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Weekly UpdatesHow 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, ACHCA will send you a letter of completion. 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 four (4) 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 Contact Hours for nurses.
* Tests must be submitted within one year of the publication date.
* Not all states accept self-study programs for credit. Check with your state to confirm restrictions.
* The test must be received within 1 year of its publication date to be processed for CEU credit.
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PRE-TEST
1. Which of the early decisions on a renovation and/or building project does not affect its success or failure?
a. facility conditions
b. property entitlements
c. facility census
d. property assessments
2. The most recent update of the National Pressure Ulcer Advisory Panel (NPUAP) definitions of pressure ulcers was issued in:
a. June 2006
b. November 2006
c. February 2007
d. March 2007
POST-TEST
1. Muraca ("An Integrated Approach to Building") says that the traditional design and construction delivery method is:
a. design/build
b. construction management
c. design-bid-build
d. fast-track
2. Which member of the design team, Muraca notes, will run cost estimates to define the project budget and develop the master schedule?
a. Owner
b. Program Manager
c. Designer
d. Builder
3. After conducting a Facility Condition Assessment, notes Sasse ("Facility Condition Assessments in Nursing Homes"), an organization should do all of the following except:
a. Enter planned actions into the work order system immediately.
b. Plan to take corrective action after the current quarter or year.
c. Schedule planned actions along with maintenance and other work orders for the period.
d. Enter projects requiring planning and funding into the capital planning database so they can "compete" for capital funds and future-year funding.
4. According to Long ("New and Improved: 2007 Pressure Ulcer Definitions"), which of the following would qualify as a stage II pressure ulcer?
a. incontinence-associated dermatitis
b. a scratch and resultant excoriations
c. a skin tear
d. a shallow open ulcer
5. Which of the following, according to NPUAP's old pressure ulcer definition, can be affected by the forces that contribute to pressure ulcer development?
a. underlying tissue
b. dermis
c. muscle
d. adipose tissue
6. In their review of findings from provider focus groups, Ejaz and Peters ("Provider Perspectives on How to Effectively Present Information on Quality") note all of the following provider preferences except:
a. Providers wanted quality information presented in a simple manner.
b. They had mixed feelings about using provider ranking systems.
c. They were comfortable reviewing tables with numbers and percentages.
d. They were in favor of creating an overall quality score.
7. Which of the following is not mentioned by Flolo ("Resident Lift Slings: A Silent Risk?") as one of the best tools to combat sling failure?
a. testing the maximum safe working load
b. regular visual inspection
c. staff training
d. tracking the age of the sling
8. Flolo says that staff should inspect resident lift slings:
a. before every use
b. daily
c. weekly
d. before surveys
9. According to Stoil (View on Washington), lobbyists for the nursing home industry have advocated for policies that will increase the availability of workers from all of the following regions except:
a. Asia
b. Central America
c. Europe
d. the Pacific Islands
10. Williams (Liability Landscape) would agree with all of the following except:
a. The care plan for pain should include a pain control goal as defined by the resident, family, and caregivers.
b. Pain and pain medications can produce multiple side effects, such as loss of appetite, gastrointestinal distress, and constipation.
c. The initial pain assessment should include the resident's family or caregiver.
d. Staff should use one clinically standardized tool to assess pain in both verbal and nonverbal residents.
11. Bersani (Assisted Living Review) says that assisted living residents endure hardship if they have to use their Personal Needs Allowance to pay for:
a. clothing
b. personal hygiene items
c. prescription drug co-pays
d. over-the-counter medications
12. Gerding ("The Continuing Threat of C. Difficile Infection") notes that this is the only state that requires mandatory reporting of C. diff:
a. Ohio
b. New York
c. Florida
d. California
POST-TEST EVALUATON
The articles on facility design were:
____ interesting
____ somewhat interesting
____ of no interest
The article on the new NPUAP pressure ulcer definitions was:
____ helpful
____ mildly helpful
____ of no help
The article on C. difficile and the challenges it presents to long-term care facilities was:
____ very informative
____ moderately informative
____ of no interest
In understanding the material covered in this issue of Nursing Homes/Long Term Care Management, the ACHCA testing process was:
____ very helpful
____ somewhat helpful
____ not much help
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