Whichfofftheffollowingfhelpsftofcontrolfcommunityfriskfbyfevaluatingfcurrentfincidents**f-
ffCORRECTfANSWERSA.fsharedfriskfagreementfSafetyfcommitteefprograms
Whichfdepartmentfisfresponsiblefforfoversightfoffresourcesfactivitiesf-ffCORRECTfANSWERSAdministration
Whatfdoesfafgoodfculturalffitfrefersftof-ffCORRECTfANSWERSValuesfandfbeliefsfofftheffacility
whichfofftheffollowingfarefhiringfrequirementsfoffcaregiversf(NACf449.196)f?f-
ffCORRECTfANSWERSabilityftofreadfandfwritefEnglish
OBRAfisfknownfasf-
ffCORRECTfANSWERSOmnibusfBudgetfReconciliationfActfoff87.fAlsofknownfasfthefFederalfNursingfHomefRef
ormfAct.fThisfwasfenactedftofprotectfthefrightsfoffpatientsfinflong-
termfcareffacilitiesfsuchfasfnursingfhomes,fskilledfnursingffacilities,fandfassistedflivingfhomes.f(1987)fitfisfaffe
deralflawfthatfestablishesfregulationsfforfnursingffacilitiesfandfnursefaideftrainingffacilities.fThefIntentfoffOB
RA:fisftofimprovefthefqualityfofflifefforfresidentsfinfnursingffacilities.
RestrictionsfoffAdmissionf-
ffCORRECTfANSWERSAffacilityfshallfnotfadmitforfallowftofremainfinftheffacilityfanyfpersonfthatfisfbedfast,freq
uiresfrestraint,frequiresfconfinementfinflockedfquarters,forfrequirefskillfnursingforfotherfmedical
Twofcompetentfresidentsfarefinvolvedfinfafsexualfrelationship.fTheffamiliesfoffbothfresidentsfarefangryfandf
demandfthatfthefadministratorfforcefthefresidentsftofendsfthefrelationship.fWhatfisfthefbestfcoursefoffactio
n?f-ffCORRECTfANSWERSAnd:
Respectfthefresidents'fwishesfandfensureftheirfprivacy
-referfthefThefsituationftofsocialfservicesfandfadjustfthefservicefplan
-involvedfinfwoodsmanfinfthefsituation
-Referftofthefethicsfcommitteefforfdiscussion
,ThefdocumentfbestfusedftofsetfrealisticfexpectationsfbetweenfthefRCALfcommunityfandfthefresidentfisfthef-
ffCORRECTfANSWERSServicefplanfagreement
Onefgoalfoffassistedflivingfisftofhelpfseniorsfremainfasfindependentfasfpossiblefbyfprovidingf-
ffCORRECTfANSWERSDailyfstructurefandffixedfschedulesfforfmealsfandfactivities
Whenfafresidentfisfnotfcompetentftofmakefafmedicalfdecisionfthefcourtfmayfappointfaf-
ffCORRECTfANSWERSLegalfGuardian
Anfexamplefoffinsurancefthatfisfgenerallyfrequiredfbyffederalfstateflawfisf-
ffCORRECTfANSWERSWorkersfcompensation.fAllfbusinessfarefrequiredfbyfFederal/Stateflawftofcoverfanyfe
mployeesfwhofmayfbefinjurefwhilefworkingfonfthefjob
Infregardftofmanagingfafresidentsfpersonalffunds,fthefhealthcareforganizationf-
ffCORRECTfANSWERSShouldfhavefafwrittenfauthorizationftofmanagefthefresidentsfpersonalffunds
AfRCALfcommunityfhasfyardfservicefperformedfinfMayfforf$500.fButfdoesfnotfpayfthefvendorfuntilfJune.fThef
$500fexpensesfisfanfexamplefoff-ffCORRECTfANSWERSAccrual-basedfaccounting
Whichfinsurancefpolicyfprotectsfagainstfclaimsfallegingfthatfnegligenceforfinappropriatefactionfresultedfinfb
odilyfharmforfpropertyfdamagef-ffCORRECTfANSWERSPropertyfandfCasualtyfInsurance
Afresidentfhasfthefrightftofparticipatefinfsocial,freligiousfandfcommunityfactivitiesfprovidedfthesefdofnotf-
