What is the MISCONCEPTION of "aged normally" and should be avoided? - ANSWER De-
crease in intellectual functioning; normally cannot care for themselves. May lead to being
treated as infantile.
Administrators role - ANSWER Though it isn't necessary for the administrator to have a
medical background, it is essential for him her to have a sound understanding of the process
involved in the care of the residence. He must ensure that the newest geriatric knowledge is
available to properly train staff, and there is a suitable environment for a training.
Pre admission screening and resident review (PASRR) - ANSWER Is a federal requirement
to help ensure that individuals are not inappropriately placed in nursing homes for long-
term care.
(PASRR) requirements - ANSWER 1. All applicants to a Medicaid certified nursing facility
be evaluated for mental illness and or intellectual disabled
2. Be offered the most appropriate setting for their needs in the communities nursing facility,
or an acute care settings 3. received the services they need in those settings.
Admission Orders - ANSWER At the time of each residence admission, the facility must
have a physician orders for the residence immediate care.
Resident assessment: - ANSWER Must conduct initially and periodically a comprehensive,
accurate, standardized reproducible assessment of each residence functional capacity.
Assessment areas include: - ANSWER An assessment of the residence ability to perform
ADLs, communication skills, vision, psychological well-being, among others.
1
,Resident Assessment frequency - ANSWER A. No later than 14 days after admission
B. After significant change
C. Annually
D. Quarterly reviews
Residents significant change looks like - ANSWER A. Deterioration of two or more ADLs,
and cognitive abilities, or communication that appears permanent;
B. Loss of ambulation or use of hands to graph small objects to feed or groom;
C. Deterioration and mood or behavior to the point where daily problems arise, or relation-
ship problems develop;
D. Deterioration of health status;
E. Improvement to the point where care is no longer needed.
Instrumental ADLs require more physical and mental abilities - ANSWER A. telephone
B. Shopping
C. Food preparation
D. Housekeeping
E. Laundry
F. Public transportation
G. Medication
Effective practices For bladder/bowel problem - ANSWER 1. Prompted to voiding,
2. Physical exercises- pelvic floor, Walking, calisthenics
3. Kegal exercise, proper hydration.
Must provide needed assistive devices.
2
,Post-acute phase of Cerebrovascular accident (CVA or stroke) needs: - ANSWER Rehabili-
tation and Restoration nursing-PT, OT, ST.
Goals attain for (CVA or stroke) - ANSWER Fullest potential of physical, mental, Psycholog-
ical well-being.
Treatment for contracture: - ANSWER ROM and splint if needed
contracture - ANSWER Shortening or shrinkage of muscles, tendons, etc.,
Cause of contracture - ANSWER By persistent flexion or distortion of a joint - especially in
arthritis And tendinitis.
What percentage of residence diagnosed with Dementia? - ANSWER 50%
anti-depressant medications - ANSWER Include selective serotonin reuptake inhibitors
(SSRIs)
Lexapro
Celexa
Zoloft
Cymbalta
Remeron
Most new resident admits experience some - ANSWER Depression
Ways to treat depression - ANSWER medication, Psychotherapy, and activities
Emergency medical kit contains - ANSWER Material nurses use
3
, Crash cart/emergency kit contains - ANSWER Materials both nurses and MD's use
What is the number one cause of lawsuits? - ANSWER Falls
MRSA - ANSWER (methicillin-resistant Staphylococcus aureus)
What is becoming common place in hospitals and nursing homes? - ANSWER C-Dif
Prevention for spread of C-Dif? - ANSWER Isolation of resident
Proper hand washing with soap and water
Two major causes of the spread of infection - ANSWER 1. Improper hand hygiene and
2. Mishandling of soiled linen.
What is used when protecting individual - ANSWER Reverse isolation
Treatment for psychosocial problems - ANSWER (Reality and validation therapy)
1. Sensory training,
2. re-motivation,
3. promote community and family contact,
4. social worker counseling,
5. psychological ladder through outside resources.
1. Which of the following statements is not true in regards to the definition of assisted living
? - ANSWER a . Assisted living is a state - regulated , long - term care option .
b . Services provided are based on the residents ' assessments and service plans .
