Continuing education test #98 * based on Nursing Homes June 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. When updating a facility's flooring, which of the following should not be a primary consideration:

a. practicality

b. price

c. purpose

d. performance

2. Nursing homes should do all of the following when an allegation of staff sexual abuse is made except:

a. Launder bed linens.

b. Notify the family.

c. Provide the resident with psychological care.

d. Notify the police.

POST-TEST

1. Which of the following is not a suggestion made by Krueger ("Renovation on a Budget")?

a. Focus on color because color does not cost anything.

b. Focus on fabric to add life to a room.

c. Use fund-raisers to pay for a project one step at a time.

d. Focus on renovating the lobby before resident rooms.

2. If installing wallpaper is cost-prohibitive, a solution Krueger would favor would be to:

a. paper the wall at the head of the bed.

b. paper the wall at the foot of the bed.

c. paper the wall that has access to the bathroom to enhance wayfinding.

d. not paper the room at all.

3. According to Nash ("Flooring Decisions for the Long Term"), most of the wear on a floor occurs on what percentage of its surface?

a. 60%

b. 45%

c. 20%

d. 15%

4. Which of the following is a benefit of using flooring made of recycled PVC?

a. It is easier to care for than virgin PVC flooring.

b. It eliminates the potential health concerns associated with virgin PVC flooring.

c. A wider selection of design options are available with recycled PVC flooring.

d. none of the above

5. According to Williams (quoted by Edwards in "Thinking About the Unthinkable: Staff Sexual Abuse of Residents"), all of the following are possible changes in residents as a result of sexual abuse except:

a. difficulty in walking or sitting

b. pulling on the ears

c. increased socialization

d. pain or itching in the genital area

6. According to Keller (as quoted by Edwards), all of the following are components of a basic background check program except:

a. Social Security number check

b. drug screening

c. county courthouse check

d. fingerprinting

7. With which statement on bed alarms, as used in Park Place Nursing and Rehabilitation Center, would Bunch ("On the Uses of Bed Alarms") disagree?

a. Fifty-seven percent of true alarm responses were for either toileting or acute illness.

b. With the bed alarm, staff could know about a pending incident before the resident reached the floor.

c. Sensing units should be tested to verify that they will send an alarm if the patient arises.

d. all of the above

8. Fishman ("Turning LTC Upside Down") cites a prediction that because of shorter lengths of stay, nursing homes essentially will become:

a. specialized dementia facilities.

b. remodeled independent apartments.

c. extended hospice facilities.

d. none of the above

9. According to Stoil (View on Washington), all of the following are potential factors in the apparent end to the decline in new applicants for state licenses as a professional nursing home administrator except:

a. recently modified criteria in some states to permit applicants with fewer than four years of college

b. a decrease in the national need for licensed nursing home administrators

c. increased efforts by states to move toward license reciprocity

d. new programs at select universities and colleges preparing students for the state licensure exam

10. Which is not one of the four "Ps" of marketing as discussed by Willging ("Marketing Is Key in an Era of Increased Competition")?

a. partnership

b. place

c. promotion

d. price

11. Which of the following recommendations was not suggested by Williams (Liability Landscape) as a way to protect residents using facility transportation?

a. Equip the vehicle with an emergency communicating device.

b. Keep a log of monthly vehicle inspections.

c. Visually check equipment after loading residents into the vehicle.

d. Keep a web cutter in the back of the van at all times.

12. The key system items to address for effective infection control, as described by Patterson ("The Basics of Improving Infection Control"), include:

a. systems surveillance and methodology.

b. policies and procedures on infection control topics.

c. a formal written and implemented infection control plan.

d. all of the above

POST-TEST EVALUATON

The article on affordable renovation in long-term care settings was:

_____ very interesting

_____ of some interest

_____ of no interest

The analysis of the problem of staff sexual abuse of residents was:

_____ helpful

_____ mildly informative

_____ of no interest

The review of JCAHO standards relating to infection control was:

_____ very useful

_____ somewhat useful

_____ of no use

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.  b.
 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