ffCORRECTfANSWERSConflictfwithfthefordersfoffthefphysician
Afresidentfwithfdementiafatfafhealthcareforganizationflikesftofhelpffoldfclothesfandfsetftables,faskingfthisfres
identftofhelpf-
ffCORRECTfANSWERSIsfafwayftofengagefthefresidentfinfsomethingfenjoyablefandfenhancesfpersonfcenteredf
care
Thefprimaryfpurposefoffanfinitialfcarefrecipientfassessmentfisftofdeterminef-
ffCORRECTfANSWERSOverallfFunctionalfStatus
, Thefbestfwayfforfthefadministratorftofgetffeedbackfaboutfdiningfservicesfisf-
ffCORRECTfANSWERSThroughfthefresidentfcouncil
Iffcontractedflaundryfservicesfforfthefresidentsfpersonalfclothingfarefprovidedfofffsitef-
ffCORRECTfANSWERSThefusefoffcommercialflaundryfequipmentfbyfthefcontractorfisfrequiredfbyfthefhealthfd
epartment
MaryfJfsuffersffromfdementia.fNofmatterfhowfmanyftimesfthefstafffexplainsfsomethingftofherfshefdoesn'tfse
emfableftofaccomplishftheftask.fWhichfofftheffollowingfisfthefbestfsolutionf-
ffCORRECTfANSWERSTaskfbreakdown
Thefbestfwayftofmanagefurinaryfincontinencefisf-ffCORRECTfANSWERSRegularlyfscheduleftoileting
CriteriafforfmovefoutffromfthefRC/ALfcommunityfshouldfbefdisclosedfat:f-
ffCORRECTfANSWERSPartfoffthefmovefin
Afmajorfconsiderationfinfcreatingfafcomprehensivefactivitiesfprogramfisfthatfthefactivityfdirectorfunderstan
dsfthef-ffCORRECTfANSWERSNaturefandfextentfoffcarefrecipient'sfdisabilities
Forfresidentsfwithfdementia,foptimalffoodfconsumptionfisfbestfachievedfby:f-
ffCORRECTfANSWERSGoodfscreening,fproperfnutritionfandfhydration,fandfpleasantfmealftimes
AfprearrangedfcontractfwithflocalfagenciesfisfpartfoffanfRCALfcommunity'sfdisastersfplanfbecausefthisfwillfe
nsuref-
ffCORRECTfANSWERSThatfthefcommunityfwillfhavefwhateverfisfneededftofkeepfresidentsfsafefandfrelativelyf
comfortablefduringfandfemergency
Onefofftheffundamentalfelementsfoffeffectivefdementiafcarefis:f-
ffCORRECTfANSWERSCreatingfafspecialized,fsecurefandfquietfenvironmentfforfpatientsfwithfdementia
Informationfshouldfbefaddedftofanfindividualfservicefplan:f-
ffCORRECTfANSWERSAtfafminimumfwhenfthefresidentfhasfafsignificantfchangefoffcondition
ffCORRECTfANSWERSA.fsharedfriskfagreementfSafetyfcommitteefprograms
Whichfdepartmentfisfresponsiblefforfoversightfoffresourcesfactivitiesf-ffCORRECTfANSWERSAdministration
Whatfdoesfafgoodfculturalffitfrefersftof-ffCORRECTfANSWERSValuesfandfbeliefsfofftheffacility
whichfofftheffollowingfarefhiringfrequirementsfoffcaregiversf(NACf449.196)f?f-
ffCORRECTfANSWERSabilityftofreadfandfwritefEnglish
OBRAfisfknownfasf-
ffCORRECTfANSWERSOmnibusfBudgetfReconciliationfActfoff87.fAlsofknownfasfthefFederalfNursingfHomefRef
ormfAct.fThisfwasfenactedftofprotectfthefrightsfoffpatientsfinflong-
termfcareffacilitiesfsuchfasfnursingfhomes,fskilledfnursingffacilities,fandfassistedflivingfhomes.f(1987)fitfisfaffe
deralflawfthatfestablishesfregulationsfforfnursingffacilitiesfandfnursefaideftrainingffacilities.fThefIntentfoffOB
RA:fisftofimprovefthefqualityfofflifefforfresidentsfinfnursingffacilities.
