and Correct Answers
Written policies and procedures are used by the facility for all of the following except:
1. To communicate what management expects in any situation
2. To prepare staff for dealing with emergency situations
3. To establish the management style for operating the facility
4. To set guidelines for staff to follow in delivery of care - Correct Answer : 3
When admitted to the nursing home, which of the following is not required to be given to the resident?
1. The resident's rights and rules and regulations governing resident conduct and responsibilities during
the stay in the facility
2. Services to be provided and their associated cost
3. The federal standards and state licensing rules for nursing facilities
4. information regarding an advance directive - Correct Answer : 3
In the case of non-Medicare Part A residents, the initial resident assessment must be completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident - Correct Answer : 2
According to the federal certification standards, the QA committee is required to meet?
1. When a problem arises that requires immediate attention
2. At least twice a year
,3. At least quarterly
4. When directed by the medical director - Correct Answer : 3. CMS requires the QA committee to meet
quarterly
A resident is admitted to a nursing home that has been certified as a SNF only. Which of the following is
not required to be adhered to by the facility?
1. State medicaid standards for payment
2. SNF regulations
3. State licensing regulations
4. Office of civil rights laws - Correct Answer : 1
Unless a waiver has been secured, a registered nurse is required to be in the facility?
1. At least eight hours within every 24 hour period
2. At least eight consecutive hours a day, seven days a week
3. At least eight consecutive hours Monday through Friday
4. There is no minimum number of hours required - Correct Answer : 2
Restorative care must be provided:
1. Only with the order of the facility's physical therapist
2. By specialized qualified staff for which the facility has contracted services
3. Only if the resident can't provide his/her own care
4. By nursing staff based on a comprehensive assessment - Correct Answer : 4
The facility staff will determine what the needs of the resident are based on:
1. Quality indicator reports
2. Family interviews
,3. The MDS assessments
4. Quality measures - Correct Answer : 3
Physician vists are required:
1. Monthly after the initial required visits
2. Quarterly after the initial required visits
3. Every 60 days after the inital required visits
4. Twice a year after the initial required visits - Correct Answer : 3
Which one below is an exception to when a facility may release resident identifiable information under
the HIPAA Privacy Standard without the residents permission?
1. For a research study conducted by CMS
2. When any immediate family member requests it
3. To consumer groups
4. When a resident is transferred to another health care institution - Correct Answer : 4
Standard precautions are to be used when providing personal care to:
1. All residents
2. Residents with AIDS
3. Residents with Hepatitis
4. Residents with Tuberculosis - Correct Answer : 1
All of the following are barriers regarding the recognition of chronic pain except for:
1. Cognitive impairment and communication barriers hinder a resident's ability to report pain or respond
to caregiver's questions regarding pain
2. Staff who are utilizing valid tools to screen for pain
, 3. Elderly may not show verbal or non-verbal symptoms of pain
4. Staff may not have knowledge of or be skilled in assessing pain - Correct Answer : 2
The instrument the staff utilizes to screen for pain doesn't create any type of barrier for them to
determine if the resident is experiencing pain. All of the other are related to the ability of the resident to
express pain or the staff to evaluate the presence of pain.
Which of the following does not support resident center care concept?
1. Upon admission the resident indicates a preference to bathe at night; the facility policy requires all
baths to be given on the day shift
2. Breakfast is served from 630a-800a; the resident chooses to sleep until 900a so the nursing staff
makes sure cereal and milk are available at 900a
3. Upon admission the resident was allowed to bring his personal recliner to the facility to furnish his
room
4. Prior to living in the nursing facility the resident enjoyed fishing; the activity staff arrange for the
resident to attend the annual fishing rodea located 30 miles from the facility - Correct Answer : 1
Facilities are expected to provide a pleasant dining experience for all residents. This includes all except:
1. Provideing well-lit, well ventilated dining room
2. Provideing adequate space and seating accomodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor resident food preferences - Correct Answer : 4
Which one of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be stored separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a
nutrition problem exists