NHA-LINE OF SERVICE QUESTIONS & ANSWERS
Based on a comprehensive assessment, the facility must ensure that residents who
have not used psychotropic drugs are not given these drugs unless the medication is
necessary to treat a specific condition as diagnosed and documented in the medical
record. Which of the following is not in the psychotropic family?
a. anti-psychotics
b. anti-depressants
c. anti-emetics
d. hypnotics - Answer -c. anti-emetics
Who is responsible for the implementation of resident care policies in nursing homes? -
Answer -Medical director
Which statement best describes what the pharmacist must do when she finds an
irregularity in a resident's drug regimen? - Answer -report it to both the primary care
physician and director of nursing
In those nursing homes required to use the Minimum Data Sets their standardized
assessment tool, which of the following statements best describes what must be done
with these forms when completed? - Answer -MDS's must be completed within the first
14 days of admission.
Anthony Carter smoked three packs of cigarettes a day throughout his adulthood. Now
in his early 60's has developed health concerns, the one which concerned him the most
was that he was short of breath constantly. He made an appointment with his doctor,
who diagnosed him with Chronic Obstructive Pulmonary Disease (COPD). Which of the
following is true of his diagnosis?
a. It is an acute disease that can be cured by using hyperbaric oxygen therapy.
b. It is a chronic disease that can be treated but not cured.
c. It is a chronic ailment but one that can be treated and cured.
d. It is an acute ailment that is long-lasting with no known cure. - Answer -b. It is a
chronic disease that can be treated but not cured.
The ultimate goal of CMS in nursing home use of restraints is: - Answer -is a restraint-
free facility.
Sharon Brandt is an 80 year old resident who is suffering from Alzheimer's Disease. Her
condition has worsened over the past several months and she stays in bed or in a
reclining chair most of the day. As she no longer is a risk to elope from the facility, she
is moved from the memory care unit to a non-skilled unit. The new unit is considered a
low-acuity wing and therefore has a lower staff-to-resident ratio. The director of nursing
makes rounds on that unit two weeks after Ms. Brandt is transferred there. Upon her
, rounding, she discovered that Ms. Brandt has developed a stage 3 pressure ulcer on
her right foot. She knows the wound is:
a. an adverse event as it was caused by inappropriate care.
b. an unavoidable event because Ms. Brandt us old and bed bound
c. caused by Ms. Brandt's refusal to allow the staff to put needed devices on her heels
d. of little concern because she has cognitive deficits and her family - Answer -a. an
adverse event as it was caused by inappropriate care.
Jared has been admitted to a nursing facility in his home town. Mr. Jones had been
health until six months prior to being admitted to the facility. He had suffered from
numerous falls during the lead-up to moving into the nursing home. The nursing staff
identified Mr. Jones as a person with a high risk to fall. In an attempt to reduce his
potential to fall, the facility completed all of the following except:
a. assessing the medication regimen to determine if any of the medications could be
causing him to fall.
b. asking the therapy dept to assess him and determine if the walking aid he was using
was appropriate.
c. placing him in the "high risk" category for falls and educating all staff members of his
status.
d. Placing him in restraints, as a temporary measure, to reduce the potential of falls and
injuries from them. - Answer -d. Placing him in restraints, as a temporary measure, to
reduce the potential of falls and injuries from them.
On a Friday afternoon a resident requests that the facility provide a copy of his medical
record for his review. When must the facility provide this information?
a. Saturday afternoon
b. Monday afternoon
c. Tuesday afternoon
d. Wednesday afternoon - Answer -b. Monday afternoon
In which of the following circumstances does a nursing facility not have the right to
execute an immediate, involuntary discharge of a resident?
a. the resident and his family are unrealistic about the services the facility offers and are
so demanding that the nursing staff is threatening to resign.
b. The resident has not resided in the facility for 30 days.
c. The safety of the resident and others in the facility would be endangered by the
continuing stay of the resident.
d. An urgent medical need has presented itself. - Answer -a. the resident and his family
are unrealistic about the services the facility offers and are so demanding that the
nursing staff is threatening to resign.
The medical care of each resident must be supervised by a physician. Which of the
following statements is not true?
a. The resident has the right to select the physician of his/her choice as long as the
physician meets the CMS requirements for physician participation.
