RES. CARE EXAM 1 FACTOIDS Flashcards by MLyssa Dyer

A residents rights would not include ___

Smoking any where the resident chooses

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A resident’s rights does not include the right to ___

Share a room with a spouse if only one spouse agrees

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A resident does not have the right to ___

Play a television as loud as they want in a semi-private room

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A facility must provide residents with ___.

A cordless phone or a phone jack in their room for privacy reasons

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With respect to individuals with communication, hearing and cognition problems, a facility may legally __

Encourage individuals to participate in their care planning and daily activities to the extent practicable

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Any action taken by a facility to punish or penalize residents is called ___

Discipline

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A manual or physical method or mechanical device, material or equipment attached to or adjacent to a resident’s body that restricts movement is called ___

Physical restraint

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Where a resident has been found incompetent by a court, the rights of the resident may be exercised by —

An individual appointed by the court

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An _____ cannot exercise the rights of a resident adjudged incompetent by a court.

Administrator

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The difference between a power of attorney and a durable power of attorney is ___.

The power of attorney can only make financial decisions and the durable power of attorney can make both financial and health care decisions.

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A facility is not required to provide ___ to residents who do not understand the predominant language in the facility.

A roommate who speaks their native language

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A facility may provide a resident just an oral summary and a written copy of the statement of rights when ___

The resident speaks the predominant language and fully understands their rights

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A facility must inform residents of their resident rights ___

Prior to or upon admission

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To ensure that residents who speak a language other than the predominant language in a facility understand their rights, the facility must

Have large print text of resident rights
Have copies of the statement of rights translated into the most common languages spoken in the facility
Have interpreters available

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A resident may charge a resident ___

A per page copy fee and clerical time to copy requested resident records

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A facility must provide a resident access to their own records within ___

24 hours

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The facility may charge for ___ to copy resident records

Clerical time

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A facility must NOT fail to provide residents ___

Information about their health insurance coverage and co-payments if requested

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Residents do not have the right to refuse ___.

To pay for services not covered by their insurance plan

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Care provided to a resident to relieve pain is called ___.

Palliative Care

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The development and testing of clinical treatments such as an investigational drug or therapy is called ___.

Experimental research

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Written instructions relating to the provision of health care when an individual is incapacitated is called ___

An advanced directive

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A resident who has capacity and withholds consent to treatment either directly or through an advanced directive may ___

Not be treated

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If a resident is unable to make decisions regarding their care, and did not execute a durable power of attorney or health care surrogate designation then ___

A representative or family member may still make decisions for the resident that are binding on the facility if the resident and family made arrangements before hand

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If a resident refuses treatment, the facility is NOT required to ___

Discontinue all other treatment until the resident withdraws their earlier refusal of treatment

A facility has an obligation to provide the resident care that ___

Allow the resident to attain the highest practicable physical, mental and psychosocial well-being

It is NOT true of a resident's right to participate in experimental research ___

The resident can only participate in an experimental research project if approved by THE ADMINISTRATOR

With respect to Medicaid benefits, it is NOT true that a facility obligation to inform residents of their rights

They must only inform residents of changes in charges when requested by the resident or their representative

It is NOT TRUE the facility must

Advise residents within 7 days in advance of any changes in charges

A Medicare beneficiary who requires services that are not covered by Medicare can ___

Be required to deposit money with the facility to cover those expenses

A facility is required to post the names, addresses and telephone numbers of ___.

State advocacy groups Ombudsman Medicaid Fraud control unit

A facility can be legally required to ___

Document in a residents chart if they executed and provided copies of advanced directives

If a facility will not implement an advanced directive based on conscience (religious organizations), the facility must transfer the resident within ___ days.

7 days

A facility is not required to provide residents with ___.

The attending physician's hour rate

The ___ is required to advise residents of how to get a refund for Medicare or Medicaid overpayments.

Licensed Physician

A facility is NOT required to inform the resident's PHYSICIAN of ___.

A change in roommate or room assignment

The ___ must be notified of changes in Medicare and Medicaid laws and changes in resident billing.

Resident and concerned family members

A facility must not temporarily hold

Resident funds in a safe place without written authorization from the resident to manage their funds

Medicaid resident funds totaling less than $50 in funds may be maintained in a ___.

Non-interest bearing account | 2

Medicaid resident funds totaling in excess of $ ___ must be deposited in an interest bering account.

$100.00

The facility is required to ___.

Pass on banking fees and charges to the resident to maintain interest and non-interest bearing accounts

A facility may not Commingle ___.

Facility and resident funds

Residents must be refunded any monies held in trust within ___ days of discharge or death.

30 days

A facility is required to notify Medicaid residents when their resident trust fund accounts reaches ___ less than the SSI resource limit for one person.

$200.00

Upon a resident's death, the facility must convey all funds and a final accounting to the person administering the resident's estate or the probate court within ___ days of death

30 days

The ___ is the named beneficiary of a resident trust fund surety bond.

State and the resident

A facility may not impose a charge against resident funds for___.

Any services provided to a resident that were not requested

Services covered by Medicare and Medicaid do not include ___.

