SMQT Abuse, Neglect, and Exploitation Prevention 2

Question 1

Which of the following staff behaviors would be classified as 'psychological abuse' of a nursing home resident?

Accepted Answer

Repeatedly threatening a resident with punishment if they do not cooperate with personal care

Answer

Failing to reposition a bedridden resident on the schedule documented in the care plan

Answer

Removing money from a resident's personal funds account without authorization

Answer

Administering an incorrect medication dosage that causes the resident discomfort

Question 2

During a survey, which finding would most strongly indicate the possible presence of physical abuse of a resident?

Accepted Answer

Multiple unexplained bruises in various stages of healing located on a resident's body

Answer

A resident who consistently refuses to participate in scheduled recreational activities

Answer

A resident who repeatedly requests extra servings of food at mealtimes

Answer

Documentation of a single resident fall with a corresponding bruise at the site of impact

Question 3

What is the primary regulatory purpose of conducting background checks on prospective nursing facility employees?

Accepted Answer

To identify individuals with a prior history of abuse, neglect, or financial exploitation of vulnerable adults

Answer

To verify the applicant's educational credentials and professional licensure status

Answer

To assess the applicant's credit history and overall financial reliability

Answer

To confirm the accuracy of the applicant's stated employment history and professional references

Question 4

A resident tells a surveyor that a nurse aide 'grabbed my arm and twisted it hard' when they refused to take a shower. Which type of regulatory violation does this describe?

Accepted Answer

Physical abuse because it involved the use of physical force causing or risking bodily injury

Answer

Psychological abuse because it was done to force compliance

Answer

Sexual abuse because it involved unauthorized physical contact

Answer

Neglect because the resident's right to refuse care was not respected

Question 5

Which scenario constitutes 'neglect' rather than 'abuse' under long-term care regulations?

Accepted Answer

A resident with a documented skin care protocol develops a deep pressure ulcer because staff consistently failed to follow the protocol

Answer

A staff member yells obscenities and makes degrading remarks to a confused resident

Answer

A staff member touches a resident in their genital area without care justification during morning care

Answer

A staff member removes cash from a resident's wallet while assisting with personal care

Question 6

Under federal regulations, what must a facility do regarding an employee for whom abuse has been substantiated?

Accepted Answer

Prohibit future employment and report to the appropriate nurse aide registry or applicable licensing authority

Answer

Place the employee on permanent probation within the facility with enhanced supervision

Answer

Reassign the employee exclusively to administrative or non-resident-contact positions

Answer

Allow continued employment contingent upon successful completion of mandatory retraining

Question 7

A surveyor observes a staff member repeatedly mocking and ridiculing a cognitively impaired resident in front of other residents. This should be documented as:

Accepted Answer

Verbal or psychological abuse because it constitutes humiliation and ridicule causing mental anguish

Answer

Neglect because the staff member is failing to provide appropriate emotional support to the resident

Answer

Physical abuse because the public humiliation may cause the resident to experience physical symptoms of distress

Answer

An isolated behavioral incident requiring only an informal counseling conversation with the staff member