Continuing education test #121 * based on Nursing Homes August 2007.

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. A well-designed disaster plan is helpful in weathering all of the following catastrophes except:

a. hazardous spills

b. extreme weather events

c. riot

d. pandemic 

2. It is estimated that an American baby boomer turns 65 every:

a. 8 seconds

b. 15 seconds

c. 8 minutes

d. 15 minutes

POST-TEST

1. According to Gregory ("Anatomy of an Evacuation"), which of the following is not a recommended practice in an evacuation?

a. Have a police scanner and cell phone chargers that work without electricity on hand.

b. Have your medical director remain at the facility.

c. Have a clear triage process for patients.

d. Be prepared for none of your transportation contracts to work.

2. With which of the following statements regarding security window film would Watts ("Flying Glass Can Be Deadly") disagree?

a. Security window film holds glass intact if broken.

b. It can be used on many types of insulating glass.

c. It may have heat-blocking solar control capabilities.

d. It is applied to the exterior surface of existing glass.

3. The most expensive window safety option that Watts notes is:

a. conventional security film

b. installed laminated glass 

c. the most energy-efficient security film

d. security film physically attached to the window frames

4. Of the six categories that microchip-based technologies can track and evaluate, notes Carle ("More Than a Game: Brain Training Against Dementia"), which category's products have generated the most interest and attention?

a. health

b. communication

c. cognition

d. safety

5. According to Weiner ("Developing a Long-Range Plan"), the Jewish Home and Hospital Lifecare System became the first nursing home in the country to offer home healthcare services, beginning in:

a. 1940

b. 1956

c. 1972

d. 1984

6. According to a MyInnerView study, notes Stoil (View on Washington), which of the following was not cited by nursing assistants as a priority?

a. help with job stress and burnout 

b. training to deal with difficult residents

c. access to adequate equipment/supplies

d. empathy from management

7. With which of the following statements would Williams (Liability Landscape) disagree?

a. Identify the resident acuity level for which your facility can safely provide care and services.

b. Require a new physical examination after admission to assess the resident's health, psychosocial, and cognitive status.

c. Assess each resident's ability and develop a service plan that will meet his or her needs.

d. Review the plan of care routinely, according to facility policy and state guidelines.

8. According to Oatway (Computer Technology), the LTC-Nursing Home Electronic Health Record System Functional Profile will be balloted through Health Level Seven in:

a. third quarter 2007

b. fourth quarter 2007

c. first quarter 2008

d. second quarter 2008

9. Oatway suggests facilities take all of the following actions regarding electronic records except:

a. Review the current status of the LTC EHR standard.

b. Get a commitment from prospective vendors about their intention to commit to CCHIT testing.

c. Include the LTC EHR standard status review in discussions with candidate vendors.

d. Leave current vendors out of discussions regarding commitment to CCHIT testing.

10. Which of the following strategies for coping with difficult people is not recommended by Zofi and Meltzer (Your People)?

a. Confront the "know-it-all."

b. Hold your ground and use the "I" word.

c. Neutralize the "gossiper."

d. Silence the "chatterbox."

11. According to Mack ("Joint Replacement Rehab: A Team Approach to Recovery"), which of the following, when uncontrolled, makes it difficult to motivate a patient to face the hard work that is part of joint replacement therapy?

a. behavioral issues

b. weight management

c. pain

d. depression

12. Mack notes that all of the following may be needed for rehab of a joint replacement patient with cognition issues except:

a. alternative compensatory training techniques

b. more hands-on attention during the session

c. different training approach from that of a patient with good cognition

d. less repetition during the session

POST-TEST EVALUATON

The articles on preparing for and coping with disasters were:

____ interesting

____ somewhat interesting

____ of no interest

The article on brain games was:

____ helpful

____ mildly helpful

____ of no help

The article on joint replacement rehabilitation 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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PRE-TEST ANSWERS

1.  c.
2.  a.

POST-TEST (Circle the most appropriate answer)

 1.  a  b  c  d
 2.  a  b  c  d
 3.  a  b  c  d
 4.  a  b  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