QUESTIONS 201 - 244 Flashcards
What does MDS stand for? F - 271-287 A. Measure of Direct Services B. Minimum Data Set C. Material Safety Data Sheet D. Measure of Designated Service
Minimum Data Set
What does RAI stand for? F - 271-287 A. Review and Analyze Information B. Recall an Analytical Instrument C. Resident Assessment Instrument D. Resident Assurance Instrument
Resident Assessment Instrument
How often must the Pharmacist perform a drug regimen review? F - 425 A. Monthly B. Quarterly C. As needed D. Annually
Monthly
Whom must the Pharmacist report irregularities found during the monthly drug regimen review? F - 425-431 A. Administrator B. Don C. Physician and DON D. Administrator and DON
Physician and DON
Schedule II drugs must be reconciled how often? F - 425-431 A. Daily B. Each Shift C. At the end of night shift D. Weekly
Each Shift
A 4.65% medication error will result in a deficiency tag/
F - 332-333
TRUE OR FALSE
FALSE
What ultimately determines which medication error s are significant and which ones are non-significant? F - 332-333 A. OBRA guidelines B. Pharmaceutical committee C. Surveyor D. Physician
Surveyor
What is the disorder exhibits head jerking, mouth movements and tongue thrusting? F - 329 A.. Negative side effects B. Tardive Dyskinesia C. EPS D. Anti-cholinergic side effects
Tardive Dyskinesia
Which would most likely not be considered an unnecessary drug?
F - 329
A. Appropriate dose with inadequate monitoring
B. No clear indication for the drugs
C. An excessive dose with an appropriate duration
D. No adverse consequences indicating no need for the dose to be reduced or discontinued
No adverse consequences indicating no need for the dose to be reduced or discontinued
Who provides the "DO NOT CRUSH" list? F - 332-333 A. Physician B. Pharmaceutical company C. Pharmacy consultant D. DON
Pharmacy consultant
What is Polypharmacy?
F - 329
A. The use of 10 or more meds by one resident
B. A house average of 9 or more meds per resident
C. The use of 9+ meds of a given resident
D. The use of more than one pharmacy
The use of 9+ meds of a given resident
What is not required of the QA committee?
F - 520
A. Monitoring drug packaging
B. Monitoring drug storage
C. Monitoring drug destruction reconciliation
D. Monitoring drug administration
Monitoring drug packaging
What report shows the facility percentage and how the facility compares with other facilities in the state?
Appendix P
A. Facility Characteristic Reprot
B. Resident Listing Report
C. Resident Level Quality Indicator Summary
D. Facility Quality Indicator Profile
Facility Quality Indicator Profile
Which report is facility specific and intended to be used to identify possible areas in need of the facilities QA improvement process?
Appendix P
A. Facility Characteristic Report
B. Resident Level Quality Indicator Summary
C. Resident Listing Report
D.Facility Quality Indicator Profile
Facility Characteristic Report
Which report lists all residents by name and the 24 Quality Indicators for each resident with a check mark for the prevalence of each QI for each resident?
Appendix P
A. Facility Characteristic Report
B. Resident Level Quality Indicator Summary
C. Resident Listing Report
D. Facility Quality Indicator Profile
Resident Level Quality Indicator Summary
During the offsite survey task the surveyors will choose their phase one survey sample directly from this report. Appendix P A. Resident Listing Report B. Facility Characteristic Report C. Resident level Summary D. Facility QI Profile
Resident Level Summary
Regulations require the QA committee to disclose its records to the surveyors.
F - 520
TRUE OR FALSE
FALSE
Resident Rights must be communicated to the resident and/or responsible part via what means? F - 150 A. Verbally B. Written C. Upon admission D. Verbally and written
Verbally and written
A resident council and family council are both required within nursing facility.
F - 243-244
TRUE OR FALSE
FALSE
Who is required to acknowledge in writing or verbally the recommendations made by residents during Resident Council? F - 243-244 A. Each appropriate department B. Activities Director C. Administrator D. Social Services Director
Administrator
A federal survey confuted within 14 days of finding substandard care is known as what? Appendix P A. Extended Survey B. Initial survey C. Complaint Survey D. Substandard care survey
Extended Survey
How many in-service hours are required for CNAs? F - 497 A. 24 hours annually B. 12 hours annually C. 48 hours annually D. 1 hour per week
12 hours annually
The facility must prohibit employees with communicable decease or infected skin lesions from direct contact with residents or their food if direct contact will transmit the disease.
