SOM/OBRA Practice exam question and answers 2023
with complete solution
Which of the following deficits are the exception to the rule regarding the facility
requirement to promote the exercise of rights for each resident (F550-586)?
1) Hearing problems
2) cognition limits
3) legally imcompetent
4) none of the above
4
Which of the following are parameters to residents exercising their rights in a
NF? (F550,557,558)
1) There are no limitations or parameters
2) staff must respect resident individuality
3) staff must honor and value resident input
4) both b & C
4
A resident who wanted to distribute information within the facility about the
facility but their rules require the resident receive prior approval for this
distribution would be a violation of what? (F550)
1) Notice of rights or service
2) choice
3) exercise of rights
4) dignity
3
Which of the following rights apply to a resident who has been formerly declared
incompetent by a court of law? (F550)
1) All decisions must be made by their legal representative
2) they have the same rights as a competent person
3) if the resident can understand and express practical preference
4) conservatorship is an absolute
3
Which of the following would be a true statement regarding court appointed
conservator? (F551)
1) Total authority for all decision making
2) financial authority
3) medical and treatment authority
4) only the powers appointed by the court
4
Which would be a true in a situation where a 98 year old resident was
incompetent and not able to make choices of any kind and the legal
representative was requesting a very uncomfortable and traumatic surgery with
poor prognosis and not medically appropriate? (F551)
1) The legal representative has all authority to make decisions on behalf of the
resident
,2) The facility legally cannot get involved
3) The resident legal representative does not relieve a facility from its duty to
protect and promote the resident's best interest. And should report such
concerns per state law.
4) the doctor does not agree with the procedure but writes the order per legal
representative's request.
3
Which of the following would be true regarding an alert resident requesting
copies of his/her records? (F573)
1) must give two working days advance notice
2) records include resident trust fund ledgers
3) includes all contracts between the resident and facility
4) all of the above
4
Which of the following regarding medical records request would not be true?
(F573)
1) Facility may change a higher labor rate depending on the requested format
2) cost for supplies for creating the requested format
3) a facility is allowed to charge for the cost of labor for copying
4) an additional fee may not be charged for staff to locate records or to prepare
forms/envelopes
1
When giving information to the resident, the facility must ensure that the
information is provided to specific residents in a form and manor the resident can
assess and understand, including in an alternative format or in a language the
resident can understand. (F573)
1) TRUE
2) FALSE
2
Which of the following would be an example of violating a resident's right to be
fully informed of their total health status? (F552)
1) communicating in their language
2) using layman terms to maximize their understanding
3) using interpreters or visual aids
4) speaking in hard to understand but accurate terminology
4
A physician or other practitioner or professional discussing benefit and risk of a
treatment and alternatives , including end of life alternatives as the resident's
right to choice and preference is the definition of what? (F552)
1) Total health status
2) informed in advance
3) informed consent
4) fully informed
2
Which of the following must be communicated to a resident prior to or upon
admission and during the resident's stay? (F572)
,1) Facility rules and changes to facility rules
2) all rules and regulations governing resident conduct and responsibilities
3) state developed notice of Medicaid/cal rights if any
4) all of the above
4
What is acceptable to prove that the required information was given to a resident
and/or legal representative prior to or upon admission and during the resident
stay? (F572)
1) Written confirmation by facility staff
2) acknowledged in writing by the staff and verbally by resident and or legal
representative
3) acknowledged verbally and in writing by staff and the resident
4) acknowledged in writing by resident and/or legal representative
4
Which of the following is true regarding resident rights and responsibilities
communicated prior to or upon admission and during the resident stay?
(F 572, 574)
1) Facility must get an interpreter for the hearing impaired if they use sign
language
2) large print text of the information should be available
3) information in a foreign language must be given verbally not written
4) both a & b
4
It is not required that residents be notified of which of the following?
