Study Guide 24 Flashcards
True or False - A nursing facility is required to report to law enforcement any crimes occurring in a
federally funded long term care nursing facility.
1. True 2. False
1
True or False - A same-sex spouse of a resident must be treated equal to an opposite-sex spouse if
the marriage is valid in the jurisdiction it was celebrated in.
1. True 2. False
1
mmediate family means which of the following?
1. A husband or wife
2. A natural or adoptive parent
3. A child or sibling
4. A stepparent, stepchild, stepbrother, or stepsister
5. A father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law
6. A grandparent or grandchild
7. All of the above.
7
A resident has the right to receive visitors that includes which of the following?
1. A spouse
2. A same-sex spouse
3. A domestic partner (including a same-sex domestic partner)
4. Another family member
5. A friend
6. All of the above.
6
True or False - A resident does not have the right to refuse a visit by family and friends but not state
officials or law enforcement.
1. True 2. False
2
The willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting
physical harm, pain or mental anguish is called _______.
1. Abuse
2. Neglect
3. Exploitation
4. Misappropriation
1
True or False - An individual must have intended to deliberately inflict injury or harm on someone to
have committed abuse.
1. True 2. False
2
True or False - Abuse can be enabled through the use of technology.
1. True 2. False
1
The deprivation by an individual of goods or services that are necessary to attain or maintain
physical, mental, and psycho-social well-being is called _____.
1. Abuse
2. Neglect
3. Exploitation
4. Misappropriation
1
An action that results in physical harm, pain or mental anguish in a resident is called _____.
1. Abuse
2. Neglect
3. Exploitation
4. Misappropriation
1
Abuse includes which of the following?
1. Verbal abuse
2. Sexual abuse
3. Physical abuse
4. Mental abuse
5. Abuse enabled through the use of technology\
6. All of the above.
6
Taking advantage of a resident for personal gain through the use of manipulation, intimidation,
threats, or coercion is called _______.
1. Abuse
2. Neglect
3. Exploitation
4. Misappropriation
5. Mistreatment
3
The deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident’s
belongings or money without the resident’s consent, is called ______.
1. Abuse
2. Neglect
3. Exploitation
4. Misappropriation
5. Mistreatment
4
True or False - Sexual abuse involves consensual sexual contact of any type with a resident.
1. True 2. False
2
The inappropriate treatment or exploitation of a resident is called _____.
1. Abuse
2. Neglect
3. Exploitation
4. Misappropriation
5. Mistreatment
5
The failure of the facility to provide goods and services to a resident that are necessary is called
_________.
1. Abuse
2. Neglect
3. Exploitation
4. Misappropriation
2
True or False - Each covered mandated reporter must report to the State Agency, and one or more
law enforcement entities any reasonable suspicion of a crime against a resident in a facility.
1. True 2. False
1
Each covered individual or mandated abuse reporter must report immediately, but not later than ___
hours after forming the suspicion that an individual was abused, if the suspected abuse resulted in
serious bodily injury.
1. 2
2. 8
3. 12
4. 24
5. 48
6. 72
1
Allegations and suspicion of abuse that did not result in serious bodily injury may be reported within
___ hours.
1. 2 hours
2. 8
3. 12
4. 24
5. 48
6. 72
4
A facility is or is not required to post a conspicuous notice of employee rights against retaliation for
reporting suspected abuse.
1. Is 2. Is not
1
True or False - An adverse event is an untoward, undesirable, and usually unanticipated event that
causes death or serious injury, or the risk of injury or death.
1. True 2. False
1
True or False - In response to allegations of abuse, neglect, exploitation, or mistreatment, the
facility must: ensure that all alleged violations including injuries of unknown source and
misappropriation of resident property, are reported immediately, but not later than 2 hours after the
allegation is made to the administrator of the facility, and to other officials (including to the State
Survey Agency and adult protective services).
