NHA State Exam Chapter 5 Questions and Answers Solved Correctly Rated A+
Define "At-Risk Elder" - AnswersA person age 70 and older
Define "Department" - AnswersColorado Department of Public Health and Environment
Define "Designated Facility" - AnswersAgency that has been approved by Department of Human Services
to provide mental health services
Define "Enforcement Activity" - AnswersImposition of remedies (i.e. civil money penalties, suspension or
revocation of a license, directed plan of correction, etc)
Define "Governing Body" - AnswersIndividual or entity that has ultimate authority and legal
responsibility for operation of facility
Define "Medical Director" - AnswersPhysician who oversees medical care and other designated care and
services at facility
Define "Non-Physician Practitioner" - AnswersPhysician assistant or advance practical nurse
Define "Nursing Care Facility" - AnswersA 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" - AnswersNursing care facility that has a written agreement with a
designated facility to provide care and treatment by the designated facility
Define "Practitioner" - AnswersPhysician and non-physician practitioner
Define "Resident Representative" - AnswersIndividual that has authority to view and participate in
discussions regarding resident health care
Define "Skilled Nursing Care Facility" - AnswersNursing care facility that is federally certified by Centers
for Medicare and Medicaid
Define "Telehealth" - AnswersMode of delivery of health care services through telecommunication
systems
What must the governing body provide? - AnswersThe 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? -
AnswersThe governing body
If the governing body includes more than one individual what is required of their structure? -
AnswersThey 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? -
AnswersMonthly to address the required quality management activities
What is the responsibility of the administrator? - AnswersTo plan, organize, develop and control the
operations of the facility
What 6 items are the administrator responsible for at minimum? - Answers(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? - AnswersThe 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? - AnswersThe medical
director, one or more RN and other related health care professionals
The facility should have a master staffing plan for what purpose? - AnswersTo provide staffing in
compliance with regulations, distribute personnel, replace personnel and forecast future personnel
needs
What are the facilities obligations regarding posting deficiencies? - AnswersPost 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? - Answers24 hours of observation or discovery
What 4 items should be reported to the Department within 24 hours of discovery? - AnswersAny
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? - Answers4
Can a resident be admitted for inpatient care in a room that is not regularly designated and equipped as
a resident bedroom? - AnswersNo
,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? - AnswersUpon admission
and before each temporary absence
True or false: the facility should have a mechanism for identification of residents? - AnswersTrue
The facility should complete a job-specific orientation for all new employees within how many days of
employment? - Answers90 days
True or false- all personnel should be informed of the purpose and objectives of the facility? -
AnswersTrue
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? - AnswersTrue
True or false- the facility should provide educational programs for employees to be informed of new
methods and techniques? - AnswersTrue
What 12 topics must a facility provide annual in-service education for staff? - Answers(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? - AnswersAnnually
, 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? - AnswersTrue
The facility should maintain personnel records on each employee that includes what? - Answers(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? - AnswersTrue
All facility staff should wear a name and title badge while on duty except when? - AnswersThey 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? - Answers(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? - Answers(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? - Answers(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? - Answers(1) note the behavior and
evaluate in assessment
Define "At-Risk Elder" - AnswersA person age 70 and older
Define "Department" - AnswersColorado Department of Public Health and Environment
Define "Designated Facility" - AnswersAgency that has been approved by Department of Human Services
to provide mental health services
Define "Enforcement Activity" - AnswersImposition of remedies (i.e. civil money penalties, suspension or
revocation of a license, directed plan of correction, etc)
Define "Governing Body" - AnswersIndividual or entity that has ultimate authority and legal
responsibility for operation of facility
Define "Medical Director" - AnswersPhysician who oversees medical care and other designated care and
services at facility
Define "Non-Physician Practitioner" - AnswersPhysician assistant or advance practical nurse
Define "Nursing Care Facility" - AnswersA 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" - AnswersNursing care facility that has a written agreement with a
designated facility to provide care and treatment by the designated facility
Define "Practitioner" - AnswersPhysician and non-physician practitioner
Define "Resident Representative" - AnswersIndividual that has authority to view and participate in
discussions regarding resident health care
Define "Skilled Nursing Care Facility" - AnswersNursing care facility that is federally certified by Centers
for Medicare and Medicaid
Define "Telehealth" - AnswersMode of delivery of health care services through telecommunication
systems
What must the governing body provide? - AnswersThe 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? -
AnswersThe governing body
If the governing body includes more than one individual what is required of their structure? -
AnswersThey 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? -
AnswersMonthly to address the required quality management activities
What is the responsibility of the administrator? - AnswersTo plan, organize, develop and control the
operations of the facility
What 6 items are the administrator responsible for at minimum? - Answers(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? - AnswersThe 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? - AnswersThe medical
director, one or more RN and other related health care professionals
The facility should have a master staffing plan for what purpose? - AnswersTo provide staffing in
compliance with regulations, distribute personnel, replace personnel and forecast future personnel
needs
What are the facilities obligations regarding posting deficiencies? - AnswersPost 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? - Answers24 hours of observation or discovery
What 4 items should be reported to the Department within 24 hours of discovery? - AnswersAny
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? - Answers4
Can a resident be admitted for inpatient care in a room that is not regularly designated and equipped as
a resident bedroom? - AnswersNo
,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? - AnswersUpon admission
and before each temporary absence
True or false: the facility should have a mechanism for identification of residents? - AnswersTrue
The facility should complete a job-specific orientation for all new employees within how many days of
employment? - Answers90 days
True or false- all personnel should be informed of the purpose and objectives of the facility? -
AnswersTrue
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? - AnswersTrue
True or false- the facility should provide educational programs for employees to be informed of new
methods and techniques? - AnswersTrue
What 12 topics must a facility provide annual in-service education for staff? - Answers(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? - AnswersAnnually
, 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? - AnswersTrue
The facility should maintain personnel records on each employee that includes what? - Answers(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? - AnswersTrue
All facility staff should wear a name and title badge while on duty except when? - AnswersThey 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? - Answers(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? - Answers(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? - Answers(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? - Answers(1) note the behavior and
evaluate in assessment
