MICHIGAN NURSING HOME STUDY GUIDE ALL
QUESTIONS AND ANSWERS SURE A+
✔✔A complete tub or shower bath shall be taken, under staff supervision, by, or
administered to, an ambulatory patient at least once a ________, unless the physician
writes an order to the contrary. - ✔✔week
✔✔Nursing personnel in a home shall be competent and experienced in providing, at a
minimum, all of the following: - ✔✔(a) A range of motion exercises.
(b) Positioning and body alignment.
(c) Preventive skin care.
(d) Transfer and ambulation training.
(e) Bowel and bladder training.
(f) Training in activities of daily living, including eating, dressing, personal hygiene, and
toilet activities.
✔✔A bedfast patient shall be assisted with bathing or bathed completely at least
_________ a week and shall be partially bathed __________ - ✔✔twice; daily
✔✔The patient care plan shall be reviewed and the care shall be evaluated
___________, as required, to reflect the patient's current
condition - ✔✔periodically
✔✔A patient care conference shall be held periodically, but not less than once every
_______days - ✔✔90
✔✔An individual bed not less than ______inches wide and ________inches long, or
longer when necessary, with springs in good condition, and a mattress not less than
________ inches thick in good condition, with a nonabsorbent cover. - ✔✔36 ; 72 ; 5
✔✔Each patient shall be provided with: - ✔✔1. mattress
2. bed
,3. bedside stand
4. flameproof cubicle curtain
5. reading light
6. comfortable cushioned chair
✔✔Linens will be changed immediately when soiled and at least ________weekly for
bedfast patients and __________weekly for ambulatory patients. - ✔✔twice ; once
✔✔The following items of equipment shall be available in sufficient quantities so that
patients who require them may have them assigned for personal use: - ✔✔(a)
Washbasins.
(b) Mouthwash cups.
(c) Denture cups.
(d) Emesis basins.
(e) Bedpans and urinals.
(f) Water carafes and drinking glasses or cups.
(g) Oral and rectal clinical thermometers.
(h) Bedside safety rails.
✔✔When the dietary or food services supervisor is other than a registered dietitian, the
supervisor shall receive routine consultation and technical assistance from a registered
dietitian (R.D.). Consultation time shall not be less than ____ hours every ______days.
Additional consultation time may be needed based on the total number of patients,
incidence of nutrition-related health problems, and food service management needs of
the facility. - ✔✔4; 60
✔✔Not less than _______ meals or their equivalent shall be served daily, at regular
times, with not more than a __________hour span between a substantial evening meal
and breakfast, except that when a substantial snack is served after the evening meal,
this time span may be increased to __________ hours. - ✔✔3; 14-; 14-3/4
✔✔The menu for regular and therapeutic or special diets for the current week shall be
posted in: - ✔✔the dietary department and either in the patient dining room or a public
place
✔✔A meal census, to include patients, personnel, and guests, and a record of the kind
and amount of food used for the preceding ______ months shall be kept on file in the
home. - ✔✔3
✔✔The food acceptance of a patient shall be recorded as follows: - ✔✔(a) For a period
of 14 days immediately following admission.
(b) For a period of 14 days immediately following initiation of a change
in diet, unless otherwise ordered by a physician.
(c) Under any other circumstances, such as abnormal weight loss, for a
, period ordered by a physician.
(2) Food acceptance records shall be retained in the facility.
✔✔A medication shall not be released or sent with a patient upon discharge, except -
✔✔on the written order of the physician.
✔✔All of the following records shall be kept in the home and shall be available to the
director or his or her authorized representative for review and copying if necessary: -
✔✔(a) A current patient register.
(b) Contracts between the home and patients.
(c) Patient clinical records.
(d) Accident records and incident reports.
(e) Employee records and work schedules.
✔✔Clinical records are retained for a minimum of _______ years from the date of
discharge or, in the case of a minor, _______ years after the individual comes of age
under state law, whichever is longer. - ✔✔6; 3
✔✔An accident record or incident report shall be prepared for each accident or incident
involving a patient, personnel, or visitor and shall include all of the following information:
- ✔✔a) Name of person involved in accident or incident.
(b) Date, hour, place, and cause of accident or incident.
(c) A description of the accident or incident by any observer who shall be identified and
a statement of the effect of the accident or incident on the patient and any other
individual involved.
(d) Name of physician notified and time of notification when appropriate.
(e) Physician's statement regarding extent of injuries, treatment ordered, and
disposition of person involved.
(f) Corrective measures taken to avoid repetition of accident or incident.
(g) Record of notification of the person or agency responsible for placing and
maintaining the patient in the home, the legal guardian, and, in a case where there is no
legal guardian, the designated representative or next of kin.
✔✔A daily work schedule for employees shall be prepared in writing and shall be
maintained to show the number and type of personnel on duty in the home for the
previous ______ months. - ✔✔3
✔✔A time record for each employee shall be maintained for not less than ______ years.
- ✔✔2
✔✔A permit for construction shall not be issued until such time as an acceptable valid
certificate of need has been issued if required for the construction project and if the
project conforms - ✔✔with the code and these rules as determined by the department.
