Study Guide 21

Question 1

True or False - The infection preventionist must have specialized training in infection prevention and
control.
1. True 2. False

Answer 1

1

Question 2

The infection preventionist is or is not required to be a member of the quality assessment and assurance
committee and report to the committee the findings of the IPCP on a regular basis.
1. Is 2. Is not

Answer 2

1

Question 3

Residents must be offered the influenza immunization in which months each year?
1. February 1 to April 30
2. November 1 to march 31
3. October 1 through March 31
4. September 1 to February 28

Answer 3

3

Question 4

True or False - Each resident must receive the influenza immunization to remain in the facility
1. True 2. False

Answer 4

2

Question 5

True or False - The infection preventionist must be qualified by education, training, experience and
certification.
1. True 2 False

Answer 5

1

Question 6

True or False - The resident’s medical record must indicate that the resident was provided education
regarding the influenza immunization and if they received the immunization or refused due to medical
contraindications or refusal.
1. True 2. False

Answer 6

1

Question 7

True or False - A nursing facility must have policies and procedures to ensure that when the
COVID-19 vaccine is available to the facility, each resident and staff member is offered the vaccine,
unless the immunization is medically contraindicated or the resident or staff member has already been
immunized.
1. True 2. False

Answer 7

1

Question 8

True of False - Before offering the COVID-19 vaccine, staff and residents must be provided with
education regarding the benefits and risks and potential side effects associated with the vaccine.
1. True 2. False

Answer 8

1

Question 9

True of False - Where the COVID-19 vaccination requires multiple doses, the resident or staff
member must be provided information on any changes in the benefits, risks and potential side effects
of the COVID-19 vaccine, before requesting consent for administration.
1. True 2. False

Answer 9

1

Question 10

True of False - The resident’s medical record does not need to document if a resident received the
vaccine or did not receive the COVID-19 vaccine due to medical contraindications or refusal.
1. True 2. False

Answer 10

2

Question 11

The facility will conduct a review of the facility Infection Prevention and Control Program how often?
1. Daily 2. Weekly 3. Monthly 4 Quarterly 5. Annually

Answer 11

5

Question 12

The CMS COVID report must include which of the following?
1. Suspected and confirmed COVID-19 infections among residents and staff, including residents
previously treated for COVID-19
2. Total deaths and COVID-19 deaths among residents and staff
3. Personal protective equipment and hand hygiene supplies in the facility
4. Ventilator capacity and supplies in the facility
5. Resident beds and census
6. Access to COVID-19 testing while the resident is in the facility
7. Staffing shortages
8. All of the above

Answer 12

8

Question 13

True of False - The CMS COVID 19 Report must detail the COVID-19 vaccine status of residents and
staff, including , the number of residents and staff vaccinated, and how many doses of COVID-19
were administered.
1. True 2. False

Answer 13

1

Question 14

True of False - The CMS COVID Report must detail the therapeutics administered to residents for
treatment of COVID-19.
1. True 2. False

Answer 14

1

Question 15

Must provide the required COVID 19 reporting information to the CDC how often?
1. Daily 2. Weekly 3. Monthly 4. Quarterly 5. Annually

Answer 15

2

Question 16

A facility must Inform residents and their families by 5 p.m. on ______________ following the
occurrence of either a) a single confirmed infection of COVID-19, or b) three or more residents or staff
with new-onset of respiratory symptoms occurring within 72 hours of each other.
1. The next calendar day
2. The next 2 calendar days
3. The next 3 calendar days
4. The next 5 calendar days

Answer 16

1

Question 17

COVID 19 reporting information submitted to the CDC and CMS may or may not include personally
identifiable information?
1. May 2. May not

Answer 17

2

Question 18

True or False - Must report to the CDC and the CMS actions taken by the facility to
prevent or reduce the risk of COVID 19 transmission, including if normal operations will be\
altered.
1. True 2. False

Answer 18

1

Question 19

Must report to the CDC and the CMS the cumulative updates for residents and their families
regarding COVID 19 at least ____ or by 5 p.m. the next calendar day following the subsequent
occurrence of either.
1. Daily 2. Weekly 3. Monthly 4 Quarterly 5. Annually

Answer 19

2

Question 20

Must inform residents and their family each time a confirmed infection of COVID-19 is identified, or
whenever 3 or more residents or staff report a new onset of respiratory symptoms that occur within
____ hours of each other.
1. 24 2. 36 3. 72 4. 96

Answer 20

3

Question 21

True or False - The facility must test residents and staff for COVID 19, and identify all individuals
diagnosed with COVID 19 or symptoms consistent with COVID-19.
1. True 2. False

Answer 21

1

Question 22

True or False - Must detail the response time for COVID 19 test results and other factors to help
identify and prevent the transmission of COVID-19.
1. True 2. False

