ACHCA CE test

Nursing Homes, Dec, 2003

Continuing Education Test #81 * Based on Nursing Homes December 2003

How to use this serf-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% 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.

* 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 stir-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.

Name --    Title --
Facility --
Address --
City/State/ZIP --
Is this address for    -- Home    -- Business?
Daytime Phone --    Member # --

Are you a [] Nursing Home Administrator? [] Nurse?

CE Hours Requested

Please fill in one or both and include all states and license numbers.
ACHCA must have this information to issue credit.

State --    License # --
State --    License # --

PRE-TEST

1. Which of the following statements about urinary incontinence in the nursing home is true?

a. All involuntary loss of urine, even in small amounts, is considered to be incontinence.

b. Nursing homes have been adept at identifying small-to-moderate losses of urine as incontinent episodes.

c. Hospital catheterization is not considered to be a principal contributing factor to incontinence in nursing homes.

d. Knowledge of incontinence and its management hasn't changed much over the years.

2. Which of the following factors is not relevant to quality, management in the nursing home?

a. a customer focus

b. an empowered staff

c. a reliance on performance data

d. Actually, all of the above factors are relevant.

POST-TEST

1. Which of the following is not among the "holiday tips" offered in "A Season to Celebrate"?

a. Schedule activities earlier in the day and shorten the length of the activity.

b. Vary residents' routines and sleep schedules to add to the excitement.

c. Have distractions ready (e.g., repetitive chores) when residents seem to temporarily lose interest.

d. Limit the length and number of visitor stays.

2. With which of the following statements would Klusch ("Targeting Our Approach to Incontinence") disagree?

a. The current MDS database shows a much lower than expected number of residents coded with incontinence.

b. Residents' loss of bladder control often originates from hospitals' placement and repeated use of indwelling catheters.

c. Restorative nursing is a worthwhile option to consider, although not absolutely necessary.

d. Absorbent products should come in more than one size.

3. Which of the following is not among Klusch's recommended guidelines for incontinence management?

a. Try to do as much as possible with as few products as possible.

b. Evaluate the true cost of poorly managed incontinence to facility operations.

c. Involve attending physicians, consultant physicians, and the medical director to the extent necessary.

d. Educate residents and families in such matters as proper bladder/toileting training approaches.

4. The "successes" of the facility described by Sampsell in "The Promise, Practice, and Problems of the Eden Alternative" include all of the following except:

a. residents participating increasingly in their own care.

b. increased staff knowledge of residents' histories and lifestyle preferences.

c. increased staff independence and satisfaction.

d. improved ongoing training of the entire staff in good resident care.

5 Which of the following "challenges" of the Eden Alternative does Sampsell say is the most difficult to deal with?

a. Cleaning up after the animals.

b. Changing long-standing mind-sets of some staff against Eden Alternative methods.

c. Training sufficient numbers of staff.

d. Overcoming some residents' objections to having animals around.

6. Sampsell says the following individual is the "key link" to creating a new nursing home environment along Eden Alternative lines:

a. The administrator

b. The professional nurse

c. The medical director

d. The CNA

7. What would Huston ("Technology for Independence") say is the central factor her staff "talks about every day" concerning her organization's provision of services?

a. The difficulty of moving residents from place to place dependmg on healthcare needs.

b. The fact that the type of service does not equate to the site of care.

c. The difficulty of getting residents and families to accept new technologies.