Based on a comprehensive assessment, the facility must ensure that residents who
have not used psychotropic drugs are not given these drugs unless the medication is
necessary to treat a specific condition as diagnosed and documented in the medical
record. Which of the following is not in the psychotropic family?
a. anti-psychotics
b. anti-depressants
c. anti-emetics
d. hypnotics - Answer -c. anti-emetics
Who is responsible for the implementation of resident care policies in nursing homes? -
Answer -Medical director
Which statement best describes what the pharmacist must do when she finds an
irregularity in a resident's drug regimen? - Answer -report it to both the primary care
physician and director of nursing
In those nursing homes required to use the Minimum Data Sets their standardized
assessment tool, which of the following statements best describes what must be done
with these forms when completed? - Answer -MDS's must be completed within the first
14 days of admission.
Anthony Carter smoked three packs of cigarettes a day throughout his adulthood. Now
in his early 60's has developed health concerns, the one which concerned him the most
was that he was short of breath constantly. He made an appointment with his doctor,
who diagnosed him with Chronic Obstructive Pulmonary Disease (COPD). Which of the
following is true of his diagnosis?
a. It is an acute disease that can be cured by using hyperbaric oxygen therapy.
b. It is a chronic disease that can be treated but not cured.
c. It is a chronic ailment but one that can be treated and cured.
d. It is an acute ailment that is long-lasting with no known cure. - Answer -b. It is a
chronic disease that can be treated but not cured.
The ultimate goal of CMS in nursing home use of restraints is: - Answer -is a restraint-
free facility.
Sharon Brandt is an 80 year old resident who is suffering from Alzheimer's Disease. Her
condition has worsened over the past several months and she stays in bed or in a
reclining chair most of the day. As she no longer is a risk to elope from the facility, she
is moved from the memory care unit to a non-skilled unit. The new unit is considered a
low-acuity wing and therefore has a lower staff-to-resident ratio. The director of nursing
makes rounds on that unit two weeks after Ms. Brandt is transferred there. Upon her
, rounding, she discovered that Ms. Brandt has developed a stage 3 pressure ulcer on
her right foot. She knows the wound is:
a. an adverse event as it was caused by inappropriate care.
b. an unavoidable event because Ms. Brandt us old and bed bound
c. caused by Ms. Brandt's refusal to allow the staff to put needed devices on her heels
d. of little concern because she has cognitive deficits and her family - Answer -a. an
adverse event as it was caused by inappropriate care.
Jared has been admitted to a nursing facility in his home town. Mr. Jones had been
health until six months prior to being admitted to the facility. He had suffered from
numerous falls during the lead-up to moving into the nursing home. The nursing staff
identified Mr. Jones as a person with a high risk to fall. In an attempt to reduce his
potential to fall, the facility completed all of the following except:
a. assessing the medication regimen to determine if any of the medications could be
causing him to fall.
b. asking the therapy dept to assess him and determine if the walking aid he was using
was appropriate.
c. placing him in the "high risk" category for falls and educating all staff members of his
status.
d. Placing him in restraints, as a temporary measure, to reduce the potential of falls and
injuries from them. - Answer -d. Placing him in restraints, as a temporary measure, to
reduce the potential of falls and injuries from them.
On a Friday afternoon a resident requests that the facility provide a copy of his medical
record for his review. When must the facility provide this information?
a. Saturday afternoon
b. Monday afternoon
c. Tuesday afternoon
d. Wednesday afternoon - Answer -b. Monday afternoon
In which of the following circumstances does a nursing facility not have the right to
execute an immediate, involuntary discharge of a resident?
a. the resident and his family are unrealistic about the services the facility offers and are
so demanding that the nursing staff is threatening to resign.
b. The resident has not resided in the facility for 30 days.
c. The safety of the resident and others in the facility would be endangered by the
continuing stay of the resident.
d. An urgent medical need has presented itself. - Answer -a. the resident and his family
are unrealistic about the services the facility offers and are so demanding that the
nursing staff is threatening to resign.
The medical care of each resident must be supervised by a physician. Which of the
following statements is not true?
a. The resident has the right to select the physician of his/her choice as long as the
physician meets the CMS requirements for physician participation.
