F - 314

Question 1

Based on the Comprehensive Assessment of a resident, the facility must ensure that
A) The resident who enters the facility without pressure sores does not develop ___ unless the clinical condition demonstrates that they were unavoidable
B) A resident having pressure sores receivers necessary treatment and services to promote healing, prevent ___ and prevent new sores from developing.
1. Infections; Weight loss
2. Weight loss; Infections
3. Pressure sores; Infections
4. None of the above

Answer 1

3. Pressure sores; Infections

Question 2

Pressure sores are defined as avoidable and unavoidable. Avoidable is defined the resident developed a pressure ulcer and the facility did not do which of the following?

1. Evaluate the resident’s clinical condition and risk factors
2. Define and implement interventions that are consistent with Standards of Practice and resident needs, and goals
3. Monitor and evaluate the impact of the interventions or revise them
4. All the above

Answer 2

4. All the above

Question 3

Pressure sores are defined as avoidable and unavoidable. Unavoidable per F314 means that the resident developed a pressure ulcer even though the facility had evaluated the condition and risk factors, defined and implemented interventions and monitored and evaluated, implemented and evaluated the interventions.
TRUE OR FALSE

Answer 3

TRUE

Question 4

A pressure ulcer can occur wherever pressure has impaired circulation to the tissue. Critical steps in ___ and ___ must be in place.

1. Prevention and Healing
2. Education and Treatment
3. Treatment and Prevention
4. Healing and Education

Answer 4

1. Prevention and Healing

Question 5

The facility should have a system/procedure to assure which of the following?

1. Assessments are timely and appropriate
2. Interventions are implemented, monitored and revised
3. Changes of condition are recognized, evaluated, reported to MD and addressed
4. Reported to the DNS
5. All the above
6. 1, 2, &3

Answer 5

6. 1, 2, & 3

Question 6

The quality assessment and assurance committee is responsible to evaluate existing strategies to reduce the development and progression of pressure ulcers, monitor the prevalence and ensure the ___ and ___ are consistent with current standards of practice.

1. Assessments and Treatments
2. Evaluations and Documentations
3. Policies and Procedures
4. Education and Treatment

Answer 6

3. Policies and Procedures

Question 7

Per F 314, the facility must assure that a resident who is admitted without a pressure ulcer doesn’t develop a pressure ulcer unless clinical unavoidable, and that a resident who has an ulcer receives care and services to ___ ___ and ___ ___.

1. Promote healing and prevent additional ulcers
2. Learn treatments and prevent weight loss
3. Prevent weight loss and Education on diets
4. None of the above

Answer 7

1. Promote healing and prevent additional ulcers

Question 8

Purple or very dark area that is surrounded by profound redness, edema or induration (hard) is a sign that ___ ___ ___ has already occurred.

1. Damage to skin
2. Injury to Dermis
3. Deep Tissue Damage/injury
4. None of the above

Answer 8

3. Deep Tissue Damage/injury

Question 9

Deep tissue damage could lead to the appearance of an ___ Stage III or IV Pressure Ulcer or progression of a Stage I or II.

1. Unstageable
2. Unavoidable
3. Infected
4. Irritated

Answer 9

2. Unavoidable

Question 10

A Comprehensive Assessment evaluates intrinsic risks, skin condition and other causal factors. The assessment should identify which risk factors can be removed or ___.

1. Identified
2. Documented
3. Improved
4. Modified

Answer 10

4. Modified

Question 11

Pressure ulcers are usually located ___ ___ ___, such as the sacrum, heel, greater trochanter, ischial tuberosity, fibular head, scapula, and ankle (malleolus).

1. Over Bony Prominences
2. Where pressure occurs
3. Prior to admission
4. None of the above

Answer 11

1. Over Bony Prominences

Question 12

The skin is the largest organ in the body. Adequate ___ and ___ are essential for overall functioning.

1. Nutrition and Hydration
2. Hydration and weight
3. Oxygen and Hydration
4. All the above

Answer 12

1. Nutrition and hydration

Question 13

Both urine and feces contain substances that may irritate the epidermis and may make the skin more ___ to ___.

1. Able to burn
2. Susceptible to breakdown
3. Hard to clean
4. None of the above

Answer 13

2. Susceptible to breakdown

Question 14

___ is a common, effective intervention for an individual with a pressure ulcer or who is at risk of developing one.

1. Hydration
2. Weight gain
3. Medication
4. Repositioning

Answer 14

4. Repositioning

Question 15

The care plan for a resident who is reclining and is dependent on staff for repositioning should address position changes to maintain the resident’s ___ ___.

1. Weight status
2. Nutrition status
3. Skin integrity
4. None of the above

Answer 15

3. Skin integrity

Question 16

Resident’s that are at risk for skin breakdown should be repositioned at least every ___ hours.

1. 1
2. 6
3. 3
4. 2

Answer 16

4. 2

Question 17

___ ___ refers to the function or ability to distribute a load over a surface or contact area.

1. Pressure redistribution
2. Education disbursement
3. 1&2
4. None of the above

Answer 17

1. Pressure redistribution

Question 18

Three of the more common pressure ulcer types are ___, ___, ___.

1. Infected, Healing, Healed
2. Pressure, Vascular insufficiency, Neuropathic
3. One, Two, Three
4. None of the above

Answer 18

2. Pressure, Vascular insufficiency and Neuropathic

Question 19

Per F314 Stage I is defined as an observable, pressure-related alteration of ___.

1. Treatment method
2. Education method
3. Intact skin
4. All the above

Answer 19

3. Intact skin

Question 20

Stage II per F314, is defined as partial thickness loss of dermis presenting as a ___ ___ ___ with a red-pink wound bed without slough. May also present as an intact or open blister.

1. Palpable indurated opening
2. Closed indurated ulcer
3. Superficial infected ulcer
4. Shallow open ulcer

Answer 20

4. Shallow open ulcer

Question 21

Per F314, Stage III is defined as ___ ___ tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle is not exposed.

1. Partial thickness
2. Partial infected
3. Partial healed
4. None of the above

Answer 21

1. Partial thickness

Question 22

Stage IV as described in F314 is defined as full thickness with exposed ___, ___, ___.

1. Slough, Eschar, and muscle
2. Bone, tendon, or muscle
3. Eschar, Bone, and tendon
4. None of the above

Answer 22

2. Bond, tendon, and muscle

Question 23

The Healing Pressure Ulcer does NOT heal in reverse sequence. This means that a Stage IV Pressure Ulcer is ___.

1. Never going to heal
2. Qualified for Secondary insurance
3. Always a Stage IV
4. 1&4

Answer 23

3. Always a Stage IV

Question 24

The goal of pain management in the pressure ulcer patient is to ___.

1. Eliminate the cause of pain and provide analgesia
2. Eliminate the pain with analgesia
3. Eliminate the pressure ulcer
4. All the above

Answer 24

1. Eliminate the cause of pain and provide analgesia

Question 25

Per F314 the Medical Director is involved in the development and ___ of ___ and ___.

1. Implementation, Policies and Procedures
2. Revision, Policies and Procedures
3. Evaluation Implementation and Revision
4. None of the above

Answer 25

1. Implementation, Policies and Procedures