Continuing education test #91 based on nursing homes November 2004

Nursing Homes, Nov, 2004

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. Online CE tests for this and previous issues are available at www.achca.org/study/courses.asp?c=7.

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

* If your score is 70% or above, we will 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 within three (3) weeks of receipt.

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* 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, please encourage your state to change its policy.

PRE-TEST

1. Which of the following would not be viewed as a positive recommendation for today's administrators and DONs?

a. Pursue continuing education.

b. Get out on the nursing floors more often.

c. Become expert in outsourcing for staff.

d. Further develop computer skills.

2. To accommodate the oversized furniture required by bariatric residents, room width (at a minimum) should be larger by an additional:

a. 6.5 feet

b. 6 feet

c. 5.5 feet

d. 5 feet

POST-TEST

1. According to Rowe ("Today's Administrator and DON"), what is the biggest challenge facing today's administrator?

a. assembling a compassionate staff

b. staff shortages

c. keeping census counts high

d. keeping up with regulations

2. Muir and Haney ("Designing Space for the Bariatric Resident") say that the preferred toilets for bariatric residents are:

a. of stainless-steel construction.

b. of reinforced porcelain construction.

c. wall mounted.

d. floor mounted.

3. To meet criteria for bariatric determination, a person must:

a. be overweight by more than 95 lbs, have a BMI of 40 or more, or weigh more than 350 lbs.

b. be overweight by more than 95 lbs, have a BMI of 45 or less, or weigh more than 375 lbs.

c. be overweight by more than 100 lbs, have a BMI of 40 or more, or weigh more than 300 lbs.

d. be overweight by more than 100 lbs, have a BMI of 45 or more, or weigh more than 325 lbs.

4. Among the typical equipment needs for bariatric residents are all of the following except:

a. step stool with extra size and weight capacity

b. oversized tray tables

c. extra-wide bedpans

d. extra-capacity and extra-width walkers

5. The draft guidance for hospital beds as discussed by Braun and Capezuti ("Bedrail Entrapment: Is Your Facility Safe?") provides all of the following guidelines except:

a. adaptations for air-fluidized therapy beds

b. line drawings of entrapment scenarios

c. dimensional limits for gaps in hospital bed systems

d. dimensional limits for identified entrapment zones

6. Which is not an important detail to include in an entrapment report to the FDA?

a. location or zone of entrapment

b. rail position

c. resident cognition

d. articulation of the bed deck

7. Which of the following is not a suggested way to reduce entrapment risk?

a. Contact suppliers for entrapment-mitigating solutions.

b. Assess bed selection and fit.

c. Promote automatic use of bedrails.

d. Restrict the use of physical restraints.

8. According to Stoil (View on Washington), existing federal programs and legislation don't make a difference in how nursing homes operate because of all of the following except:

a. Some congressmen earmark grant funds designed to help healthcare providers other than nursing homes for political benefit.

b. Most Washingtonians who focus on long-term care issues don't understand the challenges facing nursing homes.

c. The federal deficit diverts billions of tax dollars to interest payments every year.

d. The loss of a budget process leading to a health and human services appropriations bill prevents available money from being spent rationally.

9. As reported by Underwood (Survey Survival), Sukhen Dey, PhD, CEO of Deyta, Inc., recommends that nursing homes start their yearly self-evaluations by looking at all of the following areas except:

a. quality of food served

b. activity program

c. nursing care

d. financing and budget concerns

10. Underwood states that questions to focus upon when reviewing for resident stability and satisfaction include all of the following except:

a. How often were in-services held in the facility this year?

b. How many urinary tract infections occurred in the facility this year?

c. How many residents have undesirable behaviors?

d. What is the rate of antidepressive medication use?

11. As reported by Oatway (Computer Technology), which of the following is a goal stated in the framework of the President's plan to have interoperable health records within ten years?