Mixed Deck — All CSA Topics Flashcards
94 cards from real CSA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 20 Mixed Deck — All CSA Topics flashcards as text
A resident who was previously physically restrained now has a new care plan with restraint-free alternatives. This change reflects compliance with:
Answer: CMS F-tag F604 requirements to minimize physical restraint use
CMS F604 requires facilities to use physical restraints only as a last resort and to pursue alternatives that preserve resident freedom and dignity.
A resident's family requests that a specific herbal supplement be given to the resident. The administrator should ensure that:
Answer: The attending physician is notified and approves the supplement before it is administered
All supplements, including herbal products, must be reviewed and approved by the attending physician before administration to assess for drug interactions and contraindications.
In IT financial management, what does the term 'run the business' (RTB) spending refer to?
Answer: Costs to maintain and operate existing IT systems and services
Run-the-business (RTB) costs cover keeping existing systems operational—maintenance, support, licensing—as opposed to grow/transform-the-business projects.
A resident with dementia is prescribed a medication 'crushed and mixed with applesauce.' The administrator's oversight role includes verifying that:
Answer: The pharmacist has confirmed the medication is safe to crush and the consent is documented in the care plan
Not all medications are safe to crush (e.g., extended-release or enteric-coated formulations); pharmacist confirmation and care plan documentation are required before altering medication form.
A resident experiences a suspected adverse drug reaction (ADR) following a new medication. The administrator's responsibility includes ensuring that:
Answer: The event is documented, the prescriber is notified, and an incident report is filed
Suspected ADRs require thorough documentation, immediate prescriber notification, and completion of an incident report as part of the facility's quality assurance process.
Which type of training is most appropriate for ensuring all IT staff maintain consistent knowledge of updated compliance policies?
Answer: Mandatory recurrent training with tracked completion
Mandatory recurrent training with completion tracking ensures universal coverage and provides an audit trail for compliance purposes.
In ServiceNow instance configuration, what is the purpose of 'Data Encryption'?
Answer: It encrypts specified field values at rest within the database using a managed encryption key
ServiceNow Data Encryption encrypts the stored values of designated fields in the database, protecting sensitive data at rest.
The administrator's role in the facility's pharmacy services agreement is to ensure the contract includes provisions for:
Answer: Emergency medication access, MRR services, and timely delivery standards
The pharmacy services agreement must address emergency medication availability, consultant pharmacist MRR services, and timely delivery to meet CMS requirements.
Which clone excluder type prevents sensitive data from being copied during an instance clone?
Answer: Data Preservers and Exclude Tables
Clone Data Preservers keep certain target records intact, while Exclude Tables prevent specific tables from being cloned from source.
Your organization uses a chargeback model for IT services. What is the primary purpose of this approach?
Answer: To allocate IT costs to the business units that consume them
Chargeback models assign IT costs directly to the consuming business units, promoting accountability and accurate cost attribution.
Under CMS requirements, who is ultimately responsible for ensuring the MDS is completed accurately and on time in a nursing facility?
Answer: The facility administrator
The facility administrator bears ultimate accountability for ensuring that MDS assessments are completed accurately, on schedule, and transmitted to CMS.
Which backup strategy copies only files that have changed since the last FULL backup, regardless of whether a previous incremental backup was taken?
Answer: Differential backup
A differential backup copies all data changed since the last full backup, making it independent of other differential backups.
Which CMS tool allows consumers and administrators to compare nursing facility quality measures, staffing levels, and inspection results publicly?
Answer: Nursing Home Care Compare (Care Compare)
Nursing Home Care Compare (now called Care Compare) on medicare.gov publicly reports star ratings, staffing data, inspection results, and quality measures for every certified facility.
An administrator needs to temporarily disable all notifications for a major maintenance window. What is the fastest way to achieve this in ServiceNow?
Answer: Disable the Email Sending property in System Properties
Setting the 'glide.email.send' property to false in System Properties globally suppresses all outbound email notifications instantly.
What is the purpose of the 'glide.db.pool.connections' system property in ServiceNow?
Answer: It controls the number of database connections available to the application
The glide.db.pool.connections property determines how many simultaneous database connections the instance can maintain.
Which federal regulation governs food and nutrition services requirements for long-term care facilities certified by Medicare and Medicaid?
Answer: 42 CFR §483.60
42 CFR §483.60 contains all federal requirements for food and nutrition services in Medicare/Medicaid-certified nursing facilities.
Which maintenance strategy involves replacing components at fixed time intervals regardless of their condition?
Answer: Preventive maintenance
Preventive maintenance schedules component replacement at fixed intervals to prevent failures before they occur.
A resident asks to see their medical record. Under HIPAA, the facility must provide access:
Answer: Within 30 days of the request, with a possible 30-day extension
HIPAA grants residents the right to access their medical records within 30 days, extendable once by another 30 days.
During maintenance, an administrator needs to put the instance in maintenance mode to prevent user logins. Which property controls this?
Answer: glide.instance.maintenance
Setting glide.instance.maintenance to true redirects users to a maintenance page and restricts access to admin accounts only.
A chemical spill occurs near the data center loading dock. Which OSHA standard primarily governs employee emergency response for hazardous substance releases?
Answer: OSHA 29 CFR 1910.120 (HAZWOPER)
OSHA 29 CFR 1910.120 (HAZWOPER) establishes requirements for emergency response operations involving hazardous substance releases.