core examination Flashcards
Normal physiological aging of the elderly does not include:
- loss of skin elasticity
- glaucoma and cataracts
- depressed immune system
- dementia
dementia
Which of the following disorders is more likely to go unnoticed by the staff?
- incontinence
- Irritable bowel syndrome
- Depression
- Very slight strokes
Very slight strokes
What procedures have been found to be most effective for a resident with depression?
- Spending two or three weeks in a psychiatric program in a hospital
- Medications, family involvement, and staff attention
- Counseling, activities, and medications
- Treatment in a local mental health center
Counseling, activities, and medications
Which of the following is not a symptom of depression?
- Hallucinations
- Sleep disturbance
- Social isolation
- Impaired verbal communications
Hallucinations
A most effective way to plan for setting up a program for residents who tend to wander is to:
- complete an immediate assessment to determine the potential to wander
- determine at or before admission if the resident tends to wander
- plan a program to which all residents tending to wander must adhere
- place all wanderers in some type of physical or chemical restraint
determine at or before admission if the resident tends to wander
HIPAA requires records meet all of the following standards except be:
- maintained by a professionally qualified Registered Health Information Technician (RHIT)
- complete
- readily assessable to staff and family
- systematically organized according to subject matter
maintained by a professionally qualified Registered Health Information Technician (RHIT)
Which two classes of food are mostly likely to cause allergic reactions in residents?
- Bread and cereal
- Diary products and seafood
- Fats and oils
- Eggs and beef
Dairy products and seafood
A facility had an average daily census of 110 residents during the month of June. Total food costs for the average month was $30,000. What was the food cost per resident day?
- $8.25
- $ 8.75
- $9.09
- $9.52
$9.09
What type of activity seems to be most effective for persons afflicted with Alzheimer’s Disease?
- Morning walks
- A game of bingo
- An activity that utilizes music
- An activity that involves physical exercise
An activity that utilize music
In planning a resident activities program, a primary goal should be to:
- develop individual skills
- provide satisfaction of making a finished product
- provide participation and enjoyment
- lessen the work load on the CNA’s by keeping the residents busy
provide participation and enjoyment
Mrs. Jones complains that her physician will not listen or answer her questions. What should the facility staff do?
- Coach Mrs. Jones on how to relate to her physician
- Report the problem to the medical director so she can talk to Mrs. Jones’s
- Inform the administrator so he can take appropriate action
- Discuss the problem with the family seeking their help with the doctor
Coach Mrs. Jones on how to relate to her physician
What is the first thing a nurse should do when a resident refuses to take his medicine?
- Call the physician for instructions
- Explain the consequences to the resident
- Contract the family for their help
- Simply document the problem as the resident has the right to refuse
Explain the consequences to the resident
A resident’s activity program should be designed to stimulate the resident’s cognition, motor skills, and affective needs. Which of the following activities will accomplish all three of these goals?
- Showing a humorous movie
- Bringing in a music group to entertain
- Organizing a hand-bell choir
- Conducting a sing-along activity
Organizing a hand-bell choir
The essential difference between verbal abuse and mental abuse of a resident is:
- verbal is any use of spoken or written disparaging remarks; mental abuse is mistreatment
- verbal abuse is any use of disparaging remarks; mental abuse is the use of actions that humiliate, harass, or threaten
- there is no actual difference as both actions embarrass, humiliate, and demean the resident
- verbal abuse is demeaning derogatory remarks, while mental abuse includes sexual abuse
verbal abuse is any use of disparaging remarks; mental abuse is the use of actions that humiliate, harass, or threaten
Robert Hornbeck is only 65 years old and suffers from dementia. His family struggles with his condition, but is determined to do whatever they can to ensure that he has the highest quality of life possible. They have consulted with the local Alzheimer's Association and learned that there are care areas that can " make a significant difference in his quality of life." Which of the following is not one of these recommended areas? 1/ Food and fluid consumption 2. Pain management 3. Social engagement 4. Physical exercises
Physical exercises
Warren Cruz suffers from Alzheimer’s Disease. Due to his disease, his behavior has become such that his wife and adult children can no longer care for him at home. Thus, they make the decision to place him in a post-acute, long-term care facility. The staff notices at once that Mr. Cruz is very agitated and will not stay situated in one place for any length of time. He is in and out of other resident’s rooms. He picks up objects from tables and walks around almost constantly. Which of the following should the facility do?
