Advanced Professional Practice Flashcards
7 cards from real CMD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Advanced Professional Practice flashcards as text
A skilled nursing facility medical director discovers that a physician colleague is consistently failing to document care plan meetings. What is the MOST appropriate initial action?
Answer: Have a direct, collegial conversation with the physician to understand barriers and expectations
Direct collegial conversation is the appropriate first step to address performance issues before escalating to formal disciplinary action.
Under OBRA '87 regulations, which entity holds primary responsibility for ensuring a comprehensive resident assessment is completed within 14 days of admission?
Answer: The interdisciplinary team with the medical director providing oversight
OBRA '87 mandates an interdisciplinary team approach for the MDS-based comprehensive assessment, with the medical director overseeing the clinical process.
A CMD is reviewing antibiotic prescribing patterns and finds broad-spectrum antibiotics are being used empirically for asymptomatic bacteriuria. What framework should guide the corrective intervention?
Answer: Antimicrobial stewardship program principles and McGeer criteria
Antimicrobial stewardship programs using McGeer criteria help distinguish true UTI from asymptomatic bacteriuria, reducing unnecessary antibiotic use.
Which legal doctrine most directly applies when a medical director sets facility-wide clinical policies that all attending physicians must follow?
Answer: Corporate negligence
Corporate negligence holds the facility (and its medical director as a corporate agent) liable for setting and enforcing clinical standards of care.
A resident with advanced dementia repeatedly refuses oral medications. The surrogate decision-maker insists on forced administration. What is the BEST response from the medical director?
Answer: Convene an ethics consultation to balance resident dignity, autonomy, and surrogate authority
An ethics consultation provides a structured process to balance competing principles of beneficence, autonomy, and dignity when surrogate and apparent patient preferences conflict.
Which metric is MOST useful for benchmarking a facility's pressure injury prevention program performance?
Answer: Prevalence rate of facility-acquired pressure injuries compared to national benchmarks
Facility-acquired pressure injury prevalence rates compared to national benchmarks provide actionable, risk-adjusted quality data for performance improvement.
A CMD wants to implement a fall prevention program. Which approach aligns BEST with evidence-based practice in long-term care?
Answer: Multifactorial risk assessment with individualized targeted interventions
Evidence supports multifactorial risk assessment and individualized intervention bundles as the most effective approach to fall prevention in LTC.