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Questions and Answers
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?
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
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?
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?
Which area meets CMS approval for posting the annual and complaint surveys?
Who decides the allowable number of days a facility holds a resident's bed when they take therapeutic leave or go to the hospital?
Who decides the allowable number of days a facility holds a resident's bed when they take therapeutic leave or go to the hospital?
Staff actions such as humiliation, harassment, threats of punishment, or deprivation are
Staff actions such as humiliation, harassment, threats of punishment, or deprivation are
Temporary involuntary separation may be used as a therapeutic measure to reduce a resident's agitation when determined by a professional staff member and
Temporary involuntary separation may be used as a therapeutic measure to reduce a resident's agitation when determined by a professional staff member and
When an older adult is having difficulty retrieving information, you should respond by:
When an older adult is having difficulty retrieving information, you should respond by:
What is the goal of quality improvement?
What is the goal of quality improvement?
Which of the following is more likely to go unnoticed by staff?
Which of the following is more likely to go unnoticed by staff?
Sexual urges for older adults
Sexual urges for older adults
The DON may serve as a charge nurse when the facility has an average daily occupancy of
The DON may serve as a charge nurse when the facility has an average daily occupancy of
The essential difference between the emergency drug kit and a crash cart is:
The essential difference between the emergency drug kit and a crash cart is:
Which department must always use soap and water when washing their hands?
Which department must always use soap and water when washing their hands?
Which act requires nursing homes to provide written information about Advance Directives?
Which act requires nursing homes to provide written information about Advance Directives?
What is Medicare?
What is Medicare?
The ultimate goal of OBRA's use of restraints is:
The ultimate goal of OBRA's use of restraints is:
Which department is the enforcement agency of the Health Insurance Portability and Accountability Act (HIPAA)?
Which department is the enforcement agency of the Health Insurance Portability and Accountability Act (HIPAA)?
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?
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?
The acronym OBRA means:
The acronym OBRA means:
An activity most effective for residents living with dementia is:
An activity most effective for residents living with dementia is:
Which of the following licensed facilities can be used as an acute bed or long term care bed?
Which of the following licensed facilities can be used as an acute bed or long term care bed?
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?
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?
Residents who have six months or less life expectancy (if the disease runs its normal course) can receive which of the following?
Residents who have six months or less life expectancy (if the disease runs its normal course) can receive which of the following?
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.
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.
XYZ nursing home admits a resident with an intellectual disability before a level 2 preadmission screening is conducted. What will possibly happen next?
XYZ nursing home admits a resident with an intellectual disability before a level 2 preadmission screening is conducted. What will possibly happen next?
A resident's baseline care plan must be
A resident's baseline care plan must be
A nursing facility must be licensed to operate and certified to receive Medicaid and/or Medicare payments. Which comes first?
A nursing facility must be licensed to operate and certified to receive Medicaid and/or Medicare payments. Which comes first?
Who certifies and assigns the provider number to a nursing home?
Who certifies and assigns the provider number to a nursing home?
A skilled nursing facility and the nursing facility must employ a social worker when:
A skilled nursing facility and the nursing facility must employ a social worker when:
Staff may attend family and resident councils when for proper communication and problem-solving. Which of the following statements is correct regarding this?
Staff may attend family and resident councils when for proper communication and problem-solving. Which of the following statements is correct regarding this?
Which of the following are the three items that a dietary manager needs to provide the administrator in the weekly reports for cost management?
Which of the following are the three items that a dietary manager needs to provide the administrator in the weekly reports for cost management?
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?
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?
Which two food classes are most likely to cause allergic reactions in residents? (Select two)
Which two food classes are most likely to cause allergic reactions in residents? (Select two)
The specific minimum daily food inventory that some States require is
The specific minimum daily food inventory that some States require is
At what temperature should potentially hazardous foods be stored?
At what temperature should potentially hazardous foods be stored?
A physician must see the resident every 30 days for the first 90 days after admissions and at least once every
A physician must see the resident every 30 days for the first 90 days after admissions and at least once every
The nursing facility is responsible for all of the following services related to dental care except
The nursing facility is responsible for all of the following services related to dental care except
In planning a resident activity program, a primary goal should be to
In planning a resident activity program, a primary goal should be to
When the pharmacist finds irregularities in the drug regimen, it must be reported to
When the pharmacist finds irregularities in the drug regimen, it must be reported to
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