Exam Questions and CORRECT Answers
% of body weight loss - CORRECT ANSWER - usual weight - current/actual weight / usual
weight x 100% = %
3 months of significant loss and severe loss - CORRECT ANSWER - significant loss : 7.5%
severe loss: > 7.5%
1 month significant loss and severe loss - CORRECT ANSWER - significant loss : 5% severe
loss: > 5%
6 month significant loss and severe loss - CORRECT ANSWER - significant loss : 10%
severe loss: > 10%
Upcoding - CORRECT ANSWER - Billing for higher reimbursement than services actually
provided or should've been
Important to bill at the highest reasonable level of care actually needed and provided
DHHS OIG estimates that NF overbilled CMS $1milli in a recent yr
Abuse - CORRECT ANSWER - The willful infliction of injury, unreasonable confinement,
intimidation, or punishment with resulting physical harm, pain or mental anguish. Also includes
the deprivation by an individual, including a caretaker, of goods, or services that are necessary to
attain or maintain physical, mental, and psychosocial well-being.
Adverse Event - CORRECT ANSWER - Untoward, undesirable, and usually unanticipated
event that causes death and or serious injury, or the risk thereof.
Composite Distinct Part - CORRECT ANSWER - A distinct part consisting of two or more
noncontiguous components that are not located within the same campus.
,Distinct Part - CORRECT ANSWER - Physically distinguishable from the larger institution or
intuitional complex that houses it.
Food Conservation - CORRECT ANSWER - Of nutritive value, flavor, appearance, appeal,
and proper temp
Proper Food Temperatures - CORRECT ANSWER -
Resident has right to... - CORRECT ANSWER - A) Choose Activities, schedules, and health
care consistent w/ his or her interests, assessments, and plans of care
B) Interact w/members of the community both in and out the facility
C) make choices about aspects of his or her life in the facility that are significant to the resident
Participation in Resident and Family Groups
A) Resident has the right to organize and participate in resident groups in the facility
B) Resident's family also has a right to meet in the facility w/families of other residents
C) F will provide resident or family group w/ private space
D) Staff or visitors may attend meetings at the group's invitation
E) F will provide a designated staff person responsible for providing assistance and responding
to written requests that result from group meeting
Quality Assurance committee consists of... - CORRECT ANSWER - QA and assurance
committee consists of
A) The DON
B) Physician designated by the facility
C) Three other members of the facility's staff will be maintained
QA meeting guidelines - CORRECT ANSWER - The committee:
A) meets at least quarterly to identify issues w/respect to which quality assessment and assurance
activities are necessary
B) Develops and implements appropriate plans of action to correct identified quality deficiencies
, Food Management - CORRECT ANSWER - Store, prepare, distribute, and serve under
sanitary conditions
Proper disposal of garbage and refuse will be done
Frequency of meals - CORRECT ANSWER - A) Each resident receives and the facility
provides at least 3 meals a day at reg times
B) no more than 14 hours btwn dinner and breakfast (except when snack is provided, 16 hours
may pass btwn dinner and lunch)
Comfortable and Safe - CORRECT ANSWER - Will provide range of 71 to 81 degrees F
Emergency Power Supply - CORRECT ANSWER - Will supply emergency lighting for:
1) all entrances and exits
2) Equipment to maintain fire detection, alarm and extinguishing system
3) Life support systems
Physical Building Policies - CORRECT ANSWER - -Bedroom limited to 4 ppl
-Direct access to exit from room
-Privacy for each resident
-Window
-One window and floor at or above grade level
-One separate bed at appropriate height
-Clean mattress
-Bedding climate appropriate
-Equipped with or near bathroom
Resident Dining and Activity Area - CORRECT ANSWER - Facility will provide one or more
room for such things