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What is Tardive dyskinesia? - ANSWER -abnormal, recurrent, involuntary
movements that typically present as lateral movements of the tongue or jaw,
thrusting, chewing, frequent blinking, brow arching, grimacing, and lip smacking.
May be irreversible
Significant weight loss in 1 month? - ANSWER -5% weight loss
Severe weight loss in 1 month? - ANSWER -greater than 5% weight loss
Significant weight loss in 3 months? - ANSWER -7.5% weight loss
Severe weight loss is 3 months? - ANSWER -greater than 7.5% weight loss
Significant weight loss in 6 months? - ANSWER -10% weight loss
What are signs and symptoms of digoxin toxicity? - ANSWER -anorexia, nausea
,vomiting, visual changes, cardia arrhythmia, low heart rate
When must a Gradual Dose reduction (GDR) occur? - ANSWER -Within the first
year in which a resident is admitted or med is prescribed the facility must attempt a
GDR in two separate quarters (with at least one month in between the attempts)
unless clinically contraindicated.
Severe weight loss in 6 months - ANSWER -greater than 10% weight loss
When finalizing the sample - ANSWER -what do you do if other residents are
marked FI for the complaint allegation care area?,sample 3 residents for the care
area.
, What residents are system selected? - ANSWER -any offsite selected with at least
one care area marked FI, any resident a surveyor marked as include in sample, any
identified abuse concern from IP or history of abuse citation or allegation since last
survey.
What areas are reviewed for non-interviewable residents ? - ANSWER -Pressure
ulcers, dialysis, infections, nutrition, falls in last 120 days, ADL decline, low risk
B&B, unplanned hospitalization, elopement, change of condition in last 120 days.
All residents are reviewed for which areas? - ANSWER -Advanced directives,
confirm specific information based on RI/RO, other concerns .
What act established Medicare and Medicaid - ANSWER -Social Security Act of
1965 signed by Johnson established Medicare for aged over 65 and Medicaid
health insurance for low income.
What is the survey process based on? - ANSWER -Person centered care, resident
centered outcomes, QOC and QOL.
What are the components of a deficiency statement? - ANSWER -1. regulatory
reference
2. deficient practice statement
3.relevance facts and findings
When should you export the survey shell from ACO? - ANSWER -Export the
shell as close to the survey as possible but no more than 5 business days before.
When should you contact the RAI coordinator? - ANSWER -If the number of
residents is unreasonable after exporting the survey shell
Which residents are included in the survey shell? - ANSWER -1. Offsite selected
who make up 70% of the sample
2. Residents with at least 1 MDS in the last 120 days
3. Residents for closed record review
, What is the CASPER report? - ANSWER -Certification and Survey Provider
Enhanced Reporting
What items are required upon entrance - ANSWER -1. Census excluding bed
holds
2. Matrix for new admits in the last 30 days
3. Alphabetized list of resdients
4. List of resident who smoke
When screening residents - ANSWER -what other concerns should you pay
attention to?,resident behavior, staff-resident interactions, resident grooming and
cleanliness, strong urinary odors, evidence of abuse or neglect
How many compliant/FRI residents are in the initial pool? - ANSWER -5
residents
What types of residents must you include in the initial pool? - ANSWER -1. who
smokes
2 dialysis
3.Hopsice
4. Ventilator
5. TBP
What are the types of interview status? - ANSWER -1. intervieable
2.Noninterviewable
3.Refused
4. Unavailable
5. Out of facility.
What should you do if a resident halts the interview midway? - ANSWER -
Attempt to complete later, if you can't, leave the rest blank, complete RO/RR then
mark the resident as complete.
What is the definition of Jeopardy? - ANSWER -A providers noncompliance has
caused, or is likely to cause, serious injury, harm, impairment or death.