Chapter 2

Question 1

Abuse

Answer 1

Willful infliction of injury, unreasonable confinement, intimidation, or punishment resulting in physical harm or mental anguish; can be verbal, physical, emotional, or sexual.
A. Negligence
B. Involuntary seclusion
D. Misappropriation
- Conditions: suspicious marks, bruises, bite marks, fractures, dislocations, burns, scalp tenderness, nose bleeds, swelling, welts
- Observations: fear, pain, withdrawal, mood changes, acting out, anxiety, guarding
REPORT SIGNS OF ABUSE, NEGLECT, AND MISAPPROPRIATION!

Question 2

Consensual

Answer 2

Agreed to by persons involved (consent)

Question 3

HIPPA

Answer 3

Health Insurance Portability and Accountability Act; Federal law that protects privacy of individuals health information. Sets standards for security of electronic protected health information being used to analyze patient safety events and improve patient safety.

Question 4

Confidentiality

Answer 4

Maintaining information as private (HIPPA).
- No gossip
- No sharing of resident information except with care team

Question 5

Informed Consent

Answer 5

A person after having been informed of potential negative outcomes makes informed decision about their healthcare.

Question 6

Involuntary seclusion

Answer 6

Separation of a resident from others, separation from their room, or confinement to room against residents will or will of residents’ legal representative.

Question 7

Misappropriation

Answer 7

Intentional use or theft of another’s persons property or funds for one’s own use.
- Conditions: anger, sadness, fear
- Observations: missing items, comments from resident or family

Question 8

Neglect

Answer 8

Failure to provide help or care when needed.
- Conditions: pressure ulcers, dehydration, weight loss.
- Observations: unclean, soiled bedding or clothes, unanswered call lights, wrong clothes, no glasses/hearing aids, uneaten food/snacks, no water available.

Question 9

Omnibus Budget Reconciliation Act (OBRA)

Answer 9

Federal law passed in 1987, establishing minimum standards for nursing home care and for nursing assistant training.

Question 10

Privacy

Answer 10

Free of being observed or disturbed by others.

Question 11

Restraints

Answer 11

To physically restrict voluntary movement or use chemicals to revise/restrict resident behavior.

Question 12

Resident Rights

Answer 12

Rights identified by OBRA for residents in long term care facilities; informs residents and others of residents rights in the facility. Provides ethical code of conduct for healthcare workers.
Rights include:
1. Exercise rights
2. Be informed what rights and responsibilities given
3. Have facility manage personal funds if requested
4. Chose physician, treatment, and voice in decisions planning
5. Privacy and confidentiality
6. Voice grievances and have facility respond
7. Examine survey results
8. Work or not
9. Privacy in sending and receiving mail
10. Visit and be visited by outsiders
11. Use telephone in private
12. Retain & use personal possessions to maximum extent permitted
13. Share room with spouse or another if consented mutually
14. Self administer medication if care team deems it safe
15. Refuse transfers within institution
16. Be free from physical & chemical restraints
17. Be free from abuse, corporal punishment, and involuntary seclusion

Question 13

Resident Care

Answer 13

1. Involve resident in care
2. Explain procedures
3. Respect refusal in care
4. Report refusal in care