Resident Care Exam 1

Question 1

A resident does not have the right to ____

Answer 1

smoke anywhere the resident chooses

Question 2

A resident does not have the right to ___

Answer 2

Share a room with a spouse if only one spouse agrees

Question 3

A resident does not have the right to ____

Answer 3

play a television as loud as they want in a semi private room

Question 4

residents may submit a grievance ____

Answer 4

either orally or writing

Question 5

with respect to individuals with communication, hearing and cognition problems, which of the following may a facility legally do?

Answer 5

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

Question 6

a facility must provide copies of resident records to residents in the facility within _____

Answer 6

24 hours

Question 7

a manual or physical method of mechanical device, material or equipment attached or adjacent to a residents body that restricts movement is called a

Answer 7

physical restraint

Question 8

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

Answer 8

An individual or guardian appointed by a court

Question 9

a(n) ____ cannot exercise the rights of a resident adjudged incompetent by a court

Answer 9

Administrator

Question 10

an order admitting an individual to a nursing home would not include:

Answer 10

a television with remote control

Question 11

a facility is not required to do which of the following in fulfilling its obligations to fully inform a resident of his/her rights:

Answer 11

advise the resident of their rights within 14 days of admission

Question 12

a facility is not required to provide residents ____

Answer 12

A roommate who speaks their native language

Question 13

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

Answer 13

the resident speaks the predominant language and fully understands their rights

Question 14

when must a facility inform residents of their bed-hold rights?

Answer 14

prior to or upon admission

Question 15

to ensure that residents who speak a language other than the predominant language in a facility understand their rights, the facility must do which of the following:

Answer 15

have large print texts of residents rights
have copies of statement of rights translated into most common languages spoken in facility
have interpreters available

(ALL OF THE ABOVE) – test answer

Question 16

True or False: a facility may not charge a resident a per page copy fee and clerical time to copy requested resident records

Answer 16

False

Question 17

a facility must provide a discharged resident access to their own records within

Answer 17

10 days

Question 18

Telephone orders must be signed by the prescribing physician withing ___ days

Answer 18

14

Question 19

facility staff may ____

Answer 19

maintain a health chart for each resident

Question 20

residents do or do not have the right to refuse treatment

Answer 20

Do

Question 21

an order to admit a resident to a nursing home must be signed by _____

Answer 21

A physician

Question 22

the ___ is responsible to coordinate medical care in the facility

Answer 22

Medical Advisor

Question 23

The ____ must initially investigate resident grievances

Answer 23

Staff grievance coordinator

Question 24

a resident’s chart must be complete and all documents in order within ___ days of discharge

Answer 24

30 days

Question 25

The ____ is responsible to develop and approve resident care policies

Answer 25

Medical Advisor

Question 26

If a resident refuses treatment, the facility is required to do all of the following

Answer 26

Ask the resident why they are refusing the treatment
explain the consequences of the decision to refuse treatment
advise the resident of alternate available treatments

Question 27

A facility has an obligation to provide a standard for care to residents that ___

Answer 27

allows he resident to attain their highest practicable physical, mental, and psychosocial well- being

Question 28

the __ is responsible to coordinate functions between the governing body, medical staff and residents and families

Answer 28

Administrator

Question 29

With respect to Medicaid benefits, what is the facility’s obligation to inform residents of their rights?

Answer 29

Must advise residents of :

• medicaid benefits in writing at time of admission and when they become eligible for benefits
• of items and services included in the state plan which the resident may not be charged
• of all items and services not included in the state plan which the resident may be charged for

Question 30

must advise residents within ___ days in advance of any changes in charges

Answer 30

within 14 days

Question 31

A medicare beneficiary who requires services that are not covered by medicare can ____

Answer 31

be required to deposit money with the facility to cover those charges

Question 32

a facility is required to post the names, addresses and telephone numbers of which three agencies

Answer 32

state advocacy group
ombudsman
medicaid fraud control unit

test answer all of the above

Question 33

an administrator is required to ensure that the facility _____

Answer 33

assist residents to obtain routine and 24 hour emergency care
provide residents access to outside routine and emergency dental services
assist residents to arrange dental appointments and transport
NOT pay for all dental care

Question 34

specialized rehabilitative therapy must be provided under the written order of the ____

Answer 34

physician

Question 35

the ____ is responsible to determine if a facilities drug records are in order and all controlled drugs are accounted for and maintained and reconciled

Answer 35

contracted pharmacy

Question 36

specialized rehabilitative services do not include ____

Answer 36

restorative nursing

Question 37

a facility is required to inform the residents attending physician of ____

Answer 37

accident resulting in injury requiring physician attention
a significant change in the residents physical, mental or psychosociall status
a need to significantly alter treatment

Question 38

the ___ and ___ must be notified of changes in medicare and medicaid laws and resident billing

Answer 38

the resident

family

Question 39

facility staff must have annual training in infection control, fire prevention, resident rights, accident prevention, disaster prep and behavior management at least how often?

