SNF - ADMINISTRATION - ADMISSION RECORDS & HEALTH RECORD CONTENT

Question 1

For ea pt a SNF shall complete an admission record to include which of the following?

1. Name and SS# and current address
2. Age, date of birth and sex
3. Date of admission/Date of discharge
4. Name, Address and pho # of response. person
5. Name, address of all physicians for tx
6. All the above

Answer 1

6. All the above

Question 2

The admission record for ea pt shall include which of the following?

1. Jewelry, Furniture, Radios, TV, appliances
2. Prosthetic and orthopedic devices
3. Other valuables identified by the pt/resp pers.
4. Automobile registration
5. 1, 2, & 3

Answer 2

5. 1, 2, & 3

Question 3

The pt health record shall include the orders of the health care practitioner signed and dated ___.

1. On each visit
2. As needed
3. Per Schedule
4. None of the above

Answer 3

1. On each visit

Question 4

Nurses notes shall be signed and ___.

1. Reviewed
2. Care Planned
3. Dated
4. None of the above

Answer 4

3. Dated

Question 5

At minimum, nurses notes shall be written weekly and shall be patient ___.

1. Approved
2. Assigned
3. Specific
4. All the above

Answer 5

3. Specific

Question 6

In nurses progress notes the pt care plan and response to care tx shall be included. TRUE OR FALSE

Answer 6

TRUE

Question 7

Nurses notes are to include justification for withholding ___ medications.

1. PRN
2. Scheduled
3. Re-ordered
4. None of the above

Answer 7

2. Scheduled