SMQT, SMQT Study Guide, SMQT- Survey & Certification
Background Complete Solution
What is severity level 2 - ANS ✔ - Noncompliance that has potential to cause more than minimal harm
that is not IJ?
Resident has no more than minimal discomfort,
There is a potential to compromise residents ability to reach highest practicable level,
Shame/embarrassment without loss of interest
Minimal episodic pain,
Facility has no system to prevent problems
The TC must complete which tasks during offsite prep? - ANS ✔ - Create/export shell from ACO
Import shell into ASE-q
Add team members
Complete offsite prep screen
Make unit assignments
Make mandatory task assignments
Print documents
Share offsite prep with team
What documents are printed by the TC during offsite prep? - ANS ✔ - 1 matrix with instructions
1 entrance conference worksheet
3 beneficiary worksheets
What is the purpose of the initial pool process? - ANS ✔ - To briefly screen all residents and observe,
interview and complete initial record review.
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,When should you share data? - ANS ✔ - At the end of each day and when the team composition
changes.
What must be done prior to Sample Selection - ANS ✔ - The completed I.P data is shared and the TC
confirms that the data is complete.
What are the 7 LTSCP steps? - ANS ✔ - 1. Offsite prep
2. Facility entrance
3. Initial Pool Process
4. Sample Selection
5. Investigation
6. Ongoing and other survey activities
7. Potential Citations
How wide must an exit corridor be? - ANS ✔ - 8 feet
Name 3 antipsychotics - ANS ✔ - Thorazine (chlorpromazine) Haldol (haloperidol) Abilify (aripiprazole)
Clozaril (clozapine) Zyprexa (olanzapine) Latuda (lurasidone) Seroquel (quetiapine) Risperdal
(risperidone)
Indications of unnecessary medication include? - ANS ✔ - Excessive dose
Excessive duration
Without adequate monitoring
Without adequate indication for use
Use in the presence of adverse consequences
What is a psychotropic drug? - ANS ✔ - Any drug that affects brain activities associated with mental
processes and behavior-include anti-psychotic, antidepressant, anti-anxiety and hypnotic medications
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,What is "anticholinergic side effect"? - ANS ✔ - an effect of a medication that may cause dry mouth,
blurred vision, tachycardia, urinary retention, constipation, confusion, delirium, hallucinations, flushed
and increased blood pressure
What is Extrapyramidal symptoms" (EPS)? - ANS ✔ - a neurological side effect that may occur within a
few day or years of treatment with antipsychotics. Includes various syndromes such as; akathisia,
medication-induced Parkinsonism, and dystonia.
What is akathisia? - ANS ✔ - a distressing feeling of internal restlessness that may appear as constant
motion, the inability to sit still, fidgeting, pacing or rocking.
What is Medication-induced Parkinsonism? - ANS ✔ - Syndrome of symptoms like Parkinson's; tremor,
shuffling gait, slowness of movement, expressionless face, drooling, postural unsteadiness and rigidity of
muscles.
What is dystonia? - ANS ✔ - acute, painful, spastic contraction of muscle groups (commonly the neck,
eyes and trunk) that often occurs soon after initiating treatment.
What is Neuroleptic Malignant Syndrome (NMS)? - ANS ✔ - Syndrome related to the use of
antipsychotics that presents with a sudden onset of diffuse muscle rigidity, high fever, labile blood
pressure, tremor, and cognitive dysfunction. Potentially fatal if not treated immediately, including
stopping the offending medication.
What is serotonin syndrome? - ANS ✔ - Serious clinical condition resulting from overstimulation of
serotonin receptors. Commonly related to the use of SSRI's, SNRI's, triptans, and antibiotics.
Restlessness, hallucinations, confusion, loss of coordination, fast heartbeat, rapid changes in blood
pressure, increased temperature, overactive reflexes, NV&D.
What is Tradive dyskinesia? - ANS ✔ - abnormal, recurrent, involuntary movements that typically
present as lateral movements of the tongue or jaw, thrusting, chewing, frequent blinking, brow arching,
grimacing, and lip smacking. May be irreversible
Significant weight loss in 1 month? - ANS ✔ - 5% weight loss
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, Severe weight loss in 1 month? - ANS ✔ - greater than 5% weight loss
Significant weight loss in 3 months? - ANS ✔ - 7.5% weight loss
Severe weight loss is 3 months? - ANS ✔ - greater than 7.5% weight loss
Significant weight loss in 6 months? - ANS ✔ - 10% weight loss
What are signs and symptoms of digoxin toxicity? - ANS ✔ - anorexia, nausea, vomiting, visual changes,
cardia arrhythmia, low heart rate
When must a Gradual Dose reduction (GDR) occur? - ANS ✔ - Within the first year in which a resident is
admitted or med is prescribed the facility must attempt a GDR in two separate quarters (with at least
one month in between the attempts) unless clinically contraindicated.
Severe weight loss in 6 months - ANS ✔ - greater than 10% weight loss
What drugs are review for unnecessary medications? - ANS ✔ - Insulin, anticoagulant, antipsychotics
with dementia
When finalizing the sample, what do you do if other residents are marked FI for the complaint allegation
care area? - ANS ✔ - sample 3 residents for the care area.
What residents are system selected? - ANS ✔ - any offsite selected with at least one care area marked
FI, any resident a surveyor marked as include in sample, any identified abuse concern from IP or history
of abuse citation or allegation since last survey.
What areas are reviewed for non-interview able residents? - ANS ✔ - Pressure ulcers, dialysis, infections,
nutrition, falls in last 120 days, ADL decline, low risk B&B, unplanned hospitalization, elopement, change
of condition in last 120 days.
