Continuing education test #127 * based on Nursing Homes February 2008.(CE test)

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, 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. Care that is specifically outcome-oriented and designed to be therapeutic after a defined period is:

a. long-term care

b. subacute care

c. specialized care

d. skilled nursing care

2. The term for in-house acquired wounds or infections is:

a. pandemic

b. chronic

c. nosocomial

d. acute

3. Electronic medical records are:

a. a paperless form of recordkeeping

b. kept in the activity center for residents' use

c. are now mandated by the federal government

d. in use at most U.S. assisted living facilities

POST-TEST

1. True employee satisfaction, according to Gilster and Dalessandro ("Creating a Successful Workforce Culture"), is found in:

a. intangible items employees list in satisfaction surveys

b. quarterly awards

c. annual raises

d. long tenure

2. The catalyst for providers' interest in technologies designed to help seniors' health and well-being, according to Alwan ("Communications Technology Goes Formal") is:

a. increased safety

b. reduced staffing costs

c. increased revenue

d. a competitive edge

3. Pacicco ("The Current State of EMRs in LTC Settings") says the overriding goal of electronic medical records is to:

a. reduce costs

b. improve patient care and disease management

c. standardize patient records

d. make staff more accountable

4. Garavaglia ("The Problem With Root Cause Analysis") says all problems can be reduced to:

a. a single root cause

b. being solvable by anyone

c. being seen as possibly multicausal and lacking a root cause

d. a logical order of events

5. The single factor Garavaglia points to as leading to an incorrect solution to a problem is:

a. isolating the wrong question

b. overlooking pertinent facts

c. not asking enough questions

d. giving up too easily

6. According to Gatty (View on Washington), providers say the deepest impact of Med PAC's recommendation of 0% increase in rates, will be felt in:

a. payment for Medicare patients

b. workforce destabilization

c. adding "wellness" programs to facilities

d. income level of patients

7. When resident abuse is alleged, Bennet (DON's Corner) says priority should be given to:

a. suspending or reassigning the alleged abuser to another area away from the resident

b. making the alleged abuser aware of his or her legal rights

c. notifying your facility's legal counsel

d. keeping the incident as confidential as possible so as not to alarm other residents or staff

8. In an alleged abuse situation, says Bennet, one of the most important things to do is:

a. document everything that might be relevant

b. ask for witnesses to come forward

c. investigate quietly

d. safeguard against your personal liability

9. The most important thing to remember when communicating to a multicultural workforce (Your People) is:

a. use simple language

b. speak slowly

c. speak loudly

d. speak in English until the person understands

10. A casualty of not having a worker understand you because of a language barrier is:

a. your time

b. fostering a "team" atmosphere

c. the worker feeling inferior

d. the worker not expressing ideas due to embarrassment

POST-TEST EVALUATON

On a scale of 1 to 5 please rank the following statements:

The content in this issue is appropriate to long-term care.

1. strongly disagree

2. disagree

3. neutral

4. agree

5. strongly agree

The articles in this issue increased my knowledge of current long-term care practices.

1. strongly disagree

2. disagree

3. neutral

4. agree

5. strongly agree

The articles in this issue were easy to understand:

1. strongly disagree

2. disagree

3. neutral

4. agree

5. strongly agree

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