1. True 2. False
1
A facility must report allegations that do not involve abuse or incidents that do not result in serious
bodily injury and are unrelated to abuse, to the administrative and state officials not later than ___
hours.
1. 2 hours
2. 8
3. 12
4. 24
5. 48
6. 72
4
A facility does or does not have to have evidence that all alleged abuse violations are thoroughly
investigated.
1. Does 2. Does Not
1
A facility does or does not have to prevent further potential abuse, neglect, exploitation, or
mistreatment while an investigation of abuse is in progress.
1. Does 2. Does Not
1
A facility does or does not have to suspend any staff suspected of abusing a resident immediately
pending an investigation, or immediately separating residents involved in a resident to resident
incident immediately.
1. Does 2. Does Not
1
Must report the results of all investigations to the administrator and to other officials in accordance
with State law, including to the State Survey Agency, within what time frame?
1. Immediately
2. 24 hours
3. 5 days
4. 5 working days
4
True or False - If an allegation of abuse is verified, then the facility must take appropriate corrective
action.
1. True 2. False
1
A facility can or cannot request or require residents or potential residents to waive their rights to
Medicare or Medicaid as a condition of admission or to remain in the facility.
1. Can 2. Cannot
2
A fully sprinklered long term care facility is one that has all areas sprinklered in accordance with the
National Fire Protection Association ___ - “Standard for the Installation of Sprinkler Systems.
1. 9
2. 13
3. 17
4. 21
2
A major structural modification to a facility means the modification of more than ___ percent of a
building, or more than 4,500 square feet, and may require the entire facility to be brought current
with all building codes.
1. 10
2. 25
3. 50
4. 75
5. 85
3
Which of the following Is not a common area in a nursing facility?
1. Living rooms
2. Dining rooms
3. Maintenance office
4. Activity rooms
5. Outdoor areas
6. Meeting rooms where residents are located on a regular basis
3
True or False - A nurse aide would not include a person who provides services through an agency
or under a contract with the facility.
1. True 2. False
2
True or False - A nurse aide would include a licensed professional or an unpaid volunteer.
1. True 2. False
2
A nurse aide does or does not include a paid feeding assistant?
1. Does 2. Does not
2
Which survey is used for the annual survey?
1. Standard survey
2. Abbreviated standard survey
3. Extended survey
4. Partial extended survey
5. Validation survey
1
A survey, other than a standard survey, that gathers information through resident-centered
techniques on facility compliance with the requirements for participation is called a ________.
1. Standard survey
2. Abbreviated standard survey
3. Extended survey
4. Partial extended survey
5. Validation survey
2
A _______ survey is used for all other surveys than the the annual survey, and is also used for a
change of ownership, administrator and Director of Nursing as well.
1. Standard survey
2. Abbreviated standard survey
3. Extended survey
4. Partial extended survey
5. Validation survey
2
A ____ survey means a survey that evaluates additional participation requirements subsequent to a
finding of substandard quality of care during a standard survey.
1. Standard survey
2. Abbreviated standard survey
3. Extended survey
4. Partial extended survey
5. Validation survey
3
An extended survey subjects a facility to a survey every 6 months for the next _____.
1. 1 year
2. 2 years
3. 3 years
4. 5 years
2
A _____ means a survey that evaluates additional participation requirements subsequent to a
finding of substandard quality of care during an abbreviated standard survey.
1. Standard survey
2. Abbreviated standard survey
3. Extended survey
4. Partial extended survey
5. Validation survey
4
A partial extended survey subjects a facility to a survey every 6 months for the next 2 years.
1. 1 year
2. 2 years
3. 3 years
4. 5 years
2
A ______ survey is a survey conducted within 2 months following a standard survey, abbreviated
standard survey, a partial extended survey, or an extended survey to verify that identified
deficiencies had been addressed per the plan of correction.
