CSA Resident Rights & Advocacy 2

Question 1

A resident refuses to participate in a scheduled group activity. What is the correct staff response?

Accepted Answer

Honor the refusal and document it without pressure

Answer

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)?

Accepted Answer

Within 14 days of admission, then at least annually with quarterly reviews

Answer

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?

Accepted Answer

Respect the resident's confidentiality and share with the care team only

Answer

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?

Accepted Answer

Omnibus Budget Reconciliation Act 1990

Answer

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?

Accepted Answer

Facilitate a care conference to balance both residents' rights

Answer

Staff must balance competing resident rights through communication, compromise, and care planning.

(CSA) Certified System Administrator Practice Test