4
crease in intellectual functioning; normally cannot care for themselves. May lead to being
treated as infantile.
Administrators role - ANSWER Though it isn't necessary for the administrator to have a
medical background, it is essential for him her to have a sound understanding of the process
involved in the care of the residence. He must ensure that the newest geriatric knowledge is
available to properly train staff, and there is a suitable environment for a training.
Pre admission screening and resident review (PASRR) - ANSWER Is a federal requirement
to help ensure that individuals are not inappropriately placed in nursing homes for long-
term care.
(PASRR) requirements - ANSWER 1. All applicants to a Medicaid certified nursing facility
be evaluated for mental illness and or intellectual disabled
2. Be offered the most appropriate setting for their needs in the communities nursing facility,
or an acute care settings 3. received the services they need in those settings.
Admission Orders - ANSWER At the time of each residence admission, the facility must
have a physician orders for the residence immediate care.
Resident assessment: - ANSWER Must conduct initially and periodically a comprehensive,
accurate, standardized reproducible assessment of each residence functional capacity.
Assessment areas include: - ANSWER An assessment of the residence ability to perform
ADLs, communication skills, vision, psychological well-being, among others.
1
,Resident Assessment frequency - ANSWER A. No later than 14 days after admission
B. After significant change
C. Annually
D. Quarterly reviews
Residents significant change looks like - ANSWER A. Deterioration of two or more ADLs,
and cognitive abilities, or communication that appears permanent;
B. Loss of ambulation or use of hands to graph small objects to feed or groom;
C. Deterioration and mood or behavior to the point where daily problems arise, or relation-
ship problems develop;
D. Deterioration of health status;
E. Improvement to the point where care is no longer needed.
Instrumental ADLs require more physical and mental abilities - ANSWER A. telephone
B. Shopping
C. Food preparation
D. Housekeeping
E. Laundry
F. Public transportation
G. Medication
Effective practices For bladder/bowel problem - ANSWER 1. Prompted to voiding,
2. Physical exercises- pelvic floor, Walking, calisthenics
3. Kegal exercise, proper hydration.
Must provide needed assistive devices.
2
,Post-acute phase of Cerebrovascular accident (CVA or stroke) needs: - ANSWER Rehabili-
tation and Restoration nursing-PT, OT, ST.
Goals attain for (CVA or stroke) - ANSWER Fullest potential of physical, mental, Psycholog-
ical well-being.
Treatment for contracture: - ANSWER ROM and splint if needed
contracture - ANSWER Shortening or shrinkage of muscles, tendons, etc.,
Cause of contracture - ANSWER By persistent flexion or distortion of a joint - especially in
arthritis And tendinitis.
What percentage of residence diagnosed with Dementia? - ANSWER 50%
anti-depressant medications - ANSWER Include selective serotonin reuptake inhibitors
(SSRIs)
Lexapro
Celexa
Zoloft
Cymbalta
Remeron
Most new resident admits experience some - ANSWER Depression
Ways to treat depression - ANSWER medication, Psychotherapy, and activities
Emergency medical kit contains - ANSWER Material nurses use
3
, Crash cart/emergency kit contains - ANSWER Materials both nurses and MD's use
What is the number one cause of lawsuits? - ANSWER Falls
MRSA - ANSWER (methicillin-resistant Staphylococcus aureus)
What is becoming common place in hospitals and nursing homes? - ANSWER C-Dif
Prevention for spread of C-Dif? - ANSWER Isolation of resident
Proper hand washing with soap and water
Two major causes of the spread of infection - ANSWER 1. Improper hand hygiene and
2. Mishandling of soiled linen.
What is used when protecting individual - ANSWER Reverse isolation
Treatment for psychosocial problems - ANSWER (Reality and validation therapy)
1. Sensory training,
2. re-motivation,
3. promote community and family contact,
4. social worker counseling,
5. psychological ladder through outside resources.
1. Which of the following statements is not true in regards to the definition of assisted living
? - ANSWER a . Assisted living is a state - regulated , long - term care option .
b . Services provided are based on the residents ' assessments and service plans .
4
