TEXAS STATE NURSING HOME
ADMINISTRATOR TEST QUESTIONS
AND SOLUTIONS A+ GRADE 2024/25
Medicaid specific requirements apply to? - Correct Answer ✔✔ - All residents,
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including, but not limited to private-pay. Medicaid applicants and recipients, VA
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patients, and Medicare recipients, who are admitted to and reside in a Medicaid
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certified facility or a Medicaid-certified distinct part of a facility. These requirements do
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not apply to SNFs licensed under the Health and Safety Code Chapter 241,
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participating only in the Medicare program
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Abuse - Correct Answer ✔✔ - Negligent or willful infliction of injury, unreasonable
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confinement, intimidation, or punishment with resulting physical or emotional harm or
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pain to a resident; or sexual abuse, including involuntary or nonconsensual sexual
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conduct that would constitute an offense under Penal Code §21.08 (indecent
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exposure) or Penal Code Chapter 22 (assaultive offenses), sexual harassment, sexual
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coercion, or sexual assault.
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Act - Correct Answer ✔✔ - Chapter 242 of the Texas Health and Safety Code.
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Admission MDS assessment - Correct Answer ✔✔ - An MDS assessment that
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determines a recipient's initial determination of eligibility for medical necessity for
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admission into the Texas Medicaid Nursing Facility Program.
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Advanced practice registered nurse - Correct Answer ✔✔ - A person licensed by the
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Texas Board of Nursing as an advanced practice registered nurse.
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Agent - Correct Answer ✔✔ - An adult to whom authority to make health care
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decisions is delegated under a durable power of attorney for health care.
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APA - Correct Answer ✔✔ - The Administrative Procedure Act, Texas Government
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Code, Chapter 2001.
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Attending physician - Correct Answer ✔✔ - A physician, currently licensed by the
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Texas Medical Board, who is designated by the resident or responsible party as
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having primary responsibility for the treatment and care of the resident.
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,Authorized electronic monitoring - Correct Answer ✔✔ - The placement of an
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electronic monitoring device in a resident's room and using the device to make tapes
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or recordings after making a request to the facility to allow electronic monitoring.
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Barrier precautions - Correct Answer ✔✔ - Precautions including the use of gloves,
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masks, gowns, resuscitation equipment, eye protectors, aprons, face shields, and
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protective clothing for purposes of infection control.
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Care and treatment - Correct Answer ✔✔ - Services required to maximize resident
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independence, personal choice, participation, health, self-care, psychosocial
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functioning and reasonable safety, all consistent with the preferences of the resident.
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Certification - Correct Answer ✔✔ - The determination by HHSC that a nursing facility
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meets all the requirements of the Medicaid or Medicare programs.
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Change of ownership - Correct Answer ✔✔ - An event that results in a change to the
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federal taxpayer identification number of the license holder of a facility. The
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substitution of a personal representative for a deceased license holder is not a change
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of ownership.
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CFR - Correct Answer ✔✔ - Code of Federal Regulations.
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Complaint - Correct Answer ✔✔ - Any allegation received by HHSC other than an
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incident reported by the facility. Such allegations include, but are not limited to, abuse,
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neglect, exploitation, or violation of state or federal standards.
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Completion date - Correct Answer ✔✔ - The date an RN assessment coordinator
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signs an MDS assessment as complete.
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Comprehensive assessment - Correct Answer ✔✔ - An interdisciplinary description of .P .P .P .P .P .P .P .P .P .P .P
a resident's needs and capabilities including daily life functions and significant
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impairments of functional capacity.
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Comprehensive care plan - Correct Answer ✔✔ - A plan of care prepared by an .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
interdisciplinary team that includes measurable short-term and long-term objectives
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and timetables to meet the resident's needs developed for each resident after
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admission. The plan addresses at least the following needs: medical, nursing,
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rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan includes
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strategies developed by the team, consistent with the physician's prescribed plan of
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care, to assist the resident in eliminating, managing, or alleviating health or
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psychosocial problems identified through assessment.
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Comprehensive Care Plan includes? - Correct Answer ✔✔ - (A) goal setting; .P .P .P .P .P .P .P .P .P .P .P .P
(B) establishing priorities for management of care;
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,(C) making decisions about specific measures to be used to resolve the resident's
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problems; and
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(D) assisting in the development of appropriate coping mechanisms.
