include course
materials or outlines that staff who are unable to attend the program may review? - ✔✔✔True
The facility should maintain personnel records on each employee that includes what? - ✔✔✔(1) application that includes training and past
experiences
(2) verification of credentials
, (3) references of past work experience
(4) orientation
(5) evidence that health status is appropriate to perform duties in job description
True or false- the facility must provide reference materials related to care in the facility for use by all personnel? - ✔✔✔True
All facility staff should wear a name and title badge while on duty except when? - ✔✔✔They may pose a danger to staff or residents due to the
nature of residents' physical or mental conditions.
What is the facility responsible for upon admission regarding pressure ulcer prevention? - ✔✔✔(1) assess potential for skin breakdown during
initial assessment
(2) provide measures to prevent pressure ulcers in residents that have been identified at risk of developing them
What is the facility responsible for upon admission regarding pressure ulcer care? - ✔✔✔(1) develop an individualized treatment plan in care
plan
(2) provide active treatment
(3) evaluate resident's progress and treatment at least weekly and revise treatment plan as needed
(4) provide proper nutrition and hydration to promote healing and further prevent breakdown
What are the facility's 4 obligations for accident prevention and attention? - ✔✔✔(1) Investigate all causes of accidents
(2) monitor resident response to accident and obtain a physical and/or mental health evaluation from practitioner
(3) Identify all residents at high risk for accidents and develop individualized care plans
(4) Evaluate and revise plan as needed
What are the facility's 4 obligations for behavioral health care? - ✔✔✔(1) note the behavior and evaluate in assessment
(2) develop and implement treatment plan
(3) obtain mental health evaluation if appropriate
(4) evaluate resident progress and revise the plan as needed
What are the facility's obligations for contracture care upon admission? - ✔✔✔(1) assess potential for contracture during initial resident
assessment
(2) Develop, implement and periodically evaluate an individualized treatment plan to prevent contractures
Contracture care treatment plans should be reviewed and revised how frequently? - ✔✔✔As needed and at least annually
What obligations does a facility have for residents who are admitted with contractures? - ✔✔✔Document the contracture, evaluate it and
undertake restorative nursing intervention if appropriate
100% Pass
Define "At-Risk Elder" - ✔✔✔A person age 70 and older
Define "Department" - ✔✔✔Colorado Department of Public Health and Environment
Define "Designated Facility" - ✔✔✔Agency that has been approved by Department of Human Services to provide mental health services
Define "Enforcement Activity" - ✔✔✔Imposition of remedies (i.e. civil money penalties, suspension or revocation of a license, directed plan of
correction, etc)
Define "Governing Body" - ✔✔✔Individual or entity that has ultimate authority and legal responsibility for operation of facility
Define "Medical Director" - ✔✔✔Physician who oversees medical care and other designated care and services at facility
Define "Non-Physician Practitioner" - ✔✔✔Physician assistant or advance practical nurse
Define "Nursing Care Facility" - ✔✔✔A Licensed health care entity that provides supportive, restorative and preventive services to person who,
due to physical and/or mental disability, require continuous inpatient nursing care
Define "Placement Facility" - ✔✔✔Nursing care facility that has a written agreement with a designated facility to provide care and treatment by
the designated facility
Define "Practitioner" - ✔✔✔Physician and non-physician practitioner
Define "Resident Representative" - ✔✔✔Individual that has authority to view and participate in discussions regarding resident health care
Define "Skilled Nursing Care Facility" - ✔✔✔Nursing care facility that is federally certified by Centers for Medicare and Medicaid
Define "Telehealth" - ✔✔✔Mode of delivery of health care services through telecommunication systems
What must the governing body provide? - ✔✔✔The necessary facilities, qualified personnel and services to meet the total needs of facility
residents
Who is responsible for the performance of all persons providing services within the facility? - ✔✔✔The governing body
,If the governing body includes more than one individual what is required of their structure? - ✔✔✔They hold regular, periodic meetings and
maintain records
The governing body should ensure that a facility has a quality management program that evaluates the quality of resident care and safety. The
facility should have a committee that meets how frequently? - ✔✔✔Monthly to address the required quality management activities
What is the responsibility of the administrator? - ✔✔✔To plan, organize, develop and control the operations of the facility
What 6 items are the administrator responsible for at minimum? - ✔✔✔(1) act as liaison among governing body
(2) manage facility personnel and finances
(3) provide appropriate resident care
(4) maintain relationships with community and other health care organizations
(5) ensuring facility and staff compliance with all regulations
(6) any other responsibilities required by facility policy or governing body
The facility should have a written plan of organization that clearly defines what? - ✔✔✔The authority, responsibilities and functions of each
category of personnel
The administrator should work with what individuals annually to develop and/or review written resident care policies and procedures that
govern resident care in all departments? - ✔✔✔The medical director, one or more RN and other related health care professionals
The facility should have a master staffing plan for what purpose? - ✔✔✔To provide staffing in compliance with regulations, distribute
personnel, replace personnel and forecast future personnel needs
What are the facilities obligations regarding posting deficiencies? - ✔✔✔Post them conspicuously in public view either the statement of
deficiencies following its most recent survey OR a notice stating the location and times at which the statement can be reviewed
Facility personnel should report suspected physical or sexual abuse, exploitation and caretaker neglect to law enforcement within what time
frame? - ✔✔✔24 hours of observation or discovery
What 4 items should be reported to the Department within 24 hours of discovery? - ✔✔✔Any occurrence involving neglect, abuse, injury of
unknown source/suspicious injury based on location and misappropriation of resident property.
