Test - Care, Services and Support
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During the annual survey, the surveyor observed the nurse failing to give two doses of prescribed medication, another dose with the wrong strength, one resident was given the wrong medication, and one PRN was not given out of 100 scheduled doses administered. What was the medication error rate?

  • 4%
  • 2%
  • 5% (correct)
  • 3%
  • A neurological syndrome that causes slow, rhythmical, automatic movements in generalized or singular muscles groups and is caused by psychotropic medications is known as

  • Dystonia
  • Akathisia
  • Tardive Dyskinesia (correct)
  • Neuroleptic Malignant Syndrome
  • Who must be on the quality assessment and assurance (QAPI) committee?

  • Director of nurses, Medical Director or designee, leadership team, and three other facility members.
  • Director of nurses, Medical Director or designee, administrator, and four other facility members.
  • Director of nurses, Medical Director or designee, and three other facility members. (correct)
  • Director of nurses, Medicare Director or designee, leadership, and four other facility members.
  • Which area meets CMS approval for posting the annual and complaint surveys?

    <p>In a binder on an open shelf in the main lobby</p> Signup and view all the answers

    Who decides the allowable number of days a facility holds a resident's bed when they take therapeutic leave or go to the hospital?

    <p>The individual State with CMS approval.</p> Signup and view all the answers

    Staff actions such as humiliation, harassment, threats of punishment, or deprivation are

    <p>Mental abuse</p> Signup and view all the answers

    Temporary involuntary separation may be used as a therapeutic measure to reduce a resident's agitation when determined by a professional staff member and

    <p>When it is part of the care plan</p> Signup and view all the answers

    When an older adult is having difficulty retrieving information, you should respond by:

    <p>Reassure the elder that this can be normal</p> Signup and view all the answers

    What is the goal of quality improvement?

    <p>Continue to improvement on services that you provide</p> Signup and view all the answers

    Which of the following is more likely to go unnoticed by staff?

    <p>Depression</p> Signup and view all the answers

    Sexual urges for older adults

    <p>continue throughout their life.</p> Signup and view all the answers

    The DON may serve as a charge nurse when the facility has an average daily occupancy of

    <p>60 or fewer residents, 7 days a week.</p> Signup and view all the answers

    The essential difference between the emergency drug kit and a crash cart is:

    <p>the emergency drug kit contents are those used by the nurse; the crash cart contents are used by both the nurse and the physician.</p> Signup and view all the answers

    Which department must always use soap and water when washing their hands?

    <p>Dietary Department</p> Signup and view all the answers

    Which act requires nursing homes to provide written information about Advance Directives?

    <p>Patient Self-Determination Act</p> Signup and view all the answers

    What is Medicare?

    <p>A federal health insurance program for individuals aged 65 and older</p> Signup and view all the answers

    The ultimate goal of OBRA's use of restraints is:

    <p>To ensure safety and prevent harm ( restraint free facility)</p> Signup and view all the answers

    Which department is the enforcement agency of the Health Insurance Portability and Accountability Act (HIPAA)?

    <p>Department of Health and Human Services Office for Civil Rights.</p> Signup and view all the answers

    This eye disease may develop rapidly or worsen over time and is the leading cause of vision loss among older adults. Which disease is described?

    <p>Age-related macular degeneration</p> Signup and view all the answers

    The acronym OBRA means:

    <p>Omnibus Budget Reconciliation Act of 1987</p> Signup and view all the answers

    An activity most effective for residents living with dementia is:

    <p>those matched to their prior lifestyle.</p> Signup and view all the answers

    Which of the following licensed facilities can be used as an acute bed or long term care bed?

    <p>swing bed</p> Signup and view all the answers

    Since moving into the nursing home, Martha and Bill have developed a close consensual relationship. One afternoon a CNA enters Martha's room, pulls back the privacy curtain, and observes Martha and Bill having sex. She pulled the curtain back to where it was and reported the incident to the charge nurse. In anger, Bill goes to the administrator's office and threatens to sue the facility. What is the administrator's next step?

    <p>Review its policy on consensual relationships with all staff.</p> Signup and view all the answers

    Residents who have six months or less life expectancy (if the disease runs its normal course) can receive which of the following?

    <p>Hospice care</p> Signup and view all the answers

    This care is focused on providing comfort and support to the patient's family members, and the patient may be admitted to an in-patient setting for up to five days.

    <p>Respite Care</p> Signup and view all the answers

    XYZ nursing home admits a resident with an intellectual disability before a level 2 preadmission screening is conducted. What will possibly happen next?

    <p>The facility may not be reimbursed for that resident.</p> Signup and view all the answers

    A resident's baseline care plan must be

    <p>within 48 hours of admission.</p> Signup and view all the answers

    A nursing facility must be licensed to operate and certified to receive Medicaid and/or Medicare payments. Which comes first?

    <p>Licensing to operate</p> Signup and view all the answers

    Who certifies and assigns the provider number to a nursing home?

    <p>Centers for Medicare and Medicaid Services (CMS)</p> Signup and view all the answers

    A skilled nursing facility and the nursing facility must employ a social worker when:

    <p>the facility has 120 beds or more.</p> Signup and view all the answers

    Staff may attend family and resident councils when for proper communication and problem-solving. Which of the following statements is correct regarding this?

    <p>Staff can attend only if they have been invited.</p> Signup and view all the answers

    Which of the following are the three items that a dietary manager needs to provide the administrator in the weekly reports for cost management?

    <p>The number and type of meals served, total raw food cost, raw food cost per resident day</p> Signup and view all the answers

    The facility has a daily census of 50 residents during a 30-day month, resulting in a total of 1500 resident days. The total raw food cost from invoices is $6000. What is the per resident day (PPD) cost?

    <p>$4.00</p> Signup and view all the answers

    Which two food classes are most likely to cause allergic reactions in residents? (Select two)

    <p>Dairy</p> Signup and view all the answers

    The specific minimum daily food inventory that some States require is

    <p>three-day supply of perishables, seven days supply of staples.</p> Signup and view all the answers

    At what temperature should potentially hazardous foods be stored?

    <p>5°C (41°F) or below</p> Signup and view all the answers

    A physician must see the resident every 30 days for the first 90 days after admissions and at least once every

    <p>60 days thereafter.</p> Signup and view all the answers

    The nursing facility is responsible for all of the following services related to dental care except

    <p>payment to the dentist.</p> Signup and view all the answers

    In planning a resident activity program, a primary goal should be to

    <p>focus on participation and enjoyment.</p> Signup and view all the answers

    When the pharmacist finds irregularities in the drug regimen, it must be reported to

    <p>The attending physician or DON</p> Signup and view all the answers

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