DQA SMQT Final Exam — Surveyor Minimum Qualification Test for Quality and Compliance
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.
,DQA SMQT Final Exam — Surveyor Minimum Qualification Test for Quality and Compliance
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.
, DQA SMQT Final Exam — Surveyor Minimum Qualification Test for Quality and Compliance
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
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.
,DQA SMQT Final Exam — Surveyor Minimum Qualification Test for Quality and Compliance
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.
, DQA SMQT Final Exam — Surveyor Minimum Qualification Test for Quality and Compliance
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