QUESTIONS AND ANSWERS SURE A+
✔✔A complete tub or shower bath shall be taken, under staff supervision, by, or
administered to, an ambulatory patient at least once a ________, unless the physician
writes an order to the contrary. - ✔✔week
✔✔Nursing personnel in a home shall be competent and experienced in providing, at a
minimum, all of the following: - ✔✔(a) A range of motion exercises.
(b) Positioning and body alignment.
(c) Preventive skin care.
(d) Transfer and ambulation training.
(e) Bowel and bladder training.
(f) Training in activities of daily living, including eating, dressing, personal hygiene, and
toilet activities.
✔✔A bedfast patient shall be assisted with bathing or bathed completely at least
_________ a week and shall be partially bathed __________ - ✔✔twice; daily
✔✔The patient care plan shall be reviewed and the care shall be evaluated
___________, as required, to reflect the patient's current
condition - ✔✔periodically
✔✔A patient care conference shall be held periodically, but not less than once every
_______days - ✔✔90
✔✔An individual bed not less than ______inches wide and ________inches long, or
longer when necessary, with springs in good condition, and a mattress not less than
________ inches thick in good condition, with a nonabsorbent cover. - ✔✔36 ; 72 ; 5
✔✔Each patient shall be provided with: - ✔✔1. mattress
2. bed
,3. bedside stand
4. flameproof cubicle curtain
5. reading light
6. comfortable cushioned chair
✔✔Linens will be changed immediately when soiled and at least ________weekly for
bedfast patients and __________weekly for ambulatory patients. - ✔✔twice ; once
✔✔The following items of equipment shall be available in sufficient quantities so that
patients who require them may have them assigned for personal use: - ✔✔(a)
Washbasins.
(b) Mouthwash cups.
(c) Denture cups.
(d) Emesis basins.
(e) Bedpans and urinals.
(f) Water carafes and drinking glasses or cups.
(g) Oral and rectal clinical thermometers.
(h) Bedside safety rails.
✔✔When the dietary or food services supervisor is other than a registered dietitian, the
supervisor shall receive routine consultation and technical assistance from a registered
dietitian (R.D.). Consultation time shall not be less than ____ hours every ______days.
Additional consultation time may be needed based on the total number of patients,
incidence of nutrition-related health problems, and food service management needs of
the facility. - ✔✔4; 60
✔✔Not less than _______ meals or their equivalent shall be served daily, at regular
times, with not more than a __________hour span between a substantial evening meal
and breakfast, except that when a substantial snack is served after the evening meal,
this time span may be increased to __________ hours. - ✔✔3; 14-; 14-3/4
✔✔The menu for regular and therapeutic or special diets for the current week shall be
posted in: - ✔✔the dietary department and either in the patient dining room or a public
place
✔✔A meal census, to include patients, personnel, and guests, and a record of the kind
and amount of food used for the preceding ______ months shall be kept on file in the
home. - ✔✔3
✔✔The food acceptance of a patient shall be recorded as follows: - ✔✔(a) For a period
of 14 days immediately following admission.
(b) For a period of 14 days immediately following initiation of a change
in diet, unless otherwise ordered by a physician.
(c) Under any other circumstances, such as abnormal weight loss, for a
, period ordered by a physician.
(2) Food acceptance records shall be retained in the facility.
✔✔A medication shall not be released or sent with a patient upon discharge, except -
✔✔on the written order of the physician.
✔✔All of the following records shall be kept in the home and shall be available to the
director or his or her authorized representative for review and copying if necessary: -
✔✔(a) A current patient register.
(b) Contracts between the home and patients.
(c) Patient clinical records.
(d) Accident records and incident reports.
(e) Employee records and work schedules.
✔✔Clinical records are retained for a minimum of _______ years from the date of
discharge or, in the case of a minor, _______ years after the individual comes of age
under state law, whichever is longer. - ✔✔6; 3
✔✔An accident record or incident report shall be prepared for each accident or incident
involving a patient, personnel, or visitor and shall include all of the following information:
- ✔✔a) Name of person involved in accident or incident.
(b) Date, hour, place, and cause of accident or incident.
(c) A description of the accident or incident by any observer who shall be identified and
a statement of the effect of the accident or incident on the patient and any other
individual involved.
(d) Name of physician notified and time of notification when appropriate.
(e) Physician's statement regarding extent of injuries, treatment ordered, and
disposition of person involved.
(f) Corrective measures taken to avoid repetition of accident or incident.
(g) Record of notification of the person or agency responsible for placing and
maintaining the patient in the home, the legal guardian, and, in a case where there is no
legal guardian, the designated representative or next of kin.
✔✔A daily work schedule for employees shall be prepared in writing and shall be
maintained to show the number and type of personnel on duty in the home for the
previous ______ months. - ✔✔3
✔✔A time record for each employee shall be maintained for not less than ______ years.
- ✔✔2
✔✔A permit for construction shall not be issued until such time as an acceptable valid
certificate of need has been issued if required for the construction project and if the
project conforms - ✔✔with the code and these rules as determined by the department.