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Background Complete Solution
What is severity level 2 - ANS ✔ - Noncompliance that has potential to cause more than minimal harm
that is not IJ?
Resident has no more than minimal discomfort,
There is a potential to compromise residents ability to reach highest practicable level,
Shame/embarrassment without loss of interest
Minimal episodic pain,
Facility has no system to prevent problems
The TC must complete which tasks during offsite prep? - ANS ✔ - Create/export shell from ACO
Import shell into ASE-q
Add team members
Complete offsite prep screen
Make unit assignments
Make mandatory task assignments
Print documents
Share offsite prep with team
What documents are printed by the TC during offsite prep? - ANS ✔ - 1 matrix with instructions
1 entrance conference worksheet
3 beneficiary worksheets
What is the purpose of the initial pool process? - ANS ✔ - To briefly screen all residents and observe,
interview and complete initial record review.
1|Page
,When should you share data? - ANS ✔ - At the end of each day and when the team composition
changes.
What must be done prior to Sample Selection - ANS ✔ - The completed I.P data is shared and the TC
confirms that the data is complete.
What are the 7 LTSCP steps? - ANS ✔ - 1. Offsite prep
2. Facility entrance
3. Initial Pool Process
4. Sample Selection
5. Investigation
6. Ongoing and other survey activities
7. Potential Citations
How wide must an exit corridor be? - ANS ✔ - 8 feet
Name 3 antipsychotics - ANS ✔ - Thorazine (chlorpromazine) Haldol (haloperidol) Abilify (aripiprazole)
Clozaril (clozapine) Zyprexa (olanzapine) Latuda (lurasidone) Seroquel (quetiapine) Risperdal
(risperidone)
Indications of unnecessary medication include? - ANS ✔ - Excessive dose
Excessive duration
Without adequate monitoring
Without adequate indication for use
Use in the presence of adverse consequences
What is a psychotropic drug? - ANS ✔ - Any drug that affects brain activities associated with mental
processes and behavior-include anti-psychotic, antidepressant, anti-anxiety and hypnotic medications
2|Page
,What is "anticholinergic side effect"? - ANS ✔ - an effect of a medication that may cause dry mouth,
blurred vision, tachycardia, urinary retention, constipation, confusion, delirium, hallucinations, flushed
and increased blood pressure
What is Extrapyramidal symptoms" (EPS)? - ANS ✔ - a neurological side effect that may occur within a
few day or years of treatment with antipsychotics. Includes various syndromes such as; akathisia,
medication-induced Parkinsonism, and dystonia.
What is akathisia? - ANS ✔ - a distressing feeling of internal restlessness that may appear as constant
motion, the inability to sit still, fidgeting, pacing or rocking.
What is Medication-induced Parkinsonism? - ANS ✔ - Syndrome of symptoms like Parkinson's; tremor,
shuffling gait, slowness of movement, expressionless face, drooling, postural unsteadiness and rigidity of
muscles.
What is dystonia? - ANS ✔ - acute, painful, spastic contraction of muscle groups (commonly the neck,
eyes and trunk) that often occurs soon after initiating treatment.
What is Neuroleptic Malignant Syndrome (NMS)? - ANS ✔ - Syndrome related to the use of
antipsychotics that presents with a sudden onset of diffuse muscle rigidity, high fever, labile blood
pressure, tremor, and cognitive dysfunction. Potentially fatal if not treated immediately, including
stopping the offending medication.
What is serotonin syndrome? - ANS ✔ - Serious clinical condition resulting from overstimulation of
serotonin receptors. Commonly related to the use of SSRI's, SNRI's, triptans, and antibiotics.
Restlessness, hallucinations, confusion, loss of coordination, fast heartbeat, rapid changes in blood
pressure, increased temperature, overactive reflexes, NV&D.
What is Tradive dyskinesia? - ANS ✔ - abnormal, recurrent, involuntary movements that typically
present as lateral movements of the tongue or jaw, thrusting, chewing, frequent blinking, brow arching,
grimacing, and lip smacking. May be irreversible
Significant weight loss in 1 month? - ANS ✔ - 5% weight loss
3|Page
, Severe weight loss in 1 month? - ANS ✔ - greater than 5% weight loss
Significant weight loss in 3 months? - ANS ✔ - 7.5% weight loss
Severe weight loss is 3 months? - ANS ✔ - greater than 7.5% weight loss
Significant weight loss in 6 months? - ANS ✔ - 10% weight loss
What are signs and symptoms of digoxin toxicity? - ANS ✔ - anorexia, nausea, vomiting, visual changes,
cardia arrhythmia, low heart rate
When must a Gradual Dose reduction (GDR) occur? - ANS ✔ - Within the first year in which a resident is
admitted or med is prescribed the facility must attempt a GDR in two separate quarters (with at least
one month in between the attempts) unless clinically contraindicated.
Severe weight loss in 6 months - ANS ✔ - greater than 10% weight loss
What drugs are review for unnecessary medications? - ANS ✔ - Insulin, anticoagulant, antipsychotics
with dementia
When finalizing the sample, what do you do if other residents are marked FI for the complaint allegation
care area? - ANS ✔ - sample 3 residents for the care area.
What residents are system selected? - ANS ✔ - any offsite selected with at least one care area marked
FI, any resident a surveyor marked as include in sample, any identified abuse concern from IP or history
of abuse citation or allegation since last survey.
What areas are reviewed for non-interview able residents? - ANS ✔ - Pressure ulcers, dialysis, infections,
nutrition, falls in last 120 days, ADL decline, low risk B&B, unplanned hospitalization, elopement, change
of condition in last 120 days.
4|Page
