SMQT Abuse, Neglect, and Exploitation Prevention 3

Question 1

A resident's family member informs a surveyor that the facility discovered an abuse allegation but failed to report it to the State agency. Under federal regulations, this failure to report is:

Accepted Answer

A regulatory violation that can result in citation and potential civil monetary penalties regardless of investigation outcome

Answer

Acceptable if the facility conducted a thorough internal investigation and found the allegation unsubstantiated

Answer

Only a regulatory violation if the investigation ultimately substantiates that abuse occurred

Answer

Permissible if the alleged incident occurred between two residents rather than involving a staff member

Question 2

Which of the following situations would be classified as 'misappropriation of resident property'?

Accepted Answer

A nurse aide borrows $20 from a resident's personal funds account and fails to repay it

Answer

A resident voluntarily gives a staff member a birthday gift of modest value

Answer

A facility requires residents to store valuables in a secured safe at the nursing station

Answer

A social worker assists a resident in completing a durable power of attorney document

Question 3

During a survey, a surveyor finds documentation indicating a resident was threatened with discharge for reporting complaints about the quality of care. This constitutes:

Accepted Answer

Retaliation against a resident for exercising their rights, which constitutes a form of prohibited abuse or intimidation

Answer

An appropriate facility policy used to maintain order and manage difficult residents

Answer

A legitimate component of the facility's discharge planning process

Answer

An isolated verbal disagreement that does not rise to the level of a regulatory citation

Question 4

What is the primary function of the State Nurse Aide Registry in the context of abuse prevention?

Accepted Answer

It tracks substantiated findings of abuse, neglect, or misappropriation against nurse aides to prevent future employment in care settings

Answer

It provides a staffing referral service listing nurse aides available for hire in the local region

Answer

It certifies nurse aide competency for those who have completed approved training programs

Answer

It monitors nurse aide work schedules to prevent fatigue and overwork that could lead to errors

Question 5

Which of the following is a required component of a nursing facility's comprehensive abuse prevention program under federal regulations?

Accepted Answer

Screening of staff, training on prevention and identification, investigation of allegations, and required reporting

Answer

Monthly coordination meetings with the local law enforcement agency

Answer

Annual review of the program by a State-appointed independent abuse prevention coordinator

Answer

Installation of mandatory video surveillance cameras in all resident care and common areas

Question 6

A surveyor discovers that a facility failed to investigate an allegation of sexual abuse involving two residents. The most appropriate regulatory finding is:

Accepted Answer

Citation under F600 for failure to protect residents from abuse and for failure to conduct a required investigation

Answer

No citation is warranted because the incident involved two residents rather than a staff-perpetrated act

Answer

Citation only if the investigation would have substantiated that sexual abuse actually occurred

Answer

Referral to law enforcement with no facility citation because criminal matters supersede regulatory action

Question 7

What information must a nursing facility include in its initial 24-hour report of an alleged abuse incident to the State agency?

Accepted Answer

The nature of the allegation, information about the alleged perpetrator, and any immediate corrective actions taken to protect residents

Answer

Only the name of the resident who was allegedly abused and the date of the incident

Answer

A fully completed investigation report including signed witness statements from all involved parties

Answer

The facility's final determination of whether the allegation is substantiated or unsubstantiated