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CEAL Test > RESIDENT CENTERED CARE > Flashcards

RESIDENT CENTERED CARE Flashcards

1
Q

Written policies and procedures are used by the facility for all of the following except?

  1. To communicate what management expects in any situation
  2. To prepare staff for dealing with emergency situations
  3. To establish the management style for operating the facility
  4. To set guidelines for staff to follow in delivery of care
A

To establish the management style for operating the facility

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2
Q

When admitted to the nursing home, which of the following is not required to be given to the resident?

  1. The resident’s rights and rules and regulations governing resident conduct and responsibilities during the stay i the facility
  2. Services to be provided and their associated cost
  3. The federal standards and state licensing rules for nursing facilities
  4. Information regarding an advance directive
A

The federal standards and state licensing rules for nursing facilities

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3
Q

In the case of non-Medicare Part A residents, the initial resident assessment must be completed?

  1. Within 10 days of admission
  2. Within 14 days of admission
  3. Within the first week of admission
  4. Prior to formally admitting the resident
A

Within 14 days of admission

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4
Q

According to the federal certification standards, the QA committee is required to meet?

  1. When a problem arises that requires immediate attention
  2. At least twice a year
  3. At least quarterly
  4. When directed by the medical director
A

At least quarterly

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5
Q

A resident is admitted to a nursing home that has been certified as a (Medicare) SNF only. Which of the following is not required to be adhered to by the facility?

  1. State Medicaid standards for payment
  2. SNF regulations
  3. Sate licensing regulations
  4. Office of Civil Rights laws
A

State Medicaid Standards for payment

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6
Q

Unless a waiver has been secured, a registered nurse is required to be in the facility?
1. At least eight hours within every 24 hour period
2. At least eight consecutive hours a day, seven days a week
3 At least eight consecutive hours Monday through Friday
4 There is no minimum number of hours required

A

At least eight consecutive hours a day, seven days a week

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7
Q

Restorative care must be provided?

  1. Only with the order of the facility’s physical therapist
  2. By specialized qualified staff for which the facility has contracted services
  3. Only if the resident can’t provide his/her own care
  4. By nursing staff based on a comprehensive assessment
A

By nursing staff based on a comprehensive assessment

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8
Q

The facility staff will determine what the needs of the resident are based on?

  1. Quality indicator reports
  2. Family interviews
  3. The MDS assessments
  4. Quality measures
A

The MDS assessments

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9
Q

Physician visits are required?

  1. Monthly after the initial required visits
  2. Quarterly after the initial required visits
  3. Every 60 days after the initial required visits
  4. Twice a year after the initial required visits
A

Every 60 days after the initial required visits

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10
Q

Which one below is an exception to when a facility may release resident identifiable information under the HIPAA Privacy Standard without the resident’s permission?

  1. For a research study conducted by CMS
  2. When any immediate family member requests it
  3. To consumer groups
  4. When a resident is transferred to another health care institution
A

When a resident is transferred to another health care institution

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11
Q

Standard precautions (previously referred to as universal precautions) are to be used when providing personal care to?

  1. All residents
  2. Residents with AIDS
  3. Resident with Hepatitis
  4. Residents with Tuberculosis
A

All residents

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12
Q

All of the following are barriers regarding the recognition of chronic pain except?

  1. Cognitive impairment and communication barriers (language or speech) hinder a resident’s ability to report pain or respond to care giver’s questions regarding pain
  2. Staff who are utilizing valid tools to screen for pain
  3. Elderly may not show verbal or no-verbal symptoms of pain
  4. Staff may not have knowledge of or be skilled in assessing pain
A

Staff who are utilizing valid tools to screen for pain

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13
Q

Which of the following does not support resident centered care concepts?

  1. Upon admission the resident indicates a reference to bathe at night; the facility policy requires all baths to be given on the days shift
  2. Breakfast is served from 0630 to 0800; the resident chooses to sleep until 0900 so the nursing staff makes are cereal and milk are available 0900
  3. Upon admission the resident was allowed to bring his personal recliner to the facility to furnish his room
  4. Prior to living in the nursing facility the resident enjoyed fishing; the activity staff arrange for the resident to attend the annual fishing rodeo located 30 miles from the facility
A

Upon admission the resident indicates a reference to bathe at night; the facility policy requires all baths to be given on the days shift

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14
Q

Facilities are expected to provide a pleasant dining experience for all residents. This includes all except?

  1. Providing well lit, well ventilated dining room
  2. Providing adequate space and seating accommodations
  3. Maintaining a level of dignity when servicing all residents
  4. Serving residents without attempting to honor recent food references
A

Serving residents without attempting to honor recent food references

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15
Q

Which one of the following is not a correct policy for dietary services?

  1. Receiving of food for facility use must be from approved sources
  2. Storage of food brought in by staff must be stored separately from facility food
  3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a nutrition problem exists
  4. A specific food temperature level is required at the time of serving
A

Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a nutrition problem exists

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16
Q

One specified reason for a “significant change” comprehensive reassessment is an unplanned weight loss of either ___% over 30 days or ___% over 180 days.

  1. 5%; 7%
  2. 7%; 10%
  3. 5%; 10%
  4. 10%; 29%
A

5%; 10%

17
Q

Which one of the following statements is true for the medical director?

  1. May also serve as an attending physician
  2. Must be a member of the facility’s Quality Assessment Committee
  3. Must be seen by the resident at least every 30 days after the initial required visits
  4. Must personally approve each order for each individual to be admitted to the facility
A

May also serve as an attending physician

18
Q

Which one of the following statements is true regarding a facility providing medically related social services in the facility?