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Covert electronic monitoring - Correct Answer ✔✔ - The placement and use of an
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electronic monitoring device that is not open and obvious, and the facility and HHSC
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have not been informed about the device by the resident, by a person who placed the
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device in the room, or by a person who uses the device.
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DADS - Correct Answer ✔✔ - The term referred to the Department of Aging and
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Disability Services; it now refers to HHSC.
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DHS - Correct Answer ✔✔ - This term referred to the Texas Department of Human
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Services; it now refers to HHSC, unless the context concerns an administrative
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hearing. Administrative hearings were formerly the responsibility of DHS; they now are
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the responsibility of the HHSC.
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Dietitian - Correct Answer ✔✔ - A qualified dietitian is one who is qualified based
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upon either:
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(A) registration by the Commission on Dietetic Registration of the Academy of Nutrition
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and Dietetics; or
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(B) licensure, or provisional licensure, as a dietitian under Texas Occupations Code,
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Chapter 701 and one year of supervisory experience in dietetic service of a health
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care facility.
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Direct care by licensed nurses - Correct Answer ✔✔ - Direct care consonant with the
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physician's planned regimen of total resident care includes:
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(A) assessment of the resident's health care status;
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(B) planning for the resident's care;
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(C) assignment of duties to achieve the resident's care;
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(D) nursing intervention; and
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(E) evaluation and change of approaches as necessary.
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Direct ownership interest - Correct Answer ✔✔ - Ownership of equity in the capital,
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stock, or profits of, or a membership interest in, an applicant or license holder.
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Disclosure interest - Correct Answer ✔✔ - Five percent or more direct or indirect
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ownership interest in an applicant or license holder.
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Distinct part - Correct Answer ✔✔ - That portion of a facility certified to participate in
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the Medicaid Nursing Facility program.
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Drug (also referred to as medication) - Correct Answer ✔✔ - Any of the following:
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, (A) any substance recognized as a drug in the official US Pharmacopoeia, official
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Homeopathic Pharmacopoeia of the US, or official National Formulary, or any
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supplement to any of them;
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(B) any substance intended for use in the diagnosis, cure, mitigation, treatment, or
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prevention of disease in man;
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(C) any substance (other than food) intended to affect the structure or any function of
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the body of man; and
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(D) any substance intended for use as a component of any substance specified in (A) -
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(C). It does not include devices or their components, parts, or accessories.
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Electronic monitoring device - Correct Answer ✔✔ - Video surveillance cameras and
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audio devices installed in a resident's room, designed to acquire communications or
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other sounds that occur in the room. An electronic, mechanical, or other device used
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specifically for the nonconsensual interception of wire or electronic communication is
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excluded from this definition.
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Exploitation - Correct Answer ✔✔ - The illegal or improper act or process of a
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caregiver, family member, or other individual who has an ongoing relationship with a
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resident using the resources of the resident for monetary or personal benefit, profit, or
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gain without the informed consent of the resident.
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Fiduciary agent - Correct Answer ✔✔ - An individual who holds in trust another's
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monies.
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Goals - Correct Answer ✔✔ - Long-term: general statements of desired outcomes.
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Short-term: measurable time-limited, expected results that provide the means to
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evaluate the resident's progress toward achieving long-term goals.
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Incident - Correct Answer ✔✔ - An abnormal event, including accidents or injury to
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staff or residents, which is documented in facility reports. An occurrence in which a
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resident may have been subject to abuse, neglect, or exploitation must also be
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reported to HHSC.
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Indirect ownership interest - Correct Answer ✔✔ - Any ownership or membership
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interest in a person that has a direct ownership interest in an applicant or license
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holder.
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Involuntary seclusion - Correct Answer ✔✔ - Separation of a resident from others or
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from the resident's room or confinement to the resident's room, against the resident's
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will or the will of a person who is legally authorized to act on behalf of the resident.
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Monitored separation from other residents is not involuntary seclusion if the separation
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is a therapeutic intervention that uses the least restrictive approach for the minimum
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amount of time, not exceed to 24 hours, until professional staff can develop a plan of
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care to meet the resident's needs.
