Resident Care Flashcards
Residents must receive the care necessary to meet individual ____,____,and _____ to achieve and maintain their highest possible level of independence, self-care, and self-worth and well-being
physical
psychosocial
rehabilitative needs and assistance
Provision of care must be _______
documented in the health record
the ______ is responsible to coordinate medical care in the facility
medical director
Residents must be provided a safe, supportive, comfortable and ________ environment
homelike
Residents must be provided _____ and _____ to exercise choice over their surroundings, schedules and health care
freedom and encouragement
Residents must be provided the opportunity to be involved with members of their community _____ and ____ the nursing home
inside and outside
Residents must be provided treatment with ____ and ____
dignity and respect
for residents at risk to develop decubitus ulcers while in the facility (nosocomial) the facility must: Assess the potential for _____
skin breakdown
for Decubitus sores the facility must provide \_\_\_\_\_\_\_\_\_\_ the ulcer develops in residents who are 1 underweight 2incontinent 3dehydrated 4disoriented 5unconsciousness 6have limited mobility
preventative measures before
For all residents with decubitus ulcers, the facility must a. develop a _______ plan to alleviate the condition b. provide active treamtent in accordance with the treatment plan c. evaluate each residents progress and treament at ________ and revise the treatment plan as needed d. provide proper nutrition and hydration to promote healing and prevent further breakdown
individualized treatment
least weekly
in accident prevention and attention the facility must ______ causes of accidents _____ the resident’s response after an accident and ______ and ___ an individualized plan to prevent future accidents
investigate
monitor
develop and implement
For residents at high risk for accidents, a facility must ________ to prevent common accidents before they occur
identify any risks in the care plan and take reasonable precautions
if one accident has happened and you fail to take reasonable actions sufficient to reasonably minimize the possibility of another accident you can be cited for _______
substandard care-actual harm
the ______ want to see that you tried to individualize precautions instead of standard protocol ie: bed alarm and cushions on side of bed
surveyors
Residents at high risk of accidents include the blind, the deaf, and those with ________ (5 answers)
- seizure disorders
- had an accident in the last 6 months
- are totally confused by ambulatory
- are new amputees
- are receiving psychoactive drugs
the care plan for each individual should address precautions for possible accidents or _______
accidents thats may have already happened
For residents with behavior problems the facility must:
a. note the behavioral problem and evaluate it in the initial assessment b. develop and implement a _____ treatment plan c. develop and implement a _________ plan d. obtain a mental health evaluation e. evaluate the residents progress and revise the plan
individualized
behavior management
for residents receiving behavior modification drugs, must indicate in nurses’ notes both _____ and/or ______ effects and alternatives to the drug
positive and/or negative
For residents with contractures upon admission, the facility must have ____,_____ and _____restorative nursing intervention
noted the problem
evaluated it
undertaken
For residents with contractures that occurred with in the facility, the facility must have ________ the range of motion and/or repositioning was performed before the contracture developed
documented
if the resident refused treatment or preventive measures concerning contractures the facility must have
informed consent (refusal was explained to resident)
Treatment and preventative plans for the residents for the potential to develop contractures must be _____ and _____ at least ____ as needed
reviewed and revised
annually
Must assess each residents ambulation potential at least ____
monthly
For residents requiring devices and/or personal assistance to ambulate, the facility must ___ and _______ assist resident to obtain appropriate footwear and provide assistance to move and transfer
provide and maintain devices in good repair
for residents with an indwelling catheter, the facility must evaluate appropriateness of continued use at least ____
monthly
when using an indwelling catheter you must _____the reason for incontinence and ____the potential of bladder retraining and implement it
assess
evaluate
______any physician order for irrigation or catheter replacement
Implement
concerning Indwelling catheter care: For residents exhibiting signs or symptoms of _____the facility must have _____, ______ and implemented the treatment plan
UTI
notified the physician
obtained orders for treatment (prophylaxis)
the facility must do the following for residents with weight change:
a. evaluate and determine cause
b. individualized care plan
c. observe food and fluid intake and encourage to eat
d. _______
e. document nourishments and if consumed
f. provide assistance in eating
g. assist in obtaining dentures or dental care
provide choices of foods to meet personal preferences and religious needs
each resident must be admitted by a _____ and have continuing care under _____ of a physician
physician
supervision
the admitting physician must provide a schedule of visits to meet resident needs no less often than ______
every 6 months
acknowledgement of visit schedule by resident or authorized representative must be documented in ____
health record
Telephone orders must be received by a physician, Licensed nurse or other appropriate disciplines and entered in the record within ____
2 weeks
the facility must assure the _____ authenticates medical histories and physical examinations completed by other authorized personnel
attending physician
the facility must assure that a _____ authenticates dental exams and histoies completed by other authorized personnel and ____ dental treatment records
licensed dentist
signs
The _____ must write a progress note following _____ and at least ______ provide a written evaluation of residents current medical status compared to previous year’s status
attending physician
each visit
once per year
All drugs and therapies ordered by physician must be _____ by diagnosis indicating use of those drugs and therapies
supported
the facility must have ______ developed by the _____ to coordinate and designate responsibility when more than one physician is treating a resident
written policies
medical director
____ must have a written agreement with a physician or medical group to serve as such to the facility
medical director
