Resident Care Exam 1 Flashcards
1
Q
A resident does not have the right to ____
A
smoke anywhere the resident chooses
2
Q
A resident does not have the right to ___
A
Share a room with a spouse if only one spouse agrees
3
Q
A resident does not have the right to ____
A
play a television as loud as they want in a semi private room
4
Q
residents may submit a grievance ____
A
either orally or writing
5
Q
with respect to individuals with communication, hearing and cognition problems, which of the following may a facility legally do?
A
encourage individuals to participate in their care planning and daily activities to the extent practicable
6
Q
a facility must provide copies of resident records to residents in the facility within _____
A
24 hours
7
Q
a manual or physical method of mechanical device, material or equipment attached or adjacent to a residents body that restricts movement is called a
A
physical restraint
8
Q
Where a resident has been found incompetent by a court, the rights of the resident may be exercised by whom?
A
An individual or guardian appointed by a court
9
Q
a(n) ____ cannot exercise the rights of a resident adjudged incompetent by a court
A
Administrator
10
Q
an order admitting an individual to a nursing home would not include:
A
a television with remote control
11
Q
a facility is not required to do which of the following in fulfilling its obligations to fully inform a resident of his/her rights:
A
advise the resident of their rights within 14 days of admission
12
Q
a facility is not required to provide residents ____
A
A roommate who speaks their native language
13
Q
a facility may provide a resident just an oral summary and a written copy of the statement of rights when ____
A
the resident speaks the predominant language and fully understands their rights
14
Q
when must a facility inform residents of their bed-hold rights?
A
prior to or upon admission
15
Q
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:
A
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
16
Q
True or False: a facility may not charge a resident a per page copy fee and clerical time to copy requested resident records
A
False
17
Q
a facility must provide a discharged resident access to their own records within
A
10 days
18
Q
Telephone orders must be signed by the prescribing physician withing ___ days
A
14
19
Q
facility staff may ____
A
maintain a health chart for each resident
20
Q
residents do or do not have the right to refuse treatment
A
Do
21
Q
an order to admit a resident to a nursing home must be signed by _____
A
A physician
22
Q
the ___ is responsible to coordinate medical care in the facility
A
Medical Advisor
23
Q
The ____ must initially investigate resident grievances
A
Staff grievance coordinator
24
Q
a resident’s chart must be complete and all documents in order within ___ days of discharge
A
30 days
25
The ____ is responsible to develop and approve resident care policies
Medical Advisor
26
If a resident refuses treatment, the facility is required to do all of the following
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
27
A facility has an obligation to provide a standard for care to residents that ___
allows he resident to attain their highest practicable physical, mental, and psychosocial well- being
28
the __ is responsible to coordinate functions between the governing body, medical staff and residents and families
Administrator
29
With respect to Medicaid benefits, what is the facility's obligation to inform residents of their rights?
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
30
must advise residents within ___ days in advance of any changes in charges
within 14 days
31
A medicare beneficiary who requires services that are not covered by medicare can ____
be required to deposit money with the facility to cover those charges
32
a facility is required to post the names, addresses and telephone numbers of which three agencies
state advocacy group
ombudsman
medicaid fraud control unit
test answer all of the above
33
an administrator is required to ensure that the facility _____
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
34
specialized rehabilitative therapy must be provided under the written order of the ____
physician
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
contracted pharmacy
36
specialized rehabilitative services do not include ____
restorative nursing
37
a facility is required to inform the residents attending physician of ____
accident resulting in injury requiring physician attention
a significant change in the residents physical, mental or psychosociall status
a need to significantly alter treatment
38
the ___ and ___ must be notified of changes in medicare and medicaid laws and resident billing
the resident
| family
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?
annually
40
facility staff training records of completed inservice would require
original employee signatures
an outline of inservice completed
the instructors signature
41
resident care policies must be reviewed and approved how often
annually
42
___ is required to review resident care policies
medical advisor
RN
administrator
43
True or False a facility may refuse to manage resident funds if requested in writing?
false
44
residents must be refunded any monies held in trust within __ days of discharge
30
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
an occurrence
46
each facility must submit a report of all employee flu vaccinations each year to what
Colorado department of health and environment
47
an administrator can only admit a resident to a facility who
the facility that can provide the necessary care
48
services covered by medicare and medicaid do not include
a private room
49
if the attending physician is unavailable to supervise the care of a resident then ___ must supervise the residents care
another physician
50
True of False: social events or outside entertainment outside the scope of the activities program is covered under medicare and medicaid
false
51
the ____ must ensure each resident has a signed order from a licensed physician attesting to the need for admission to a nursing home
administrator
52
The ___ trains residents to use adaptive eating equipment
occupational therapist
53
true or false a facility must advise residents of the charge in advance of any service or item requested by the resident
true
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
true, must produce insurance and license info
55
Where a resident has been adjudged incompetent by a court or has cognitive impairments, who must the facility consult regarding the residents care
court appointed guardian
56
the ___ is responsible to provide staff on the job training, continuing education and conduct initial employee orientation
staff development coordinator
57
true or false the resident has the right to refuse family members access to their medical records
true
58
true or false residents have the right to smoke wherever they want in the facility
false
59
true or false staff is not required to knock before entering a residents room
false
60
if two adult residents consent and desire sexual relations, and request the facility to accommodate their privacy needs what should the administrator do?