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ADMINISTRATOR TEST QUESTIONS
AND SOLUTIONS A+ GRADE 2024/25
Medicaid specific requirements apply to? - Correct Answer ✔✔ - All residents,
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including, but not limited to private-pay. Medicaid applicants and recipients, VA
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patients, and Medicare recipients, who are admitted to and reside in a Medicaid
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certified facility or a Medicaid-certified distinct part of a facility. These requirements do
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not apply to SNFs licensed under the Health and Safety Code Chapter 241,
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participating only in the Medicare program
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Abuse - Correct Answer ✔✔ - Negligent or willful infliction of injury, unreasonable
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confinement, intimidation, or punishment with resulting physical or emotional harm or
.P .P .P .P .P .P .P .P .P .P .P
pain to a resident; or sexual abuse, including involuntary or nonconsensual sexual
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conduct that would constitute an offense under Penal Code §21.08 (indecent
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exposure) or Penal Code Chapter 22 (assaultive offenses), sexual harassment, sexual
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coercion, or sexual assault.
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Act - Correct Answer ✔✔ - Chapter 242 of the Texas Health and Safety Code.
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Admission MDS assessment - Correct Answer ✔✔ - An MDS assessment that
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determines a recipient's initial determination of eligibility for medical necessity for
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admission into the Texas Medicaid Nursing Facility Program.
.P .P .P .P .P .P .P .P
Advanced practice registered nurse - Correct Answer ✔✔ - A person licensed by the
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Texas Board of Nursing as an advanced practice registered nurse.
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Agent - Correct Answer ✔✔ - An adult to whom authority to make health care
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decisions is delegated under a durable power of attorney for health care.
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APA - Correct Answer ✔✔ - The Administrative Procedure Act, Texas Government
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Code, Chapter 2001.
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Attending physician - Correct Answer ✔✔ - A physician, currently licensed by the
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Texas Medical Board, who is designated by the resident or responsible party as
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having primary responsibility for the treatment and care of the resident.
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,Authorized electronic monitoring - Correct Answer ✔✔ - The placement of an
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electronic monitoring device in a resident's room and using the device to make tapes
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or recordings after making a request to the facility to allow electronic monitoring.
.P .P .P .P .P .P .P .P .P .P .P .P .P
Barrier precautions - Correct Answer ✔✔ - Precautions including the use of gloves,
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masks, gowns, resuscitation equipment, eye protectors, aprons, face shields, and
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protective clothing for purposes of infection control.
.P .P .P .P .P .P .P
Care and treatment - Correct Answer ✔✔ - Services required to maximize resident
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independence, personal choice, participation, health, self-care, psychosocial
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functioning and reasonable safety, all consistent with the preferences of the resident.
.P .P .P .P .P .P .P .P .P .P .P .P
Certification - Correct Answer ✔✔ - The determination by HHSC that a nursing facility
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meets all the requirements of the Medicaid or Medicare programs.
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Change of ownership - Correct Answer ✔✔ - An event that results in a change to the
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federal taxpayer identification number of the license holder of a facility. The
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substitution of a personal representative for a deceased license holder is not a change
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of ownership.
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CFR - Correct Answer ✔✔ - Code of Federal Regulations.
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Complaint - Correct Answer ✔✔ - Any allegation received by HHSC other than an
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incident reported by the facility. Such allegations include, but are not limited to, abuse,
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neglect, exploitation, or violation of state or federal standards.
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Completion date - Correct Answer ✔✔ - The date an RN assessment coordinator
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signs an MDS assessment as complete.
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Comprehensive assessment - Correct Answer ✔✔ - An interdisciplinary description of .P .P .P .P .P .P .P .P .P .P .P
a resident's needs and capabilities including daily life functions and significant
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impairments of functional capacity.
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Comprehensive care plan - Correct Answer ✔✔ - A plan of care prepared by an .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
interdisciplinary team that includes measurable short-term and long-term objectives
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and timetables to meet the resident's needs developed for each resident after
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admission. The plan addresses at least the following needs: medical, nursing,
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rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan includes
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strategies developed by the team, consistent with the physician's prescribed plan of
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care, to assist the resident in eliminating, managing, or alleviating health or
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psychosocial problems identified through assessment.