- The problems Mr. Cruz presents are so great that the facility must notify the family that they cannot meet his needs and they are transferring him to a geriatric psychiatric hospital
- The staff notices that Mr. Cruz’s bad behavior seems to escalate at 4 o’clock each evening, so they determine that they will put him to bed, turn the lights off in his room, and turn on easy listening music
- The charge nurse is very concerned that Mr. Cruz will fall due to his continuous walking and requests an order from the attending physician for a geriatric chair so Mr. Cruz can be placed in a reclining position which will make it difficult for him to arise
- The social worker learns that Mr. Cruz had been a carpenter during his professional life, Along with activities, the social worker sets up a work station with Lincoln Logs and Legos for MR. Cruz
The social worker learns that Mr. Cruz had been a carpenter during his professional life, Along with activities, the social worker sets up a work station with Lincoln Logs and Legos for MR. Cruz
Sharon Willis’s mother is a resident in a long0term care facility. Ms. Willis receives complaints from her mother that each morning her breakfast arrives late, is always cold, and is never what she ordered. On a Sunday morning she arrives at the facility in time to observe her mother’s breakfast, The following morning the administrator receives a call from the daughter who is complaining loudly about the lack of service her mother is receiving and the fact that her mother received a cold biscuit, scrambled eggs, and sausage for breakfast when she ordered raisin toast, a poached egg, and bacon. How should the administrator handle this issue?
- Assume the daughter is accurate in her account of the events and complete a disciplinary action on the Dietary Manager, as she is responsible for the preparation and delivery of all meals
- Listen carefully to the daughter’s accusations and take detailed notes. Visit with the staff who were working on Sunday morning, and implement procedures that will help ensure the dietary staff is following the resident’s meal request and delivery of the meals is timely
- Listen intently to Ms. Willis’ concerns, investigate the complaints by interviewing staff members who were involved as well as the dietary manager, and implement corrective actions immediately
- Listen intently to Ms. Willis’ concerns, take notes, investigate the concerns, and report findings to Ms. willis. Next implement corrections, if necessary, and evaluate the processes to help ensure an efficient and effective program
Listen intently to Ms. Willis’ concerns, take notes, investigate the concerns, and report findings to Ms. willis. Next implement corrections, if necessary, and evaluate the processes to help ensure an efficient and effective program
Which of the following is the leading cause of vision loss in people over the age of 65? 1. Age-related Macular Degeneration 2. Cataracts 3/ Glaucoma 4. Diabetic retinopathy
Age-Related Macular Degeneration
The potentially blindly effect of which of the following can be drastically reduced in the United States through an effective and safe surgery?
- Age-Related Macular Degeneration
- Cataracts
- Glaucoma
- Diabetic retinoptahy
Cataracts
Which of the following is not defined as a fall in a long-term care facility?
- When a resident loses his balance and would have fallen, if not for staff intervention
- When a resident slips and lands on a sofa and is not injured
- When the staff finds a resident on the floor but cannot determine how he landed there
- When the staff witnesses one resident push another to the ground
When the staff witnesses one resident push another to the ground
A resident in a long-term care facility is very confused. She is in her 80’s but insists on finding her elderly grandfather as it is her responsibility to care for him. Which of the following treatment programs would a facility most likely use with this resident?
- Staff will use re-motivation techniques to encourage her to become more interested in her immediate surroundings
- Staff members will reassure and reaffirm her feelings and thoughts through validation therapy
- Staff will remind the resident of the current year and date and that her grandfather is no longer alive through reality orientation
- Staff will refer the resident to a Speech Language Pathologist to work on her cognition
Staff members will reassure and reaffirm her feelings and thoughts through validation therapy
The administrator is responsible for ensuring a safe environment for the persons residing in long-term care facility. Dietary staff must have a system in place to ensure the proper cooking temperatures of the food in order to prevent foodborne illnesses. Which of the following cooking temperature is not correct?
- Poultry and stuffed foods must be cooked to 18=65 degrees F
- ground meat such as beef must be cooked to 155 degrees F
- Fin fish must be cooked to 135 degrees F
- Pork and Ham must be cooked to 145 degrees F
Fin fish must be cooked to 135 degrees F
Bladder incontinence is common lace among elders. In many cases a resident can regain control of his/her bladder function through various treatment programs. Which of the following is not an effective means of treatment?
- Catherization
- Kegal exercise
- Physical exercises
- Prompted voiding
Catherization
Which of the following medications is considered a Scheduled II drug?
- Valium
- Percocet
- Didrex
- Imodium
Percocet
A staff member is accused of abusing a resident in a long-term care facility. What must the administrator do?
- Immediately suspend the employee pending investigation and notify local authorities and the appropriate state agency
- Terminate the employee and notify local authorities and the appropriate state agency
- Change the employee’s assignment so he will not have contract with the alleged victim,, notify the family, the local authorities, and the appropriate state agency
- Report the alleged violations to the state agency and to all other agencies as required, and take all necessary corrective actions depending on the results of the investigation
Report the alleged violations to the state agency and to all other agencies as required, and take all necessary corrective actions depending on the results of the investigation
Which of the following is not normally associated with infections in long-term care facilities?
- Legionnaires Disease
- Urinary Tract Infections
- Methicillin-resistant Staphylococcus aureus
- Clostridium difficile
Legionnaires Disease
A resident’s medical records belong to which of the following?
- The resident
- The physician
- The administrator
- The facility
The facility
Social workers in a long-term care facility can perform all of the following services except:
- counseling
- psychiatric treatment
- utilization of community resources
- assistance with discharge planning
psychiatric treatment
Falls are a major cause of injuries among residents in long-term care facilities; therefore it is imperative that Falls Prevention Programs are in place. Which of the following is least likely to be considered a common cause of falls within a facility?
