CNHA Ethics and Legal Issues 2

Question 1

The Long-Term Care Ombudsman Program serves what primary function in nursing facilities?

Accepted Answer

Advocating for the rights and quality of life of long-term care residents

Answer

Conducting the annual state inspection surveys of facilities

Answer

Investigating Medicare billing complaints against providers

Answer

Providing mandatory staff training on regulatory compliance standards

Question 2

When a nursing home resident is determined to lack decision-making capacity, who is typically authorized to make healthcare decisions on their behalf?

Accepted Answer

A legally appointed guardian or designated healthcare proxy

Answer

The nursing home administrator as the responsible party

Answer

The attending physician based on their clinical judgment

Answer

The facility's ethics committee by majority vote

Question 3

A valid Do Not Resuscitate (DNR) order in a nursing home must be:

Accepted Answer

Written, signed by the physician, and consistent with the resident's advance directive or expressed wishes

Answer

Verbally authorized by the resident or surrogate and documented within 30 days

Answer

Approved by the facility's ethics committee before it can be implemented

Answer

Renewed monthly and countersigned by the administrator to remain legally valid

Question 4

Which federal law protects nursing home employees who report violations of resident rights or care standards from employer retaliation?

Accepted Answer

Section 1150B of the Social Security Act

Answer

The Americans with Disabilities Act (ADA)

Answer

The Fair Labor Standards Act (FLSA)

Answer

The Family and Medical Leave Act (FMLA)

Question 5

A nursing home administrator has an undisclosed financial interest in a pharmacy that supplies medications to their facility. How should this situation be characterized and handled?

Accepted Answer

A conflict of interest that must be disclosed to the governing body and managed appropriately

Answer

A permissible professional arrangement that requires no disclosure to the governing body

Answer

A standard business practice explicitly allowed under Medicare billing rules

Answer

An anti-kickback violation that should remain confidential to avoid regulatory scrutiny

Question 6

Under the Elder Justice Act, nursing homes that receive federal funds must report which of the following to law enforcement?

Accepted Answer

Reasonable suspicion that a crime has been committed against a resident

Answer

Any medication errors that result in resident hospitalization

Answer

All falls resulting in injury requiring medical treatment

Answer

Family complaints about quality of care received by their loved one

Question 7

Which document outlines the minimum standards for ethical conduct expected of licensed nursing home administrators?

Accepted Answer

The NAB Code of Ethics for Licensed Nursing Home Administrators

Answer

The CMS Conditions of Participation (CoPs) for long-term care

Answer

The State Operations Manual (SOM) Appendix PP

Answer

The Medicare Provider Agreement signed upon certification