SMQT, SMQT Study Guide Exam|
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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
How wide must an exit corridor be? - Answer✅✅8 feet
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, 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, 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 Tradive 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 ,vomiting, visual changes, cardia arrhythmia, low heart rate
When must a Gradual Dose reduction (GDR) occur? - Answer✅✅Within the first
year in which a resident is admitted or med is prescribed the facility must attempt a
GDR in two separate quarters (with at least one month in between the attempts)
unless clinically contraindicated.
Severe weight loss in 6 months - Answer✅✅greater than 10% weight loss
, What drugs are review for unnecessary medications? - Answer✅✅Insulin,
anticoagulant, antipsychotics with dementia
When finalizing the sample, what do you do if other residents are marked FI for the
complaint allegation care area? - Answer✅✅sample 3 residents for the care area.
What residents are system selected? - Answer✅✅any offsite selected with at least
one care area marked FI, any resident a surveyor marked as include in sample, any
identified abuse concern from IP or history of abuse citation or allegation since last
survey.
What areas are reviewed for non-interviewable residents ? - Answer✅✅Pressure
ulcers, dialysis, infections, nutrition, falls in last 120 days, ADL decline, low risk B&B,
unplanned hospitalization, elopement, change of condition in last 120 days.
All residents are reviewed for which areas? - Answer✅✅Advanced directives,
confirm specific information based on RI/RO, other concerns .
What act established Medicare and Medicaid - Answer✅✅Social Security Act of
1965 signed by Johnson established Medicare for aged over 65 and Medicaid health
insurance for low income.
What was created in 1977 to combine Medicare and Medicaid? - Answer✅✅Health
Care Financing Administration (HCFA), the predecessor of CMS
Who does Medicaid provide services for? - Answer✅✅low income, needy elders,
blind, disabled getting SSI, certain infants and low income pregnant women.
What is Title XVIII(18)? - Answer✅✅Regulations for Medicare. Covers hospital, post
hospital, home health services and hospice.
What is Titile XIX(19)? - Answer✅✅Regulations for Medicaid for families with
children, aged, blind or disabled with low income.
What is the Impact Act of 2014? - Answer✅✅Impoving Medicare Post-Acute Care
Transitions-effective 11/19/19. Includes Discharge Planning rule, Burden reduction
and Emergency Preparedness.
What is the survey process based on? - Answer✅✅Person centered care, resident
centered outcomes, QOC and QOL.
What are the 8 principles of Documentation? - Answer✅✅1. Entity Compliance or
Noncompliance
2. Using plain language.
3. Components of a Deficiency statement
4. Relevance of Onsite correction of findings
Brand New Exam Questions with
100% Correct Clear Verified
Answers| All Graded A+|100%
Guaranteed Success| Latest
Premium Update.
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
How wide must an exit corridor be? - Answer✅✅8 feet
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, 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, 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 Tradive 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 ,vomiting, visual changes, cardia arrhythmia, low heart rate
When must a Gradual Dose reduction (GDR) occur? - Answer✅✅Within the first
year in which a resident is admitted or med is prescribed the facility must attempt a
GDR in two separate quarters (with at least one month in between the attempts)
unless clinically contraindicated.
Severe weight loss in 6 months - Answer✅✅greater than 10% weight loss
, What drugs are review for unnecessary medications? - Answer✅✅Insulin,
anticoagulant, antipsychotics with dementia
When finalizing the sample, what do you do if other residents are marked FI for the
complaint allegation care area? - Answer✅✅sample 3 residents for the care area.
What residents are system selected? - Answer✅✅any offsite selected with at least
one care area marked FI, any resident a surveyor marked as include in sample, any
identified abuse concern from IP or history of abuse citation or allegation since last
survey.
What areas are reviewed for non-interviewable residents ? - Answer✅✅Pressure
ulcers, dialysis, infections, nutrition, falls in last 120 days, ADL decline, low risk B&B,
unplanned hospitalization, elopement, change of condition in last 120 days.
All residents are reviewed for which areas? - Answer✅✅Advanced directives,
confirm specific information based on RI/RO, other concerns .
What act established Medicare and Medicaid - Answer✅✅Social Security Act of
1965 signed by Johnson established Medicare for aged over 65 and Medicaid health
insurance for low income.
What was created in 1977 to combine Medicare and Medicaid? - Answer✅✅Health
Care Financing Administration (HCFA), the predecessor of CMS
Who does Medicaid provide services for? - Answer✅✅low income, needy elders,
blind, disabled getting SSI, certain infants and low income pregnant women.
What is Title XVIII(18)? - Answer✅✅Regulations for Medicare. Covers hospital, post
hospital, home health services and hospice.
What is Titile XIX(19)? - Answer✅✅Regulations for Medicaid for families with
children, aged, blind or disabled with low income.
What is the Impact Act of 2014? - Answer✅✅Impoving Medicare Post-Acute Care
Transitions-effective 11/19/19. Includes Discharge Planning rule, Burden reduction
and Emergency Preparedness.
What is the survey process based on? - Answer✅✅Person centered care, resident
centered outcomes, QOC and QOL.
What are the 8 principles of Documentation? - Answer✅✅1. Entity Compliance or
Noncompliance
2. Using plain language.
3. Components of a Deficiency statement
4. Relevance of Onsite correction of findings
