Clinical Leadership & Patient Care 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 Clinical Leadership & Patient Care flashcards as text
A nurse practitioner on your team consistently documents assessments that do not reflect the clinical findings described in nursing notes. As medical director, your primary concern is:
Answer: Clinical accuracy and potential patient safety risk from documentation discrepancies
Documentation discrepancies represent a patient safety risk and potential fraud concern requiring immediate clinical and administrative review.
Which federal regulation requires nursing facilities to develop and implement a comprehensive care plan for each resident within 21 days of admission?
Answer: OBRA '87 / 42 CFR Part 483
42 CFR Part 483 (implementing OBRA '87) requires skilled nursing facilities to develop individualized comprehensive care plans within 21 days of admission.
When transitioning a patient from curative to palliative goals of care, which action is most critical?
Answer: Ensuring a thorough family meeting with documented goals-of-care discussion
A documented family/patient meeting to clarify and align on goals of care is the cornerstone of a quality transition to palliative or comfort-focused care.
In crew resource management (CRM) applied to healthcare, which concept is most directly relevant to preventing sentinel events?
Answer: Closed-loop communication and cross-checking among all team members
CRM in healthcare emphasizes closed-loop communication and team cross-checking to prevent errors that hierarchical structures can miss.
A medical director discovers that a facility has been consistently using antipsychotic medications without documented clinical indications. Under CMS guidance, this represents:
Answer: A potential violation of unnecessary drug use regulations and a chemical restraint concern
CMS considers antipsychotics used without adequate clinical indications as potentially unnecessary drugs and possible chemical restraints under F-tag F758.
Which tool is most commonly used in long-term care to assess a resident's risk for falls?
Answer: Morse Fall Scale or STRATIFY tool
The Morse Fall Scale and STRATIFY tool are validated, widely used instruments for fall risk stratification in nursing and long-term care settings.
A medical director is implementing a new sepsis screening protocol. To ensure sustained adoption, which change management strategy is most effective?
Answer: Engage frontline staff in protocol design, provide training, and monitor with feedback loops
Engaging frontline staff in protocol development, providing training, and using feedback loops are proven strategies for sustained clinical practice change.