F222

Question 1

F222 is used for ___ and ___ restraints.

1. Chemical and Physical
2. Physical and Mental
3. Chemical and Observing
4. Isolation and Mental

Answer 1

1. Chemical and Physical

Question 2

Physical restraints is defined as any manual method or ___ or ___ device, material, or equipment attached or adjacent to the residents’ body that the individual cannot remove easily which restricts freedom of movement.

1. Isolation or chemical
2. Mental or chemical
3. Physical or mechanical
4. None of the above

Answer 2

3. Physical or mechanical

Question 3

Chemical restraint is defined as any ___ that is used for discipline or convenience and not required to treat medical symptoms.

1. Medication
2. Drug
3. Narcotic
4. None of the above

Answer 3

2. Drug

Question 4

Convenience is defined by F222 as any action taken by the facility to control a resident’s behavior or manage a resident’s behavior with a lesser amount of effort by the facility and ___.

1. For the benefit of the sound level of the facility
2. For the benefit of visitors
3. As requested by the responsible person
4. Not in the resident’s best interest

Answer 4

4. Not in the resident’s best interest

Question 5

Restraints may not be used for ___.

1. Staff convenience
2. Community benefit
3. The Department
4. None of the above

Answer 5

1. Staff Convenience

Question 6

Restraints MAY be used per F222 when ___.

1. The responsible person requests it for a confused persons behavior
2. When the chemical restraint is not effective
3. When behavior is unanticipated violent or aggressive and places him/her or others in imminent danger
4. None of the above

Answer 6

3. When behavior is unanticipated violent or aggressive and places him/her or others in imminent danger

Question 7

The use of side rails as restraints is prohibited unless they are necessary to treat a resident’s ___.

1. Treatment
2. Medical Symptoms
3. Bathing and clothing change
4. None of the above

Answer 7

2. Medical symptoms

Question 8

When a walker has an enclosed frame, with a gate, it would not meet the definition of a restraint when the resident can easily open the gate. Molly Madison has Dementia but is able to walk with her Geri-walker as long as staff assists her into and out of the walker. In this case, the enclosed walker would NOT be a restraint. TRUE OR FALSE

Answer 8

FALSE

Question 9

A physician’s order alone is not sufficient to warrant the use of the restraint. TRUE OR FALSE

Answer 9

TRUE

Question 10

The facility will be held accountable to CMS when the clinical record does not contain ___ in the case of restraint use.

1. Documentation of ongoing assessments
2. Documentation of updated care plans
3. 1&2
4. None of the above

Answer 10

1&2

Question 11

The facility must explain the ___ restraint use.

1. Negative Outcomes
2. Applications
3. 1&2
4. None of the above

Answer 11

1. Negative Outcomes

Question 12

In evaluation of the use of restraints the facility must answer which of the following questions?

1. If alternatives have been tried but unsuccessful, does the facility use the least restrictive restraint?
2. Does the facility monitor and adjust care to reduce the potential for negative outcomes while continually trying to use the less restrictive alternatives?
3. Does the facility use the Care Area Assessments (CAAs) to evaluate the appropriateness of restraint use.
4. All the above

Answer 12

4. All the above