ACHCA CE Test: continuing education test #77 based on nursing homes August 2003

Nursing Homes, August, 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.

* Alter 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 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.

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 describing effective family communications would be off-the-mark?

a. Families expressing concern should be told, "Don't worry, your loved one is in good hands."

b. Problem-solving is not "I" -focused, but "we"-focused.

c. Visual aids should be developed for dealing with foreign language difficulties.

d. Families should be kept regularly informed on overall facility policies and issues.

2. Which of the following roles for consultant pharmacists has gained importance in recent years, according to pharmacy's national leadership?

a. clinical consultation b. education c. regulation compliance d. cost containment

POST-TEST

1. Which of the following statements about the Partners in Caregiving program described in "Bridging the Gap Between Families and Staff" is false?

a. It recognizes that successful family/staff partnerships begin on the first day of admission.

b. It emphasizes basic courtesy.

c. It has increased family participation in the care planning process.

d. It uses interpreters for non-English-speaking residents and families.

2. With which of the following statements would Feldman ("Consultant Pharmacists: Saving Lives and Money") disagree?

a. Sometimes more expensive drugs are less costly overall.

b. Some nursing facilities want Cadillac services at Hyundai prices.

c. Unit-dose packaging is a wasteful approach to dispensing drugs.

d. Involvement of consultant pharmacists has been shown to reduce the cost of residents' medication-related problems by 50%.

3. With which of the following statements would Feldman agree?

a. It is futile for pharmacists to try to change Medicaid policy.

b. The most common medication error in nursing homes is omitted doses.

c. Long-term care pharmacy has adapted quite well to assisted living.

d. Improving pain management in nursing homes is simply a matter of increasing the dose of pain medications.

4. Todd ("Do You Have Change Agents On Your Staff?") says all of the following about "change agents" except:

a. they challenge authority when necessary.

b. they encourage the asking of "uncomfortable" questions.

c. seeking them out and supporting them is preferable to hiring outside management consultants.

d. they're fun and easy to get along with.

5. According to Todd, the "most alarming reason for hiring down" is:

a. acceptance of lower standards because of falling profit margins.

b. perpetuation of misfits in high executive positions.

c. allowing burnouts to continue to ignore the need for change.

d. acceptance of posers as viable executives.

6. Which of the following statements best reflects the central point of "Nutrition Is No Secret"?

a. Residents are "finicky" eaters, and their preferences should be honored.

b. Residents' "powers of attorney" should be informed of all nutritional options and sign advance directives concerning their wishes.

c. Residents should be weighed routinely.

d. Full nutritional assessments should be performed upon admission, quarterly, and at any significant change.

7. Which of the following statements about the program described in "Training Staff in Resident Transfers" is true?

a. it involved techniques used with mechanical lifts.

b. Employees are tested on execution of one of the six transfers.

c. Training is provided by an outside consultant.

d. The facility has seen a nearly 30% reduction in overall injuries and workers' compensation injuries since the program began.

8. According to Halsey King ("Maintaining Your Buses"), which of the following should yon not expect to see in a reputable maintenance shop?