What is the maximum amount of residents that can reside in a room? - ✔✔✔4
Can a resident be admitted for inpatient care in a room that is not regularly designated and equipped as a resident bedroom? - ✔✔✔No
,The facility is responsible for developing a bed hold policy for holding beds available for residents who are temporarily absent from the facility.
When should this policy be provided? - ✔✔✔Upon admission and before each temporary absence
True or false: the facility should have a mechanism for identification of residents? - ✔✔✔True
The facility should complete a job-specific orientation for all new employees within how many days of employment? - ✔✔✔90 days
True or false- all personnel should be informed of the purpose and objectives of the facility? - ✔✔✔True
True or false- all personnel should be provided access to facility's personnel policies and be able to provide evidence that they have been
reviewed? - ✔✔✔True
True or false- the facility should provide educational programs for employees to be informed of new methods and techniques? - ✔✔✔True
What 12 topics must a facility provide annual in-service education for staff? - ✔✔✔(1) infection control
(2) fire prevention and safety
(3) accident prevention
(4) confidentiality of resident information
(5) rehabilitative nursing
(6) resident rights
(7) dietary
(8) pharmacy
(9) dental
(10) behavior management
(11) person centered care
(12) disaster preparedness
If a facility has residents with intellectual and developmental disabilities, dementia or behavioral health issues it must provide in-service
education for staff how frequently? - ✔✔✔Annually
True or false- the facility needs to maintain attendance records for in-services with original signatures on the programs. It should include course
materials or outlines that staff who are unable to attend the program may review? - ✔✔✔True
The facility should maintain personnel records on each employee that includes what? - ✔✔✔(1) application that includes training and past
experiences
(2) verification of credentials
, (3) references of past work experience
(4) orientation
(5) evidence that health status is appropriate to perform duties in job description
True or false- the facility must provide reference materials related to care in the facility for use by all personnel? - ✔✔✔True
All facility staff should wear a name and title badge while on duty except when? - ✔✔✔They may pose a danger to staff or residents due to the
nature of residents' physical or mental conditions.
What is the facility responsible for upon admission regarding pressure ulcer prevention? - ✔✔✔(1) assess potential for skin breakdown during
initial assessment
(2) provide measures to prevent pressure ulcers in residents that have been identified at risk of developing them
What is the facility responsible for upon admission regarding pressure ulcer care? - ✔✔✔(1) develop an individualized treatment plan in care
plan
(2) provide active treatment
(3) evaluate resident's progress and treatment at least weekly and revise treatment plan as needed
(4) provide proper nutrition and hydration to promote healing and further prevent breakdown
What are the facility's 4 obligations for accident prevention and attention? - ✔✔✔(1) Investigate all causes of accidents
(2) monitor resident response to accident and obtain a physical and/or mental health evaluation from practitioner
(3) Identify all residents at high risk for accidents and develop individualized care plans
(4) Evaluate and revise plan as needed
What are the facility's 4 obligations for behavioral health care? - ✔✔✔(1) note the behavior and evaluate in assessment
(2) develop and implement treatment plan
(3) obtain mental health evaluation if appropriate
(4) evaluate resident progress and revise the plan as needed
What are the facility's obligations for contracture care upon admission? - ✔✔✔(1) assess potential for contracture during initial resident
assessment
(2) Develop, implement and periodically evaluate an individualized treatment plan to prevent contractures
Contracture care treatment plans should be reviewed and revised how frequently? - ✔✔✔As needed and at least annually
What obligations does a facility have for residents who are admitted with contractures? - ✔✔✔Document the contracture, evaluate it and
undertake restorative nursing intervention if appropriate
