Continuing education test #94 * based on nursing homes February 2005.

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. Online CE tests for this and previous issues are available at www.achca.org/study/courses.asp?c=7.

* 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.

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PRE-TEST

1. Which of the following is not a goal of Montessori-based activities for residents with Alzheimer's?

a. improve and maintain cognition

b. improve and maintain fine-motor skills

c. improve and maintain balance and ambulation

d. promote feelings of achievement

2. In long-term care environments, wireless communications are:

a. impractical.

b. cost-prohibitive.

c. futuristic.

d. a "fourth utility."

POST-TEST

1. As reported by Zinn ("Activities for Dementia Care: Unlocking What Remains"), which statement about Montessori-based activities is false?

a. None of the activities can be done incorrectly.

b. Residents are assigned tasks to do each day.

c. When a simple task is achieved, a resident is given a more complex one.

d. Repetition helps with cognition.

2. According to Dr. Cameron Camp, director of The Myers Research Institute, often the real reason a person with dementia may not want to participate in activities is:

a. a dislike of groups.

b. a lack of interest.

c. embarrassment.

d. a fear of failure.

3. Which of the following factors does not contribute to dead spots that affect wireless communications as discussed by Norine ("Making Wireless Work for You")?

a. finishes on walls

b. antennas

c. steel used in construction

d. none of the above

4. A leaky coaxial broadband cable system (or "wireless utility") has a bandwidth ranging from:

a. 300 to 2,500 megahertz.

b. 300 to 2,000 megahertz.

c. 250 to 2,500 megahertz.

d. 250 to 2,000 megahertz.

5. Information technology security measures include all of the following except:

a. firewalls

b. open access

c. strategically located access points

d. rules for using wireless devices

6. The advantages of bar code monitoring technology described by Eicher ("Environmentally Responsible Pest Management") for facility and pest management personnel include all of the following except:

a. It tracks pesticide placement.

b. It is a tool to analyze pest activity.

c. It results in reduced pesticide use.

d. all of the above

7. With which of the following steps for safer and more effective pest management would Eicher disagree?

a. Caulk cracks and crevices where pests can enter.

b. Trim plants away from the building.

c. Use incandescent exterior lighting.

d. Clean gutters regularly.

8. Carroll ("Applying Design and Color to Healing") states that when designing an LTC environment, along with the physical aspects of human existence, interior designers must also consider:

a. the emotional and spiritual sides of residents.

b. incorporating hospitality design.

c. the impact of design on staff.

d. the socioeconomic range of residents.

9. Which of the following is not a condition that qualifies for treatment at an inpatient rehabilitation facility as discussed by Stoil (View on Washington)?

a. spinal cord injury

b. polyarthritis

c. carpal tunnel repair

d. brain injury

10. Willging ("The Best LTC Model Has Yet to Be Implemented") suggests that the first, and often the most formidable, challenge for those in need of long-term care is which of the following?

a. financing

b. access

c. insurance

d. acceptance

11. Williams (Liability Landscape) defines informed consent as:

a. informing the healthcare decision maker about the risks, benefits, and adverse effects of a proposed restraint.

b. advising the nursing supervisor that a durable power of attorney (DPOA) agrees to the restraint.

c. advising the family of the DPOA's decisions regarding care.

d. none of the above

12. Williams recommends that no resident should be chemically or physically restrained until:

a. informed consent has been obtained from a responsible party.

b. the physician has given the appropriate orders.

c. alternatives have been tried and documented, and have failed.

d. all of the above

POST-TEST EVALUATON

The article on Montessori-based Alzheimer's activities was:

______ very interesting

______ of some interest

______ of no interest

The information on communications technology was:

______ very helpful

______ somewhat helpful

______ of no help

The article on the healing effects of design and color was:

______ enlightening

______ mildly informative

______ of no concern

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.  d.

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