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Comprehensive Care Plan includes? - Correct Answer ✔✔ - (A) goal setting; .P .P .P .P .P .P .P .P .P .P .P .P
(B) establishing priorities for management of care;
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,(C) making decisions about specific measures to be used to resolve the resident's
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problems; and
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(D) assisting in the development of appropriate coping mechanisms.
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Covert electronic monitoring - Correct Answer ✔✔ - The placement and use of an
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electronic monitoring device that is not open and obvious, and the facility and HHSC
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have not been informed about the device by the resident, by a person who placed the
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device in the room, or by a person who uses the device.
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DADS - Correct Answer ✔✔ - The term referred to the Department of Aging and
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Disability Services; it now refers to HHSC.
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DHS - Correct Answer ✔✔ - This term referred to the Texas Department of Human
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Services; it now refers to HHSC, unless the context concerns an administrative
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hearing. Administrative hearings were formerly the responsibility of DHS; they now are
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the responsibility of the HHSC.
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Dietitian - Correct Answer ✔✔ - A qualified dietitian is one who is qualified based
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upon either:
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(A) registration by the Commission on Dietetic Registration of the Academy of Nutrition
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and Dietetics; or
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(B) licensure, or provisional licensure, as a dietitian under Texas Occupations Code,
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Chapter 701 and one year of supervisory experience in dietetic service of a health
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care facility.
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Direct care by licensed nurses - Correct Answer ✔✔ - Direct care consonant with the
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physician's planned regimen of total resident care includes:
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(A) assessment of the resident's health care status;
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(B) planning for the resident's care;
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(C) assignment of duties to achieve the resident's care;
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(D) nursing intervention; and
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(E) evaluation and change of approaches as necessary.
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Direct ownership interest - Correct Answer ✔✔ - Ownership of equity in the capital,
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stock, or profits of, or a membership interest in, an applicant or license holder.
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Disclosure interest - Correct Answer ✔✔ - Five percent or more direct or indirect
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ownership interest in an applicant or license holder.
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Distinct part - Correct Answer ✔✔ - That portion of a facility certified to participate in
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the Medicaid Nursing Facility program.
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Drug (also referred to as medication) - Correct Answer ✔✔ - Any of the following:
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, (A) any substance recognized as a drug in the official US Pharmacopoeia, official
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Homeopathic Pharmacopoeia of the US, or official National Formulary, or any
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supplement to any of them;
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(B) any substance intended for use in the diagnosis, cure, mitigation, treatment, or
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prevention of disease in man;
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(C) any substance (other than food) intended to affect the structure or any function of
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the body of man; and
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(D) any substance intended for use as a component of any substance specified in (A) -
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(C). It does not include devices or their components, parts, or accessories.
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Electronic monitoring device - Correct Answer ✔✔ - Video surveillance cameras and
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audio devices installed in a resident's room, designed to acquire communications or
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other sounds that occur in the room. An electronic, mechanical, or other device used
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specifically for the nonconsensual interception of wire or electronic communication is
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excluded from this definition.
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Exploitation - Correct Answer ✔✔ - The illegal or improper act or process of a
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caregiver, family member, or other individual who has an ongoing relationship with a
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resident using the resources of the resident for monetary or personal benefit, profit, or
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gain without the informed consent of the resident.
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Fiduciary agent - Correct Answer ✔✔ - An individual who holds in trust another's
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monies.
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Goals - Correct Answer ✔✔ - Long-term: general statements of desired outcomes.
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Short-term: measurable time-limited, expected results that provide the means to
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evaluate the resident's progress toward achieving long-term goals.
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Incident - Correct Answer ✔✔ - An abnormal event, including accidents or injury to
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staff or residents, which is documented in facility reports. An occurrence in which a
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resident may have been subject to abuse, neglect, or exploitation must also be
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reported to HHSC.
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Indirect ownership interest - Correct Answer ✔✔ - Any ownership or membership
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interest in a person that has a direct ownership interest in an applicant or license
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holder.
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Involuntary seclusion - Correct Answer ✔✔ - Separation of a resident from others or
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from the resident's room or confinement to the resident's room, against the resident's
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will or the will of a person who is legally authorized to act on behalf of the resident.
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Monitored separation from other residents is not involuntary seclusion if the separation
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is a therapeutic intervention that uses the least restrictive approach for the minimum
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amount of time, not exceed to 24 hours, until professional staff can develop a plan of
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care to meet the resident's needs.
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