Answer 39

annually

Question 40

facility staff training records of completed inservice would require

Answer 40

original employee signatures
an outline of inservice completed
the instructors signature

Question 41

resident care policies must be reviewed and approved how often

Answer 41

annually

Question 42

___ is required to review resident care policies

Answer 42

medical advisor
RN
administrator

Question 43

True or False a facility may refuse to manage resident funds if requested in writing?

Answer 43

false

Question 44

residents must be refunded any monies held in trust within __ days of discharge

Answer 44

30

Question 45

an event where a resident is injured and requires hospitalization, fractures a bone, suffers brain or is abused or elopes from the facility is called

Answer 45

an occurrence

Question 46

each facility must submit a report of all employee flu vaccinations each year to what

Answer 46

Colorado department of health and environment

Question 47

an administrator can only admit a resident to a facility who

Answer 47

the facility that can provide the necessary care

Question 48

services covered by medicare and medicaid do not include

Answer 48

a private room

Question 49

if the attending physician is unavailable to supervise the care of a resident then ___ must supervise the residents care

Answer 49

another physician

Question 50

True of False: social events or outside entertainment outside the scope of the activities program is covered under medicare and medicaid

Answer 50

false

Question 51

the ____ must ensure each resident has a signed order from a licensed physician attesting to the need for admission to a nursing home

Answer 51

administrator

Question 52

The ___ trains residents to use adaptive eating equipment

Answer 52

occupational therapist

Question 53

true or false a facility must advise residents of the charge in advance of any service or item requested by the resident

Answer 53

true

Question 54

true or false nursing home residents have the right to have their own personal physician care for them without being credentialed by the facility

Answer 54

true, must produce insurance and license info

Question 55

Where a resident has been adjudged incompetent by a court or has cognitive impairments, who must the facility consult regarding the residents care

Answer 55

court appointed guardian

Question 56

the ___ is responsible to provide staff on the job training, continuing education and conduct initial employee orientation

Answer 56

staff development coordinator

Question 57

true or false the resident has the right to refuse family members access to their medical records

Answer 57

true

Question 58

true or false residents have the right to smoke wherever they want in the facility

Answer 58

false

Question 59

true or false staff is not required to knock before entering a residents room

Answer 59

false

Question 60

if two adult residents consent and desire sexual relations, and request the facility to accommodate their privacy needs what should the administrator do?

Answer 60

provide a private room to accommodate their wishes

Question 61

personal or clinical records do or do not include the resident contract

Answer 61

do

Question 62

true or false residents must submit grievances in writing

Answer 62

false

orally or written

Question 63

a pharmaceutical drug used to discipline or for convenience and not required to treat medical symptoms is called a

Answer 63

chemical restraint

Question 64

true or false the resident advisory council is required to meet monthly with the administrator to discuss policy changes

Answer 64

false

Question 65

all incoming and outgoing resident mail must be delivered or posted within ___ hours

Answer 65

24

Question 66

true or false a grievance committee includes a resident representative chosen by the residents

Answer 66

false

Question 67

a facility must have a ___ on each resident care unit on all three shifts

Answer 67

LPN

Question 68

the ___ must approve the staff members authorized to receive and manage controlled and uncontrolled drugs

Answer 68

governing body

Question 69

if neither the resident nor the facility are satisfied with the findings of the state investigation into a residents grievance either party can request an administrative hearing within __ days of receipt of the report

Answer 69

30

Question 70

true or false residents have the right to bring in personal possessions regardless of available space in their room

Answer 70

false

Question 71

married couples may share a room if

Answer 71

they request to do so and a room is available

Question 72

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

Answer 72

medical director

Question 73

moving a resident within a facility or to another facility or institution is called a

Answer 73

assignment

Question 74

an occurrence must be reported to the state within __ hours

Answer 74

24

Question 75

a residents may appeal the findings of the facility grievance committee to the state within __ days of receipt of their written findings

Answer 75

10

Question 76

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

Answer 76

discharge

Question 77

once a resident has been admitted to a facility the facility cannot involuntarily discharge or transfer a resident because ___

Answer 77

the payer source changed

Question 78

a facility may initiate transfer or discharge when

Answer 78

an individuals health in the facility is in danger
a facility ceases to operate
a resident fails to pay their bills