1. Standard survey
2. Abbreviated standard survey
3. Extended survey
4. Partial extended survey
5. Validation survey
5
A dually participating facility is a facility that has both a Medicare and Medicaid contract.
1. Is certified for Medicaid
2. Is certified for both Medicaid and Medicare
3. Is only certified for Medicare
4. Is certified for Medicare and private insurance
2
________ is a situation where a provider’s noncompliance with one or more requirements has
caused, or is likely to cause, serious injury, harm, impairment, or death to a resident
1. Compromised
2. Immediate jeopardy
3. Substantial risk
4. All of the above
2
______ means a Medicaid nursing facility.
1. Nursing facility
2. Skilled nursing facility
3. Long term care facility
4. Sub acute nursing home
1
A Skilled nursing facility (SNF) means a ______ facility.
1. Intermediate care facility
2. Medicare facility
3. Medicaid facility
4. Long term care facility
2
An individual who is paid to feed residents, or who is used under an arrangement with another
agency or organization and supervised by a licensed nurse is called a _______.
1. Feeding assistant
2. Speech therapist
3. Nursing assistant
4. Therapeutic activity assistant
1
A focus on the resident as the locus of control, and to support the resident in making their own
choices and having control over their daily lives is called ____.
1. Person centered care
2. Eden alternative
3. Supportive care
4. All of the above
1
An individual chosen by the resident to act on their behalf and to support their decision-making,
access to medical, social or other personal information, and to manage financial matters or receive
notifications is called a __________.
1. Resident Quality of Life Coordinator
2. Resident Advocate
3. Resident Grievance Officer
4. Resident Representative
4
True or False - Transfer and discharge does not refer to movement of a resident to a bed within the
same certified facility.
1. True 2. False
1
True or False - A facility must treat each resident with respect and dignity, and provide care in an
environment that promotes maintenance or enhancement of their quality of life.
1. True 2. False
1
True or False - The facility must provide equal access to quality care regardless of diagnosis,
severity of condition, or payment source.
1. True 2. False
1
True or False - A facility must establish and maintain identical policies and practices regarding
transfer, discharge, and services under the State plan for all residents regardless of payment
source.
1. True 2. False
1
True or False - In the case of a resident who has not been adjudged incompetent by a court, the
resident has the right to designate a representative.
1. True 2. False
1
True or False - The facility must treat the decisions of a resident representative as the decisions of
the resident to the extent required by a court.
1. True 2. False
1
True or False - If the facility has reason to believe that a resident representative is making decisions
or taking actions that are not in the best interests of a resident, the facility is not required to report
such concerns in the manner required under State law.
1. True 2. False
2
True or False - A resident judged incompetent to make decisions must still be provided with
opportunities to participate in the care planning process.
1. True 2. False
1
True or False - A resident must be informed of, and participate in, his or her treatment, to the extent
they are able to do so.
1. True 2. False
1
True or False - A resident must be fully informed in a language that they understand of their total
health status, including but not limited to, their medical condition.
1. True 2. False
1
True or False - A resident does not have the right to participate in the development and
implementation of a person-centered plan of care.
1. True 2. False
2
True or False - A resident does not have the right to participate in the care plan process, and to
identify individuals or roles to be included in the care plan,
1. True 2. False
2
True or False - A resident does not have the right to request meetings and revisions to their person-
centered plan of care.
1. True 2. False
2
Which of the following is true?
1. A resident has the right to participate in setting goals and outcomes of care, the type, amount,
frequency, and duration of care, and any other factors related to the effectiveness of their plan
of care.
2. A resident has the right to be informed, in advance, of changes to their plan of care.
3. A resident has the right to see their care plan, including the right to sign after significant
changes to the plan of care.
4. The facility must inform the resident of the right to participate in his or her treatment.
5. All of the Above
5
True or False - The care plan must Incorporate the resident’s personal and cultural preferences in
developing goals of care.
