2.2 NAB Practice Quiz: Care, Services, and Support
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Ali moved (admitted) to the nursing home on March 1, 20xx. The physician's visits occurred on March 30, April 29, and September 1, 20xx. State Surveyors are reviewing Ali's chart to determine that the facility met the required frequency of physician visits. What is the minimum number of physician visits that should have occurred by the end of August 20xx?

  • In compliance
  • is out of compliance and that a deficiency will be given. (correct)
  • 3 visits
  • 4 visits

Physician visits are required

  • once every 30 days for the first 90 days after admission and at least once every 60 days after that. (correct)
  • monthly after the initially required visits.
  • quarterly after the initially required visits.
  • twice a year after the initial required visits.

The number of hours a day a facility must provide access to physician services or transportation to a hospital emergency department is:

  • 24 hours (correct)
  • 12 hours
  • 10 hours
  • 8 hours

A planned or unplanned program that centers around the resident's cognitive skills, motor skills, emotional needs, and spiritual needs, whether in a group or individually, is the responsibility of the:

<p>Activities Department (A)</p> Signup and view all the answers

The activity on the calendar for Arbor Day is button art. The residents receive a piece of paper with an outline of a tree they can color. Then they glue colored buttons on the branches. The goal of this activity should be focused on:

<p>Participation and Enjoyment (C)</p> Signup and view all the answers

The most effective activity for a person who lives with a dementia diagnosis may be:

<p>Music (C)</p> Signup and view all the answers

The resident has the right to which of the following?

<p>Bathe or Shower in the evening (D)</p> Signup and view all the answers

Promoting relationships between staff and residents by utilizing consistent work assignments is based on the principle of

<p>Culture Change (A)</p> Signup and view all the answers

What does the suffix 'ectomy' mean in medical terminology?

<p>Surgical removal (A)</p> Signup and view all the answers

Eli has lived at Premier Estates nursing facility for approximately three months and has contracted Methicillin-Resistant Staphylococcus Aureus. This is known as a

<p>Nosocomial Infection (B)</p> Signup and view all the answers

The facility must keep the daily nurse staffing data for a minimum of ?

<p>18 months (B)</p> Signup and view all the answers

Living wills and durable powers of attorney for health care are known as?

<p>Advance directives (A)</p> Signup and view all the answers

The sudden urge to urinate and being unable to hold it until reaching the toilet is known as

<p>Urge or reflex incontinence (B)</p> Signup and view all the answers

What is the maximum amount of covered days for a Medicare beneficiary in a Skilled Nursing Facility (SNF)?

<p>100 days (C)</p> Signup and view all the answers

A resident bed that can be used as an acute or long term care bed is called a:

<p>Swing Bed (C)</p> Signup and view all the answers

A discrepancy between a medication administered and the doctor's order is called a

<p>Medication error (A)</p> Signup and view all the answers

The best approach to assessing pain in a resident living with late-stage Alzheimer's disease is by

<p>Observing non-verbal cues and behaviors (A)</p> Signup and view all the answers

The facility staff will determine what the care needs of the resident are based on the

<p>MDS Assessments (C)</p> Signup and view all the answers

The initial resident assessment (MDS) must be completed for a non-Medicare person no later than:

<p>14 days after admission (A)</p> Signup and view all the answers

A baseline care plan must be developed within?

<p>48 hours (B)</p> Signup and view all the answers

All menus served to residents must be approved by the:

<p>Registered Dietitian (A)</p> Signup and view all the answers

A major cause of malnutrition among older adults is:

<p>Poor Detention (C)</p> Signup and view all the answers

In January, the resident's usual weight was 150 lbs. In April, the weight is 135 lbs. What is the percentage of weight loss over three months?

<p>10% (A)</p> Signup and view all the answers

A significant unplanned weight loss is considered to be what percentage of body weight?

<p>5% over 30 days or 10% over 180 days. (C)</p> Signup and view all the answers

When agreed upon by a resident group, what is the maximum number of hours allowed between the substantial evening meal and breakfast the following day, provided that a nourishing snack is offered at bedtime?

<p>16 hours (B)</p> Signup and view all the answers

Study Notes

Physician Visits in Nursing Homes

  • Physician visits are required within the first 30 days of admission.
  • Physician visits must occur every 30 days for the initial 90 days of a resident's stay.
  • A nursing home is required to provide physician services or transportation to a hospital emergency room 24 hours a day.
  • After the initial 90 days, a resident must have a physician visit at least every 60 days.
  • If a physician visit fails to occur within the required timeframe, the facility may be deemed out of compliance.

Culture Change

  • Promoting consistent work assignments to build relationships between staff and residents is a core principle of Culture Change.
  • Culture Change aims to create a more home-like and personalized environment for residents in long-term care settings.
  • Consistent work assignments allow staff to develop deeper relationships with residents, fostering a sense of community and belonging.
  • By providing familiar faces and routines, residents feel more comfortable and connected to their environment, which can positively impact their quality of life.

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Description

This quiz covers the regulations regarding physician visits in nursing homes, including the required frequency of visits during different periods of a resident's stay. Understand the compliance rules related to physician services and emergency care in nursing facilities.

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