resident care exam 2

Question 1

true or false a facility is not required to give a resident an oral explanation of their rights if they are not able to read and comprehend a written explanation

Answer 1

false

Question 2

where a resident is not satisfied with the facility response to a grievance, the resident can appeal to the facility grievance committee within ___ days of receipt of the written findings of the staff grievance coordinator

Answer 2

10 days

Question 3

a grievance committee has __ days to respond to an appeal of a notice of involuntary discharge

Answer 3

10 days

Question 4

if a resident is not satisfied with the response from the grievance committee to a grievance, the resident can file a grievance with the department of health and environment within ___ days of receipt of grievance committees written findings

Answer 4

10 days

Question 5

a resident or the facility can file for an administrative hearing within __ days of receipt of the DOH written findings if not satisfied with the outcome

Answer 5

30 days

Question 6

each facility must establish a resident advisory council consisting of no less than __ members selected from the facilities residents

Answer 6

5

Question 7

true or false the resident advisory council must have staff present at each meeting

Answer 7

false

Question 8

the resident advisory council must meet at least how often with the administrator and staff representative to make recommendations concerning facility policies

Answer 8

monthly

Question 9

staff must respond in writing to recommendations by the resident advisory council within what time frame

Answer 9

by the next council meeting

Question 10

true or false minutes of the resident advisory council meetings must be maintained and posted and made available to residents upon request

Answer 10

true

Question 11

true or false resident advisory council may present grievances to the grievance committee on behalf of residents

Answer 11

true

Question 12

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

Answer 12

the resident speaks the predominant language and fully understands their rights

Question 13

each facility must develop written policies and procedures in case of fire, explosion, flood, staff shortage, food shortage, termination of vital services or other emergencies in the building with the assistance of ___

Answer 13

a qualified safety or fire expert

Question 14

each facility must provide training to keep employees informed of their duties during a fire how often

Answer 14

annually

Question 15

simulated fire drills must be conducted how many times each year

Answer 15

3

Question 16

true or false each facility must develop a written mass casualty plan for managing residents and treating casualties in an external or community disaster

Answer 16

true

Question 17

telephone orders must be taken by a ___

Answer 17

licensed nurse

Question 18

telephone orders must be countersigned by the physician or dentist and entered into the record within what time frame

Answer 18

14 days

Question 19

all reports of x ray, laboratory, ekg, and other diagnostic tests must be authenticated by the person submitting them and incorporated into the health record within how many days after receipt by the facility

Answer 19

14 days

Question 20

true or false all entries in the health record must be the original ink or typed copy of valid copies, kept current, dated and signed or authenticated

Answer 20

true

Question 21

grievance may be made orally or in writing within __ days of the incident giving rise to the grievance

Answer 21

14 days

Question 22

the responsibility for completing each residents health record rests with the ___ and the ____

Answer 22

tending physician and the administrator

Question 23

a residents chart must be complete and all documents in order within ___ days of discharge

Answer 23

30

Question 24

the __ is responsible to develop and approve resident care policies

Answer 24

medical director

Question 25

true or false a physician may allow facility nursing staff to use their facsimile stamp provided written authorization is given to the facility to do so

Answer 25

false

Question 26

true or false: a registered record administrator, accredited record technician, or other employee who is trained in medical records and who has consultation from a registered record administrator or accredited record technician must be responsible for the custody, supervision, filing, and indexing of completed health records of all residents and for allied health records services

Answer 26

true

Question 27

true or false an individual who is trained in medical records and is responsible to maintain a facilities medical records but is not a registered record administrator or an accredited record technician may but is not required by colorado law to have consultation with an RRA or ART

Answer 27

true

Question 28

a facility must obtain which of the following records

Answer 28

1. daily census including current resident problems and room numbers
2. admission and discharge analysis records
3. master resident file
4. resident number index
5. disease index
6. file of all accident and incident reports

Question 29

the pharmaceutical services must be supervised by ____

Answer 29

consultant pharmacist

Question 30

who must be on the pharmaceutical advisory committee

Answer 30

an RN consulting pharmacist and medical director

Question 31

the ___ must approve the written policies that designates who may requisition, receive, control and manage drugs

Answer 31

the governing body

Question 32

true or false each resident drug must be stored in its original container

Answer 32

true

Question 33

each facility is or is not required to contract in writing with a licensed pharmacist to supply the facility with pharmaceutical drugs and supplies

Answer 33

is

Question 34

a facility must have a contract with a consulting pharmacist to provide which services

Answer 34

1. legal compounding
2. prompt dispensing of properly labeled individual resident prescriptions
3. periodic inspections of all pharmaceutical supplies and drugs on all resident care units
4. an emergency medical kit approved by the pharmaceutical advisory committee and the colorado state board of pharmacy

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

consultant pharmacist

Question 36

the evaluation team must reevaluate the placement of each resident __ days after initial placement

Answer 36

30 days

Question 37

the consulting pharmacist must provide regularly scheduled visits to the facility and provide inservice training to staff at least

Answer 37

annually

Question 38

the consulting pharmacist must provide the pharmacy advisory committee reports on the status of pharmacy services how often

Answer 38

quarterly

Question 39

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

Answer 39

annually

Question 40

true or false the facility uses a unit dose system, it must maintain a record on a separate sheet for each resident receiving a scheduled drug with the name of the drug , strength, date, time administered resident name, dose, physicians name, signature of the person administering, and the quality of the drug remaining

Answer 40

true