1. True 2. False
1
True or False - The resident does not have the right to be informed, in advance, of the care to be
furnished, and the type of care giver or professional that will furnish care.
1. True 2. False
2
True or False - A resident has the right to be informed in advance, by the physician or other
practitioner, of the risks and benefits of proposed care, of treatment and treatment alternatives, or
treatment options.
1. True 2. False
1
True or False - A resident has the right to choose an alternative to care or services that they prefer.
1. True 2. False
1
True or False - A resident has the right to request, refuse, and/or discontinue treatment, to
participate in or refuse to participate in experimental research, and to formulate an advance
directive.
1. True 2. False
1
True or False - A resident does not have the right to choose his or her attending physician.
1. True 2. False
2
If the physician chosen by a resident refuses to or does not meet facility credentialing requirements,
the facility may seek alternate physician participation.
1. True 2. False
1
True or False - A facility must inform the resident if it determines the physician chosen by the
resident is unable or unwilling to meet credentialing requirements.
1. True 2. False
1
True or False - A facility must inform a resident of the name, specialty, and the way of contacting
their physician and other primary care professionals responsible for his or her care.
1. True 2. False
1
True or False - A facility must discuss any alternative physician participation with the resident and
honor the resident’s preferences, if any.
1. True 2. False
1
True or False - If the resident subsequently selects another attending physician who meets facility
requirements, the facility must honor that choice.
1. True 2. False
1
True or False - A resident has the right to be free from any physical or chemical restraints imposed
for purposes of discipline or convenience, and not required to treat the resident’s medical symptoms.
1. True 2. False
1
True or False - A resident has the right to retain and use personal possessions, including
furnishings, and clothing, as space permits, unless to do so would infringe upon the rights or health
and safety of other residents.
1. True 2. False
1
True or False - A resident does not have the right to share a room with his or her spouse when
married residents live in the same facility, and both spouses consent to the arrangement.
1. True 2. False
2
True or False - A resident has the right to share a room with his or her roommate of choice when
practicable, when both residents live in the same facility and both residents consent to the
arrangement.
1. True 2. False
1
True or False - A resident has the right to receive written notice, including the reason for a room
change, before the resident’s room or roommate in the facility is changed.
1. True 2. False
1
True or False - A resident has the right to refuse to transfer to another room in the facility, if the
purpose of the transfer is to relocate a resident from the distinct part of the institution that is a SNF
to a part of the institution that is not a SNF, or to relocate a resident of a NF from the distinct part of
the institution that is a NF to a distinct part of the institution that is a SNF.
1. True 2. False
1
True or False - A resident does not have the right to refuse to transfer to another room in the facility,
if it is solely for the convenience of staff.
1. True 2. False
2
True or False - The resident has a right to choose activities, schedules (including sleeping and
waking times), health care and the providers of health care services consistent with his or her
interests, assessments, and plan of care.
1. True 2. False
1
True or False - The resident has the right to make choices about aspects of his or her life in the
facility that are significant to the resident.
1. True 2. False
1
True or False - Residents have a right to interact with members of the community and participate in
community activities both inside and outside the facility.
1. True 2. False
1
True or False - The resident has a right to receive visitors of his or her choosing at the time of his or
her choosing, subject to the right to deny visitation, and in a manner that does not impose on the
rights of another resident.
1. True 2. False
1
A facility must provide immediate access to any resident by which of the following?
1. any representative of the Secretary,
2. any representative of the State,
3. any representative of the Office of the State long term care ombudsman
4. the resident’s individual physician,
5. any representative of the protection and advocacy systems, as designated by the state,
6. any representative of the agency responsible for individuals with a mental disorder
7. The resident representative.
8. All of the above
8
True or False - A resident has the right to Immediate access by immediate family and other relatives
of the resident, subject to the resident’s right to deny or withdraw consent at any time.
1. True 2. False
1
True or False - A facility must provide immediate access to a resident by others who are visiting with
the consent of the resident, subject to reasonable clinical and safety restrictions, and the resident’s
right to deny or withdraw consent at any time.