( F572)
1) Changes in facility rules
2) a new dietary supervisor
3) a new administrator
4) both b & c
4
A resident must be notified prior to admission and during their stay of which of
the following? (F 571,572,574,582,620,621)
1) Facility special characteristics or service limitations
2) eligibility and services covered under medicaid/cal and medicare
3) medicaid/cal and medicare non-covered services and changes to those
services
4) all of the above
4
Which of the following would be true regarding a medicare patient with no other
insurance upon admission who had already used the first 20 days of 100%
coverage by medicare? (F620)
1) The facility may require a deposit for the services needed even though they are
covered by medicare
2) the facility may require a deposit for room and board but not co-insurance
3) the facility is not allowed to require a deposit for any reason
4) deposit requests are allowed regardless of insurance coverage
, 2
The facility must provide a written description of legal rights including which of
the following? (F574)
1) How the facility will protect resident personal funds
2) contact information for Medicaid/Cal fraud control unit
3) both a & b
4) the facilities policy on "out on pass"
3
The names, addresses, and telephone numbers of which of the following need to
be posted and given orally and in writing? (F574,575
1) the state survey agency
2) state LTC ombudsman office
3) mental health and developmentally disabled advocacy protection groups
4) all of the above
4
The following statement, "the resident may file a complaint with the state survey
agency concerning any suspected violation of State or Federal nursing facility
regulation, including but not limited to resident abuse, neglect, exploitation,
misappropriation of resident property in the facility, and non-compliance with the
advanced directives requirements (42CFR part 489 sub-part I) and request for
information regarding returning to the community" is required to be given how?
(F574,575)
A. In writing upon admission.
B. Visibly posted in the facility.
C. Both A & B
D. The means of communication is at the facility's discretion.
C
21. The facility must inform each resident of the name, specialty and means of
contacting the primary physician and other primary care professionals
responsible for his/her care. (F555)
A. True.
B. False.
A
Which is true regarding information on how to apply for Medicare and Medicaid?
(F574,620)
A. Must be prominently displayed in the facility.
B. Must be given orally to current residents.
C. Given orally and written to new admissions.
D. All of the above.
D
23. Facilities are required to notify a resident's physician and interested family
members of significant changes. (F580)
A. True.
B. False.
A
with complete solution
Which of the following deficits are the exception to the rule regarding the facility
requirement to promote the exercise of rights for each resident (F550-586)?
1) Hearing problems
2) cognition limits
3) legally imcompetent
4) none of the above
4
Which of the following are parameters to residents exercising their rights in a
NF? (F550,557,558)
1) There are no limitations or parameters
2) staff must respect resident individuality
3) staff must honor and value resident input
4) both b & C
4
A resident who wanted to distribute information within the facility about the
facility but their rules require the resident receive prior approval for this
distribution would be a violation of what? (F550)
1) Notice of rights or service
2) choice
3) exercise of rights
4) dignity
3
Which of the following rights apply to a resident who has been formerly declared
incompetent by a court of law? (F550)
1) All decisions must be made by their legal representative
2) they have the same rights as a competent person
3) if the resident can understand and express practical preference
4) conservatorship is an absolute
3
Which of the following would be a true statement regarding court appointed
conservator? (F551)
1) Total authority for all decision making
2) financial authority
3) medical and treatment authority
4) only the powers appointed by the court
4
Which would be a true in a situation where a 98 year old resident was
incompetent and not able to make choices of any kind and the legal
representative was requesting a very uncomfortable and traumatic surgery with
poor prognosis and not medically appropriate? (F551)
1) The legal representative has all authority to make decisions on behalf of the
resident
,2) The facility legally cannot get involved
3) The resident legal representative does not relieve a facility from its duty to
protect and promote the resident's best interest. And should report such
concerns per state law.
4) the doctor does not agree with the procedure but writes the order per legal
representative's request.
3
Which of the following would be true regarding an alert resident requesting
copies of his/her records? (F573)
1) must give two working days advance notice
2) records include resident trust fund ledgers
3) includes all contracts between the resident and facility
4) all of the above
4
Which of the following regarding medical records request would not be true?