- Residents who have just finished a large meal, which may result in lowering the blood pressure when the resident stands up
- Extensive physical therapy causing the resident to tire more easily, thus increasing the probability of falls
- A resident has a medical diagnosis of osteoporosis and suffers a level of dementia which prohibits safety awareness
- Family bringing in furniture that is too large for the room, thus creating barriers for safe ambulation
Extensive physical therapy causing the resident to tire more easily, thus increasing the probability of falls
Who is the key person(s) to handle an employee problem or grievance?
- The grievance committee
- the department head
- The immediate supervisor
- the administrator
The immediate supervisor
Under its Ergonomics Guidelines, OSHA list three factors that long-term care employees encounter. Which one of the following is not a factor?
- Force- the amount of physical effort required to perform a task or to maintain control of equipment
- Repetition- continual and/or frequent performance of the same motion or series of motions
- walking and standing- too much time without sitting and relaxing thus causing undue hardship on knees and ankles
- Awkward postures- assuming positions that place stress on the body, such as leaning over a bed
walking and standing- too much time without sitting and relaxing thus causing undue hardship on knees and ankles
What is the first step in counseling an employee who has a problem?
- Ask the employee what they can do about the problem
- Let the employee express her feelings about the problem
- Reassure them their problem is not all that bad
- Tell them the solution and give them specific directions on how to resolve the problem
Let the employee express her feelings about the problem
Shady Grove Retirement Center spends an average of $1,500 to recruit, hire and train a new employee. Shady Grove employs 100 staff members. During the past 12 months, 25 of its employees were either terminated or resigned voluntarily. How much money did the turnover cost the facility?
- $37,500
- $39,00
- $36,000
- $40,000
$37,500
What are the recommended steps in correcting an employee’s work error?
- Check their understanding of how the task is supposed to done, point out the error, and discuss the consequences of the error
- But why they did not do the work as they were trained and state the consequences of the error
- Tell them first that they usually do a good job, confront them with their error and tell them the consequences of any further errors
- Confront them with the error, tell them how you feel about such mistakes, and tell them what to do next
Check their understanding of how the task is supposed to done, point out the error, and discuss the consequences of the error
Communication between staff and management is often a major problem, Why is face-to-face communication considered the most effective method of communication?
- Management can more readily obtain feedback to determine the employee’s level of understanding
- Employees generally prefer this method over written communication as they understand that once it is written there are no alternatives
- It is easier for employers to retain spoken information over a written memorandum
- Management can more strongly impress the meaning of the message to employees
Management can more readily obtain feedback to determine the employee’s level of understanding
The key to a good pay scale is:
- including shift differentials
- always including an increment pay plan
- starting above the minimum wage set by the Wage and Hour Administration
- starting at the fair wage standard of the community
starting at the fair wage standard of the community
What is generally considered the first priority in an employee training program?
- resident care policies and procedures
- Fire prevention and control
- Corporate compliance and ethics
- Prevention and control of infections
Fire prevention and control
What is meant by respondent superior?
- The employer is responsible only for the work of its full time employees
- The employer may be responsible for the actions of non-contract workers who perform task in the facility
- The employer is partially liable for the work of technical and professional actions of non-contract and contract employees
- The employer is responsible for actions of employees performed within the course of their employment
The employer is responsible for actions of employees performed within the course of their employment
What is the primary purpose of developing policies, procedures, and rules?
- To make it easier to keep employees in line and doing their work properly
- To meet requirements of the Department of Labor
- To provide employees with information concerning what is expected of them and what they can expect from the employer
- To provide a framework in which employees cannot get by with poor work and behavior and the supervisor has the right to hold the employee accountable for their performance
To provide employees with information concerning what is expected of them and what they can expect from the employer
A job description should include all of the following except:
- the qualifications of the potential employee in terms of education, experience, etc
- the specific work assignments of an employee in their department level
- distinguishing the features of work such as routine, technical, and professional
- identifying the person who gives them instructions and monitors their work performance
the specific work assignments of an employee in their department level
Which of the following is not a governmentally-mandated employee benefit?
- Unemployment compensation
- Worker’s compensation
- Family and Medical Leave
- Vacation and Sick leave
Vacation and SIck Leave
The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) provides for the following?
- To Provide the continuation of life insurance coverage for 15 months after termination from a job, regardless of the reason of separation
- To allow a former employee to maintain group health insurance for medical benefits for up to 18 months regardless of the reason for separation from the job
- To provide certain employees with up to 12 weeks of unpaid leaver per year to care for an ill spouse, child, or parent
- To allow a former employee to maintain group health insurance for medical benefits for a period up to 18 months after separation
To allow a former employee to maintain group health insurance for medical benefits for a period up to 18 months after separation
Which one of the following would the EEOC probably approve as an advertisement for employees?
- Healthy females who like working with the elderly
- Man to work with elderly, frail male residents
- Male or female who can read and write and who likes to work with the elderly
- Man to work weekends only - 11pm to 11am
Male or female who can read and write who likes to work with elderly