resident care exam 3

Question 1

true or false in general residents infected with the same organism may safely share the same room

Answer 1

true

Question 2

true or false single service disposable nursing care equipment must be used only once and must be disposed of in an approved manner

Answer 2

true

Question 3

what is the proper technique when washing hands after contact with a resident or with a contaminated object

Answer 3

wash hands and forearms with soap or detergent with friction, not a brush, and rinse under running water
repeat the washing procedure two or three times
dry hands with a disposable towel

Question 4

True or False all health care workers must be offered the flu vaccination but they have the option to decline

Answer 4

false

Question 5

all facilities will be required to report the number of vaccinations administered to staff how often

Answer 5

annually

Question 6

facilities may apply for an exemption if they have a program that achieves immunization targets for 2013 of ___%

Answer 6

75%

Question 7

facilities may apply for an exemption if they have a program that achieves immunization targets for 2014 of ___ %

Answer 7

90%

Question 8

true or false once an individual is admitted to a facility, they can only leave if their physician issues an order approving the discharge

Answer 8

false

Question 9

you must provide the resident, family and legal representative __ days advance notice of intent to discharge them

Answer 9

30

Question 10

if the facility is medicaid/ medicare certified, the facility must also send a copy of a notice of involuntary discharge to the ___ at the same time it is sent to the resident or as soon as the determination is made that the transfer or discharge is involuntary

Answer 10

state or local long term care ombudsman

Question 11

true or false a facility must provide 30 days notice of intent to discharge if they require acute care and must be transferred to a hospital

Answer 11

false

Question 12

an involuntary discharge based on a resident being a danger to themselves or others must be signed by ___

Answer 12

physician

Question 13

a written notice of involuntary discharge must be in a language and manner understandable to the resident and the residents legal representative if applicable and must include ___

Answer 13

1. the reason for transfer or discharge
2. effective date of transfer or discharge
3. the location to which the resident is transferred or discharged
4. the grievance procedure

Question 14

an involuntary discharge because the facility cannot meet the needs of a resident must by signed by ___

Answer 14

physician

Question 15

an involuntary discharge because the resident failed to pay his or her facility bills must be signed by ___

Answer 15

administrator

Question 16

an involuntary discharge because the resident no longer requires the services of a skilled nursing facility must be signed by

Answer 16

physician

Question 17

an involuntary because a facility is closing can be signed by

Answer 17

administrator

Question 18

if a resident does not agree with an intended discharge the resident must first appeal the discharge to ___

Answer 18

staff designee

Question 19

if the resident is not satisfied with the response from the staff designee (resident discharge appeal) the resident can appeal to the

Answer 19

facility grievance committee

Question 20

after appealing to the facility grievance committee who should the resident appeal to if they are not satisfied

Answer 20

colorado department of health and environment

Question 21

when a facility intends to move a resident to another room in the facility without the residents consent, the facility must provide the resident with written notice at least __ days before such move, including an explanation on their rights to appeal

Answer 21

5 days

Question 22

true or false a resident must not be involuntarily transferred, discharged or moved to another room within the facility until the expiration of the notice period any administrative appeals has expired

Answer 22

true

Question 23

true or false if a facility intends to close or change bed classification, it must notify the department of public health and environment and the colorado department healthcare policy and financing

Answer 23

true

Question 24

if a facility has medicaid residents and intends to cease or change operations, it must notify residents and family members at least __ days prior to such closure or change in operations

Answer 24

7 days

Question 25

if a facility has medicaid residents and is closing its doors and ceasing operations the facility must do ___ according to colorado law

Answer 25

1. appoint one staff person to coordinate resident relocations 2. the facility must review its relocation plan with a department of health care policy and financing 3. the facility must follow the relocation procedure prescribed by the department of social services

Question 26

records of occupational and physical therapy must include __

Answer 26

1. the physician referral for treatment 2. resident progress notes 3. the results of special tests and measurements

Question 27

the facility must take all necessary steps to ensure that each licensed therapist communicates to the facility each residents condition and their response to treatment within __ days of initiation of treatment

Answer 27

14 days

Question 28

each licensed therapist must communicate to the facility each residents condition and their response to treatment every __ days after their initial progress report

Answer 28

30 days

Question 29

what is not a legal reason to involuntarily discharge a resident from a facility

Answer 29

the residents payer source changes

Question 30

true or false the resident has the legal right to remain in a facility unless discharged for just cause

Answer 30

true

Question 31

discharge means movement from a nursing facility to ___

Answer 31

a non institutional setting where the transferring facility ceases to be responsible for the individual (such as their home)

Question 32

transfer means movement from a nursing facility to ___

Answer 32

an institutional setting or another institution where the receiving facility assumes responsibility for the individual ( hospital or another nursing facility)

Question 33

if a facility has medicaid residents and intends to cease or change operation, it must notify the department of health and environments at least __ days before it expects to cease or change operation

Answer 33

60 days