Question 79

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

Answer 79

the administrator

Question 80

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

Answer 80

have a physician sign the discharge

Question 81

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

Answer 81

30

Question 82

true or false it is legally justifiable reason to discharge a resident from a facility without 30 day notice when the resident has unpaid bills

Answer 82

false

Question 83

with respect to residents with different payer sources, a facility can ___

Answer 83

advise all residents in advance of their obligations under facility rules

Question 84

true or false a facility can use restraints only for the safety and welfare of a resident

Answer 84

true

Question 85

a pharmaceutical drug used to discipline or for convenience and not required to treat medical symptoms is called

Answer 85

convenience chemical restraint

Question 86

must have a registered nurse ___

Answer 86

on every shift 7 days a week

Question 87

a facility would not be cited if an employee file did not contain ___

Answer 87

letters of commendation

Question 88

the care plan must be signed by whom

Answer 88

the medical director

Question 89

the comprehensive assessment must be completed within __ days of admission

Answer 89

14 days

Question 90

a resident can appeal the findings of the staff grievance coordinator by filing an appeal with the grievance committee within ___ days

Answer 90

7

Question 91

true or false: a facility is not required to provide services not covered by the residents insurance plan

Answer 91

false must provide all necessary care

Question 92

any individuals seeking admission to a skilled nursing facility must be screened by ___ to determine if the individuals needs can be met by a facility

Answer 92

the attending physician

Question 93

true or false: will not be cited if there are no activities designed for patients with dementia

Answer 93

false

Question 94

the allowable medication error rate in a facility is:

Answer 94

5%

Question 95

the director of nursing for long term care facility must be a ___

Answer 95

registered nurse

Question 96

administering a hypnotic drug to keep a patient sedated and easier to manage is or is not a physical restraint

Answer 96

is not

Question 97

the willful infliction of injury, unreasonable confinement, intimidation or punishment resulting in physical harm or pain or mental anguish is called ___

Answer 97

abuse

Question 98

the use of oral written or gestured language that disparages or threatens residents or their families is called ___

Answer 98

verbal abuse

Question 99

sexual harassment, sexual coercion and sexual assault are forms of

Answer 99

sexual abuse

Question 100

hitting, slapping, punching and kicking are forms of ___

Answer 100

physical abuse

Question 101

the registered dietitian must be registered with the ___

Answer 101

american dietetic association

Question 102

drugs are required to have what information printed on the label

Answer 102

1. drug name strength dose root of administration
2. expiration date, residents name, pharmacy name
3. physicians name and address

Question 103

when must a resident have an oral exam by a dentist or dental hygienist

Answer 103

upon admission

Question 104

true or false a facility is not required to pay for all dental services

Answer 104

true

Question 105

the ___ is required to chart dental services in the resident chart

Answer 105

dentist or hygienist

Question 106

true or false the resident activities program is not required to provide activities 7 days a week, including evenings and weekend

Answer 106

true

Question 107

true or false residents must not be required to eat their meals only at prescribed meal times

Answer 107

true

Question 108

staff must have an inservice on resident oral care practices how often

Answer 108

annually

Question 109

true or false staff may require residents to take a shower at a time when they do not desire to do so

Answer 109

false

Question 110

true or false: resident groups have the right to demand a facility implement any of their suggestions

Answer 110

false

Question 111

a facility must respond to a resident grievance within __ days

Answer 111

3

Question 112

true or false a resident must be notified in advance of a planned room change or change of roommate

Answer 112

true

Question 113

true or false an activities program should not be primarily designed to attract the most number of residents each day

Answer 113

true

Question 114

feeding assistance must be supervised by whom

Answer 114

RN or LPN

Question 115

true or false: a facility is required to pay for resident dental care

Answer 115

false

Question 116

true or false a staff member who has not completed a training course may serve as a feeding assistant

Answer 116

false

Question 117

when must staff members be provided a copy of the resident bill of rights

Answer 117

by their first pay check

Question 118

true or false a resident in a nursing home does not have the right to cast their ballot in political elections

Answer 118

false

Question 119

a resident must report a grievance within ___ days that it occurred

Answer 119

14 days

Question 120

the __ must initially investigate resident grievances

Answer 120

the staff grievance coordinator

Question 121

a facility may or may not charge a resident a reasonable fee to type a letter detailing charges to locate and copy records

Answer 121

may not

Question 122

residents do or do not have the right to refuse treatment

Answer 122

do

Question 123

true or false residents do not have the right to participate in experimental research

Answer 123

false

Question 124

residents do or do not have the right to formulate an advance directive

Answer 124

do