Answer 22

1

Question 23

True or False - Must document COVID 19 testing that was completed and the results of each staff
test.
1. True 2. False

Answer 23

1

Question 24

True or False - Must document on the resident record that testing was offered, completed, and the
results of each test.
1. True 2. False

Answer 24

1

Question 25

When an individual is identified with COVID-19 symptoms or who tests positive, the facility is or is not required to take action to prevent the transmission of COVID-19. 1. Is 2. Is not

Answer 25

1

Question 26

Which of the following is not true? 1. The facility must have procedures to address residents and staff who refuse COVID 19 testing or who are unable to be tested. 2. The facility must develop and implement policies and procedures to ensure that all staff are fully vaccinated for COVID-19. 3. Staff are considered fully vaccinated if it has been 2 weeks or more since they completed a primary vaccination series for COVID-19. 4. The COVID 19 policies and procedures apply to staff who exclusively work outside the facility or only do telehealth and have no contact with other staff or residents.

Answer 26

4

Question 27

True or False - Completion of a primary vaccination series for COVID-19 is defined as the administration of a single-dose vaccine, or all required doses of a multi-dose vaccine. 1. True 2. False

Answer 27

1

Question 28

True or False - The facility COVID 19 policies and procedures must apply to all facility staff and licensed practitioners, who provide any treatment or other services for residents. 1. True 2. False

Answer 28

1

Question 29

True or False - Must track that all staff have received either a single-dose COVID-19 vaccine, or the first dose of the primary vaccination series for a multi-dose COVID-19 vaccine prior to providing care to residents. 1. True 2. False

Answer 29

1

Question 30

COVID 19 policies and procedures are or are not required to track staff who have had booster shots or are exempted from the vaccine or delayed due to medical or clinical reasons. 1. Are 2. Are not

Answer 30

1

Question 31

Staff can or cannot request an exemption from the staff COVID-19 vaccination requirement? 1. Can 2. Cannot

Answer 31

1

Question 32

Any documentation which confirms a recognized clinical contraindication to a COVID-19 vaccination and supports a staff request for medical exemption, must be signed and dated by whom? 1. Administrator. 2. Medical Director 3. Licensed practitioner. 4. Director of Nursing.

Answer 32

3

Question 33

True or False - It is only recommended that a facility have contingency plans for staff who are not fully vaccinated for COVID-19. 1. True 2. False

Answer 33

2

Question 34

Each facility must have a compliance and ethics program to prevent and detect which of the following? 1. Criminal violations. 2. Civil violations. 3. Administrative violations. 4. All of the above.

Answer 34

4

Question 35

True or False - The compliance and ethics program must have high-level personnel with substantial control over the organization or who have a substantial role in making policies. 1. True 2. False

Answer 35

1

Question 36

True or False - For purposes of the compliance and ethics program , the term “0perating organization” means the individual or entity that operates a facility. 1. True 2. False

Answer 36

1

Question 37

True or False - The facility compliance and ethics program must have policies and standards to reduce the prospect of criminal, civil, and administrative violations, and promote quality of care. 1. True 2. False

Answer 37

1

Question 38

True or False - Each facility must appoint a compliance and ethics program contact person to whom individuals may report suspected violations, as well as an alternate method of reporting suspected violations anonymously without fear of retribution. 1. True 2. False

Answer 38

1

Question 39

The facility compliance and ethics program is or is not required to have policies that detail disciplinary standards and consequences for committing violations that apply to all employees, volunteers, and others? 1. Is 2. Is not

Answer 39

1

Question 40

True or False - The facility compliance and ethics program requires assignment of specific individuals within the high-level personnel of the operating organization with overall responsibility to oversee compliance with the program's standards, policies, and procedures. 1. True 2. False

Answer 40

1

Question 41

The facility compliance and ethics program high level personnel includes which of the following? 1. The chief executive officer (CEO) 2. Members of the board of directors 3. Directors of major divisions in the operating organization 4. All of the above 5. Just 1 and 2

Answer 41

4

Question 42

True or False - A facility must not delegate substantial discretionary authority to individuals who the operating organization knows or should know have a propensity to engage in criminal, civil, and administrative violations. 1. True 2. False

Answer 42

1

Question 43

True or False - The facility must effectively communicate the standards, policies, and procedures of the compliance and ethics program to the staff, volunteers, agency personnel and contractors which includes mandatory training and orientation sessions. 1. True 2. False

Answer 43

1

Question 44

True or False - The facility compliance and ethics program does not need to have auditing and monitoring systems to detect criminal, civil, and administrative violations. 1. True 2. False

Answer 44

2

Question 45

The facility compliance and ethics program is or is not required to have a reporting system where anyone can report violations anonymously without fear of retribution, and a process to ensure confidentiality of any reported data. 1. Is 2. Is not