(F573)
1) Facility may change a higher labor rate depending on the requested format
2) cost for supplies for creating the requested format
3) a facility is allowed to charge for the cost of labor for copying
4) an additional fee may not be charged for staff to locate records or to prepare
forms/envelopes
1
When giving information to the resident, the facility must ensure that the
information is provided to specific residents in a form and manor the resident can
assess and understand, including in an alternative format or in a language the
resident can understand. (F573)
1) TRUE
2) FALSE
2
Which of the following would be an example of violating a resident's right to be
fully informed of their total health status? (F552)
1) communicating in their language
2) using layman terms to maximize their understanding
3) using interpreters or visual aids
4) speaking in hard to understand but accurate terminology
4
A physician or other practitioner or professional discussing benefit and risk of a
treatment and alternatives , including end of life alternatives as the resident's
right to choice and preference is the definition of what? (F552)
1) Total health status
2) informed in advance
3) informed consent
4) fully informed
2
Which of the following must be communicated to a resident prior to or upon
admission and during the resident's stay? (F572)
,1) Facility rules and changes to facility rules
2) all rules and regulations governing resident conduct and responsibilities
3) state developed notice of Medicaid/cal rights if any
4) all of the above
4
What is acceptable to prove that the required information was given to a resident
and/or legal representative prior to or upon admission and during the resident
stay? (F572)
1) Written confirmation by facility staff
2) acknowledged in writing by the staff and verbally by resident and or legal
representative
3) acknowledged verbally and in writing by staff and the resident
4) acknowledged in writing by resident and/or legal representative
4
Which of the following is true regarding resident rights and responsibilities
communicated prior to or upon admission and during the resident stay?
(F 572, 574)
1) Facility must get an interpreter for the hearing impaired if they use sign
language
2) large print text of the information should be available
3) information in a foreign language must be given verbally not written
4) both a & b
4
It is not required that residents be notified of which of the following?
( F572)
1) Changes in facility rules
2) a new dietary supervisor
3) a new administrator
4) both b & c
4
A resident must be notified prior to admission and during their stay of which of
the following? (F 571,572,574,582,620,621)
1) Facility special characteristics or service limitations
2) eligibility and services covered under medicaid/cal and medicare
3) medicaid/cal and medicare non-covered services and changes to those
services
4) all of the above
4
Which of the following would be true regarding a medicare patient with no other
insurance upon admission who had already used the first 20 days of 100%
coverage by medicare? (F620)
1) The facility may require a deposit for the services needed even though they are
covered by medicare
2) the facility may require a deposit for room and board but not co-insurance
3) the facility is not allowed to require a deposit for any reason
4) deposit requests are allowed regardless of insurance coverage
, 2
The facility must provide a written description of legal rights including which of
the following? (F574)
1) How the facility will protect resident personal funds
2) contact information for Medicaid/Cal fraud control unit
3) both a & b
4) the facilities policy on "out on pass"
3
The names, addresses, and telephone numbers of which of the following need to
be posted and given orally and in writing? (F574,575
1) the state survey agency
2) state LTC ombudsman office
3) mental health and developmentally disabled advocacy protection groups
4) all of the above
4
The following statement, "the resident may file a complaint with the state survey
agency concerning any suspected violation of State or Federal nursing facility
regulation, including but not limited to resident abuse, neglect, exploitation,
misappropriation of resident property in the facility, and non-compliance with the
advanced directives requirements (42CFR part 489 sub-part I) and request for
information regarding returning to the community" is required to be given how?
(F574,575)
A. In writing upon admission.
B. Visibly posted in the facility.
C. Both A & B
D. The means of communication is at the facility's discretion.
C
21. The facility must inform each resident of the name, specialty and means of
contacting the primary physician and other primary care professionals
responsible for his/her care. (F555)
A. True.
B. False.
A
Which is true regarding information on how to apply for Medicare and Medicaid?
(F574,620)
A. Must be prominently displayed in the facility.
B. Must be given orally to current residents.
C. Given orally and written to new admissions.
D. All of the above.
D
23. Facilities are required to notify a resident's physician and interested family
members of significant changes. (F580)
A. True.
B. False.
A