1. True 2. False
1
True or False - The facility must provide reasonable access to a resident by any entity or individual
that provides health, social, legal, or other services to the resident, subject to the resident’s right to
deny or withdraw consent at any .
1. True 2. False
1
True or False - A facility must Inform each resident of their visitation rights and related facility policy
and procedures, including any clinical or safety restriction or limitation on such rights, the reasons
for the restriction or limitation, and to whom the restrictions apply, when he or she is informed of his
or her other rights under this section.
1. True 2. False
1
True or False - A facility must not restrict, limit, or otherwise deny visitation privileges on the basis of
race, color, national origin, religion, sex, gender identity, sexual orientation, or disability.
1. True 2. False
1
True or False - A facility must ensure that all visitors enjoy full and equal visitation privileges
consistent with resident preferences.
1. True 2. False
1
True or False - Residents do not have the right to organize and participate in resident groups in the
facility.
1. True 2. False
2
True or False - The facility must provide a resident or family group, if one exists, with private space;
and take reasonable steps, with the approval of the group, to make residents and family members
aware of upcoming meetings in a timely manner.
1. True 2. False
1
True or False - Staff, visitors, or other guests may attend resident group or family group meetings
any time they wish to attend.
1. True 2. False
2
True or False - The facility must provide a designated staff person who is approved by the resident
or family group and the facility, and who is responsible for providing assistance and responding to
written requests that result from group meetings.
1. True 2. False
1
True or False - The facility must consider the views of a resident or family group, and act promptly
upon the grievances and recommendations of such groups concerning issues of resident care and
life in the facility.
1. True 2. False
1
True or False - The facility is not required to document its response to the recommendations from
the residents’ group or detail the rationale for not doing so.
1. True 2. False
2
True or False - The resident has a right to participate in family groups.
1. True 2. False
1
Which of the following is not true?
1. The resident has a right to have family members or other resident representatives meet in the
facility with the families or resident representatives of other residents in the facility.
2. The resident has a right to participate in other activities, including social, religious, and
community activities that do not interfere with the rights of other residents in the facility.
3. The resident has a right to choose to or refuse to perform services for the facility
4. A facility can require a resident to perform services for the facility.
4
Which of the following is true?
1. The resident may perform services for the facility, if he or she chooses
2. The facility has documented the resident’s need or desire for work in the plan of care
3. The plan specifies the nature of the services performed and if the services are voluntary or paid
4. Compensation for paid services is at or above prevailing rates
5. The resident agrees to the work arrangement described in the plan of care
6. All of the above
6
True or False - A resident does not have the right to manage his or her financial affairs.
1. True 2. False
2
The facility must deposit any residents’ personal funds (Medicare, private pay, private insurance,
hospice) in excess of $_____ in an interest bearing account, and pay all interest earned to the
resident’s accounts.
1. $50
2. $100
3. $200
4. $300
2
The facility must maintain a resident’s personal funds that is not Medicare or insurance in an
account of less than ____ in a non-interest bearing account, or an interest-bearing account, or a
petty cash fund.
1. $50
2. $100
3. $200
4. $300
1
True or False - The facility must deposit Medicaid residents’ personal funds in excess of $50 in
an interest bearing account and all interest earned to the resident’s account.
1. True 2. False
1
True or False - The facility must maintain personal funds of $50 dollars or less in a non-interest
bearing account,or interest-bearing account, or a petty cash fund.
1. True 2. False
1
True or False - In pooled resident trust accounts, there must be a separate accounting for each
resident’s share.
1. True 2. False
1
True or False - The facility must have a complete accounting, according to generally accepted
accounting principles, of each resident’s personal funds entrusted to the facility.
1. True 2. False
1
True or False - A facility can commingle or mix resident funds with facility funds or accounts.
1. True 2. False
2