A private room

___ are not covered under Medicare and Medicaid.

Social events or outside entertainment outside the scope of the facility activities program

___ is paid for by Medicaid and Medicare.

The facility activities program

___ is included in the Medicare and Medicaid plans and cannot be charge to residents

Specially prepared foods

A facility may advise residents of ___.

The charge in advance of any service or item requested by the resident

Nursing home residents do not have the right to ___

Have their own personal physician care for them without being credentialed by the facility.

Where a resident has been judged incompetent by a court or has cognitive impairments, a facility is required to ___.

Consult the resident about their personal preferences to the extent practicable

Any action taken by a facility to control resident behavior for staff and is not in the best interest of the resident is called ___.

Convenience

A residents right to privacy is ___.

The right to refuse family members access to his or her medical records.

Residents do not have the right to ---.

Smoke wherever they want to in the building

Nurses must not administer drugs to residents in ___.

The hallway

If two adult residents consent to and desire sexual relations, and request the facility to accommodate their privacy needs, the facility should ___.

Provide a private room and accommodate their wishes

Personal or clinical records do not include ___.

Facility survey results

Residents have the right to voice grievances without discrimination and to a quick resolution of the grievance. They also have the right to voice grievances on the behavior and conduct of others but, they do not have to ___

Submit their grievances in writing.

A physician visit is timely, if it occurs no later than ___ days after the due date.

10 days

The facility must ___State and Federal Survey results .

Allow the residents and public to inspect the survey results without charge

The facility must not ___ regarding the survey results.

Keep the survey results in a binder in the DON's office to prevent accidental loss or damage

If a resident asks to perform work for the facility, the administrator should ___.

Ensure the request is documented in the plan of care

All incoming and outgoing resident mail must be delivered or posted within ___ .

24 hours

The ___ must verify the authority of a legal representative or guardian to make decisions for a resident.

Facility

A facility can require visitors to ___.

Visit residents in designated areas.

A facility must provide the state ombudsman access to a resident's clinical records subject to ___.

The resident's permission

A facility may not require residents to ____.

Use a phone in staff offices or the nurses station

Residents do not have the right to ___.

Bring in personal possessions regardless of available space in their room

Married couples may share a room if ___

They request to do so and a room is available

Residents do not have the right to self administer drugs if the ___ determines it is not safe.

Interdisciplinary team

Moving a resident within a facility or to another facility or institution is called ___.

A transfer

Moving a resident to a non institutional setting when the releasing institution ceases to be responsible is called ___.

Discharge

Once a resident has been admitted to a facility, the facility cannot involuntarily discharge or transfer a resident because ___.

The payor source has changed

A facility may initiate transfer or discharge when ___.

* An individuals health in the facility is endangered * A facility ceases to operate * A resident fails to pay their bills

___ must sign an involuntary transfer or discharge because a resident did not pay their bills.

The administrator

In order to substantiate a transfer or discharge because the well being of other residents in the facility would be endangered by the resident's continued presence in the facility, the facility must ___

Have a physician sign the discharge

A notice of involuntary discharge or transfer must be given to the resident ___ days prior to discharge.

30 days

Urgent medical needs that necessitate immediate transfer to a hospital with little or no notice to family or attending physician does not require ___.

30 day prior notice of discharge

If a Medicaid resident's hospitalization or therapeutic leave exceeds the allowed bed-hold period, the facility is ___.

Required to re-admit the resident in the next available bed.

A resident was provided a notice of discharge on June 1, 2012. The facility may discharge the resident for failure to pay his bill no earlier than ___

July 1, 2012

Written notice of transfer or discharge does not have to contain ___.

A statement that the notice cannot be appealed

A notice of discharge must include ____ information.

* The long term care ombudsman * The agency for the protection of mentally ill individuals * The state licensing agency

A resident must be provided notice of bed-hold policy and readmission ___

Once in advance of transfer and again upon transfer

In an emergency transfer, the facility must provide notice of bed hold rights within ___ hours of transfer to the hospital.

24 hours

If a Medicaid resident was provided a 30 day notice of discharge for non payment and is transferred to the hospital, the administrator must ___ when the resident requests to come back to the facility and the 30 day notice period has been met.

Re-admit the resident and then discharge the resident

A facility can discharge a resident ___.

For a lawful reason if required notice is provided

With respect to non covered services that are not paid for in the state Medicaid plan, a facility can charge ___.

Whatever the facility can charge and the residents are willing to pay.

With respect to residents with different payor sources, a facility can ___

Advise all residents in advance of their obligations under facility rules

If an individual has access and control of a resident's bank account or other assets, a facility should ___.

Require that individual to sign a contract to provide the facility payment from the resident's income

A facility can legally require a private pay resident to ___.

Pay in advance for a bed hold up to 30 days

A facility can charge a Medicaid resident for services or items ___.

They did request and are not covered by the State plan.

A facility can use restraints for ___.

The safety and welfare of a resident

A pharmacological drug used to discipline residents or for staff convenience and not required to treat medical symptoms is called ___

A chemical Restraint