A physical restraint must be removed from the resident how often? - Every two hours
"Incontinent" - Causes a person to lose control of excretory
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The most significant aspect of resident care is - The attitude towards residents
Nursing hours required per resident day are established by - State with federal approval
Nosocomial infections are infections associated with - Institutionalizations
Assume that 90 doses of medication were prescribed by the MD to be administered in a given time period. However, 3 doses ordered were not given and the 1 dose was incorrectly administered as prescribed. What was the medication error rate? - 4.4%
The facility may transfer or discharge a resident from the facility for what reasons - 1.needs can't be met
2.no longer requires service
3.failure to pay
A discharge summary may be: - The last progress note
OBRA envisions that the function of several previously free-standing committees can now be included in the quality assessment and assurance committee. Which of the following would remain a free standing committee? - Ethics
Social workers in a nursing facility may provide what services - 1.counseling
2.utilization of community resources
3.services provided by the interdisciplinary team
Social work has been defined as a problem-solving process geared to helping people help themselves. The problem most likely to affect resident as they are faced with nursing facility placement is: - Anxiety related to the unknown
The administrator and every employee in a nursing facility must be aware and knowledgeable of residents rights. In a 140-bed facility the initial explanation of the residents rights to the resident and family is usually the responsibility of - The social worker
Counseling, group activities, and social functions appear to be productive therapeutic techniques for depressed residence. which signs are typically displayed by depressed residents? - Sadness, loss of interest in ppl, sense that a great effort is needed to preform activities
If a resident is declared mentally incompetent in a court of law, the rights of the resident are usually assigned to? - Legally responsible party
The primary purpose of encouraging all able residents to eat in the dinning room is to: - Provide interactions
The problem most likely to affect residents as they are faced with facility placement is: - Anxiety related to the unknown
What type of therapy works best with dementia resident - Validation therapy
All menus must be approved by - A qualified dietition
Hot food must leave the kitchen at a temperature of at least - 140 degrees Fahrenheit
The percentage of weight loss for a resident who previously weighed 180lbs and now weighs 171 lbs is - 5% 180-171=9 9divided by 180=5
If a facility has 100 residents and it requires preparation time of 12 labor minutes per meal, how many labor hours are required per week? - 420 hours
12 min x3 times a day=36
36minutes a day x 7days=252 minutes a week
252 minutes a week x 100 residents=25,200 minutes for all residents
25,200 divided by 60 minutes in an hour= 420 hours
The maximum number of hours allowed between serving the evening meal and breakfast the following day is - 14 hrs
Under OBRA, the regulations for a skilled-nursing facility requires that residents must be seen by a physician every 30 days during the first 90 days after admission and thereafter - Once every 60 days
Nursing facilities are responsible for providing and/or obtaining dental services for the residents. Unless otherwise documented, who is usually responsible for payment of these services - The resident/family
Under OBRA, who is required to be a member of the quality assessment and improvement committee? - Physician
Director of nursing
Three staff member( not nursing home administrators)
Residents are most easily encouraged to participate in activities if they are - Personally satisfying
The goal for actives is focused on - Participation and enjoyment
The ed's main role in activities is to - Visit, observe and support
The use of calendars, clocks, and signs is an integral part of a program of - Reality orientation
what determines the success of an activity - Number of participants
The primary purpose of medical records is to - Provide of continuity of care
How many records must be reviewed for a facility with 120 beds when state comes in for survey - 5 charts
The primary value of systematics organizing medical record forms is for - Accessibility
An assessment of a residents condition results in - a description of the current status
Medical records belong to - The facility
The first steps in implementing information-security programs for computer-based and paper records are to - Develop and enforce standards and safeguards to ensure the protection of resident records
OBRA regulations require that the clinical records of residents contain - Progress notes, resident assessments, plan of care
Standard medical practice requires that medication orders may be written or oral. However, if oral, they can be given to - Pharmacist, licensed nurse, other physician
Which of the following drugs reduces pain - Analgesic
If a pharmacy delivers a medication with a marred label - The medication and container must be returned to the pharmacy
The drug regimen of each resident must be reviewed at least once a month by - A licensed pharmacist
Standard pharmacy and medication procedures for storage requires that only ___________ should be stored in the drug room - Drugs for external use
OBRA requires that specialized rehabilitative services - Must be prescribed by a licensed physician [Show Less]