QUESTIONS 1-25 Flashcards
Which of the following deficits are the exception to the rule regarding the facility requirement to promote the exercise of rights for each resident? (F 151-177) A. Hearing problems. B. Cognition limits. C. Legally incompetent. D. None of the above
NONE OF THE ABOVE
Which of the following are parameters to residents exercising their rights in a NF?
(F -151)
A. There are no limitations or parameters.
B. To the maximum extent possible
C. Subject to facility rules
D. Both B&C
Both B&C
A resident who wanted to distribute information within the facility about the facility but facility rules required the facility give prior approval for this distribution would be a violation of what? (F 151) A. Notice of rights of service B. Choice C. Exercise of rights D. Dignity
Exercise of rights
Which of the following rights apply to a resident who has been formerly declared incompetent by a court of law?
(F-152)
A. All decisions must be made by their legal representative
B. They have the same rights as a competent person
C. If the resident can understand and express practical preference
D. Conservatorship is an absolute
If the resident can understand and express practical preference
Which of the following would be a true statement regarding court appointed conservator?
(F-152)
A. Total authority for all decision making
B. Financial authority
C. Medical and treatment authority
D. Only the powers appointed by the court
Only the powers appointed by the court
Which would be true in a situation where a 98 year old resident was incompetent and not able to make choices of any kind and the legal representative was requesting a very uncomfortable and traumatic surgery with poor prognoses and not medically appropriate?
(F-152)
A. The legal representative has all authority to make decisions on behalf of the resident.
B. The facility legally cannot get involved.
C. The resident legal representative does not relieve a facility from its duty to protect and promote the resident’s best interest.
D. The doctor does not agree with the procedure but writes the order per legal representative’s request.
The resident legal representative does not relieve a facility from its duty to protect and promoted the resident’s best interest.
Which of the following would be true regarding an alert resident requesting copies of his/her records?
(F-153)
A. Must give two working days advance notice.
B. Includes resident trust fund ledgers.
C. Includes all contracts between the resident and facility.
D. All the above
All the above
Which of the following regarding medical records request would not be true?
(F-153)
A. Facility may charge for copies of records not to exceed the higher end of the going rate for copies made in the community.
B. Cost for copies of records is not to exceed the community standard rate.
C. A facility is allowed to charge for clerical time to make photo copies.
D. An additional fee may not be charged for staff to locate records or to prepare forms/envelopes.
Facility may charge for copies of records not to exceed the higher end of the going rate for copies made in the community.
The rate charged per copy by organizations such as the public library, the post office or a commercial copy center, which would be selected by a prudent buyer in addition to the cost of the clerical time needed to photocopy records is the best definition of what? (F-153) A. Basic rate B. There is no such definition C. Standard rate D. Community standard rate
Community standard rate
Which of the following would be an example of violating a resident’s right to be fully informed of their total health status?
(F-154)
A. Communicating in their language
B. Using layman terms to maximize their understanding.
C. Using interpreters or visual aids
D. Speaking in hard to understand but accurate terminology.
Speaking in hard to understand but accurate terminology.
Staff discussing with a resident their medical condition, changes in their medical condition, benefit and risk of a treatment and alternatives is the definition of what? (F-154) A. Total health status B. Informed in advance C. Informed consent D. Fully informed
Informed in advance
Which of the following must be communicated to resident prior to or upon admission and during the resident’s stay?
(F-155-156)
A. Resident’s rights within a facility
B. Regulations governing resident conduct and responsibilities
C. Right to formulate and advanced health care directive
D. All the above
All the above
Which of the following is true regarding resident rights and responsibilities communicated prior to or upon admission and during the resident stay?
(F-156)
A. Facility must get an interpreter for the hearing impaired if they use sign language
B. Large print text should be available of the information
C. Information in a foreign language must be given verbally not written
D. Both A&B
Facility must get an interpreter for the hearing impaired if they use sign language
AND
large print text should be available of the information
What is acceptable to prove that the required information was given to a resident and/or legal representative prior to or upon admission and during the resident stay?
(F-156)
A. Written confirmation by facility staff.
B. Acknowledged in writing by the staff and verbally by resident and or legal representative.
C. Acknowledged verbally and in writing by staff and the resident.
D. Acknowledged in writing by resident and/or legal representative.
Acknowledged in writing by resident and/or legal representative.
It is not required that residents be notified of which of the following? (F-156) A. Changes in facility rules B. A new Dietary Supervisor C. A new administrator D. Both B&C
A new Dietary supervisor AND
A new administrator
A resident must be notified prior to or upon admission and during their stay of which of the following?
F-156
A. Who is entitled to Medicaid
B. Services covered under Medicaid
C. Facility charged services and the amount including services not covered by Medicare
D. All the above
All the above
Which of the following would be true regarding a Medicare patient with no other insurance upon admission who had already used the first 20 days of 100% coverage by Medicare?
F-156
A. The facility may require a deposit for the services needed even though they are covered by Medicare
B. The facility may require a deposit for room and board but not co-insurance
C. The facility is not allowed to require a deposit for any reason
D. Deposit requests are allowed regardless of insurance coverage
The facility may require a deposit for room and board but not co-insurance
The facility must provide a written description of legal rights including which of the following?
F-156
A. How the facility will protect personal funds
B. A wife’s Medi-Cal benefit cannot be assumed towards cost of her husband’s care in a SNF
C. Both A & B
D. The facilities policy on “out on pass”
Both A & B
The names, addresses and telephone numbers of which of the following need to be posted?
F-156
A. Department of Health
B. Ombudsman
C. Mental Health and Developmentally Disabled Advocacy Protection Groups
D. All the above
All the above
The following statement, “the resident may file a complaint with the state survey and certification agency concerning resident abuse, neglect, and misappropriation of resident property in the facility, and non-compliance with the advance directive requirements” is required to be given how?
F-156
A. In writing upon admission
B. Visibly posted in the facility
C. No requirements
D. The means of communication is at the facility’s discretion
Visibly posted in the facility
The facility must inform each resident of the name, specialty and means of contacting the physician responsible for his/her care.
F-156
A. True
B. False
True
Which is true regarding information on how to apply for Medicare and Medicaid?
F-156
A. Must be prominently displayed in the facility
B. Must be given orally to current residents
C. Given orally and written to new admissions
D. All the above
All the above
Facilities are required to notify a resident’s physician and interested family members of significant changes.
F-157
A. True
B. False
True
Which of the following are considered to be notification of changes to the resident, his/her physician, legal representative or interested family members?
A. Accident resulting in injury
B. Significant change in physical mental or psychosocial status
C. A treatment causing adverse consequences
D. All the above
All the above
A resident would not be required to be notified of which of the following? F-157 A. Change in a room or roommate B. Change in resident rights C. Change of facility rules D. None of the above
None of the above
