ACHCA CE Test: continuing education test #78 * based on Nursing Homes September 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.

* After 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.

PRE-TEST

1. Which of the following is not an advisable way to set a relaxed tone for dining in a long-term care facility?

a. Have residents watch TV until just before the meal begins, to keep their minds off being hungry.

b. Play recorded classical music before and during the meal.

c. Offer glasses of water to residents waiting to dine.

d. Use fresh-cut flowers and linen tablecloths on the dining room tables.

2. Which of the following statements about people with Alzheimer's disease/other dementias is false?

a. They have difficulty sorting out the proper sequence of things.

b. Tending to their activities of daily living is their caregivers' highest priority.

c. Their sense of humor is often intact.

d. The progression of their disease is unpredictable.

POST-TEST

1. According to the article "Creating a Five-Star Dining Experience," which of the following groups of facility staff are excluded from helping in the Glen Cove dining room during mealtimes?

a. office staff

b. social workers

c. medical records employees

d. none of the above

2. At Glen Cove, resident satisfaction with "variety of food" went from what percentage who were "extremely satisfied" before the dining program was revamped to what percentage after?

a. 0% to 2%

b. 0% to 76%

c. 0% to 97%

d. no change

3. With which of the following statements would Bogen ("What's New With Wireless?") disagree?

a. Research has proven that using wireless technology increases staff productivity and reduces staffing needs.

b. Security is still an issue with wireless technology.

c. Point-of-care recording of resident data can improve billing accuracy.

d. if communication isn't in real time, it isn't "wireless."

4. Grachek ("A New Course for JCAHO Accreditation") states that the Joint Commission on Accreditation of Healthcare Organizations currently accredits what percentage of long-term care facilities nationwide?

a. 1.4%

b. 4%

c. 14%

d. 41%

5. What does Seman ("Listen With the Ears of Your Heart") consider the first step in successful nonverbal communication with people who have Alzheimer's disease or other dementias?

a. touching them before speaking

b. establishing eye contact

c. caring about them

d. smiling

6. In the example described by Seman in which she and a colleague encountered a nursing home resident in a hallway clad only in a T-shirt, how did her colleague react?

a. She acted as if nothing were wrong and asked if she could walk with him to his room to see if she had left her book there.

b. She gently but firmly pointed out to him that he was naked and told him to go get dressed immediately.

c. She ran to get his bathrobe and quickly covered him.

d. She called a male CNA to take him to his room.

7. How does the concert program described by Mazer ("Live Concerts Break Through Resident Isolation") differ from many music programs presented in LTC facilities?

a. Concerts are presented as a series, rather than as one-time or occasional events.

b. Singing along is discouraged. Activities staff aren't involved in these concerts.

d. Only classical music is played.

8. FM radio station WMKV 89.3 in Cincinnati, Ohio, described in "Reaching Out Across the Airwaves" by Hutlock, plays music from what time period?

a. 1920s through 1930s

b. 1920s through 1940s

c. 1920s through 1950s

d. 1920s through 1960s

9. Which of the following is not one of the recommendations to administrators made by Spector in his article, "Surviving an Inspection"?

a. Be sure to guard your weekends off so that you'll be rested and ready to lead your staff on Mondays.

b. Have an open-door policy.

c. Do not make unilateral decisions.

d. Spend part of the day on the units.

10. Which o f the following types of odor-control products is best suited for tackling malodors associated with organic materials, according to O'Brien ("Odor Control: Not Just a Cover-up")?

a. air fresheners

b. odor eliminators

c. odor counteractants

d. scented candles

11. O'Brien emphasizes that the first step in any odor-control strategy always should be:

a. scraping all visible soil from the suspected source of the malodor

b. spraying the area with an aerosol air freshener, then looking for the source of the unpleasant smell

c. moving all residents to another room

d. cleaning and disinfecting to eliminate the source

12. The ultimate purpose of the program described in "Balance Through Ballet" by Shepherd in this month's Not for-Profit Report is:

a. weight loss through exercise

b. recreation alternative

c. resident self-expression

d. fall prevention

POST-TEST EVALUATION

Material in this issue enhanced my understanding of patient-responsive dining programs:

--considerably

--somewhat

--very little

My understanding of wireless technology was:

--enhanced considerably

--somewhat improved

--little changed

The information on caring for residents with Alzheimer's disease and other dementias was:

--very helpful

--somewhat helpful

--of little help

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

Name --   Title --

Facility --

Address --

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Is this address for   -- Home   -- Business?

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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 ANSWERS

1. a.

2. b.

POST-TEST

(Circle the most appropriate answer)

 1.   a   b   c   d
 2.   a   b   c   d
 3.   a   b   c   d
 4.   b   c   c   d
 5.   a   b   c   d
 6.   a   b   c   d
 7.   a   b   c   d
 8.   a   b   c   d
 9.   a   b   c   d
10.   a   b   c   d
11.   a   b   c   d
12.   a   b   c   d

Return both pages of the completed form with payments to:
ACHCA, 300 North Lee St., Suite 301, Alexandria, VA 22314.

Members: $25   Nonmembers: $35.

(Note: Membership in ACHCA is by individual, not by facility. If you
have any questions, please call 703-739-7900.)

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