CNHA Ethics and Legal Issues 1

Question 1

Under the Omnibus Budget Reconciliation Act (OBRA) of 1987, which of the following is a fundamental right guaranteed to nursing home residents?

Accepted Answer

The right to be free from unnecessary physical or chemical restraints

Answer

OBRA 1987 specifically guarantees residents the right to be free from unnecessary physical or chemical restraints used for discipline or staff convenience.

Question 2

What is the primary purpose of obtaining informed consent from a nursing home resident before initiating a new treatment?

Accepted Answer

To ensure the resident understands and voluntarily agrees to the proposed treatment

Answer

Informed consent ensures that residents have sufficient information to make a voluntary, autonomous decision about their own care.

Question 3

A resident presents a legally executed advance directive stating they do not want CPR. What is the nursing home administrator's primary responsibility?

Accepted Answer

Ensure the directive is honored and communicated to all relevant care staff

Answer

Administrators must ensure that valid advance directives are honored and that all care staff are informed of the resident's documented wishes.

Question 4

Under HIPAA, which of the following disclosures of a resident's protected health information (PHI) does NOT require the resident's written authorization?

Accepted Answer

Disclosing information to another treating provider for treatment purposes

Answer

HIPAA permits disclosure of PHI without authorization for treatment, payment, and healthcare operations, including sharing with other providers involved in the resident's care.

Question 5

When a nursing home staff member suspects resident abuse by a coworker, what is the legally required first step?

Accepted Answer

Report the suspicion immediately to the administrator and appropriate state agency

Answer

Mandated reporter laws require immediate reporting of suspected abuse to the administrator and appropriate state agency without delay or internal investigation first.

(CNHA) Certified Nursing Home Administrator Practice Test

(CNHA) Certified Nursing Home Administrator Practice Test

CNHA Ethics and Legal Issues 1