Answer 45

1

Question 46

The facility compliance and ethics program is or is not required to have consistent enforcement of standards, policies, and procedures through appropriate disciplinary mechanisms, including the requirement to specifically discipline individuals who fail to detect and report a violation to the compliance and ethics program contact person. 1. Is 2. Is not

Answer 46

1

Question 47

True or False - After a violation is detected, the operating organization must ensure that all reasonable steps are taken to respond to the violation and to prevent and detect criminal, civil, and administrative violations under the Act. 1. True 2. False

Answer 47

1

Question 48

An organizations with five or more facilities must include annual mandatory training in the compliance and ethics program how often? 1. Weekly 2. Monthly 3. Quarterly 4. Annually

Answer 48

4

Question 49

True or False - The operating organization must designate a central compliance officer for the compliance and ethics program, and have designated liaisons in the facility. 1. True 2. False

Answer 49

1

Question 50

This compliance officer for the compliance and ethics program must report directly to the governing body and can or cannot be subordinate to the general counsel, chief financial officer or chief operating officer. 1. Can 2. Cannot

Answer 50

2

Question 51

The facility compliance and ethics program must be reviewed how often? 1. Weekly 2. Monthly 3. Quarterly 4. Annually

Answer 51

4

Question 52

Each facility must meet the requirements of the Life Safety Code NFPA ____. 1. 99 2. 100 3. 101 4. 205

Answer 52

3

Question 53

True or False - Facility corridor doors and doors to rooms containing flammable or combustible materials must have positive latching hardware. 1. True 2. False

Answer 53

1

Question 54

True or False - Roller latches are not prohibited on facility doors. 1. True 2. False

Answer 54

2

Question 55

True or False - Fire safety codes that are an unreasonable financial hardship for a facility may be waived if it does not affect the health and safety of residents. 1. True 2. False

Question 56

True or False - A long-term care facility may install alcohol-based hand rub dispensers if the dispensers are installed to prevent inappropriate access to the dispenser. 1. True 2. False

Answer 56

1

Question 57

True or False - Each facility must install battery-operated single station smoke alarms in resident sleeping rooms and common areas and inspect, test, maintain, and replace the batteries that conform to the manufacturer's recommendations and that verifies correct operation of the smoke alarms. 1. True 2. False

Answer 57

1

Question 58

Battery operated smoke detectors are or are not needed in a facility that has system-based smoke detectors in patient rooms and common areas that are installed, tested, and maintained in accordance with NFPA 72. 1. Are 2. Are not

Answer 58

1

Question 59

True or False - Battery operated smoke detectors are needed in a facility that is fully sprinklered in accordance with NFPA 13 - Standard for the Installation of Sprinkler Systems. 1. True 2. False

Answer 59

2

Question 60

True or False - A long term care facility must install an approved, supervised automatic sprinkler system in accordance with the 1999 edition of NFPA 13, Standard for the Installation of Sprinkler Systems. 1. True 2. False

Answer 60

1

Question 61

When a sprinkler system is shut down for more than __ hours, the facility must evacuate the building or that portion affected by the system outage, and establish a fire watch until the sprinkler system is back in service. 1. 4 hours 2. 6 hours 3. 8 hours 4. 10 hours

Answer 61

4

Question 62

True or False - An emergency electrical power system must supply power adequate to power at least lighting all entrances and exits, the fire detection, alarm, and extinguishing systems, and life support systems in the event the normal electrical supply is interrupted. 1. True 2. False

Answer 62

1

Question 63

When life support systems are used, a nursing facility is or is not required to have emergency electrical power with an emergency generator (as defined in NFPA 99, Health Care Facilities) located on the premises. 1. Is 2. Is not

Answer 63

1

Question 64

True or False - A facility is not required to conduct regular inspection of all bed frames, mattresses, and bed rails, to identify areas of possible entrapment. 1. True 2. False

Answer 64

2

Question 65

True or False - When bed rails and mattresses are used and purchased separately from the bed frame, the facility must ensure that the bed rails, mattress, and bed frame are compatible. 1. True 2. False

Answer 65

1

Question 66

Bedrooms must accommodate no more then how many residents? 1. 2 2. 4 3. 6 4. 8

Answer 66

2

Question 67

True or False - After November 28, 2016, in new construction bedrooms must accommodate no more than two residents. 1. True 2. False

Answer 67

1

Question 68

Semi private bedrooms must measure at least ___ square feet per resident in multiple resident bedrooms. 1. 60 2. 80 3. 100 4. 160

Answer 68

2

Question 69

A private room must have at least ____ square feet in single resident rooms. 1. 60 2. 80 3. 100 4. 160

Answer 69

3

Question 70

Resident bedrooms are or are not required to have direct access to an exit corridor. 1. Are 2. Are not

Answer 70

1

Question 71

True or False - Each resident room must be equipped with or located near a toilet and bathing facilities. 1. True 2. False