provide a private room to accommodate their wishes
61
personal or clinical records do or do not include the resident contract
do
62
true or false residents must submit grievances in writing
false
| orally or written
63
a pharmaceutical drug used to discipline or for convenience and not required to treat medical symptoms is called a
chemical restraint
64
true or false the resident advisory council is required to meet monthly with the administrator to discuss policy changes
false
65
all incoming and outgoing resident mail must be delivered or posted within ___ hours
24
66
true or false a grievance committee includes a resident representative chosen by the residents
false
67
a facility must have a ___ on each resident care unit on all three shifts
LPN
68
the ___ must approve the staff members authorized to receive and manage controlled and uncontrolled drugs
governing body
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
30
70
true or false residents have the right to bring in personal possessions regardless of available space in their room
false
71
married couples may share a room if
they request to do so and a room is available
72
residents do not have the right to self administer drugs if the ___ determines it is not safe
medical director
73
moving a resident within a facility or to another facility or institution is called a
assignment
74
an occurrence must be reported to the state within __ hours
24
75
a residents may appeal the findings of the facility grievance committee to the state within __ days of receipt of their written findings
10
76
Moving a resident to a non institutional setting when the releasing institution ceases to be responsible is called ___
discharge
77
once a resident has been admitted to a facility the facility cannot involuntarily discharge or transfer a resident because ___
the payer source changed
78
a facility may initiate transfer or discharge when
an individuals health in the facility is in danger
a facility ceases to operate
a resident fails to pay their bills
79
___ must sign an involuntary transfer or discharge because a resident did not pay their bills
the administrator
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
have a physician sign the discharge
81
a notice of involuntary discharge or transfer must be given to the resident ___ days prior to discharge
30
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
false
83
with respect to residents with different payer sources, a facility can ___
advise all residents in advance of their obligations under facility rules
84
true or false a facility can use restraints only for the safety and welfare of a resident
true
85
a pharmaceutical drug used to discipline or for convenience and not required to treat medical symptoms is called
convenience chemical restraint
86
must have a registered nurse ___
on every shift 7 days a week
87
a facility would not be cited if an employee file did not contain ___
letters of commendation
88
the care plan must be signed by whom
the medical director
89
the comprehensive assessment must be completed within __ days of admission
14 days
90
a resident can appeal the findings of the staff grievance coordinator by filing an appeal with the grievance committee within ___ days
7
91
true or false: a facility is not required to provide services not covered by the residents insurance plan
false must provide all necessary care
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
the attending physician
93
true or false: will not be cited if there are no activities designed for patients with dementia
false
94
the allowable medication error rate in a facility is:
5%
95
the director of nursing for long term care facility must be a ___
registered nurse
96
administering a hypnotic drug to keep a patient sedated and easier to manage is or is not a physical restraint
is not
97
the willful infliction of injury, unreasonable confinement, intimidation or punishment resulting in physical harm or pain or mental anguish is called ___
abuse
98
the use of oral written or gestured language that disparages or threatens residents or their families is called ___
verbal abuse
99
sexual harassment, sexual coercion and sexual assault are forms of
sexual abuse
100
hitting, slapping, punching and kicking are forms of ___
physical abuse
101
the registered dietitian must be registered with the ___
american dietetic association
102
drugs are required to have what information printed on the label
1. drug name strength dose root of administration
2. expiration date, residents name, pharmacy name
3. physicians name and address
103
when must a resident have an oral exam by a dentist or dental hygienist
upon admission
104
true or false a facility is not required to pay for all dental services
true
105
the ___ is required to chart dental services in the resident chart
dentist or hygienist
106
true or false the resident activities program is not required to provide activities 7 days a week, including evenings and weekend
true
107
true or false residents must not be required to eat their meals only at prescribed meal times
true
108
staff must have an inservice on resident oral care practices how often
annually
109
true or false staff may require residents to take a shower at a time when they do not desire to do so
false
110
true or false: resident groups have the right to demand a facility implement any of their suggestions
false
111
a facility must respond to a resident grievance within __ days
3
112
true or false a resident must be notified in advance of a planned room change or change of roommate
true
113
true or false an activities program should not be primarily designed to attract the most number of residents each day
true
114
feeding assistance must be supervised by whom
RN or LPN
115
true or false: a facility is required to pay for resident dental care
false
116
true or false a staff member who has not completed a training course may serve as a feeding assistant
false
117
when must staff members be provided a copy of the resident bill of rights
by their first pay check
118
true or false a resident in a nursing home does not have the right to cast their ballot in political elections
false
119
a resident must report a grievance within ___ days that it occurred
14 days
120
the __ must initially investigate resident grievances
the staff grievance coordinator
121
a facility may or may not charge a resident a reasonable fee to type a letter detailing charges to locate and copy records
may not
122
residents do or do not have the right to refuse treatment
do
123
true or false residents do not have the right to participate in experimental research
false
124
residents do or do not have the right to formulate an advance directive
do
