CSA Resident Rights & Advocacy 2 — Questions and Answers
Question 1: A resident refuses to participate in a scheduled group activity. What is the correct staff response?
- Require participation since it is on the care plan
- Report the refusal to the charge nurse immediately
- Honor the refusal and document it without pressure (Correct answer)
- Ask a family member to convince the resident to attend
Correct answer: Honor the refusal and document it without pressure
Residents have the right to refuse any activity, and staff must respect that choice and document it.
Question 2: Under OBRA regulations, how often must a nursing facility complete a comprehensive resident assessment (MDS)?
- Every 6 months
- Annually
- Within 14 days of admission, then at least annually with quarterly reviews (Correct answer)
- Only upon significant change in condition
Correct answer: Within 14 days of admission, then at least annually with quarterly reviews
OBRA requires an MDS within 14 days of admission, quarterly reviews, and annual comprehensive reassessments.
Question 3: A resident tells the aide, 'I don't want my daughter to know about my diagnosis.' What must the aide do?
- Tell the daughter anyway since she is listed as emergency contact
- Respect the resident's confidentiality and share with the care team only (Correct answer)
- Ask the supervisor to override the request for safety reasons
- Document the statement and ignore it during family meetings
Correct answer: Respect the resident's confidentiality and share with the care team only
HIPAA and resident rights protect a resident's right to keep health information private from family.
Question 4: Which federal law established the Patient Self-Determination Act (PSDA), requiring facilities to inform residents about advance directives?
- HIPAA 1996
- ADA 1990
- Omnibus Budget Reconciliation Act 1990 (Correct answer)
- Social Security Act 1965
Correct answer: Omnibus Budget Reconciliation Act 1990
The PSDA was included in the Omnibus Budget Reconciliation Act of 1990, effective December 1991.
Question 5: A resident's roommate consistently plays the television loudly at night, disturbing sleep. What is the best advocacy action?
- Tell the complaining resident to wear earplugs
- Ignore the complaint since both residents have equal rights
- Facilitate a care conference to balance both residents' rights (Correct answer)
- Move the complaining resident without their input
Correct answer: Facilitate a care conference to balance both residents' rights
Staff must balance competing resident rights through communication, compromise, and care planning.
Question 6: A nursing home ombudsman's primary role is to:
- Conduct state licensing inspections
- Investigate complaints and advocate for residents' rights (Correct answer)
- Manage the facility's quality assurance program
- Provide direct nursing care to residents
Correct answer: Investigate complaints and advocate for residents' rights
Ombudsmen are independent advocates who investigate complaints and work to resolve problems for long-term care residents.
Question 7: A resident with capacity wants to leave the facility against medical advice (AMA). Staff should:
- Physically prevent the resident from leaving
- Lock the exit doors temporarily
- Provide required information, have them sign AMA documentation, and allow them to leave (Correct answer)
- Call the family to physically restrain the resident
Correct answer: Provide required information, have them sign AMA documentation, and allow them to leave
A cognitively capable resident has the right to leave AMA; staff must inform them of risks and document but cannot forcibly detain them.
CSA Resident Rights & Advocacy 2
A resident refuses to participate in a scheduled group activity.
What is the correct staff response?