ACHCA CE test: continuing education test #80 based on nursing homes November 2003

Nursing Homes, Nov, 2003

How to use this self-study program

* Take the Pre-Test before you begin to read this issue of NURSING HOMES Long Term Care Management.

* After reading the articles, complete the Test and Evaluation Section.

* If your score is 70% of above, we with send you a certificate of completion and notify the state(s) that you indicate. If your score is less than 70%, you may retake the test.

* Please include your license numbers for each state (NHA licenses only).

* Tests will be graded and state boards notified with in three (3) weeks of receipt.

* According to the ACHCA Code of Ethics, "Preservation of the highest standards of integrity and ethical principles is vital to the successful discharge of the professional responsibilities of all long-term care administrators." You are expected to complete this program according to these guidelines.

* Each Post-Test is approved for 2 CE Credits for nursing home administrators and 2,4 Contact Hours for nurses.

* Not all states accept self-study programs for credit. Check with your state to confirm restrictions. If you feel that you have benefited from this program, p]ease encourage your state to change its policy.

PRE-TEST

1. How does CMS's Nursing Home Quality Initiative (NHQI) relate to the OBRA survey and certification process?

a. NHQ1 is based upon the OBRA survey and certification process.

b. NHQI replaces the OBRA survey and certification process.

c. Both are regulatory in nature.

d. NHQI is not related to the survey and certification process,

2. How should nursing staff respond when extremely- obese LTC residents obtain food that is not on their physician-recommended diets?

a. Scold them, reminding them of "doctor's orders."

b. Emphasize to them and their families during care planning meetings the importance of following the recommended regimen.

c. Hide the forbidden foods whenever possible.

d. Remove all vending machines from the facility to reduce temptation.

POST-TEST

1. According to Whitlock ("Quality Initiatives: Ate Nursing Homes Getting Better?"), which of the following Quality Measures is most popular for nursing homes to work on in their Quality Improvement (QI) efforts?

a. ADL decline

b. pressure ulcers

c. pain

d. restraint use

2. Which of the following is not one of the key's Whitlock states will enable nursing homes to work successfully with Quality Improvement Organizations (QIOs)?

a. Have leadership that embraces Q1.

b. Be willing to try small-scale changes and be flexible.

c. Have a designated liaison between the nursing home and the QIO.

d. Put together a team with representatives from all aspects of care.

3. What, according to Olsen-DeHon ("Caring for Larger Residents: Preserving Di8nity Without Sacrificing Safety"), is the most difficult aspect of providing physical/occupational therapy to extremely obese residents?

a. maintaining staff safety

b. getting them to take ah active part in their own care and to communicate their progress

c. finding adaptive equipment to help them with personal hygiene

d. handling transfers of those who ate immobile

4. According to Williams ("End-of-Life Expectations"), an interim plan of tate should be developed bow soon after a resident's admission or readmission?

a. immediately

b. within 24 hours

c. within 48 hours

d. within 1 week

5. With which of the following statements regarding a regulatory compliance plan would Fogel and Watt ("Symptoms of ah Ailing Compliance Plan") disagree?

a. The compliance officer's job description should correspond with that person's duties outlined in the compliance plan.

b. Whether included in the compliance plan or issued separately, standards of conduct should be disseminated to all employees.

c. Members of compliance committees sometimes don't know what their specific functions are.

d. The overall organizational compliance plan precludes the need for compliance guidance within departmental policies.

6. According to Shumaker ("Employee Privacy Versus Employer Rights"), about which of the following may a long-term care facility legally ask a job applicant?

a. past drug use

b. current drug use

c. previous worker's compensation claims

d. for a credit report, unless the applicant gives written consent

7. Which of the following SNF staff members is not among those Ford ("Enhancing the Referral Process Between a Hospital and SNF") recommends be given computer access to hospital medical records of patients being referred to the SNF?

a. director of nursing (DON)

b. assistant DON

c. admissions coordinator

d. assistant administrator

8. How long, according to this issue's Computer Technology Update ("HIPAA's Temporary Reprieve" by Morrison), will the CMS contingency plan, allowing the acceptance of electronic transactions that aro not compliant with HIPAA, last?

a. until the end of 2003

b. until January 16, 2004

c. until October 16, 2004

d. for an as-yet undisclosed period

9. Calkins states in her article, "Lighting for Older Eyes." that cove, or indirect, lighting that bounces off the ceiling requires a minimum ceiling height of:

a. 7'6"

b. 8'0"

c. 8'6"