F - 443
TRUE OR FALSE
TRUE
How often must a facility be inspected for life safety? F - 454-469 A. Every 15 months B. Annually C. 9-12 months D. As needed
B. Every 15 months
Fire drills should be conducted how often? F - 454-469 A. Monthly all 3 shifts B. Quarterly C. Quarterly, all 3 shifts D. 6 month intervals, all 3 shifts
C. Quarterly, all 3 shifts
Each facility must display resident’s rights along with contact information for the Ombudsman.
F - 151-177
TRUE OR FALSE
TRUE
What act requires residents to be made aware of their rights in writing upon admission? F - 208 A. Older Americans Act B. Self Determination Act C. Social Security Act D. Admissions Act
Self Determination Act
What version of Life Safety Coded 101 is to be used currently? F - 454 A. 2003 B. 2000 C. 2006 D. 1985
2000
A facility found to have level III and or IV deficiencies would be guilty of what? Appendix P A. Notice of substantial compliance B. SQOC C. Notice of noncompliance D. Notice of denial of payment
SUBSTANDARD QUALITY OF CARE
Disaster drills should be conducted how often? F - 454 & 518 A. Quarterly all 3 shifts B. 6 Month intervals all 3 shifts C. Annually all 3 shifts D. 3 times a year all 3 shifts
6 Month intervals all 3 shifts
The facility should conspicuously post fire drill procedures/
F 517
TRUE OR FALSE
TRUE.
Which task number of the survey process is information gathering? Appendix P A. 3 B. 4 C. 5 D. 6
5
During which task are the Certification and Survey Provider Enhanced Report (CASPER) reviewed by surveyors? Appendix P A. TASK 1 B. TASK 2 C. TASK 3 D. TASK 4
TASK 1
The initial tour is what task number during the survey process? Appendix P A. TASK 1 B. TASK 2 C. TASK 3 D. TASK 4
TASK 3
A facility found during survey to be in substantial compliance would be given a what? Appendix P A. Extended Survey B. Notice of Isolated Deficiencies C. Form 2567 D. Nothing at all
Notice of Isolated Deficiencies
The new name for Resident Assessment Protocol is what? F 272 A. RAP's B. CAA's C. Both B & D D. Care Area Assessments
C. Both B & D
CAA’s
AND
Care Area Assessments
Which situation requires that the Administrator provide a 60 day notice to the Secretary, The State Ombudsman, all residents of the facility and legal representatives?
F - 204 & 522
A. Services are no longer needed for patient care
B. Facility Closure
C. Resident has been in facility less than 30 days
D. Danger to safety of residents
Facility closure
Pad feeding assistants are also considered nurse aids.
F - 493
TRUE OR FALSE
FALSE
All nurse aids must have which of the following initial and annual training? F 495 A. Dementia management B. Abuse prevention C. Both A & B D. Dementia training is not required
C. Both A & B
Dementia management
AND
Abuse prevetion
Resident completed activities with no help or oversight every time during the 7 day look back period is what? F - 310 A. Supervision B. Independent C. Limited assistance D. Extensive assistance
Independent
Oversight,encouragement or cueing provided three or more times during the last 7 days is what? F - 310 A. Supervision B. Independent C. Limited Assistance D. Extensive Assistance
Supervision
Resident highly involved in activities and received physical help in guided maneuvering of limbs or other non-weight bearing assistance three or more times during the last seven days is what? F - 310 A. Supervision B. Independent C. Limited Assistance D. Extensive Assistance
Limited Assistance
While resident performed part of activity over last 7 days, help of following types was provided three or more times;
a: Weight-bearing support provided three or more times; or
b: full staff performance of activity during part (but not all) of last 7 days… is what?
A. Supervision
B. Independent
C. Limited Assistance
D. Extensive Assistance
Extensive assistance
Full staff performance of an activity with no participation by resident for any aspect of the ADL activity. Resident was unwilling or unable to perform any part of the activity over entire 7 day look back period…is what? F - 310 A. Total dependence B. Independent C. Partial dependence D. Full dependence
Total dependence
