Continuing education test #87 based on nursing homes June 2004

Continuing education test #87 based on nursing homes June 2004

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.


1. The new dynamics of aging now indicate that to gain acceptance with the baby-boomer demographic, facility design should begin to consider all of the following adaptations except:

a. giving the facility a “face” in the community

b. sheltering residents from the distraction of mixed-use areas

c. creating areas where residents can decide how the spaces will be used

d. providing chances for the community and residents to interact

2. Research shows that a room with window access can have a positive effect on a resident by:

a. improving memory

b. enhancing physical orientation

c. improving sleep

d. all of the above


1. According to Maifield and Ogurek (“Unlocking the House of Rumors”), which of the following methods is not being used to improve relations between residents and the general public?

a. allowing residents to mingle with their neighbors

b. encouraging residents to continue learning

c. inviting neighbors in

d. increasing advertisements in local media outlets

2. During the two-year evaluation of Brewster Village (“Closing the Circle: The Evaluation of Brewster Village”), which of the following showed significant positive change for residents?

a. self-care functioning

b. disoriented behavior

c. irritable behavior

d. depressed/anxious mood

3. According to Leibrock (“Let’s Stop Tweaking a Flawed Model”), all of the following factors should be taken into account to create a more rehab-oriented facility except:

a. pleasant aromas

b. designer wallpaper

c. improved window access

d. soothing sounds

4. Web-based staff-scheduling, as explained by Rosen (“Web-Based Staff Scheduling”), includes all of the following except:

a. continual recalculation of staffing ratios and PPDs

b. an attendance reward program

c. time and attendance data

d. off-site access

5. Gross and Littlehale (“Guilt-Free Getaways for MDS Coordinators”) state that the least flexible area to plan for is:

a. MDS data entry

b. cross-training a backup coordinator

c. Medicare assessments

d. OBRA assessments

6. Pieczynski (“Need Capital? Know How Lenders Assess Your Operations”) states that lenders will make a site visit to observe all of the following except:

a. a facility’s strength and weaknesses

b. a family satisfaction focus group

c. a facility’s fire-safety system

d. the effectiveness of the management team in daily operations

7. With which of the following statements would Hanks (“ADA Compliance: It’s More Than ‘Removing Barriers'”) disagree?

a. Removal of physical barriers should gain priority attention.

b. Barrier removal should be coordinated with other programmatic revisions, where indicated.

c. Barrier removal is sometimes substituted for broader, more meaningful action.

d. Barrier removal can sometimes be a waste of money in the overall strategic sense.

8. Rahman et al (“Online Training: Coming Soon to a Computer Near You”) state that facilities need all of the following in order to effectively offer online training to staff except:

a. a bank of at least ten capable computers

b. the fastest Internet connection that the facility can afford

c. a quiet location for the computers

d. sufficient time to set aside for staff training

9. Willging (“Assessment Is at the Heart of It All”) maintains that the assessment process is valuable to the assisted living sector because it helps to determine all of the following except:

a. whether the facility is fulfilling its business model

b. pricing

c. equipment inventory

d. where costs can be controlled

10. As summarized by Williams (Liability Landscape), which is not an FDA recommendation for bed safety:

a. Develop an “at-risk for entrapment” protocol.

b. Conduct regular bed inspections as part of a preventive maintenance program.

c. Check that siderails have been properly installed as per the manufacturer’s instructions.

d. Ensure that the bed’s dimensions are appropriate for the resident’s size and/or weight.

11. Which legislation requires a facility to report death, serious illness, or injury cause by bedrails?

a. OBRA Act of 1993

b. FDA Safety Alert (August 23, 1995)

c. FDA Safe Medical Devices Act of 1990

d. All of the above

12. Which of the following statements is true, according to the most recent NIC Key Financial Indicators[TM], as cited by Mullen (NIC on Financing)?

a. The median occupancy rate for skilled nursing dropped.

b. The median and average occupancy rates for assisted living held steady.

c. The median occupancy rate for CCRCs rose slightly.

d. The average occupancy rate for CCRCs rose slightly.


The discussions on facility design were:

____ interesting

____ somewhat interesting

____ of little interest

My knowledge of online training, based on the material in this issue, was:

____ increased considerably

____ increased somewhat

____ unchanged

The material on ADA compliance was:

____ informative

____ somewhat interesting

____ not interesting

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



1. d.

2. b.


(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

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