SMQT, SMQT Study Guide Questions And Answers
Verified 100% Correct| Latest Updates|
a distressing feeling of internal restlessnesss that may appear as constant motion,
the inability to sit still, fidgeting, pacing or rocking. - ANSWER -What is akathesia
?
Syndrome of symptoms like Parkinson's; tremor, shuffling gait, slowness of
movement, expressionless face, drooling, postural unsteadiness and rigidity of
muscles. - ANSWER -What is Medication-induced Parkinsonism?
acute, painful, spastic contraction of muscle groups (commonly the neck, eyes and
trunk) that often occurs soon after initiating treatment. - ANSWER -What is
dystonia?
Syndrome related to the use of antispychotics that presents with a sudden onset of
diffuse muscle rigidity, high fever, labile blood pressure, tremor, and cognitive
dysfunction. Potentially fatal if not treated immediatley, including stopping the
offending medication. - ANSWER -What is Neuroleptic Malignant Syndrome
(NMS)?
Serious clinical condition resulting from overstimulation of serotonin receptors.
Commonly related to the use of SSRI's, SNRI's, triptans, and antibiotics.
Restlessness, hallucinations, confusion, loss of coordination, fast heartbeat, rapid
changes in blood pressure, increased temperature, overactive reflexes, NV&D. -
ANSWER -What is serotonin syndrome?
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 - ANSWER -What is
Tradive dyskinesia?
5% weight loss - ANSWER -Significant weight loss in 1 month?
greater than 5% weight loss - ANSWER -Severe weight loss in 1 month?
7.5% weight loss - ANSWER -Significant weight loss in 3 months?
greater than 7.5% weight loss - ANSWER -Severe weight loss is 3 months?
,10% weight loss - ANSWER -Significant weight loss in 6 months?
anorexia, nausea ,vomiting, visual changes, cardia arrhythmia, low heart rate -
ANSWER -What are signs and symptoms of digoxin toxicity?
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. - ANSWER -When must a
Gradual Dose reduction (GDR) occur?
greater than 10% weight loss - ANSWER -Severe weight loss in 6 months
Insulin, anticoagulant, antipsychotics with dementia - ANSWER -What drugs are
review for unnecessary medications?
sample 3 residents for the care area. - ANSWER -When finalizing the sample,
what do you do if other residents are marked FI for the complaint allegation care
area?
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. - ANSWER -What residents are
system selected?
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. - ANSWER -What areas are reviewed for non-interviewable residents ?
Advanced directives, confirm specific information based on RI/RO, other
concerns . - ANSWER -All residents are reviewed for which areas?
Social Security Act of 1965 signed by Johnson established Medicare for aged over
65 and Medicaid health insurance for low income. - ANSWER -What act
established Medicare and Medicaid
Health Care Financing Administration (HCFA), the predecessor of CMS -
ANSWER -What was created in 1977 to combine Medicare and Medicaid?
, low income, needy elders, blind, disabled getting SSI, certain infants and low
income pregnant women. - ANSWER -Who does Medicaid provide services for?
Regulations for Medicare. Covers hospital, post hospital, home health services and
hospice. - ANSWER -What is Title XVIII(18)?
Regulations for Medicaid for families with children, aged, blind or disabled with
low income. - ANSWER -What is Titile XIX(19)?
Impoving Medicare Post-Acute Care Transitions-effective 11/19/19. Includes
Discharge Planning rule, Burden reduction and Emergency Preparedness. -
ANSWER -What is the Impact Act of 2014?
Person centered care, resident centered outcomes, QOC and QOL. - ANSWER -
What is the survey process based on?
1. Entity Compliance or Noncompliance
2. Using plain language.
3. Components of a Deficiency statement
4. Relevance of Onsite correction of findings
5. Interpretive guidelines
6. Citation of State or local code violations
7. Cross-referencing
8. Condition of Participation Deficiencies - ANSWER -What are the 8 principles of
Documentation?
1. regulatory reference
2. deficient practice statement
3.relevance facts and findings - ANSWER -What are the components of a
deficiency statement?
1.Public service
2.Integrity
3.Accountablity
4.Excellance
5.Respect - ANSWER -What are CMS core values?