RestrictionsfoffAdmissionf-
ffCORRECTfANSWERSAffacilityfshallfnotfadmitforfallowftofremainfinftheffacilityfanyfpersonfthatfisfbedfast,freq
uiresfrestraint,frequiresfconfinementfinflockedfquarters,forfrequirefskillfnursingforfotherfmedical
Twofcompetentfresidentsfarefinvolvedfinfafsexualfrelationship.fTheffamiliesfoffbothfresidentsfarefangryfandf
demandfthatfthefadministratorfforcefthefresidentsftofendsfthefrelationship.fWhatfisfthefbestfcoursefoffactio
n?f-ffCORRECTfANSWERSAnd:
Respectfthefresidents'fwishesfandfensureftheirfprivacy
-referfthefThefsituationftofsocialfservicesfandfadjustfthefservicefplan
-involvedfinfwoodsmanfinfthefsituation
-Referftofthefethicsfcommitteefforfdiscussion
,ThefdocumentfbestfusedftofsetfrealisticfexpectationsfbetweenfthefRCALfcommunityfandfthefresidentfisfthef-
ffCORRECTfANSWERSServicefplanfagreement
Onefgoalfoffassistedflivingfisftofhelpfseniorsfremainfasfindependentfasfpossiblefbyfprovidingf-
ffCORRECTfANSWERSDailyfstructurefandffixedfschedulesfforfmealsfandfactivities
Whenfafresidentfisfnotfcompetentftofmakefafmedicalfdecisionfthefcourtfmayfappointfaf-
ffCORRECTfANSWERSLegalfGuardian
Anfexamplefoffinsurancefthatfisfgenerallyfrequiredfbyffederalfstateflawfisf-
ffCORRECTfANSWERSWorkersfcompensation.fAllfbusinessfarefrequiredfbyfFederal/Stateflawftofcoverfanyfe
mployeesfwhofmayfbefinjurefwhilefworkingfonfthefjob
Infregardftofmanagingfafresidentsfpersonalffunds,fthefhealthcareforganizationf-
ffCORRECTfANSWERSShouldfhavefafwrittenfauthorizationftofmanagefthefresidentsfpersonalffunds
AfRCALfcommunityfhasfyardfservicefperformedfinfMayfforf$500.fButfdoesfnotfpayfthefvendorfuntilfJune.fThef
$500fexpensesfisfanfexamplefoff-ffCORRECTfANSWERSAccrual-basedfaccounting
Whichfinsurancefpolicyfprotectsfagainstfclaimsfallegingfthatfnegligenceforfinappropriatefactionfresultedfinfb
odilyfharmforfpropertyfdamagef-ffCORRECTfANSWERSPropertyfandfCasualtyfInsurance
Afresidentfhasfthefrightftofparticipatefinfsocial,freligiousfandfcommunityfactivitiesfprovidedfthesefdofnotf-
ffCORRECTfANSWERSConflictfwithfthefordersfoffthefphysician
Afresidentfwithfdementiafatfafhealthcareforganizationflikesftofhelpffoldfclothesfandfsetftables,faskingfthisfres
identftofhelpf-
ffCORRECTfANSWERSIsfafwayftofengagefthefresidentfinfsomethingfenjoyablefandfenhancesfpersonfcenteredf
care
Thefprimaryfpurposefoffanfinitialfcarefrecipientfassessmentfisftofdeterminef-
ffCORRECTfANSWERSOverallfFunctionalfStatus
, Thefbestfwayfforfthefadministratorftofgetffeedbackfaboutfdiningfservicesfisf-
ffCORRECTfANSWERSThroughfthefresidentfcouncil
Iffcontractedflaundryfservicesfforfthefresidentsfpersonalfclothingfarefprovidedfofffsitef-
ffCORRECTfANSWERSThefusefoffcommercialflaundryfequipmentfbyfthefcontractorfisfrequiredfbyfthefhealthfd
epartment
MaryfJfsuffersffromfdementia.fNofmatterfhowfmanyftimesfthefstafffexplainsfsomethingftofherfshefdoesn'tfse
emfableftofaccomplishftheftask.fWhichfofftheffollowingfisfthefbestfsolutionf-
ffCORRECTfANSWERSTaskfbreakdown
Thefbestfwayftofmanagefurinaryfincontinencefisf-ffCORRECTfANSWERSRegularlyfscheduleftoileting
CriteriafforfmovefoutffromfthefRC/ALfcommunityfshouldfbefdisclosedfat:f-
ffCORRECTfANSWERSPartfoffthefmovefin
Afmajorfconsiderationfinfcreatingfafcomprehensivefactivitiesfprogramfisfthatfthefactivityfdirectorfunderstan
dsfthef-ffCORRECTfANSWERSNaturefandfextentfoffcarefrecipient'sfdisabilities
Forfresidentsfwithfdementia,foptimalffoodfconsumptionfisfbestfachievedfby:f-
ffCORRECTfANSWERSGoodfscreening,fproperfnutritionfandfhydration,fandfpleasantfmealftimes
AfprearrangedfcontractfwithflocalfagenciesfisfpartfoffanfRCALfcommunity'sfdisastersfplanfbecausefthisfwillfe
nsuref-
ffCORRECTfANSWERSThatfthefcommunityfwillfhavefwhateverfisfneededftofkeepfresidentsfsafefandfrelativelyf
comfortablefduringfandfemergency
Onefofftheffundamentalfelementsfoffeffectivefdementiafcarefis:f-
ffCORRECTfANSWERSCreatingfafspecialized,fsecurefandfquietfenvironmentfforfpatientsfwithfdementia
Informationfshouldfbefaddedftofanfindividualfservicefplan:f-
ffCORRECTfANSWERSAtfafminimumfwhenfthefresidentfhasfafsignificantfchangefoffcondition