Answer 71

1

Question 72

True or False - For facilities that receive approval of construction or are newly certified after November 28, 2016, must have each resident room with its own bathroom equipped with at least a commode and sink as opposed to just being located close to a bathroom. 1. True 2. False

Answer 72

1

Question 73

True or False - A nursing facility must have procedures for dementia management and resident abuse prevention? 1. True 2. False

Question 74

True or False - Each facility must include mandatory training in the facility QAPI program that informs staff of the purpose and goals of the QAPI program. 1. True 2. False

Answer 74

1

Question 75

A facility must include in its infection prevention and control program mandatory training which of the following? 1. Written standards 2. Policies 3. Procedures 4. All of the above

Answer 75

4

Question 76

A facility compliance and ethics program must have training how often if the operating organization operates five or more facilities? 1. Daily 2. Weekly 3. Monthly 4. Annually

Answer 76

4

Question 77

True or False - The nursing facility nurse aide in-service program may but is not required to Include dementia management and cognitive impairment training? 1. True 2. False

Answer 77

2

Question 78

True or False - A facility must not use any individual as a paid feeding assistant unless they completed a state-approved training program for feeding assistants. 1. True 2. False

Answer 78

1

Question 79

True or False - A nursing facility may but is not required to provide behavioral health training to staff. 1. True 2. False

Answer 79

2

Question 80

Each resident must receive necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psycho-social well-being, in accordance with which of the following? 1. Their comprehensive assessment 2. Their care plan 3. Their MDS 4. All of the above

Answer 80

4

Question 81

Behavioral health does or does not encompass a resident's whole emotional and mental well-being, including the prevention and treatment of mental and substance use disorders. 1. Does 2. Does not

Answer 81

1

Question 82

Sufficient nursing staffing is based on which of the following? 1. The number of residents 2. Resident acuity 3. The diagnoses and medical condition of the resident’s in the facility 4. All of the above

Answer 82

4

Question 83

True or False - Staff must be trained to care for residents with mental and psycho-social disorders, trauma, post-traumatic stress disorder, and how to use non-pharmacological interventions, if appropriate. 1. True 2. False

Answer 83

1

Question 84

True or False - A resident who displays or is diagnosed with a mental disorder or psycho-social adjustment difficulty, or has a history of trauma and/or post-traumatic stress disorder, must receive appropriate treatment and services to correct the diagnosed problem. 1. True 2. False

Answer 84

1

Question 85

If a resident develops a pattern of decreased social interaction, increased withdrawal, anger and depression, and was not previously diagnosed with a mental disorder or psycho-social adjustment disorder, would the facility be cited? 1. Yes, the facility would be cited. 2. No, the facility would not be cited.

Answer 85

1

Question 86

What does PBJ stand for? 1. Payroll budget journal 2. Payroll based journal 3. Profit based journal 4. Post budget journal

Answer 86

2

Question 87

The facility must submit its QAPI plan to the state survey agency how often? 1. Daily 2. Weekly 3. Monthly 4 Quarterly 5. Annually

Answer 87

5

Question 88

The infection preventionist is or is not required to be full-time in the facility. 1. Is 2 Is not

Answer 88

2

Question 89

A state or federal surveyor would be disqualified from surveying a particular skilled nursing facility for a conflict of interest if the the surveyor currently works, or, within the past ________, has worked as an employee, as employment agency staff at the facility, or as an officer, consultant, or agent for the facility to be surveyed. 1. 1 2. 2 3. 3 4. 4 5. 5 6. 6

Answer 89

2

Question 90

True or False - A surveyor would be disqualified from surveying a nursing facility if they have a financial interest or ownership interest in that nursing facility? 1. True 2. False

Answer 90

1

Question 91

True or False - A surveyor would be disqualified from surveying a nursing facility if they have a financial interest or ownership interest in that nursing facility limited to ownership of publicly traded stock in a publicly traded company, such as a broad based mutual fund? 1. True 2. False

Answer 91

2

Question 92

True or False - A surveyor would not be disqualified from surveying a nursing facility if they have an immediate family member who has a relationship with a facility? 1. True 2. False

Answer 92

2

Question 93

True or False - A surveyor would be disqualified from surveying a nursing facility if they have an immediate family member who is a resident in the facility? 1. True 2. False

Answer 93

1

Question 94

True or False - The time of day that surveyors begin a survey should extend beyond the business hours of 8:00 a.m. to 6:00 p.m. during the week and should vary to include weekend days, Saturday, and Sunday 1. True 2. False

Answer 94

1

Question 95

At least ____ percent of standard health surveys must begin either on the weekend or in the evening/early morning hours before 8:00 a.m. or after 6:00 p.m. 1. 5 percent 2. 10 percent 3. 15 percent 4. 20 percent

Answer 95

2