1. Resident-centered, outcome oriented information gathering
2. Critical thinking
3. Teamwork - ANSWER -What are the LTC Survey Core skills?
Verified 100% Correct| Latest Updates|
a distressing feeling of internal restlessnesss that may appear as constant motion,
the inability to sit still, fidgeting, pacing or rocking. - ANSWER -What is akathesia
?
Syndrome of symptoms like Parkinson's; tremor, shuffling gait, slowness of
movement, expressionless face, drooling, postural unsteadiness and rigidity of
muscles. - ANSWER -What is Medication-induced Parkinsonism?
acute, painful, spastic contraction of muscle groups (commonly the neck, eyes and
trunk) that often occurs soon after initiating treatment. - ANSWER -What is
dystonia?
Syndrome related to the use of antispychotics that presents with a sudden onset of
diffuse muscle rigidity, high fever, labile blood pressure, tremor, and cognitive
dysfunction. Potentially fatal if not treated immediatley, including stopping the
offending medication. - ANSWER -What is Neuroleptic Malignant Syndrome
(NMS)?
Serious clinical condition resulting from overstimulation of serotonin receptors.
Commonly related to the use of SSRI's, SNRI's, triptans, and antibiotics.
Restlessness, hallucinations, confusion, loss of coordination, fast heartbeat, rapid
changes in blood pressure, increased temperature, overactive reflexes, NV&D. -
ANSWER -What is serotonin syndrome?
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 - ANSWER -What is
Tradive dyskinesia?
5% weight loss - ANSWER -Significant weight loss in 1 month?
greater than 5% weight loss - ANSWER -Severe weight loss in 1 month?
7.5% weight loss - ANSWER -Significant weight loss in 3 months?
greater than 7.5% weight loss - ANSWER -Severe weight loss is 3 months?
,10% weight loss - ANSWER -Significant weight loss in 6 months?
anorexia, nausea ,vomiting, visual changes, cardia arrhythmia, low heart rate -
ANSWER -What are signs and symptoms of digoxin toxicity?
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. - ANSWER -When must a
Gradual Dose reduction (GDR) occur?
greater than 10% weight loss - ANSWER -Severe weight loss in 6 months
Insulin, anticoagulant, antipsychotics with dementia - ANSWER -What drugs are
review for unnecessary medications?
sample 3 residents for the care area. - ANSWER -When finalizing the sample,
what do you do if other residents are marked FI for the complaint allegation care
area?
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. - ANSWER -What residents are
system selected?
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. - ANSWER -What areas are reviewed for non-interviewable residents ?
Advanced directives, confirm specific information based on RI/RO, other
concerns . - ANSWER -All residents are reviewed for which areas?
Social Security Act of 1965 signed by Johnson established Medicare for aged over
65 and Medicaid health insurance for low income. - ANSWER -What act
established Medicare and Medicaid
Health Care Financing Administration (HCFA), the predecessor of CMS -
ANSWER -What was created in 1977 to combine Medicare and Medicaid?
, low income, needy elders, blind, disabled getting SSI, certain infants and low
income pregnant women. - ANSWER -Who does Medicaid provide services for?
Regulations for Medicare. Covers hospital, post hospital, home health services and
hospice. - ANSWER -What is Title XVIII(18)?
Regulations for Medicaid for families with children, aged, blind or disabled with
low income. - ANSWER -What is Titile XIX(19)?
Impoving Medicare Post-Acute Care Transitions-effective 11/19/19. Includes
Discharge Planning rule, Burden reduction and Emergency Preparedness. -
ANSWER -What is the Impact Act of 2014?
Person centered care, resident centered outcomes, QOC and QOL. - ANSWER -
What is the survey process based on?
1. Entity Compliance or Noncompliance
2. Using plain language.
3. Components of a Deficiency statement
4. Relevance of Onsite correction of findings
5. Interpretive guidelines
6. Citation of State or local code violations
7. Cross-referencing
8. Condition of Participation Deficiencies - ANSWER -What are the 8 principles of
Documentation?
1. regulatory reference
2. deficient practice statement
3.relevance facts and findings - ANSWER -What are the components of a
deficiency statement?
1.Public service
2.Integrity
3.Accountablity
4.Excellance
5.Respect - ANSWER -What are CMS core values?
1. Resident-centered, outcome oriented information gathering
2. Critical thinking
3. Teamwork - ANSWER -What are the LTC Survey Core skills?
