CMD Communication & Client Relations 3

Question 1

A physician on staff consistently uses dismissive language when speaking to residents about treatment options. As Medical Director, what is the most appropriate intervention?

Accepted Answer

Privately counsel the physician, provide specific feedback, and set clear expectations

Answer

Private, specific counseling with clear expectations is the appropriate first intervention that preserves dignity while addressing the behavior directly.

Question 2

When communicating with a resident who has hearing loss, which accommodation is MOST important to implement first?

Accepted Answer

Confirm the resident's preferred communication method and use assistive devices as needed

Answer

Confirming the resident's preferred method respects individual needs; some residents prefer lip reading, hearing aids, or written communication.

Question 3

A surrogate decision-maker is requesting aggressive interventions that appear inconsistent with a resident's previously expressed wishes. What is the Medical Director's role?

Accepted Answer

Facilitate a meeting to clarify the resident's prior wishes and apply the substituted judgment standard

Answer

The substituted judgment standard requires surrogates to decide as the resident would have decided; the Medical Director's role is to guide that process.

Question 4

Effective interdisciplinary team communication in long-term care MOST directly contributes to which outcome?

Accepted Answer

Improved care coordination and reduced adverse events

Answer

Structured interdisciplinary communication reduces handoff errors and care gaps, directly improving safety and care quality outcomes.

Question 5

A resident's adult child who does not have healthcare proxy authority is insisting on reviewing the resident's medical records. How should the Medical Director advise staff?

Accepted Answer

Deny access and refer to HIPAA regulations and facility privacy policy

Answer

Under HIPAA, medical records can only be released to authorized individuals; the Medical Director should ensure staff understand and follow privacy regulations.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Communication & Client Relations 3