NAB: Resident Centered Care and Quality of Life (57 questions) with 100% correct answers

Written policies and procedures are used by the facility for what purposes? P & P are the steps requires to operate a facility and to ensure proper care for all residents When admitted to the nursing home, which of the following is not required to be given to the resident? Copy of the federal certifications standards or the state rules for the nursing home. Facilities are required to give: Should review with resident 1. Resident rights/rules 2. Services to be provided and their associated costs 3. Information regarding advanced directives In the case of non-Medicare Part A residents, the initial resident assessment must be completed? Within 14 days of the admissions (this is established by CMS) According to the federal certification standard, the QA committee is required to meet? At least quarterly A resident is admitted to a nursing home that has been certified as a (Medicare) skilled nursing facility only. Which of the following is not required to be adhered to by the facility? State Medicaid standards for payment Unless a waiver has been secured, a registered nurse is required to be in the facility? At least 8 consecutive hours a day, seven days a week Restorative care must be provided? By nursing staff based on a comprehensive assessement The facility staff will determine what the needs of the resident are based on? The MDS assessment Physician visits are required? Every 30 days for the first 90 days, then at least once every 60 days there after When is their an exception to when a facility may release resident identifiable information under the HIPPA Privacy Standard without the resident's permission? 1. Transferred to another facility 2. Required by law 3. Third party contract such as Medicare (surveyors) Standard precautions are to be used when providing personal care to? ALL residents. The person providing care must assume that all resident's blood and body fluids are infectious What is not a barrier regarding the recognition of chronic pain? The type of instruments that the staff utilizes to screen for pain does not create a barrier for them to determine if a resident is experiencing pain. What is not a resident centered care concept? Not taking into consideration resident preferences. Facilities are required to provide a pleasant dinning experience for all residents, this does not include? Serving residents without attempting to honor resident food preferences Therapeutic diets are prescribed by who? the attending physician not the dietary consultant when a nutritional problem exists A "significant change" comprehensive reassessment is unplanned weight of either________% over 30 days or _______over 180 days? 5% for 30 days 7.5% for 90 days 10% for 180 days The medical director role also includes? The medical director may also serve as attending physician within the facility, but their roles and functions of each must be kept separate. If a facility provides medically-related social services in the facility, what must happen? A qualified social worker does not have to have a BA in social work. The person can have a BA in human services field or a BA with one year or supervised social work experience in health care setting. Nurse aids must have a minimum of __hours of in-service training annually? Nurse aids are required to have 12-hours of in-service training each year. Paid feeding assistants must successfully complete what? paid feeding assistance must successfully complete a state approved training course. Family members are not required to complete this course before feeding his/her family member Regarding cultural change, how would this be reflected in the dietary department? liberalizing therapeutic diets to provide more food choices to resident What is not the role of the activities director within the facility? to develop the restorative therapy program for each resident. This is developed by the nursing staff If a resident refuses to consume all of their meal the nursing staff should? Offer a suitable meal replacement or nutrition supplement to provide adequate calories and complies with their diet order The activities department should be providing what type of activities? Activities should be developed to meet more than their spiritual needs. When a resident has a naso-gastric tube what parameters should be followed? If the comprehensive assessment of the resident's clinical condition demonstrates that the use of a tube was unavoidable, the facility muse ensure that the resident receives the appropriate treatment to restore, if possible, normal eating skills According to the federal certification standards, when a nourishing snack is provided at bedtime, up to______hours may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span? up to 16 hours _________________ refers to any endeavor in which a resident participate that is intended to enhance his/her sense of well being and to promote or enhance physical, affective, spiritual, cognitive and emotional health? Activities How many hours a day must the facility provide a resident with access to physician services or with transportation to a hospital emergency room? 24 hours