American College of Health Care Administrators : continuing education test #84 based on nursing homes March 2004

Nursing Homes, March, 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.

* 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 suggestions listed is the least important in improving communication techniques between physicians and staff for whom English is a second language?

a. Physicians should speak slowly and carefully.

b. Foreign-born staff members should repeat what they heard the physician say.

c. Write down important information instead of relying on conversation.

d. Physicians should be required to learn a second language.

2. Experts say that staff retention is not enhanced by:

a. career advisors

b. facility-provided uniforms

c. skill building

d. recognition

POST-TEST

1. According to Reynolds ("Improving Clinical Care Through Better Communication"), from the physician's standpoint, all of the following are difficulties that can arise from physicians not always being on-site except:

a. Information may reach the physician too late if the wrong avenue of communication is chosen.

b. Inexperienced nurses and aides may give only partial information.

c. Physicians can get confused and frustrated looking for reports in different places.

d. Billing information may be lost or delayed.

2. The basic steps involved in risk management as described by Chizek ("Heading Off Legal Claims--Before They Happen") include all of the following except:

a. identification

b. investigation

c. implication

d. intervention

3. As defined by Musson and Hukill ("Protecting Your Computers From Invaders"), a computer "worm" is:

a. a program that replicates by attaching itself to other programs or media.

b. a program hidden in software without the user's knowledge.

c. a virus that must be "invited" onto a user's computer.

d. a program that replicates itself from system to system without the use of a host file.

4. The tactic that is used to create viruses that trick users into opening malicious programs is called:

a. temptation

b. heuristics

c. social engineering

d. baiting

5. According to Barbera ("Setting Boundaries With Residents"), which of the following is not a potential problem that can arise from not setting boundaries between staff and residents?

a. HIPAA infraction

b. disagreements among staff members

c. friction among residents

d. feelings of resentment by staff for being taken advantage of

6. According to Steiner et al ("Successful Edenization Through Education"), the benefits of Edenization include all of the following except:

a. reduced staff turnover

b. less resident-staff interaction

c. reduced medication use

d. fewer complaints

7. Which is not one of the core competencies covered by the Achieve ("Tackling Staff Turnover: A Novel Approach") educational sessions?

a. Personal Wellness

b. Parenting

c. Workplace Skills

d. Money Matters

8. As stated by Soreff and Siddle ("Understanding and Dealing With Resident Aggression"), who is the most common victim of resident aggression?

a. family member

b. administrator

c. CNA

d. DON

9. Which is not a recommended technique to prevent or de-escalate an incident of aggression?

a. teamwork

b. stance

c. attempting to reason with resident

d. controlling the environment

10. In planning a new CCRC project, the first step Powell ("Developing a CCRC: Stepping Stones to Success") recommends is to:

a. acquire the land

b. begin initial architectural drawings

c. complete a market/feasibility study

d. hire a construction manager

11. As advised by Norcross ("Speaking the Same Language"), a new MDS should typically be done every:

a. 30 days

b. 45 days

c. 60 days

d. 90 days

12. In this month's NIC on Financing column, Lewis says to expect which of the following in 2004?

a. a continued interest in skilled nursing and assisted living by financiers

b. a continued emphasis on investing in speculative projects

c. a reversal of the bifurcation of the market, particularly in assisted living

d. private equity sources becoming more patient

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POST-TEST EVALUATON

The material on improving communication among physicians and staff was: