CNHA Resident Care and Services 1 — Questions and Answers
Question 1: Which federal regulation requires nursing facilities to develop a comprehensive care plan for each resident within 21 days of admission?
- OBRA 1987 (Correct answer)
- ADA 1990
- HIPAA 1996
- EMTALA 1986
Correct answer: OBRA 1987
OBRA 1987 mandates that nursing facilities create individualized comprehensive care plans within 21 days of a resident's admission.
Question 2: A resident repeatedly refuses to attend scheduled group activities. What is the CNHA's most appropriate response?
- Document the refusal and respect the resident's right to self-determination (Correct answer)
- Require participation since activities are part of the care plan
- Notify the state ombudsman immediately
- Discharge the resident for non-compliance
Correct answer: Document the refusal and respect the resident's right to self-determination
Resident rights under federal law include the right to refuse activities, and administrators must document refusals while honoring self-determination.
Question 3: Which assessment tool is federally required for all nursing facility residents and forms the basis of the care planning process?
- Minimum Data Set (MDS) (Correct answer)
- Braden Scale
- Barthel Index
- MMSE
Correct answer: Minimum Data Set (MDS)
The Minimum Data Set (MDS) is the federally mandated standardized assessment instrument used to drive care planning in certified nursing facilities.
Question 4: A nursing home resident complains that staff enter her room without knocking. This violates which resident right?
- Right to privacy and dignity (Correct answer)
- Right to refuse treatment
- Right to receive visitors
- Right to manage personal finances
Correct answer: Right to privacy and dignity
Federal regulations guarantee nursing home residents the right to privacy and dignity, which includes staff knocking before entering their rooms.
Question 5: Which professional discipline is required to be part of the interdisciplinary care planning team in a certified nursing facility?
- Registered Nurse (RN) (Correct answer)
- Psychiatrist
- Pharmacist
- Social Worker only
Correct answer: Registered Nurse (RN)
CMS regulations require a registered nurse to participate as part of the interdisciplinary team responsible for developing each resident's comprehensive care plan.
Question 6: What is the primary purpose of the Resident Assessment Instrument (RAI) in nursing facility care?
- To identify resident needs and guide individualized care planning (Correct answer)
- To determine Medicare reimbursement rates only
- To document staffing ratios
- To track employee performance metrics
Correct answer: To identify resident needs and guide individualized care planning
The RAI, which includes the MDS and Care Area Assessments, is designed to identify each resident's functional status and guide the development of individualized care plans.
CNHA Resident Care and Services 1
Which federal regulation requires nursing facilities to develop a comprehensive care plan for each resident within 21 days of admission?