  1. A facility must have a full time qualified social worker on staff for each work shift except weekends
  2. A facility’s qualified social worker must have a BA degree in social work and one year of supervised experience in a healthcare setting working with individuals
  3. A facility must have one qualified social worker for each 75 residents
  4. A facility’s qualified social worker’s bachelor’s degree can be in a human services field or in another degree with one year of supervised social work experience in a health care setting working directly with individuals
A

A facility’s qualified social worker’s bachelor’s degree can be in a human services field or in another degree with one year of supervised social work experience in a health care setting working directly with individuals

19
Q

Nurse aids must have a minimum of ___ hours of in-service train gin annually.

  1. 6
  2. 10
  3. 12
  4. 16
A

12

20
Q

Which one of the following statements is true?

  1. Any employee may serve as a feeding assistant when the need arises
  2. A family member must complete a state approved training course for feeding assistants before assisting with feeding his/her family member
  3. Paid feeding assistants must successfully complete a state-approved training course
  4. A family member is not allowed to feed his/her relative
A

Paid feeding assistants must successfully complete a state-approved training course

21
Q

Which of the following changes in the dietary department would most closely reflect the principles behind culture change?

  1. Providing set meal service times with little flexibility to maintain a daily routine for the residents
  2. Liberalizing therapeutic diets to provide more food choices to residents
  3. Increasing the number of pureed or soft diet orders to make feeding easier for the staff
  4. Structuring meal times to the benefit of staff schedules
A

Liberalizing therapeutic diets to provide more food choices to residents

22
Q

Which one of the following is not a function of the activities director within a facility?

  1. To ensure that the culture, functional ability, cognitive level, and background of the individuals contribute to enhancing personal identity, self-esteem and dignity of the resident
  2. Develops the restorative therapy program for each resident
  3. He/she is a part of the comprehensive assessment team within the facility
  4. May form small groups (clubs) to include residents of like interests
A

Develops the restorative therapy program for each resident

23
Q

If a resident refuses to consume all of a meal initially given to him/her, the surfing staff should?

  1. Do nothing; it is the resident’s right to refuse meals
  2. Document that the resident was being uncooperative for that particular meal
  3. Offer a suitable meal replacement or nutrition supplement to provide adequate calories
  4. Force feed the resident the meal as served
A

Offer a suitable meal replacement or nutrition supplement to provide adequate calories

24
Q

Which of the following statements is correct regarding activities provided through the activities department of a facility?

  1. Spiritual actives are not permitted in a facility that receives federal dollars
  2. Manicures/pedicures, hair styling, and makeovers may be considered part of the activities program
  3. Trips to casinos and other gaming type facilities, museums, fishing events, eta., are not permitted because of the liability for facilities
  4. Most activities, which are scheduled by the activity director, should be of a physical nature in order to help residents increase or maintain their mobility
A

Manicures/pedicures, hair styling, and makeovers may be considered part of the activities program

25
Q

Which one of the following statements is correct about naso gastric tube feeding while in a facility?

  1. An individual who needs to be fed may be given a naso gastric tube to make eating easier for the resident
  2. The facility must ensure that the resident receives appropriate treatment to restore, if possible, normal eating skills can be restored
  3. With the family’s permission, the resident may be given a naso gastric tube
  4. The initial assessment demonstrates that the resident’s clinical condition indicates he/she can’t eat by himself/herself
A

The initial assessment demonstrates that the resident’s clinical condition indicates he/she can’t eat by himself/herself

26
Q

According to the federal certification standards, when a nourishing snack is provided at bedtime, up to ___ may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span.

  1. 12 hours
  2. 16 hours
  3. 14 hours
  4. 15 hours
A

16 hours

27
Q

____ refer to any endeavor in which a resident participates that is intended to enhance hi/her sense of well being and to promote or enhance physical, affective, spiritual, cognitive, and emotional health.

  1. Activities of daily living
  2. Instrumental activities of daily living
  3. Activities
  4. Occupational therapies
A

Activities

28
Q

How many hours a day must the facility provide a resident with access to physician services or with transportation to a hospital emergency room?

  1. 8
  2. 12
  3. 18
  4. 24
A

24

29
Q

In the event of an error in administration of medication, which of the following should be notified first?

  1. Report to the attending physician
  2. Report the error to the director of nurses
  3. Report to the administrator
  4. Report to the family
A

Report to the attending physician

30
Q

A valid court order directing that medical records be made available to a given third party, or revealed in a given circumstance, must be honored?

  1. Only if the resident has raised the issue of his/her medical care in a law suit
  2. But the resident’s consent is required if the third party is an insurance company
  3. Only with the resident’s consent
  4. The resident’s consent is not required
A

The resident’s consent is not required

31
Q

Medications not given as intended by the prescriber, as required by the drug manufacturer, or according to acceptable professional standards is?

  1. Polypharmacy
  2. Drug regimen
  3. Medication error
  4. Drug therapy
A

Medication error

32
Q

Facility employees are allowed to serve as feeding assistants during meal time as long as they meet certain requirements. Which of the following statements is not true?

  1. Feeding assistants must work under the supervision of a RN or LPN
  2. Feeding assistants can only assist residents who have no difficulty swallowing
  3. Feeding assistants must complete a state approved training program
  4. Feeding assistants can assist residents who are at risk for aspiration
A

Feeding assistants can assist residents who are at risk for aspiration

CEAL Test (14 decks)

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