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A nursing home must ensure that residents receive the necessary care
and services to attain or maintain their:
A. Highest practicable physical, mental, and psychosocial well-being
B. Previous employment status
C. Original level of independence regardless of condition
D. Family's preferred level of functioning
Answer: A
Rationale: A fundamental federal nursing-home requirement is that
residents receive care and services designed to attain or maintain their
highest practicable physical, mental, and psychosocial well-being. Care
should be individualized according to the resident's assessed needs.
Which federal agency conducts Medicare and Medicaid nursing-home
surveys through state survey agencies?
A. Department of Labor
B. Centers for Medicare & Medicaid Services
,C. Food and Drug Administration
D. Federal Trade Commission
Answer: B
Rationale: CMS oversees the federal nursing-home regulatory
program. State survey agencies commonly conduct surveys on behalf of
CMS to determine compliance with federal requirements.
What is the primary purpose of a nursing-home deficiency citation?
A. To establish that the facility failed to meet a regulatory requirement
B. To automatically terminate the administrator's license
C. To determine employee bonuses
D. To establish criminal liability in every case
Answer: A
Rationale: A deficiency citation identifies noncompliance with an
applicable requirement. The consequences depend on the nature, scope,
severity, and circumstances of the deficiency.
A facility receives a deficiency citation following a survey. What is
generally required?
A. A plan of correction when required by the applicable process
B. Immediate destruction of the cited records
C. Automatic closure of the facility
D. Termination of all staff involved
,Answer: A
Rationale: Facilities are generally required to submit an acceptable
plan of correction addressing identified deficiencies. Corrective action
should address the problem and prevent recurrence.
Which element is essential to an effective plan of correction?
A. A description of how the facility will correct the deficiency
B. A statement blaming the surveyor
C. Removal of the deficiency from the medical record
D. A promise that no employee will ever make another error
Answer: A
Rationale: A plan of correction should explain how the facility will
address the identified problem, including responsible parties,
monitoring, and measures designed to achieve sustained compliance.
Which federal requirement most directly addresses residents' ability to
make choices about their schedules and activities?
A. Resident rights
B. Payroll administration
C. Building maintenance
D. Purchasing procedures
Answer: A
, Rationale: Resident rights include the right to participate in decisions
concerning daily schedules and activities. Facilities should make
reasonable efforts to accommodate individual preferences.
A resident requests to choose when to shower. What should the facility
do?
A. Automatically require the facility's standard shower time
B. Consider the resident's preference and accommodate it when
reasonably possible
C. Require the resident's roommate to decide
D. Prohibit the resident from showering independently
Answer: B
Rationale: Person-centered care supports resident choice in daily
routines. Facilities should balance preferences with staffing, safety, and
clinical considerations.
Which action would most clearly violate a resident's right to dignity?
A. Knocking before entering a resident's room
B. Discussing a resident's incontinence in front of other residents
C. Asking permission before providing personal care
D. Allowing appropriate clothing choices
Answer: B